Jurisprudence Exam-1
what is the purpose of mandatory reporting to CNO a. to update CNO regarding address changed b. to protect nursing colleagues c. to notify CNO of unsafe nursing practice d. to enforce limitations on nurse practices
c. to notify CNO of unsafe nursing practice
an 80 yo nursing home pt with advanced alzheimers disease requires minor surgery. which one of the following individuals should sign the consent for his operation a. his 66 yo spouse who has no cognitive deficits b. his eldest adult who is a lawyer c. a person appointed by the consent and capacity board d. the person named as his power of attorney for personal care
d. the person named as his power of attorney for personal care
a 70 yo mentally competent pt is at high risk for falls. the nurse recommends the use of a cane or a walker, but the pt refuses. what should the nurse do first a. explore other options with the pt that may be acceptable b. request that the MD speak to the pt c. call the pt SDM to discuss the matter d. refer the pt to the physio for assessment
a. explore other options with the pt that may be acceptable
what info from each member is required to be made public on the CNO register a. full name, business address and business phone number b. last name and all current and previous employers c. full name and school from which he graduated d. last name and initials, home address and phone number
a. full name, business address and business phone number
what is one part of the definition of "professional misconduct" as defined by the health professions procedural code a. guilty of an offence relevant to the members suitability to practice b. has a physical condition limiting practice c. guilty of a criminal offence under Ontario law d. has a mental illness that limits the members suitability to practice safely
a. guilty of an offence relevant to the members suitability to practice
under which of the following conditions may nurses perform a controlled act a. if ordered by a MD, chiropractor, dentist or NP b. if ordered by MD, dentist, chiropodist or NP c. if ordered by a MD, physiotherapist or dietitian d. if ordered by a MD, directives or SLP
a. if ordered by a MD, chiropractor, dentist or NP
when can a nurse discontinue nursing services for a cognitively impaired pt without resulting in a professional misconduct a. if replacement services have been arranged b. when the substitute decision maker has been informed c. if the nurse is respecting the pt wishes d. when alternate care has been discussed with the MD
a. if replacement services have been arranged
an NP was written an order for an influenza immunization at a local clinic. what should the RNP do a. implement the order b. request that the RN administer the injection c. refuse to administer the injection d. call the MD to confirm the order
a. implement the order
a nurse is assigned a pt with complications following a therapeutic abortion which is in direct conflict with the nurse's values and religious beliefs. what action should the nurse take in this situation a. reconsider her or his beliefs b. find another nurse to care for the pt c. inform the pt about her or his personal beliefs d. refused the assignment and discontinue services for the pt
b. find another nurse to care for the pt
as part of his end of life care, a pt decides he wants only palliative measures to maintain his quality of life. the nurse does not support the pt decision and does not feel he can care to the pt. how should the nurse proceed a. withdraw from the situation immediately b. advocate to the pts family for full treatment c. inform the pt that the nurse has a duty to preserve life d. arrange for another health care provider
d. arrange for another health care provider
an RPN employed as an UCP administers a med and an error is identified. to what level of accountability will CNO hold this staff member a. as a UCP b. as decided by the nurses employer c. as decided by the MD d. as a RPN
d. as a RPN
a nurse documents all the care provided during the workday at the end of the shift. which documentation standard has the nurse breached a. care must be documented immediately after it occurs b. documentation must be relevant to pt care c. documentation must be comprehensive d. care must be documented in a timely manner
d. care must be documented in a timely manner
which one of the following statements describes the ethical value related to privacy and confidentiality and outlined in the CNO practice standard; ethics a. maintaining pt well being b. using a framework to determine ethical uncertainty c. supporting informed decision making for pt d. collecting only info necessary for providing health care
d. collecting only info necessary for providing health care
according to the CNO practice standard; documentation what is one of the 3 CNO standards statements that describe a nurses accountability when documenting a. assessment b. professional practice c. goal orientations d. communication
d. communication
what CNO statutory committee would act upon a finding of professional misconduct a. registration b. quality assurance c. fitness to practice d. discipline
d. discipline
erica an RN working in the role of an UCP at a long term care home. is erica accountable to practice accordance with the CNO standards a. no, because erica is not being paid as an RN b. yes because erica must comply with the long term care home act c. no because erica is working in a UCP role d. yes, because erica is registered as an RN
d. yes, because erica is registered as an RN
A nurse is advocating for a group of clients to obtain government subsidies for adequate nutrition. According to the CNO Practice Standard.: Professional Standard, Revised 2002. Which one of the following Standard Statement best describes the nurse's actions a. Relationships b. Accountability c. Knowledge d. Leadership
B. Accountability
according to the CNO practice standard: confidentiality and privacy personal health info. what is the lockbox provision a. a pt instructs that a part of his or her personal info is not shared with other providers b. personal health info is physically secured in a locked area c. a pt is not permitted to access a portion of his or her personal health info d. a nurse is responsible for ensuring that she or he uses pt info only for the purpose for which it was collected
a. a pt instructs that a part of his or her personal info is not shared with other providers
the MD has prepared a medical directive for all post hysterectomy pt that includes the administration of a narcotic q4h. what must the nurse do if a post hysterectomy pt has concerns of pain. a. administer the narcotic to the pt as per the medical directive b. ask the MD for a specific order for the pt rather than following the medical directive c. provide the pt with a prescription to follow the medical directive d. ask the nurse in charge for permission to follow the medical directive
a. administer the narcotic to the pt as per the medical directive
which one of the following actions by a nurse demonstrates unequal power in the nurse-pt relationship a. administering an antibiotic as ordered b. assisting a pt with personal care c. informing a pt of toileting schedule d. expressing empathy for a pt
a. administering an antibiotic as ordered
who does the regulated health professional act govern in ontario a. all health care providers b. self regulated health care providers c. RNs, RPN and NPs only d. MD, nurses and PSW
a. all health care providers
which of one of the following health care providers is appropriately using the authorizing mechanism of initiation a. an RN who establishes peripheral venous access in an emergency situation b. an RPN who cleanses, soaks, probes and packs a wound below the dermis c. a PSW who discontinues an IV site d. an RN who performs an elective cardio version
a. an RN who establishes peripheral venous access in an emergency situation
which of the following statements best describes the pt in the context of the therapeutic nurse pt relationship a. an individual, family, group or community b. an individual who receives direct care c. an individual requiring therapeutic nursing interventions d. an individual or group other than health care providers who receive treatment
a. an individual, family, group or community
what organization regulates nurse in Ontario a. college of nurses of Ontario b. registered nurses association of Ontario c. Ontario nurses association d. Canadian nurses association
a. college of nurses of Ontario
what is a condition associated with the appropriate delegation of controlled acts to UCPs a. competence has been determined b. it is part of their scope of practice c. it is an expectation of the employer d. pt tracing is a part of the care
a. competence has been determined
a nurse wishes to control a pt violent behaviour. what should the nurse do a. consider the use of restraints only as a last resort b. administer a chemical restraints c. apply a jacket restraints to protect the pt d. lock the pt in a room for everyones safety
a. consider the use of restraints only as a last resort
a nurse who works with street youth, intentionally reveals her breast tattoo to a group of pt. another nursing colleague witnesses this action. it the colleague required to report this behaviour to CNO a. no only professional misconduct must be reported b. yes sexual abuse must be reported c. no this is only considered a frivolous complaint d. yes but only the pt may report the event
a. no only professional misconduct must be reported
A 7 year old boy is admitted to the ER with a compound fracture to the arm. his parents are not reachable. is consent required to initiate treatment a. no, because this is an emergency situation b. no, because the nurse must act as a pt advocate c. yes, because the parents must provide consent d. Yes, because the child is a minor
a. no, because this is an emergency situation
which one of the following circumstances is mandatory for nurses to self report to CNO a. pardoned criminal offences b. communicable diseases c. work related disciplines d. frequent medication errors
a. pardoned criminal offences
while off duty a nurse is charged with impaired driving. ultimately she is found guilty. following this finding does the nurse have any obligation to CNO a. yes because the nurse must self report a finding of guilt for an offence b. no because the nurse was not working at the time of the offence c. yes because the nurse must incorporate the finding the guilt into reflective practice d. no because the nurse is only obligated to report sexual abuse
a. yes because the nurse must self report a finding of guilt for an offence
are nurses administrators accountable to practice in accordance with all CNO standards a. yes, because all nurses are accountable to the standards regardless of role b. no, because the nurse is an administrator, therefor, only the CNO practice standards: professional standards applies c. No, because the standards of practice inly apply to nurses working in direct pt care d. yes, because only nurse administrators are accountable to the CNO practice standard" professional standards, in addition to the other standards
a. yes, because all nurses are accountable to the standards regardless of role
An RPN and an NP practice collaboratively. The NP has written an order for Tylenol for pain. What is the RPNs responsibility. a. Ask an RN to administer the medication b. Administer the medication as ordered c. Collaborate with a MD prior to proceeding d. Inform the Np that the Ron is unable to comply
b. Administer the medication as ordered
according to the CNO practice standard: ethics, how is "fairness" defined a. ensuring pt have enough info to make informed decision b. allocating health care resource on the basis of objective health related factors c. facilitating pt wishes for their treatment plan d. following through with implicit or explicit commitments toward pts
b. allocating health care resource on the basis of objective health related factors
every time the nurse begins working on the afternoon shift, she finds that most of the pts incontinence briefs are saturated. a. advocate for superior incontinent products b. communicate her concerns to the day staff c. ask the nurse educator to teach the day staff hoe to meet pts basic needs d. intervene by reporting the incidents to the manager
b. communicate her concerns to the day staff
which of the following examples represents sexual abuse as defined by the health professional procedural code a. a 12 yo pt with suspected vaginal trauma b. consensual sexual relations between a nurse and a pt c. a female pt who discloses unwanted sexual relations with a partner d. unwanted sexual relations between a nurse and a colleague
b. consensual sexual relations between a nurse and a pt
a nurse is caring for a pt on life support. the pt's estranged spouse, who is the pt's power of attorney for personal care, visits on a regular basis. the nurse has become attracted to the pt's spouse and has been invited to the spouses home for dinner. what demonstrates protecting the pt from abuse a. reusing permission from the nurse's manager before accepting the invitation b. declining the invitation to the spouse's home c. requesting to be reassigned to a different pt before accepting the invitation d. agreeing to meet the spouse in public location only
b. declining the invitation to the spouse's home
which one of the following option is an example of an "authorizing mechanism a. standing order b. delegation c. practice guidance d. advance directive
b. delegation
an RPN assess that a pt in the home requires routine urinary catheterization. what must be considered prior to initiation a. determining whether the family MD would approve the order b. identifying the risks and benefits of the procedure c. reviewing the health record to determine the effectiveness of the previous treatment d. consulting with a colleague about the procedure
b. identifying the risks and benefits of the procedure
the nurse encounters a confused, combative pt. which one of the following actions would represent abuse a. calling the pts name loudly to get this attention b. ignoring the pt until he becomes calm c. administering a sedative under a pt specific order d. assuming a defensive stance in response to the pt trying to hit the nurse
b. ignoring the pt until he becomes calm
During the lunch break, a nurse observes a colleague drinking several alcoholic beverages. Later in the day, the colleague is observed loudly laughing and slurring words when interacting with pt. How would CNO most likely assess this type of behaviour a. incompetence b. incapacity c. negligence d. abuse
b. incapacity
according to the CNO practice standards professional standards which one of the following option best reflects the standards statement of knowledge application a. identifies ethical issues and communicates them effectively b. incorporates evidence informed practice into clinical performance c. seeks appropriate assistance in a timely manner d. behaves professionally to meet the therapeutic needs of the pt
b. incorporates evidence informed practice into clinical performance
According to the CNO practice standard: therapeutic nurse-pt relationship which one of the following standard statements best describes the nurse's accountability a. competence b. maintaining boundaries c. security d. self disclosure
b. maintaining boundaries
a nurse has been asked to perform tracheal suctioning on a pt. according to the CNO practice standard; decisions about procedures and authority. what is one of the standards statements that must be considered when determining if the nurse can perform this procedure a. assessment b. managing outcomes c. implementation d. pt stability
b. managing outcomes
what is the legislation related to the CNO practice standard: restraints a. health care consent act b. patient restraints minimization act c. occupation health and safety act d. health protection and promotion act
b. patient restraints minimization act
what is one part of the self assessment component of CNOs quality assurance program a. practice evaluation b. practice reflection c. practice assessment d. practice consolation
b. practice reflection
which one of the following statues is relevant to the practice of nursing in ontario a. pharmacy act b. public hospital act c. medicine act d. midwifery act
b. public hospital act
Occupational health nurse reveals to a manager that one of their probationary employer is pregnant. What, if anything is wrong with this action. a. the manager may choice to terminate the employer b. the nurse has breached confidentiality c. the employee may not carry the baby to term d. Nothing, the nurse has acted in good faith to protect the employee
b. the nurse has breached confidentiality
which one of the following condition must be met prior to a nurse "initiating" controlled act authorized to nurses a there is a directive for the nurse to perform the procedure b. the nurse has determined the pt condition warrants performance of the procedure c. a mechanism exists to support delegation of the procedure d. there is a physicians order for the procedure
b. the nurse has determined the pt condition warrants performance of the procedure
a nurse working on a palliative floor spends some time listening to a pt and his family discuss the fear of dying. according to the con practice standard: therapeutic nurse pt relationship, which one of the following standards of statements best describes the nurses accountability a. maintaining boundaries b. therapeutic communication c. pt centered care d. protecting the pt from abuse
b. therapeutic communication
according to the CNO practice standard; professional standards. what is the purpose of the seven standard statements a. they define the scope of practice for RNs, RPNs and NPs b. they list the specific knowledge, skill, judgment and attitudes that nurses must demonstrate c. they outline the nurses responsibility within the public hospital act d. they describe, in broad terms the professional expectations of nurses
b. they list the specific knowledge, skill, judgment and attitudes that nurses must demonstrate
what is one purpose of nursing documentation a. to limit involvement in legal processings b. to record every care event experienced by the pt c. to communicate interventions in care to the health care team d. to protect the practice of colleagues
b. to record every care event experienced by the pt
a nurse wants to initiate cleansing and dressing of a pts wound. in which practice setting is there a restriction for the nurse to initiate this procedure a. a community health center b. a retirement home c. a hospital inpatient unit d. a pts home
c. a hospital inpatient unit
a pt has frequent visitors in his room. a regular practice on the unit is to do bedside reports. Based on the content of the CNO practice standard: confidentiality and privacy- personal health info, what does the nurse need to do prior to the report a. ask the visitors if they would mind if their visit was interrupted by the report b. provide a clear, succinct report to the health care team member at the bedside c. ask the pts visitors to leave the room during the report unless pt requests that they stay d.decline to give the report on days when the visitors
c. ask the pts visitors to leave the room during the report unless pt requests that they stay
a nurse disagrees with a pt decision to terminate a pregnancy for genetic reasons and wishes to discontinue nursing care. what should the nurse do first a. discuss changing the pts plan of care with the health care team b. attempt to convince the pts family that there are other options c. consult with a nursing colleague to clarify the nurses own values d. report the plan of care to the ethics review committee
c. consult with a nursing colleague to clarify the nurses own values
a pt situation arises that may present an ethical issue. what is the first thing the nurse must do a. review the employers policies and procedures b. discuss the issue with the health care team c. determine the pts wishes d. consult the supervisor
c. determine the pts wishes
a MD gives a nurse a phone directive to catheterize the MS admitted pt. why should the nurse refuse to follow this directive a. direct orders must always be written for any procedure or treatment b. nurses can initiate catheterization on in-pt without a directive c. directives must always be written and signed by the MD/NP d. nurses must always have the act of catheterization delegated
c. directives must always be written and signed by the MD/NP
which one of the following example demonstrates a nurse effectively maintaining the boundaries of the therapeutic nurse-pt relationship a. disclosing details of the nurses experiences b. lending money to a pt c. ensuring the nurse does not interfere with the pts personal relationship d. speaking for the pt in meeting with family members
c. ensuring the nurse does not interfere with the pts personal relationship
a pt is terminally ill. he has voiced a desire to end his lie. his primary nurse has very strong beliefs that conflict with the pt's wishes. what is the first action the nurse should take a. discontinue nursing services to the pt b. report the pts statements to the MD c. explore the pt's wishes d. place the pt on close observation
c. explore the pt's wishes
what is one nursing responsibility when deciding whether to use restraints a. following the MD order b. using the restrains that is least restrictive to the pt c. following the family's instructions d. using the restraint last applied to the pt
c. following the family's instructions
a nurse is caring for a 97 yo male resident of a long term care. the pt has a history of parkinson disease, requiring assistance with all activities of daily living. he has now developed aspiration pneumonia. transfer to care has been ordered; however the pt does not wish to go. how should consent for treatment be obtained a. from one of the pts family member b. from the substitution decision maker c. from the pt d. from the consent and capacity board
c. from the pt
a nurse has recently relocated and changed employers. what is the nurses responsibility to CNO a. report address changed to CNO when renewing the nurses annual membership b. advise the nurses new employer to fax all changes to CNO c. immediately update any changes to the nurses employer or home address with CNO d. re-register and submit the new info to CNO
c. immediately update any changes to the nurses employer or home address with CNO
according to the CNO standard; ethics what is one of the ethical values a. competence b. health promotion c. maintaining commitments d. substitute decision making
c. maintaining commitments
what is one of the components of the nursing scope of practice statement a. assigning diagnoses and treatment to pt b. promoting the health and well-being of individuals c. providing care by supporting and therapeutic means d. developing care by supportive and therapeutic means
c. providing care by supporting and therapeutic means
a pt expresses a wish to die at home. the nurse discusses the pts expectations and negotiates a plan of care involving all relevant parties. according to the CNO practice standard; therapeutic nurse pt relationship which standard statement does this demonstrate a. therapeutic communication b. maintaining boundaries c. pt centered care d. maintaining a quality practice setting
c. pt centered care
according to the CNO practice standard: documentation which one of the following statement best demonstrates appropriate documentation a. pt admitted via stretcher b. pt states that his roommate had his girlfriend over night c. pt states his pain is a 1-10 d. pt is non-adherent with treatment
c. pt states his pain is a 1-10
an RN is precasting a nursing student. the student is performing many aspects of care. in this situation what is the role of the RNs a. delegating b. assigning c. supervising d. advocating
c. supervising
a nurse witnesses another regulated health professional making a sexual comment to a pt. to whom does the nurse have a legal responsibility to report this individual a. the holder of the pts power of attorney for personal care b. the other members of the health care team c. the manager of the health care team d. the regulatory college of the health care team member
c. the manager of the health care team
a nurse has relocated to ontario from Florida. Which one of the following facts is the nurse obligated to report to CNO a. contact info for the nurses most recent employer in Florida b. the nurses score on the Florida state board licensing exam c. the nurse has been disciplined by the Florida state nursing regulatory body d. the termination of the nurses employment by the previous employer
c. the nurse has been disciplined by the Florida state nursing regulatory body
a pt has been deemed incapable of making her own decisions and has no family. whom should the nurse contact for decision making and consent for treatment a. the most responsible MD b. the pts social worker c. the office of the public guardian and trustee d. the pts closest friend
c. the office of the public guardian and trustee
what is CNOs mandate a. to develop practice standards b. to protect the public interest c. to provide a disciplinary body available to the public d. to create entry to practice requirements in ontario
c. to provide a disciplinary body
what is the difference between "initiating" and performing a controlled act a. a nurse requires a MDs order for initiating but not for performing a controlled act b. when initiating the nurse accepts accountability for determining that the pt condition warrants performance of controlled act c. when initiating a nurse performs the controlled act and then obtains a MD order for the procedure d. a nurse can only initiate a controlled act and then obtains a MD order for the procedure
c. when initiating a nurse performs the controlled act and then obtains a MD order for the procedure
under which one of the following conditions can a nurse accept "verbal orders" from a MD a. when the MD is conducting rounds b. when the MD is with another pt on the unit c. when the MD is not physically present d. when the pt condition is rapidly deteriorating
c. when the MD is not physically present
what differentiates RPNs and RNs a. RPNs do not study from the same body of nursing knowledge b. RPNs achieve a greater breath of knowledge in clinical practice c. RPNs achieve a greater depth of knowledge in resources management d. RPNs achieve a more focused or basic foundation of knowledge
d. RPNs achieve a more focused or basic foundation of knowledge
in which of the following situation can a nurse perform a controlled act a. a pharmacist write an order for a new injectable med b. a nurse performs wound packing below the mucous membrane for a pts family member c. a nurse disimpacts a pt, knowing that the MD will write an order during daily rounds d. a dentist write an order fr=or the nurse to start a pre-procedural IV
d. a dentist write an order fr=or the nurse to start a pre-procedural IV
what is an example of abusive behaviour in the context of the therapeutic nurse pt relationship a. a male nurse has been assigned to a pt who is uncomfortable with him b. a pt has accused a nurse of stealing some of her personal belongings c. a confused pt uses racial slurs when addressing the nurse d. a nurse addresses a pt in a demeaning manner
d. a nurse addresses a pt in a demeaning manner
which one of the following always reflects establishing and maintaining appropriate boundaries in the therapeutic nurse pt relationship a. providing care to the nurses relatives or friends b. disclosing the nurses personal info to pt c. engaging in financial transactions with the pt or pts family d. documenting consolation with a colleague about a questionable pt interaction
d. documenting consolation with a colleague about a questionable pt interaction
a RN case manager visits a pt in the community whose needs are becoming more complex. according to the CNO practice guideline; RN and RPN practice, the pt, the nurse and the environment, what is one factor that the case manager must consider when determining the appropriate category of care provider a. leadership b. equipment c. cost d. environment
d. environment
what is definition of self regulation as it applies to CNO a. every member is responsible for practising safely in accordance with regulated health professions act b. CNO is responsible to confirm with employers that nurses are completing their self regulation requirements c. CNO is responsible for ensuring that nurses are working within their scope of practice and in collaboration with health care professionals d. every member is responsible for practising in accordance with the standards of the professions and keeping current and competent throughout their career
d. every member is responsible for practising in accordance with the standards of the professions and keeping current and competent throughout their career
what statement best articulates the overall responsibility for all nurses to practice in accordance with CNOs standards of practice a. nurses must participate in CNOs quality assurance programs including creating an annual learning plan and obtaining peer input b. nurses must remit their annual registration fee in a timely manner to maintain their registration c. nurses are responsible for reporting colleagues who are practicing nursing in a manner inconsistent with professional standards d. nurses will practice in accordance with the standards of the profession and will keep current and competent throughout their nursing career
d. nurses will practice in accordance with the standards of the profession and will keep current and competent throughout their nursing career
which one of the following situation requires a nurse to make a mandatory report to CNO a. accidentally sticking herself or himself with a used needle b. observing a nursing colleague kissing a pt c. learning that a nursing colleague is under investigation for theft d. observing a nursing colleague working at another facility when the colleague is supposedly on sick leave
d. observing a nursing colleague working at another facility when the colleague is supposedly on sick leave
which one of the following standard statement is from the CNO practice standard; therapeutic nurse pt relationship a. maintaining commitments to pts b. potential for harm c. pt well-being d. pt centered care
d. pt centered care
according to the CNO practice standard ethics which one of the following terms represents an ethical value related to pt choice a. self esteem b. self worth c. self respect d. self determination
d. self determination
what feudal legislation relates to narcotics a. controlled drugs and substance act b. regulated health professions act c. drug and pharmacies regulation act d. canada health act
a. controlled drugs and substance act
consistent with the nursing act, which one of the following example involves a nurse correctly exercising the right to refuse assignments or discontinue nursing services a. a nurse is called at home and is asked to work an extra shift over the weekend. the nurse is very fatigued and refuses b. a nurse from home care plans to do a dressing change in a pts home but a delay causes the nurse to decide to change the dressing the next day c. a home care nurse is assigned a new pt. upon arrival at the home, the nurse discovers that the pt smokes. the nurse refuses to visit the pt because of the risks associated with second hand smoke d. a nurse working on a labour and deliver unit refuses to cross a picket line due to the belief that the administration is not bargaining in good faith
a. a nurse is called at home and is asked to work an extra shift over the weekend. the nurse is very fatigued and refuses
who may determine capacity for the purpose of the substitute decisions act a. a trained capacity assessor b. any MD or social worker c. the pts SDM d. the office of the public guardian and trustee
a. a trained capacity assessor
which one of the following statements is considered to be a directive a. a written MDs order that may be used for a number of pt b. a pt-specific order that is either written or oral c. a procedure that is authorized to be performed by a nurse with the appropriate education d. a procedure that is initiated by the nurse in the absence of a direct order
a. a written MDs order that may be used for a number of pt
a visiting nurse providing foot care to an 85 yo pt. which one of the following behaviours may be considered abusive in the context of the therapeutic nurse pt relationship a. agreeing to have financial trusteeship with respect to the pt b. accepting a gift of flowers from the pt upon discharge c. engaging in a romantic relationship with the pts son following discharge d. providing the pt with the nurses pager number
a. agreeing to have financial trusteeship with respect to the pt
in which of the following situations can a nurse accept an order from another nurse a. an NP orders an RN to catheterize a pt b. an RN orders an RPN to initiate an IV on a stable pt c. an RN ordered an RN to administer an inhaler for asthma d. an RNP orders RPN to dress a wound
a. an NP orders an RN to catheterize a pt
the consent and capacity board has found Mr mary incapable of making decisions. his nephew who is his SDM has given consent to start the application for placement in long term care. Mr mary wishes to stay in his home. according to the health care consent act. which one of the following statement is true a. mr mary nephew has the authority to make the placement decision b. mr mary consent overrides that of his nephew because they are in disagreement c. mr mary can refuse to leave his home and arrange his own support system through the community care access center d. mr marys MD has the ability to override the findings of incapacity
a. mr mary nephew has the authority to make the placement decision
what is included in the mandatory requirements for nurses who are randomly selected to participate in CNO's quality assurance program a. peer assessment b. pt assessment c. health assessment d. workplace assessment
a. peer assessment
which one of the following action is a example of a controlled act that all nurses are authorized to perform as per the nursing act a. performing a pt digital rectal examination b. communicating a diagnosis of diabetes to a pt c. managing a pts labour and delivery d. setting a pts disclosed shoulder
a. performing a pt digital rectal examination
what is the key piece of legislation that protects the pt's confidentiality a. personal health info protection act b. quality of care info protection act c. regulated health professions act d. health care consent act
a. personal health info protection act
consistent with the health care consent act. when was a nurse required to obtain consent to treatment a. providing nursing services to an ill 8 year old in a community health centre b. administering blood products to a haemorrhaging pt in the operating room c. performing CPR on an individual who has been found unconscious on the street d. treating an unconscious pt with a head injury in the ER
a. providing nursing services to an ill 8 year old in a community health centre
which one of the following nursing practices demonstrates pt choice a. providing the pt with the necessary info for informed decision making b. exploring the wishes of the health care team regarding treatment option c. encouraging the pt to choose a specific treatment option d. having a substitute decision maker appointed for incapable pt
a. providing the pt with the necessary info for informed decision making
what controlled act is a nurse authorized to perform when ordered as found in the nursing act a. putting an instrument beyond the external ear canal b. managing labour c. conducting an allergy challenge test d. supervising the dispensing of a drug in a pharmacy
a. putting an instrument beyond the external ear canal
what are the components of the therapeutic nurse pt relationship a. respect, trust, professional intimacy, empathy and power b. communication, cultural sensitivity, understanding, advocacy, and professionalism c. empowerment, compassion, tolerance, autonomy, and cooperation d. fairness, acceptance, sympathy, accountability, collaboration
a. respect, trust, professional intimacy, empathy and power
what is the nurses responsibility in relation to the pt confidentiality and privacy a. sharing only relevant info with the pts health care team members b. preventing all health care professionals who are not employed by the nurses facility c. avoiding the use of pt names when posting photographs on social media websites d. advocating on behalf of the pt for a private room
a. sharing only relevant info with the pts health care team members
according to the CNO practice standard ethics, what is a component of the definition of the ethical value of truthfulness a. speaking or acting without intending to deceive b. providing empathic and knowledgeable care c. omitting info at the request of the pts family d. communicating the nurses own values to the pt
a. speaking or acting without intending to deceive
what should a nurse do first when observing another nurse abusing a pt a. stop the colleagues behaviour b. speak to the colleagues supervisor c. report the matter to CNO d. document the observed behaviour
a. stop the colleagues behaviour
How does CNO provide support to nurses in their practice a. web based learning centre b. malpractice insurance c. legal services to members d. funding for continuing education
a. web based learning centre
under which of the following conditions can all nurse perform controlled acts according to the nursing act a. when ordering or permitted by the regulations b. when agency policy allows nurse to perform controlled acts c. when ordered by an RN d. when delegated or ordered by an NP
a. when ordering or permitted by the regulations
when sharing health info, in which one of the following scenarios is a nurse best demonstrating confidentiality a. discussion with the family in private, without informing the pts b. discussion with the pts employer, with the pts permission c. discussion with any health care provider, without informing the pt d. discussion with the pt in a public area, with the pts permission
b. discussion with the pts employer, with the pts permission
what is one of the 4 key regulatory functions of CNO a. promote the profession of nursing b. establish requirements for entry to practice c. advocate for change in institutional policies d. develop nursing education
b. establish requirements for entry to practice
a 14 yo girl present sat of birth control centre requesting the oral contraceptive pill. she has a boyfriend but has not yet had sex. how can the RN provide pt entered care a. discuss continued abstinence as the best method of birth control b. explore sexuality and birth control methods with the pt c. refer the pt to her primary care provider for prescription d. ask the pt to bring her boyfriend to her next appointment
b. explore sexuality and birth control methods with the pt
in which one of the following situations can a nurse accept and perform a delegated task a. when any emergency situation occurs b. when an authorizing mechanism is in place c. when the activity is not a controlled act d. when the nurse has the necessary certification
b. when an authorizing mechanism is in place
what must a nurse consider when determining whether to discontinue nursing services a. if the decision is supported by the inions collective agreement b. whether there are conflicting obligations c. if it will be necessary to consult with the nurses professional association d. whether the decision must be reported to CNO
b. whether there are conflicting obligations
an RN notes a change in a pts wound and seeks advice from the only other nurse working during the shift, an RPN. the RN is later told by another nursing colleague that this was inappropriate. should the RN have sought advice from the RPN a. yes because there were no other nurses available b. yes because all nurses are expected to collaborate c. no because RPNs cannot provide care below the dermis d. no because RPNs should not provide advise to RNs
b. yes because all nurses are expected to collaborate
the nurse has a pt who does not speak or understand english or french. family members, acting as interpreters have stated that the pt would not want to know his prognosis. what is the nurses responsibility in this situation a. respect the wishes of family and do not disclose this info b. encourage the family members to reconsider their position c. involve a non family member as an interpreter to confirm the pt's wishes d. consult with the pts MD
c. involve a non family member as an interpreter to confirm the pt's wishes
a teacher asks the school nurse to see a 9 yo boy, who regularly comes to school unkempt, dirty and hungry. today the child presents with several bruises on his arms at different stages of healing and tells the nurse he feel down. what action must the nurse take a. call the patrons to determine what happened b. reissue the boy in 1 week to determine any action needed c. make a report to the local children's aid society d. schedule a conference with the parents and teacher
c. make a report to the local children's aid society
Which one of the following statement represents a component of therapeutic communication used by nurses a. using terms of endearment when addressing pt b. speaking slowly and loudly to all pt to assure they hear and understand c. modifying their communication style for each pt d. sharing personal info with pt in order to establish truth
c. modifying their communication style for each pt
a nurse is asked by a pts employer for info on the pts prognosis. what info if any can the nurse disclose a. the pts diagnosis but not the prognosis b. all info if the diagnosis is employer-related c. no info without consent from the pt d. the pts prognosis but not the diagnosis
c. no info without consent from the pt
according to the CNO practice standard; professional standards. what is one element of accountability a. nurses are accountable for the decisions or actions of unregulated care providers b. nurses are accountable for explaining all treatment proposed by the health care team c. nurses are accountable for their action and their consequences d. uses are accountable for reporting all errors to CNO
c. nurses are accountable for their action and their consequences
what is every members responsibility in a self regulated profession a. establishing requirements for entry to practice b. disciplining other members for professional misconduct c. practising in accordance with the standards of the profession d. consulting with their college on practice related issues
c. practising in accordance with the standards of the profession
what must be included to be considered informed a. information the MD determines the pt should know b. the composition of the health care team c. the exact length of time to recover from treatment d. alternative courses of action instead of the proposed treatment
d. alternative courses of action instead of the proposed treatment
according to the CNO practice standard ethics which one of the following statements best describes the ethical value related to privacy and confidentiality a. ethical problems are identified and solved by nurses using sensitivity, intellectual curiosity, and commitment b. nurses must understand the organizations perspective of privacy and confidentiality prior to sharing information c. pt need to be informed that their relevant health info will be shared with the health care team d. important aspects of privacy and confidentiality need to be identified
c. pt need to be informed that their relevant health info will be shared with the health care team
which one of the following examples reflects one of the 3 controlled acts that all nurses are authorized to perform according to the nursing act a. communicating to an individual a diagnosis based on lab results b. managing labour or conducting the delivery of a baby c. putting an instrument, hand or finger into an artificial opening in the body d. moving the joints of the spine beyond the pts usual ROM
c. putting an instrument, hand or finger into an artificial opening in the body
according to the CNO practice standards professional standards which action by a nurse best describe the standard statement "knowledge application a. receiving a report from another nurse and proceeding to prepare meds b. taking vital signs and recording the findings in the pts chart c. recognizing that a pt is exhibiting the symptoms of a stroke and taking appropriate action d. providing a pts grieving family member with info for supporting groups and documenting the action taken
c. recognizing that a pt is exhibiting the symptoms of a stroke and taking appropriate action
a nurse working in a cancer care center encounters many competent pt who refuse further treatment. the nurse disagrees with the pts decisions and believes she cannot continue to provide care. what should the nurse consider a. arranging for capacity assessments of the pt before discontinuing treatment b. continuing to provide treatment until consulting with the pts family c. resigning from place of employment to adhere to her personal values d. encouraging the pt to continue with their current treatment plans
c. resigning from place of employment to adhere to her personal values
a nurse is obtaining consent from a pt for treatment. the nurse describes the info about the treatment required to make a decision. what else must the nurse do to provide informed consent a. ensure that the pt is of the minimum age to give consent b. to provide the pt with written info c. respond to the pts questions regarding the treatment d. obtain a signature from the pt
c. respond to the pts questions regarding the treatment
which one of the following statements about the practice assessment component of CNO quality assurance program is true a. 4 practice documents are selected for the examinations b. all nurses must participate in the QA every 3 years c. selected nurses are required to submit their annual learning plan to CNO d. nurses must have annual performance appraisals completed by their employers
c. selected nurses are required to submit their annual learning plan to CNO
a nurse witnesses another nurse taking a pt's personal items from the pt's room. what is the first action the nurse should take a. report it to CNO immediately b. discuss the matter with the health care team c. speak to the nurse regarding the matter d. inform the pt of what was observed
c. speak to the nurse regarding the matter
according to the CNO, nurses must obtain explicit consent for which one of the following action a. providing activities of daily living b. assessing a persons capacity to make decisions about treatment c. taking a health history d. evaluating a persons general condition
c. taking a health history
how are peer assessors assigned in CNOs quality assurance programs a. they registrants choose peers to reflect on their practice b. the manager chooses a peer to provide input c. the college assigns a peer to assist in the process d. the peer assessor volunteers based on the setting
c. the college assigns a peer to assist in the process
when is a nurse obligated to make a report to the children's aid society under the child and family services act a. only when evidence of child abuse b. after the child confirmed abuse c. with any suspected child abuse d. only after consultation with the health care team
c. with any suspected child abuse
a nurse is over heard saying "your breast looks great in that shirt" to a pt. the pt smiles and walks away. is this sexual abuse a. no because contact was not made b. no because the pt did not object c. yes because the comment was of a sexual nature d. yes because any unwelcome remark is a form of sexual abuse
c. yes because the comment was of a sexual nature
a MD calls in a telephone order for pain medication. the MD is not in the facility. should the nurse accept the order a. no, because telephone orders are limited to emergency situations b. yes, because the MD is not physically present c. yes, if the physician will return to sign the order within 48h d. no, because telephone orders are not best practice
c. yes, if the physician will return to sign the order within 48h
according to the CNO practice standard: decisions about procedures and authority. what is one of the 4 standard a nurse must consider before performing any procedure a. agency direction b. the existence of a direct order c. the potential for delegation d. appropriate care provider
d. appropriate care provider
which one of the following situations would represent a concern about exceeding the boundaries of the therapeutic nurse pt relationship a. a nurse introduces herself to the pt by name and professional designation b. a nurse reveals to the health care team a secret shared by the pt that is relevant to the plan of care c. a to asks the nurse to address him by his middle name because that is what his friends call him d. a pt is willing to speak only with his primary nurse and refuses to speak with other nurses
d. a pt is willing to speak only with his primary nurse and refuses to speak with other nurses
a pt requires chemotherapy and radiation. the pt agrees to the treatment on the condition that he receives consent support due to his anxiety. what should the nurse do a. work within normal staffing parameters b. suggest the pt consider hiring a private nurse c. provide the extra care requested by the pt d. advocate for effective care for the pt
d. advocate for effective care for the pt
according to the CNO practice standard professional standards which one of the following descriptions best reflects the standards statement related to accountability a. all nurses are accountable to their pt, their employer and themselves b. each nurse is accountable for proving, facilitating and promoting the best possible care to the public c. each nurse is accountable to the public and responsible for meeting legislative requirements and the standards of the profession d. all nurse are accountable for possessing through continuing learning, knowledge relevant to practice
d. all nurse are accountable for possessing through continuing learning, knowledge relevant to practice
which one of the following statements is a key element of informed consent according to the CNO practice guidance: consent? a. age of consent b. power of attorney for personal care c. the common law d. alternative courses of action
d. alternative courses of action
Mr mary a frail elderly pt with multiple co morbidities has recently developed pneumonia requiring admission to an acute care facility. sue an RPN is assigned to care for mrs mary in collaboration with an RN. the family approaches the RN and demands that only RNs care for their mother. how should the RN respond. a. respect the family's wishes and ask the charge nurse to addict the nursing assignment c. inform the RPN that a charge in assignment is necessary due to the acute pneumonia c. refer the family to the facility's pt representative for support to have the assignment changed d. explain to the family that the RPN is capable of caring for their mother with RN support
d. explain to the family that the RPN is capable of caring for their mother with RN support
a pt is transferred to palliative care. the pt asks for the nurse personal phone number in case questions regarding pain management. based on the content of the CNO practice standard; therapeutic nurse pt relationship what should the nurse do a. info the pt that the palliative care team assume his care b. provide the phone number to facilitate pt trust c. discuss the pts concerns with the palliative care team d. explore the pts concerns regarding pain management
d. explore the pts concerns regarding pain management
Sue, a nurse, has arrived home at the end of a long shift and realizes that she forgot to sigh for a medication. Sue calls the unit and asks a colleague to "sign my name on the record". The colleague refuses. What is the rationale for his refusal to sign? a. the colleague may be terminated if he complies and his actions are found b. it is sue's responsibility to return to work immediately and sign the record c. failure to sigh for a medication is an error that must be reported to the manager d. falsifying a record is an example of professional misconduct
d. falsifying a record is an example of professional misconduct
in recent weeks a nursing colleague has exhibited erratic behaviour made serval med errors and has arrived late for work smelling of alcohol each day. according to the health professions procedural code what mandatory report would apply a. incomplete b. professional negligence c. professional misconduct d. incapacity
d. incapacity
an RN writes an order for daily irrigation of a wound for a home care pt. the next day, a different nurse comes to the pts home. how should the second nurse proceed a. clean the wound without irrigation b. telephone the case manager for advise c. call the MD for an order d. irrigate the wound
d. irrigate the wound
Gladys has decided to resume nursing practice after resigning from the profession to raise a family. after an interview she was successful in obtaining a position at a long term care facility. can Gladys begin working as a nurse a. yes because Gladys was previously registered with CNO b. no because Gladys must first complete a generic education program c. no because the long term care facility assessed her competence d. no because Gladys requires current registration with CNO
d. no because Gladys requires current registration with CNO
a nurse may disclose personal health info without consent in which one of the following situation a. the police request info about a pts progress b. an interpreter is being used to interview the pt c. an adult pt has been sexually assaulted d. the pt poses a serious risk of injuring others
d. the pt poses a serious risk of injuring others
what is a key element of informed consent a. it is required before providing emergency care b. a substitute decision maker must provide consent if the pt is under 16 yo c. it can be only obtained by the health care professional providing the care d. the pt receives responses to requests for additional info about treatment
d. the pt receives responses to requests for additional info about treatment
which one of the following statement is true a. the regulated health professional act 1991 is applicable to all health care providers b. the nursing act 1991 regulates nursing practice; however the regulated health professional act 1991 does not c. the regulated health professions act 1991 does not have provisions that are relevant to nursing students d. the regulated health professional act 1991 and the nursing act 1991 both regulate the nursing profession
d. the regulated health professional act 1991 and the nursing act 1991 both regulate the nursing profession
according to the CNO practice standard; professional standards what is included in the standard statement related to relationship a. caring and compassionate b. collegial and knowledgable c. supportive and comprehensive d. therapeutic and professional
d. therapeutic and professional
what is the purpose of mandatory reporting a. to report the employer from nurses who might be practising unsafely b. to ensure that an incapacitated nurse with a disorder receives appropriate treatment to allow a safe return to nursing practice c. to impose appropriate disciplinary measure upon a nurse who has committed professional misconduct or sexual abuse d. to allow CNO to take action to protect the public and use innovative approaches to help rehab the nurse
d. to allow CNO to take action to protect the public and use innovative approaches to help rehab the nurse
what is one purpose of documentation a. to critique nursing care b. to ensure pt access to their records c. to facilitate changes in staffing d. to monitor the pts progress
d. to monitor the pts progress
the MD ask a nurse to perform a wound dressing for a 15yo pt under the nurse's care. is consent needed a. no, because routine treatment does not require consent b. yes, because of the age of the pt c. no, because the treatment was ordered by the MD d. yes, because consent is required for any treatment
d. yes, because consent is required for any treatment
