CNO JURISPRUDENCE EXAM 100% VERIFIED ANSWERS 2024/2025 CORRECT STUDY SET, Exams of Law

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CNO JURISPRUDENCE EXAM

100% VERIFIED ANSWERS

2024/2025 CORRECT STUDY

SET

According to CNO practice standard: professional standards, Revised 2002, which one of the following descriptions best reflects the standard statement related to 'Accountability'? a) All nurses are accountable to their clients, their employer and themselves. b) Each nurse is accountable for providing, 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 nurses are accountable for possessing, through continuing learning, knowledge relevant practice b) Each nurse is accountable for providing, facilitating and promoting the best possible care to the public. Which one of the following actions by a nurse demonstrates unequal power in the nurse-client relationship? a) Administering an antibiotic as ordered. b) Assisting a client with personal care. c) Informing a client of a toileting schedule. d) Expressing empathy for a client. c) Informing a client of a toileting schedule. Rational: The nurse-client relationship is one of unequal power. Although the nurse may not immediately perceive it, the nurse has more power than the client. The nurse has more authority and influence in the health care system, specialized knowledge, access to privileged information, and the ability to advocate for the client and the client's significant others. The

appropriate use of power, in a caring manner, enables the nurse to partner with the client to meet the client's needs. A nurse has been asked to perform tracheal suctioning on a client. According to the CNO Practice Standard: Decisions about Procedures and Authority, Revised 2006, what is one of the standard statements that must be considered when determining if the nurse can perform this procedure? a) Assessment b) Managing outcomes c) Implementation d) Client stability b) Managing outcomes Rational: Managing outcomes prior to performing procedures, nurses ensure that they are able to identify the potential outcomes of procedures, have the authority and competence to manage the outcomes, or have the resources available to manage those outcomes. A nurse wants to "initiate" cleansing and dressing of a client's wound. In which practice setting is there a restriction for the nurse to initiate this procedure? a) A community health centre b) A retirement home c) A hospital inpatient unit d) A client's home d) A client's home Rational: The Public Hospitals Act, 1990 grants only physicians, NPs, midwives and dentists the authority to order treatments. A physician calls in a telephone order for pain medication. The physician 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 physician is not physically present. c) Yes, if the physician will return to sign the order within 48 hours. d) No, because telephone orders are not best practice. Rational: Telephone order. An order communicated via telephone by an authorizer who is not physically present to write the order.

b) Yes, because the physician is not physically present. Rational: Telephone order. An order communicated via telephone by an authorizer who is not physically present to write the order. The consent and capacity board has found Mr. Silva incapable of making decisions. His nephew, who is his substitute decision-maker, has given consent to start the application for placement in long-term care. Mr. Silva wishes to stay in his home. According to the health care consent Act, 1996, which one of the following statements is true? a) Mr. Silva's nephew has the authority to make the placement decision. b) Mr. Silva's consent overrides that of his nephew because they are in disagreement. c) Mr. Silva can refuse to leave his home and arrange his own support system through the community care assess centre. d) Mr. Silva's physician has the ability to override the finding of incapacity. a) Mr. Silva's nephew has the authority to make the placement decision. What is CNO's 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. b) To protect the public interest. Rational: CNO's principal mandate is to protect the public interest by ensuring that Ontario nurses provide safe, effective and ethical care to clients. Which one of the following statements is true? a) The regulated health profession Act, 1991 is applicable to all health care providers. b) The nursing act, 1991 regulates nursing practice; however, the regulated health profession 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 professions Act, 1991 and the nursing Act, 1991 both regulate the nursing profession. Rational: The Nursing Act, 1991 in conjunction with the Regulated Health Professions Act, 1991 (RHPA) came into effect in December 1993. These two pieces of legislation determine how the nursing profession is regulated in the province of Ontario.

d) The regulated health professions Act, 1991 and the nursing Act, 1991 both regulate the nursing profession. Rational: The Nursing Act, 1991 in conjunction with the Regulated Health Professions Act, 1991 (RHPA) came into effect in December 1993. These two pieces of legislation determine how the nursing profession is regulated in the province of Ontario. A nurse disagrees with a client's decision to terminate a pregnancy for genetic reasons and wishes to discontinue nursing care. What should the nurse do first? a) Discuss changing the client's plan of care with the health care team b) Attempt to convince the client's family that there are other options. c) Consult with a nursing colleague to clarify the nurse's own values. d) Report the plan of care to the ethics review committee. c) Consult with a nursing colleague to clarify the nurse's own values. Rational: Collaboration, respectful behaviour and collegial communication among everyone in the nursing and health team contribute to positive outcomes for clients and prevent problems from arising in determining how nursing services are to be delivered.

19. A nurse is overheard saying "your breasts look great in that shirt" to a client. The client smiles and walks away. Is this sexual abuse? a) No, because sexual contact was not made. b) No, because the client 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. Consistent with the health care consent act, 1996, when is 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 client in the operating room. c) Performing CPR on an individual who has been found unconscious on the street. d) Treating an unconscious client with a head injury in the emergency room. a) Providing nursing services to an ill 8-year-old in a community health centre. Rational: Consent is required for any treatment except treatment provided in certain emergency situations.

An 80-year-old nursing home resident with advanced Alzheimer's disease requires minor surgery. Which one of the following individuals should sign the consent for his operation? a) His 66-year-old spouse who has no cognitive deficits. b) His eldest adult child 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. Rational: The incapable person's attorney for personal care, if the power of attorney confers authority to give or refuse consent to the treatment. 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 member's suitability to practise. b) Has a physical condition limiting practice. c) Guilty of a criminal offence under Ontario law. d) Has a mental illness that limits the member's suitability to practise safely. a) Guilty of an offence relevant to the member's suitability to practise. Rational: the member has been found guilty of an offence that is relevant to the member's suitability to practise (Regulated Health Professions Act, 1991 - health professions procedural code under Professional misconduct section which comes right after Members of panel who participate When can a nurse discontinue nursing services for a cognitively impaired client without resulting in 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 client's wishes. d) When alternate care has been discussed with the physician. a) If replacement services have been arranged. Rational: getting the client's permission; or in this case substitute decision-maker because client is cognitively impaired. After getting clients permission nurse will arranging a suitable alternative or replacement service (Refusing Assignments and Discontinuing Nursing Services standard under Discontinuing nursing services section

Who may determine capacity for the purpose of the substitute decisions act, 1992? a) A trained capacity assessor b) Any physician or social worker. c) The client's substitute decision-maker. d) The office of the public guardian and trustee. a) A trained capacity assessor Rational: the assessor performed an assessment of the person's capacity and specifies the date on which the assessment was performed A client situation arises that may present an ethical issue. What is the first thing the nurse must do? a) Review the employer's policies and procedures. b) Discuss the issue with the health care team. c) Determine the client's wishes. d) Consult the supervisor. c) Determine the client's wishes. Rational: When assessing an ethical situation, Pay close attention to all aspects of the situation, nurses need to take into account the client's beliefs, values, wishes and ethnocultural background. Which one of the following statements best describes the 'client' in the context of the therapeutic nurse-client 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. Rational: Client. A client may be an individual, family, group or community. An occupational health nurse reveals to a manager that one of their probationary employees is pregnant. What, if anything, is wrong with this action? a) The manager may choose to terminate the employee. 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

d) Nothing, the nurse has acted in good faith to protect the employee Rational: The College does not have jurisdiction to address concerns about nurses when the complaint is about a nurse's personal life, such as her or his behaviour as a spouse, parent, family member, neighbour or business partner, unless the behaviour directly and negatively affects the nursing care she or he provides or the integrity of the profession. What is every member's responsibility in a self regulated program? a) Establishing requirement for entry to practice b) Disciplining other members for professional misconduct c) Practicing in accordance with the standards of profession d) Consulting with their college on practice related issue a) Establishing requirement for entry to practice How does professional misconduct relate to CNO's practice standards? a) Failure to meet any of the practice standards may be professional misconduct b) Professional misconduct is only addressed in the CNO Practice Standard: Professional Standards, Revised 2002. c) Professional misconduct is only addressed in the CNO Practice Standard: Therapeutic Nurse- Client relationship, Revised 2006. d) Failure to comply with CNO practice standards is illegal and therefore is considered professional misconduct. Rational: Nurses are expected to adhere to the standards of practice in carrying out their professional responsibilities. These standards are the reasonable expectations placed on nurses by the College and by the profession to ensure that nurses provide responsible, safe and adequate care to clients. Professional misconduct occurs when these standards are breached. a) Failure to meet any of the practice standards may be professional misconduct Rational: Nurses are expected to adhere to the standards of practice in carrying out their professional responsibilities. These standards are the reasonable expectations placed on nurses by the College and by the profession to ensure that nurses provide responsible, safe and adequate care to clients. Professional misconduct occurs when these standards are breached. Which of the following statements describes the Ethical value related to 'Privacy and confidentiality', as outlined in the CNO Practice statement: Ethics? a) Maintaining client well being b) Using a framework to determine ethical uncertainty

c) Supporting informed decision making for clients d) Collecting only information necessary for providing health care Rational: A nurse is responsible for ensuring that she/he uses client information only for the purpose(s) for which it was collected. A nurse should ensure that it remains secure within the health care team. d) Collecting only information necessary for providing health care Rational: A nurse is responsible for ensuring that she/he uses client information only for the purpose(s) for which it was collected. A nurse should ensure that it remains secure within the health care team. Which one of the following example reflects one of the three controlled acts that all nurses are authorized to perform according to the Nursing Act, 1991? a) Communicating with an individual a diagnosis based on the laboratory results b) Managing labour or conducting the delivery of the baby c) Putting an instrument, hand or finger into an artificial opening in the body d) Moving the joints of the spine beyond the client's usual range of motion c) Putting an instrument, hand or finger into an artificial opening in the body Rational: A procedure that, for the purpose of assisting an individual with health management activities, requires putting an instrument, beyond the point in the individual's nasal passages where they normally narrow, beyond the individual's larynx, or beyond the opening of the Mrs. Johnson, a frail elderly client with multiple co-morbidities, has recently developed pneumonia requiring admission to an acute care facility. Suzanne, an RPN, is assigned to care for Mrs. Johnson in collaboration with a RN. The family approaches the RN and demands that only RN's care for her mother. How should the RN respond? a) Respect the family's wishes and ask the charge nurse to adjust the nursing assignment b) Inform the RPN that a change in assignment is necessary due to acute pneumonia c) Refer the family to the facility's client 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 Rational: Decisions about utilizing an RN or RPN are made after considering client care requirements and the nurse's cognitive and technical expertise in a given environment.

What must a nurse consider when determining to discontinue nursing services? a) If the decision is supported by the union's collective agreement b) Whether there are conflicting obligations c) If it will be necessary to consult with the nurse's professional association d) Whether the decision must be reported to CNO b) Whether there are conflicting obligations Rational: "Resolving dilemmas caused by conflicting obligations requires the thoughtful consideration of all relevant factors and the use of an ethical decision-making process to ensure that the best decision is reached. Sometimes there is no one best solution, but only the best of two or more imperfect solutions." A teacher asks the nurse to see a 9 years old boy, who regularly comes to school "unkempt, dirty and hungry". Today the child presents several bruises on his arm at different stages of healing and tells the nurse he "fell down". What action must the nurse take? a) Call the parents to determine what happened to the boy b) Reassess 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 the teacher c) Make a report to the local Children's Aid Society Rational: Section 72 of the Act states that the public, including professionals who work with children, must promptly report any suspicions that a child is or may be in need of protection to a children's aid society (CAS). What is one purpose of nursing documentation? a) To limit involvement is legal proceedings b) To record every care event experienced by the client c) To communicate interventions in care to the health care team d) To protect the practice of colleagues c) To communicate interventions in care to the health care team Rational: "Communicates to all health care providers the plan of care, the assessment, the interventions necessary based on the client's history and the effectiveness of those interventions" interventions necessary based on the client's history and the effectiveness of those interventions"

What is one part of the Self-assessment component of the CNO's Quality Assurance Program? a) Practice evaluation b) Practice reflection c) Practice assessment d) Practice consultation b) Practice reflection Rational: The QA Program includes the following components: Self-Assessment, Practice Reflection, Developing and maintaining a Learning Plan, Practice Assessment, Peer A client 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 physician b) The client's social worker c) The office of Public Guardian and Trustee d) The client's closest friend c) The office of Public Guardian and Trustee Rational: "Public Guardian and Trustee (PGT): The PGT is the substitute decision-maker of last resort for a mentally incapable person. The court will not appoint the PGT as guardian of property or guardian of the person unless there is no other suitable person available and willing to be appointed." A nurse witnesses another health regulated professional making a sexual comment to a client. To whom does the nurse have 'legal responsibility' to report this individual? a) The holder of the client's 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 d) The regulatory college of the health care team member Rational: "Facility operators at organizations where nurses practise are required to report to the College when there is reason to believe that a nurse has sexually abused a client, or is