Ethical Considerations in Nursing Practice, Exams of Insurance law

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P ag e1 JURISPRUDENCE EXAM REVIEW Questions And Correct Answers Verified Latest 2024-2025 Guaranteed Pass Grade A + UPDATED!! a pt requires chemotherapy and radiation. the pt agrees to the treatment on the condition that he receives constant nursing support due to his anxiety. what should the nurse do a. work within the 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 - ---CORRECT ANSWER-->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 standard statement related to accountability a. all nurses are accountable to their pt , their employer and themselves b. each nurse is accountable for providing, facilitating and promoting the best possible care to the public P ag e2 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 to practice - --- CORRECT ANSWER-->c. each nurse is accountable to the public and responsible for meeting legislative requirements and the standards of the profession what must be included for consent 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 - ---CORRECT ANSWER-->d. alternative courses of action instead of the proposed treatment according to the CNO practice standard professional standards what is included in the standards released to relationship a. caring and compassionate b. collegial and knowledgable c. supportive and comprehensive d. therapeutic and professional - ---CORRECT ANSWER-- >d. therapeutic and professional P ag e5 c. putting an instrument, hand or finger into an artificial opening in the body d. moving the joints of the spine beyond the pt usual range of motion - ---CORRECT ANSWER-->c. putting an instrument, hand or finger into an artificial opening in the body 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 - ---CORRECT ANSWER-->c. determine the pts wishes which 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 - --- CORRECT ANSWER-->a. an RN who establishes peripheral venous access in an emergency situation P ag e6 a nurse is advocating for a group of pt to obtain government subsidies for adequate nutrition. according to the CNO practice standard; professional standards which one of the following standard statement best describes the nurse actions a. relationship b. accountability c. knowledge d. leadership - ---CORRECT ANSWER-->b. accountability a MD gives a nurse a phone directive to catheterize the MDs admitted pt. why should the nurse refuse to follow this directive a. direct orders must be always written for any procedure and 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 act of catheterization delegated - ---CORRECT ANSWER-->c. directives must always be written and signed by the MD/NP what is the purpose of mandatory reporting to CNO a. to update CNO regarding address changes P ag e7 b. to protect nursing colleagues c. to notify CNO of unsafe nursing practice d. to enforce limitation on nurses practices - ---CORRECT ANSWER-->c. to notify CNO of unsafe nursing practice a pt expresses a wish to die at home. the nurses 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 - ---CORRECT ANSWER-->c. pt centered care which of the following nursing practice 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 pt care c. encouraging the pt to choose a specific treatment option P ag e1 0 a. administering an antibiotic as ordered b. assisting the pt with personal care c. informing a pt of a toileting schedule d. expressing empathy for a pt - ---CORRECT ANSWER-- >c. informing a pt of a toileting schedule 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 situation c. involve a non family member as an interpreter to confirm the pts wishes d. consult with the pts MD - ---CORRECT ANSWER-->c. involve a non family member as an interpreter to confirm the pts wishes what is one of the reasons why nurses document a. to allow pt to monitor their progress b. to prevent ethical dilemmas c. to promote continuity of care P ag e1 1 d. to meet the need of organizational policies - --- CORRECT ANSWER-->c. to promote continuity of care 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 - ---CORRECT ANSWER-->a. stop the colleagues behaviour a 7 yo boy is admitted to ER with a compound fracture of 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 - ---CORRECT ANSWER-->a. no because this is an emergency situation a pt return from the OR with a chest tube. the pts nurse has recently been assigned to the unit from another department and does not feel competent to manage this pt care needs. the nurse seeks assistance from another nurse immediately. which one of the following statement P ag e1 2 from the CNO practice standard; professional standard has the nurse demonstrated a. continuing competence b. leadership c. ethics d. accountability - ---CORRECT ANSWER-->d. accountability what is an example of abusive behaviour in the context of 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 - --- CORRECT ANSWER-->d. a nurse addresses a pt in a demeaning manner in which of the following situation 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 P ag e1 5 silvas nephew has the authority to make the placement decision what statement best articulates the overall responsibility for all nurse to practice in accordance with CNO standards of practice a. nurses must participate in CNOs QAP 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 in a manner inconsistent with professional standards d. nurse will practice in accordance with the standards of the profession and will keep current and competent throughout their nursing careers - ---CORRECT ANSWER-- >d. nurse will practice in accordance with the standards of the profession and will keep current and competent throughout their nursing careers which one of the following statements is a key element of informed consent according to the CNO practice guideline; consent a. age of consent b. power of attorney of personal care c. the common law P ag e1 6 d. alternative courses of action - ---CORRECT ANSWER-- >d. alternative courses of action according to the CNO practice standard; documentation what is one of the CNO standard statements that describes accountability when documenting a. assessment b. professional practice c. goal orientation d. communication - ---CORRECT ANSWER-->d. communication how does professional misconduct relate to CNOs practice standards a. failure to meet any of the practice standards may be considered professional misconduct b. professional misconduct is only addressed in the CNO practice standard; professional standards c. professional misconduct is only addressed in the CNO practice standard; therapeutic nurse pt relationship d. failure to comply with CNO practice standards is illegal and therefore is considered professional misconduct - --- CORRECT ANSWER-->a. failure to meet any of the practice standards may be considered professional misconduct P ag e1 7 which one of the following individuals can delegate a controlled act to a nurse a. paramedic b. dentist c. physicians assistant d. diagnostic sonographer - ---CORRECT ANSWER-->b. dentist 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 pt asks the nurse to address him by his middle name because that is what all his friends call him d. a pt is willing to speak only with his primary nurse and refuses to speak with other nurses - ---CORRECT ANSWER-->c. a pt asks the nurse to address him by his middle name because that is what all his friends call him a nurse is asked to perform debridement on a chronic wound. what is the first thing the nurse should do a. assess her related knowledge and skill P ag e2 0 d. the pts prognosis but not the diagnosis - ---CORRECT ANSWER-->c. no info without consent from the pt 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 - --- CORRECT ANSWER-->a. a trained capacity assessor a nurse is proving care for a pt in the pts home. after the nurse provides treatment, the pt invites the nurse out for a coffee. how should the nurse respond a. decline the offer and clarify the nurses role in the nurse pt relationship b. accept the offer as it would be beneficial to further develop the nurse pt relationship c. decline the offer and promptly leave the pts home d. agree to meet the pt for coffee but only to discuss the therapeutic care plan - ---CORRECT ANSWER-->a. decline the offer and clarify the nurses role in the nurse pt relationship P ag e2 1 a nurse is overheard saying "your breast looks great in that shirt" to a pt. the nurse smiles and walks away. is this sexual abuse a. no because sexual contact is 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 a sexual abuse - ---CORRECT ANSWER-->c. yes because the comment was of a sexual nature consistent with the health care consent act when is a nurse required to obtain consent for treatment a. providing nursing service to an ill 8 yo in a community health centre b. administering blood products to a hemorrhaging 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 - ---CORRECT ANSWER-->a. providing nursing service to an ill 8 yo in a community health centre what is the legislation related to the CNO practice standards restraints a. health care consent act b. pt restraints minimization act P ag e2 2 c. occupational health and safety act d. health protection and promotion act - ---CORRECT ANSWER-->b. pt restraints minimization act 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 discipline d. frequent med errors - ---CORRECT ANSWER-->a. pardoned criminal offences what is one purpose of nursing documentation a. to limit involvement to legal proceedings 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 - ---CORRECT ANSWER-->c. to communicate interventions in care to the health care team a nurse has recently relocated and changed employers. what is the nurses responsibility to CNO a. report address changes to CNO when renewing the nurses annual membership P ag e2 5 d. a procedure that is initiated by the nurse in the absence of a direct order - ---CORRECT ANSWER-->a. a written MD order that may be used for a number of pt what are the 3 components to the scope of practice statement of the nursing act a. promotion, assessment and treatment b. provision, rehab and care c. initiation, delegation and self reflection d. legislation, regulation and ethics - ---CORRECT ANSWER-->a. promotion, assessment and treatment a nurse wishes to control a pts violent behaviour. what should the nurse do a. consider the use of restraints only as a last resort b. administer a chemical restraint c. apply a fact restraint to protect the pt d. lock the pt in a room for everyones safety - ---CORRECT ANSWER-->a. consider the use of restraints only as a last resort according to the CNO practice standard; confidentiality and privacy- personal health information what is the lockbox provision a. a pt instructs that a part of his personal health info is not shared with other providers P ag e2 6 b. personal health info is physically secured in a locked area c. a pt is not permitted to access a portion of his personal health info d. a nurse is responsible for ensuring that she uses pt info only for the purpose for which it was collected - --- CORRECT ANSWER-->a. a pt instructs that a part of his personal health info is not shared with other providers a RN notes a change in a pt wound and seeks advise from the only other nurse working during the shift RPN. the RN is later told by another nursing colleague that this was inappropriate. should the RN have sough advise from the RPN a. yes because there were no other nurse available b. yes because all nurses are expected to collaborate c. no because RPNs cannot provide advice to RN d. no because RPNs should not provide advise to RN - --- CORRECT ANSWER-->b. yes because all nurses are expected to collaborate which one of the following situations requires a nurse to make a mandatory report to CNO a. accidentally sticking herself with a used needle b. observing a nursing colleague kissing a pt P ag e2 7 c. learning that a nursing colleague is under investigation for theft d. observing a nursing colleague is supposedly on sick leave - ---CORRECT ANSWER-->b. observing a nursing colleague kissing a pt under which one of the following situation should a nurse collaborate and consult with other health professionals a. when the nurse has the expertise to manage the situation b. when the situation demands expertise that is beyond her competence c. when it has been determined that the nurse is the appropriate care provider d. when the pts needs and outcomes are stable and predictable - ---CORRECT ANSWER-->b. when the situation demands expertise that is beyond her competence according to the CNO practice standard; ethics what is the 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 P ag e3 0 which one of the following examples 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 consultation with a colleague about a questionable pt interaction - ---CORRECT ANSWER-->d. documenting consultation with a colleague about a questionable pt interaction 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 exam c. the nurse has been disciplined by the florida state nursing body d. the termination of the nurses employment by a previous florida employer - ---CORRECT ANSWER-->c. the nurse has been disciplined by the florida state nursing body d. the termination of the nurses P ag e3 1 an RPN assesses 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 - --- CORRECT ANSWER-->b. identifying the risks and benefits of the procedure a nurse is caring for a pt on life support. the pts estranged spouse who is the pts power of attorney for personal care, visits on a regular basis. the nurse has become attracted to the pts spouse and has been invited to the spouses home for dinner. what demonstrates protecting the pt from abuse a. requesting permission from the nurses manager before accepting the invitation b. declining the invitation to the spouses home c. requesting to be reassigned to a different pt before accepting the invitation d. agreeing to meet the spouse in public location only - -- -CORRECT ANSWER-->b. declining the invitation to the spouses home P ag e3 2 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 - --- CORRECT ANSWER-->d. the pt poses a serious risk of injuring others 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 test d. supervising the dispensing of a drug in a pharmacy - --- CORRECT ANSWER-->a. putting an instrument beyond the external ear canal according to the CNO standard practice; professional standards what is one element of accountability a. nurses are accountable for explaining all treatment proposed by the health care team b. nurses are accountable for explaining all treatment proposed by the health care team P ag e3 5 d. the regulatory college of the health care team member - ---CORRECT ANSWER-->c. the manager of the health care team member what is one activity that all nurses should engage in to provide quality care to pt in regard to the use of restraints a. advocating for medication therapy b. adjusting staffing level c. isolating agitated pt in a private space d. collaborating with the health care team - ---CORRECT ANSWER-->d. collaborating with the health care team what must nurses reflect upon when determining whether they are competent to provide safe nursing care to pt a. legislation, policies, and procedures b. environment, staffing levels and equipment c. knowledge, skill and judgment d. education, experience and specialization - ---CORRECT ANSWER-->c. knowledge, skill and judgment which one of the following statements best describes the pts in the context of the therapeutic nurse pt relationship a. an individual, family group or community b. an individual who receives direct care P ag e3 6 c. an individual requiring therapeutic nursing interventions d. an individual or group, other than health care providers, who receive treatment - ---CORRECT ANSWER- ->a. an individual, family group or community what organization regulates nurses in ontario a. college of nurses of ontario b. registered nurses association of ontario c. ontario nurse association d. canadian nurses association - ---CORRECT ANSWER-- >a. college of nurses of ontario every time the nurse begins work on the afternoon shift, she finds that most of the pt incont briefs are saturated. after providing care for the pts, what should the nurse do a. advocate for superior incont products b. communicate her concerns to the day staff c. ask the nursing educator to teach day staff how to meet pts basic needs d. intervene by reporting the incidents to the manager - - --CORRECT ANSWER-->b. communicate her concerns to the day staff what are the components of the therapeutic nurse pt relationship P ag e3 7 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 and collaboration - ---CORRECT ANSWER-->a. respect, trust, professional intimacy, empathy and power 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 instruction d. using the restraints last applied to the pt - ---CORRECT ANSWER-->b. using the restrains that is least restrictive to the pt what is one of the 4 key regulatory functions of the CNO a. promote the profession of nursing b. establish requirements for entry to practice c. advocate for changes in institutional policies d. develop nursing education programs - ---CORRECT ANSWER-->b. establish requirements for entry to practice P ag e4 0 a. full name, business address and business phone number b. last name and all current and previous employer c. full name and school from which she graduated d. last name initial, home address and home number - --- CORRECT ANSWER-->d. last name initial, home address and home number according to the CNO practice standard; professional standards what are the differences in knowledge between RNs and RPNs a. RNs can perform more controlled acts than RPNs b. RNs and RPNs study from the same body of knowledge, but with different depths and breaths c. RPNs do not have to engage in continuing learning as frequently as RNs d. RNs have a knowledge base in resources management and health care delivery systems which RPNs do not possess - ---CORRECT ANSWER-->b. RNs and RPNs study from the same body of knowledge, but with different depths and breaths what is the purpose of mandatory reporting a. to protect the employer from nurses who might be practicing unsafely P ag e4 1 b. to ensure that an incapacitated nurse with a disorder receives appropriate treatment to allow 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 a nurse - --- CORRECT ANSWER-->d. to allow CNO to take action to protect the public and use innovative approaches to help rehab a nurse according to the CNO practice standard; therapeutic nurse pt relationship what is the definition of pt a. a pt must be viewed as a whole person b. a pt may be an individual, family, group or community c. a pt must be an autonomous, active participant in care d. a pt may be a spouse, partner, child, siblings or friend - ---CORRECT ANSWER-->b. a pt may be an individual, family, group or community david is a nurse who works for a nursing agency. he is assigned to work with a pt who requires regular suctioning. david is not competent in his skill and does not communicate this fact to his supervisor. he completes all other care the pt requires but does not P ag e4 2 suction the pt. later in the day. the pt goes into respiratory distress and requires transfer to acute care. this may be a behaviour that could be considered professional misconduct based on which of the following documents a. nursing act b. CNO practice standard; documentation c. CNO practice guideline; guiding decisions d. regulated health professions - ---CORRECT ANSWER-- >a. nursing act in which one of the following situation can a nurse perform a controlled act a. a pharmacist writes 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 the order during daily rounds d. a dentist writes an order from the nurse to start a pre- procedural IV - ---CORRECT ANSWER-->d. a dentist writes an order from the nurse to start a pre-procedural IV a nurse is obtaining consent from a pt for treatment. the nurse describes the info about the treatment requires to make a decision. what else must the nurse do to provide informed consent P ag e4 5 what is the 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 age c. it can only be obtained by the health care professional providing the care d. the pt receives responses to requests for additional info about treatment - ---CORRECT ANSWER-->d. the pt receives responses to requests for additional info about treatment a pt complaint has been made in regard to a PWS. the employer contacts CNO to report the complaint. was contacting CNO appropriate a. yes because PSW work under the supervision of nurses b. yes because CNO regulates practice of health care providers c. no because the employer should have conducted an investigation first d. no because CNO is not responsible for regulating PSW - ---CORRECT ANSWER-->d. no because CNO is not responsible for regulating PSW a nurse working in a cancer care center encounter many competent pt who refuse further treatment. the nurse P ag e4 6 disagrees with the pt decision and believes she cannot continue to provide care. what should the nurse consider a. arranging for a capacity assessments of the pt before discontinuing treatment b. continuing to provide treatment until consulting with the pts family c. resigning from her place of employment to adhere to her personal values d. encouraging the pt to continue with their current treatment plans - ---CORRECT ANSWER-->a. arranging for a capacity assessments of the pt before discontinuing treatment what is a condition associated with the appropriate delegation of controlled acts to unregulated care providers a. competence has been determined b. it is part of their scope of practice c. it is an expectation of the employer d. pt teaching is a part of the care - ---CORRECT ANSWER- ->a. competence has been determined according to the CNO practice standard; professional standards which action by a nurse best describe the standard statement knowledge application P ag e4 7 a. receiving a report from another nurse and proceeding to prepare med 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 actions taken - -- -CORRECT ANSWER-->c. recognizing that a pt is exhibiting the symptoms of a stroke and taking appropriate action what is one part of the self assessment component of CNO quality assurance program a. practice evaluation b. practice reflection c. practice assessment d. practice consultation - ---CORRECT ANSWER-->b. practice reflection a nurse who works with street youth, intentionally reveals her breast tattoo to a group of pt. another nursing colleague witnesses this action. is the colleague required to report 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 P ag e5 0 d. nurses must have annual performance appraisals completed by their employers - ---CORRECT ANSWER-->c. selected nurses are required to submit their annual learning plan to CNO what is every members responsibility in a self-regulated profession a. establishing requirements for entry to practice b. disciplining other member for professional misconduct c. practicing in accordance with the standards of the profession d. consulting with their college on practice related issues - ---CORRECT ANSWER-->c. practicing in accordance with the standards of the profession a nurse has been asked to perform tracheal suctioning on the pt. according to the CNO practices standards; decisions about procedures and authority 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. pt stability - ---CORRECT ANSWER-->b. managing outcomes P ag e5 1 an RPN and a NP practice collaboratively. the NP has written an order for acetaminophen for pain what is the RPNs responsibility's a. ask an RN to administer the med b. administer the med as ordered c. collaborate with a MD prior to proceeding d. inform the NP that the RPN is unable to comply - --- CORRECT ANSWER-->b. administer the med as ordered how does CNO provide support to nurses in their practice a. web-based learning center b. malpractice insurance c. legal services to members d. funding for continuing education - ---CORRECT ANSWER-->a. web-based learning center under the regulated health professions act which one of the following activities is prohibited if performed by a unauthorized person a. male circumcision performed outside of a religious tradition or ceremony b. tattooing at a public health inspected facility c. acupuncture in an alternative therapy clinic d. body piercing to accommodate jewellery - ---CORRECT ANSWER-->c. acupuncture in an alternative therapy clinic P ag e5 2 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 thee nurses employer c. as decided by the MD d. as an RPN - ---CORRECT ANSWER-->a. as a UCP why is using the title RPN, RN and NP is considered misinterpretation if an individual is not registered with CNO a. the titles are protected by provincial nursing labour associations b. the titles are earned after passing a national nursing exam c. the titles are earned upon graduation from a n approved nursing program d. the titles are protected under legislation - ---CORRECT ANSWER-->d. the titles are protected under legislation what is the difference between imitating and performing a controlled act a. a nurse requires a MD order for initiating but not for performing a controlled act P ag e5 5 d. no because the nurse is only obligated to report sexual abuse - ---CORRECT ANSWER-->a. yes because the nurse must self report a finding of guilt for an offence a pt is transferred to palliative care. the pt asks for the nurses personal phone number in case he has questions regarding pain management. based on the content of the CNO practice standard; therapeutic nurse pt relationship what should the nurse do a. inform the pt that palliative care team will assume his care b. provide the phone number to facilitate pt trust c. discuss the pts concern with the palliative care team d. explore the pts concerns regarding pain management - ---CORRECT ANSWER-->d. explore the pts concerns regarding pain management why is continuing competence a professional requirement a. it contributes to quality nursing practice b. it fulfills a requirement for employers annual performance appraisals c. it contributes to change in the health care environment P ag e5 6 d. it enhances inter professional collaboration - --- CORRECT ANSWER-->a. it contributes to quality nursing practice the nurse encounters a confused, combative pt. which one of the following actions would represent abuse a. calling the pt name loudly to get his 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 - ---CORRECT ANSWER-->b. ignoring the pt until he becomes calm according to the CNO practice standards; decisions about procedures and authority what is one of the 4 standards a nurse must consider before performing any procedure a. agency directives b. the existence of a direct order c. the potential for delegation d. appropriate care provider - ---CORRECT ANSWER-->d. appropriate care provider what is warning sign that a nurse may not be effectively maintaining the boundaries of the therapeutic nurse pt relationship P ag e5 7 a. accepting a gift of food that was not solicited by the nurse b. counselling a pt in a mental health setting while having coffee in the facility cafe c. frequently thinking about the pt when away from work d. engaging in a sexual relationship with a pt after termination of the therapeutic nurse pt relationship - --- CORRECT ANSWER-->c. frequently thinking about the pt when away from work 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 - ---CORRECT ANSWER-->c. maintaining commitments which one of the following actions is an example of a controlled acts that all nurses are authorized to perform as per the nursing act a. performing a pts digital retcal exam c. communicating a diagnosis of diabetes to a pt c. managing a pts labour and delivery d. setting a pt dislocated shoulder - ---CORRECT ANSWER- ->a. performing a pts digital retcal exam P ag e6 0 b. loyalty among colleagues is essential in maintaining a healthy work environment c. the college does not allow personal friends to participate in investigations due to the potential for a conflict of interest d. nurses are under no obligation to participate in investigations as witnesses - ---CORRECT ANSWER-->c. the college does not allow personal friends to participate in investigations due to the potential for a conflict of interest an NP has written an order for an influenza immunization at a local clinic. what should the RPN do a. implement the order b. request that the RN administer the med c. refuse to administer the med d. call the MD to confirm the order - ---CORRECT ANSWER-->a. implement the order according to the CNO practice standard; professional standard which one of the following option best reflects the standard statement of knowledge application a. identifies ethical issues and communicates them effectively b. incorporates evidenced informed practice into clinical performance P ag e6 1 c. seeks appropriate assistance in a timely manner d. behaves professionally to meet the therapeutic needs of the pt - ---CORRECT ANSWER-->b. incorporates evidenced informed practice into clinical performance 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 pts decision and to maintain his quality of life. the nurse does not support the pts decision and does not feel he can provide 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 fro another health care provider - ---CORRECT ANSWER-->d. arrange fro another health care provider a pt has frequent visitors in his room. a regular practice on the unit is to do a bedside report. based on the content of the CNO practice standard; confidentiality and privacy- personal health info, what does the nurse 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 P ag e6 2 c. ask the pts visitors to leave the room during the report unless the pt requests that they stay d. decline to give the report on days when the pt has visitors - ---CORRECT ANSWER-->c. ask the pts visitors to leave the room during the report unless the pt requests that they stay when is a nurse obligated to make a report to the children aid society under the child and family services act a. only with evidence of child abuse b. after the child confirms abuse c. with any suspected child abuse d. only after consultation with health care team - --- CORRECT ANSWER-->c. with any suspected child abuse Mrs johnson, 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 jonson in collaboration with a 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 request and ask the charge nurse to adjust the nursing assignment b. inform the RPN that a change in assignment is necessary due to the acute pneumonia