Download JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New and more Exams History in PDF only on Docsity! JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update CNO MISSION - correct answerregulating nursing in the public interest 2 documents that provide the legislative framework for regulating nursing in Ontario: - correct answer1. Regulated Health Professions Act, 1991 2. Nursing Act, 1991 4 regulatory functions: - correct answer1. practice standards. 2. entry to practice. 3. quality Assurance Program. 4. enforcing standards 5 statutory committeess - correct answer1. Discipline 2. Fitness to Practice 3. Inquiries, Complaints, and Reports 4. Quality Assurance 5. Registration The Outreach Program provides ways for nurses to engage in _____________ ___________ by offering consultation and resources to help members practise according to the practice standards. - correct answernursing regulation COMPETENCY ASSUMPTIONS Entry-level RPNs possess the ________________ required to demonstrate the wide range of competencies in this document. - correct answerknowledge JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update COMPETENCY ASSUMPTIONS Entry-level RPNs are beginning practitioners whose level of autonomy and proficiency will grow through ______________ and ______________ from the interprofessional health care team. - correct answercollaboration support COMPETENCY ASSUMPTIONS Entry-level RPNs are _____________ to practise safely, competently and ethically in situations of health and illness with individuals across the lifespan. - correct answerprepared COMPETENCY ASSUMPTIONS Entry-level RPNs' practice decisions are _________-___________ and must take into account the environment, the client's circumstances and whether the client's needs can be met by the entry-level RPN. - correct answerclient-specific COMPETENCY ASSUMPTIONS Entry-level RPNs enter into practice with competencies that are _______________ across diverse practice settings. - correct answertransferable COMPETENCY ASSUMPTIONS Entry-level RPNs have a _______________ ___________ in nursing, health and social sciences, ethics, leadership and research. - correct answerknowledge base COMPETENCY ASSUMPTIONS JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update Demonstrates an understanding of professional self-regulation by developing and enhancing one's competence, ensuring consistently safe practice, and ensuring and maintaining one's fitness to practise. - correct answerSelf-Regulation DEFINITION The obligation to answer for the professional, ethical and legal responsibilities of one's activities and duties. - correct answerACCOUNTABILITY DEFINITION Actively supporting a right and good cause; supporting others for speaking for themselves or speaking on behalf of those who cannot speak for themselves. - correct answerADVOCATE DEFINITION defining lines that separate the therapeutic behaviour of an RPN from any behaviour that, well-intentioned or not, could reduce the benefit of nursing care to clients, families or communities. - correct answerBOUNDARY DEFINITION Individuals, families, groups or entire communities across the lifespan who require nursing expertise. - correct answerCLIENT DEFINITION To work together with one or more members of the health care team who each make a unique contribution to achieving a common goal. Each individual JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update contributes from within the limits of her or his scope of practice. - correct answerCOLLABORATE DEFINITION An organized group of people bound together by ties of social, ethnic, cultural or occupational origin; or by geographic location. - correct answerCOMMUNITY DEFINITION The ability of a nurse to integrate the professional attributes required to perform in a given role, situation or practice setting. Professional attributes include, but are not limited to, knowledge, skill, judgment, values and beliefs. - correct answerCOMPETENCE DEFINITION Descriptions of the expected performance behaviour that reflects the professional attributes required in a given nursing role, situation or practice setting. - correct answerCOMPETENCY STATEMENTS DEFINITION Activities that are considered potentially harmful if performed by unqualified people. - correct answerCONTROLLED ACTS DEFINITION Reasoning in which one analyzes the use of language, formulates problems, clarifies and explains assumptions, weighs evidences, evaluate conclusions, JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update discriminates between pros and cons, and seeks to justify those facts and values that result in credible beliefs and actions. - correct answerCRITICAL THINKING DEFINITION Includes, but is not restricted to age or generation, gender, sexual orientation, occupation and socioeconomic status, ethnic origin or migrant experience, religious or spiritual belief and disability. - correct answerCULTURE DEFINITION The formal process that transfers authority to perform a controlled act. - correct answerDELEGATE DEFINITION At every stage of life, health is determined by complex interactions among social and economic factors, the physical environment and individual behaviour. They do not exist in isolation from each other. These determinants, in combination, influence health status. - correct answerDETERMINANTS OF HEALTH DEFINITION Practice that is based on successful strategies that improve client outcomes and are derived from a combination of various sources of evidence, including client perspective, research, national guidelines, policies, consensus statements, expert opinion and quality improvement data. - correct answerEVIDENCE-INFORMED PRACTICE DEFINITION JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update TRUE OR FALSE? Nurses must explain to clients that information will be shared with the health care team and identify the general composition of the health care team. - correct answerTRUE. TRUE OR FALSE. Nurses must report suspected child abuse. - correct answerTRUE Child and Family Services Act, 1990 requires all health care professionals to report suspected child abuse to the Children's Aid Society; the Health Protection and Promotion Act permits reporting of certain conditions to the Medical Officer of Health. Your client with an acquired brain injury has been stabilized and is being transferred to another hospital for continuing care. The client is unconscious. Her husband is aware of the transfer, but does not know it is happening today. You tried to reach him by telephone, without success. Before the client is transferred, you want to share information about the care she received and the current plan of care with the nurse who will receive her. The client's cost for this transfer is being covered by private insurance, so you also need to share personal health information with the insurance company. How much information can you share, and with whom, under these circumstances? - correct answer1. the receiving hospital nursing staff. These nurses are members of the health care team; therefore, there is implied consent for the sharing of information with them to provide health care. You can, therefore, share her personal health information. 2. the insurance company. Express consent is required because this disclosure is not to a custodian and is not required to treat the client. Because the client is incapable of providing this consent, her husband (the substitute decision- maker) must provide express consent either in writing or verbally, before you share information. Since you cannot reach him, you may arrange her transfer. Once you obtain express consent from the husband, you may provide the information to an insurance company staff member. JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update A man who received severe facial injuries in a motor vehicle crash arrives in your emergency room (ER). He is unable to communicate. No next of kin has come with him. A woman calls in distress and asks if her husband is a patient in your ER. She provides you with details that match the information on the man's identification. You believe she is the wife of the man with the facial injuries. Can you tell this woman that he is in the ER? - correct answerNormally, a client would have an opportunity to request that the hospital not disclose that he is a client in the facility or his location within the facility. This information may be given out in this case, however, because it is reasonably necessary to provide care. Because the law permits disclosure that a person is a client in a facility, and his/her location and general health status, you may provide this information to the woman. PHIPA allows you to contact a friend or relative of an injured client for consent. You may provide more information if the woman indicates she is the person who can act as a substitute decision-maker for consent to treatment. Your client has reviewed his health record. You answered his questions to ensure he understood the record, but he wants corrections made to a consulting physician's note. What do you do? - correct answerThe issue is correcting a health record made by another health care professional. If the client requested a correction to your note, and you agreed with the correction the client requested, you could have the client write a correction and include it with the record or make the changes yourself. If you did not agree with the correction the client requested, then you can have the client make a note and append it to the record. You can then make a separate note regarding the client's request in the health record. A client does not have the right to correct an opinion or professional judgment by a health care professional. Because this is a note by another health care professional (the consulting physician), you cannot be certain about the accuracy of the information that the client wants corrected. You have two options in this case: you can either contact JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update the health care professional who wrote the note and have this physician speak with the client about the corrections; or you can speak with the person responsible for ensuring compliance with PHIPA in your practice setting. You are an OHN. The manager of an employee who is your client has asked questions about the client's health condition. The manager has also asked if the client has medical notes to substantiate absences on particular dates. Can you provide this information to the manager? - correct answerThere are two issues here. The first is what is included in the definition of personal health information; the second is if a manager has access to personal health information. Medical notes to substantiate the employee's absences may be held in an employee's health file. If the medical note does not contain other personal health information (e.g., symptoms, treatment, diagnosis), then this information can be provided to the manager. Information concerning accommodation for the employee's needs may be given so the employer can make provisions to meet these needs. Accommodation information does not include the nature of the illness or the diagnosis. If there is personal health information included in the note, then the OHN can only provide the information that there were notes to substantiate the absences on the applicable dates. The manager is not entitled to any personal health information. This includes information about the nature of the illness, the diagnosis, the plan of treatment or any care provided; therefore, you cannot respond to any questions about the nature of the illness(es) or health condition(s). In this example, the nurse is the custodian and is responsible for maintaining the confidentiality of the client's personal health information. Providing information JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update WHAT ARE THE TWO CONDITIONS BY WHICH AN RPN CAN PERFORM A CONTROLLED ACT? - correct answer1. if initiated (see Appendix D) in accordance with conditions identified in the regulation; 2. if the procedure is ordered by a physician, dentist, chiropodist, midwife or NP. WHAT ARE THE EXCEPTIONS to the Need for Authorization UNDER WHICH AN RPN CAN PERFORM OTHER CONTROLLED ACTS? - correct answer1. EMERGENCY 2. STUDENT PRACTICING UNDER AN AUTHORIZE PERSON 3. when treating a member of a person's household and the procedure is within the second or third controlled act authorized to nursing; 4. when assisting a person with his/her routine activities of living and the procedure is within the second or third controlled act authorized to nursing; or 5. when treating a person by prayer or spiritual means in accordance with the religion of the person giving the treatment. There are four standards, each with accompanying indicators, that describe a nurse's accountabilities when performing any procedure, whether or not it requires delegation, what are they? - correct answer1. Appropriate health care provider 2. Authority 3. Competence 4. Managing Outcomes JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update STANDARD STATEMENTS Nurses must consider each situation to determine if the performance of the procedure promotes safe client care, and if it is ______________ for a nurse to perform the procedure. - correct answerappropriate STANDARD STATEMENTS Nurses ensure that they have the appropriate _______________ before performing procedures. - correct answerauthority STANDARD STATEMENTS Nurses ensure that they are ________________ in both the cognitive and technical aspects of a procedure prior to performing it. - correct answercompetent STANDARD STATEMENTS Prior to performing procedures, nurses ensure that they are able to identify the potential outcomes of procedures, have the authority and competence to ____________ the ________________ , or have the resources available to manage those outcomes. - correct answermanage the outcomes 3 requirements of nursing documentation - correct answer1. documentation presents an accurate, clear and comprehensive picture of the client's needs, the nurse's interventions and the client's outcomes. 2. documentation of client care is accurate, timely and complete. JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update 3. safeguard client health information by maintaining confidentiality and acting in accordance with information retention and destruction policies and procedures that are consistent with the standard(s) and legislation. DEFINITION therapeutic relationship that enables the client to attain, maintain or regain optimal function by promoting the client's health through assessing, providing care for and treating the client's health conditions. - correct answerNURSING CNO'S 7 ETHICAL VALUES - correct answer1. client well-being; 2. client choice; 3. privacy and confidentiality; 4. respect for life; 5. maintaining commitments; 6. truthfulness; 7. fairness. TRUE OR FALSE? All nurses must respond to situations in the same way. - correct answerFALSE. Not all nurses experience the same situation in the same way, and a situation that causes conflict, uncertainty or distress for some nurses may be straightforward for others. TRUE OR FALSE? Ethical disagreements between nurses are acceptable. - correct answerTRUE. JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update TRUE OR FALSE. Omissions are as untruthful as false information. - correct answerTRUE. WHICH ETHICAL VALUE? allocating health care resources on the basis of objective health-related factors - correct answerFAIRNESS TRUE OR FALSE. In regards to ethical concerns, sometimes the best possible outcome may be the one that is least bad. - correct answerTRUE. Sometimes a completely good outcome is impossible One of Joanne's clients in the psychiatric unit, John, confides to her that he is fascinated by young children, boys and girls. He tells Joanne he is afraid that he will hurt a child some day. Joanne brings that information to the team. A short time later, John is discharged. Some weeks following his discharge, Joanne notices that John is the ice-cream vendor in her neighbourhood. She is concerned for the children in the neighbourhood, her own as well as the others, and wonders what she should do. - correct answerA. ASSESS There is no absolute duty to respect confidentiality. Confidential information can be disclosed when a person(s) is at serious risk. However, it is preferable if the client discloses the information. Joanne decides that she needs to know more about John's clinical situation and sees John's psychiatrist the next time she is working. The psychiatrist shares Joanne's concerns. With the information she has, Joanne thinks the dilemma is whether she should break client confidentiality to protect children from the threat of serious harm. JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update Joanne is also concerned about John's well-being, now that he is living in the community and has found employment. As well, by disclosing confidential information, she will not have maintained a commitment to a client. Try to meet both her obligation to protect the public and to protect her client's confidentiality and well-being. Working with the mental health care team, Joanne would arrange for John to be assessed by the team to determine whether he poses a danger to children at this time. If the team determines that John poses a serious danger to children, it must then decide how to respond to this situation. John could be an involuntary client unless he agreed to be admitted to a psychiatric facility. If it were found that John does not pose a danger, then there is no justification to disclose confidential information. With this option, Joanne can begin to meet her obligations to the client and to the public. What is the simplest and most important practice a nurse can do to reduce contamination and spread of infection? - correct answerProper hand hygiene is the single most- important infection prevention and control practice. The spread of infection requires an _____________ ____________ - correct answerinfectious agent The infectious agent needs a ______________ where it can live, grow and reproduce - correct answerreservoir The transmission of infection also requires a _______________ _________ - correct answersusceptible host JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update Factors that influence a person's ________________ include age; general physical, mental and emotional health; the amount and duration of exposure to the agent; and the immune status and inherent susceptibility of the individual. - correct answersusceptibility How the infectious agent is transmitted from the reservoir to the susceptible host is called the ___________ of ___________________ - correct answermode of transmission Transfer requires a route for the infectious agent to exit the _____________ (a portal of exit), a mode of travel to the ________________ _______ (a mode of transmission) and a ___________ to enter the susceptible host (a portal of entry) - correct answerreservoir susceptible host route WHICH MODE OF TRANSMISSION? Direct contact transmission involves contact between the infectious agent and the susceptible host. - correct answerCONTACT TRANSMISSION WHICH MODE OF TRANSMISSION? involves contact of the conjunctivae or mucous membranes of the nose or mouth of a susceptible host with large particle droplets (larger than five microns) that contain an infectious agent - correct answerDROPLET TRANSMISSION JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update DEFINITION an agent that destroys micro-organisms, especially pathogenic organisms. A product with the suffix "-cide" indicates that it is an agent that destroys the micro-organism identified by the prefix (for example, virucide, fungicide, bactericide). - correct answerGERMICIDE DEFINITION the physical separation of infected individuals from uninfected individuals for the period of communicability of a particular disease. - correct answerISOLATION DEFINITION microscopic organisms such as bacteria, virus or fungus, commonly known as germs, that can cause an infection in humans. - correct answerMICRO- ORGANISM DEFINITION thin sheets of tissue that line various openings of the body, such as the mouth, nose, eyes and genitals. - correct answerMUCUS MEMBRANES DEFINITION infection acquired in a health care setting. - correct answerNOSOCOMIAL INFECTION JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update DEFINITION specialized clothing or equipment (for example, gloves, masks, protective eyewear, gowns) worn by an employee for protection against an infectious hazard. - correct answerPERSONAL PROTECTIVE EQUIPMENT DEFINITION interventions implemented to reduce the risk of transmitting micro-organisms from client to client, client to health care worker, and health care worker to client. - correct answerPRECAUTIONS CNO'S 8 RIGHTS - correct answer1. right client, 2. right medication 3. right reason, 4. right dose, 5. right frequency, 6. right route, 7. right site, 8. right time; DEFINITION any preventable event that may cause or lead to inappropriate medication use or client harm while the medication is in the control of the health care professional, client or consumer. - correct answerMEDICATION ERROR DEFINITION JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update giving the wrong medication - correct answerERROR OF COMMISSION DEFINITION not administering an ordered medication - correct answerERROR OF OMISSION error does not reach the client, but had it, the client could have been harmed - correct answerNEAR MISS DEFINITION Undesirable physical reactions to health products, including drugs, medical devices and natural health products. - correct answerADVERSE REACTION DEFINITION Drugs that bear a heightened risk of causing significant client harm when they are used in error. - correct answerHIGH ALERT MEDICATIONS DEFINITION A process that ensures that a second practitioner conducts a verification, either in the presence or absence of the first practitioner. - correct answerIndependent double-check. DEFINITION An order communicated via telephone by an authorizer who is not physically present to write the order. - correct answerTELEPHONE ORDER JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update Medications that are prescribed and administered as needed. - correct answerPRN MEDICATION DEFINITION Dosages, frequencies or routes that are prescribed in ranges (for example, Gravol 50-100 mg for nausea). - correct answerRANGE DOSES Most medications are not prescribed in range doses; however, range doses are used in situations in which the need for the amount of a drug varies from day to day or within the same day. Range doses give nurses the flexibility to administer the dose that best suits the assessment of the client. DEFINITION Administrating one's own medication. - correct answerSELF-ADMINISTRATION TRUE OR FALSE? A nurse cannot teach a PSW how to administer medication. - correct answerFALSE Nurses may teach UCPs medication administration, including the process of administration and documentation, as required. TRUE OR FALSE? If a nurse delegates medication administration to a PSW, they assume all the responsibilities related to med admin. - correct answerFALSE The nurse remains responsible for the: - ongoing assessment of the client's needs; - plan of care in conjunction with the health care team; - evaluation of the client's health status; and JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update - effectiveness of the medication(s). Reasons for using _____________ include protecting clients from injury, maintaining treatment and controlling disruptive behaviour. - correct answerrestraints Many facilities in Ontario use a __________ ____________ philosophy that the quality of life for each client, with the preservation of dignity, is the value guiding the practice of health care practitioners, including nurses. CNO supports this in all settings where nurses practise. - correct answerleast restraint DEFINITION physical, chemical or environmental measures used to control the physical or behavioural activity of a person or a portion of his/her body. - correct answerRESTRAINT ___________ restraints limit a client's movement. These restraints include a table fixed to a chair or a bed rail that cannot be opened by the client. - correct answerPhysical ____________ restraints control a client's mobility. Examples include a secure unit or garden, seclusion or a time-out room. - correct answerEnvironmental _____________ restraints are any form of psychoactive medication used not to treat illness, but to intentionally inhibit a particular behaviour or movement. - correct answerChemical JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update ___________ _____________ means all possible alternative interventions are exhausted before deciding to use a restraint. - correct answerLeast restraint Jody, a three-year-old, is intubated post-operatively on a ventilator following brain surgery. To prevent her from pulling out the endotracheal tube, her hands are restrained with mittens. Prior to the surgery, the need to use the mittens was explained to her parents and consent was obtained. - correct answerThis is an appropriate use of restraints that will be discontinued as soon as possible. To avoid frightening the child, the nurse arranged for the family to reassure Jody during the post-operative period. As well, using language Jody could understand, the nurse explained to her why she had to wear mittens. There are circumstances in which a nurse may need to restrain clients when they are not capable of understanding the necessity for the intervention. The nurse needs to consider these situations carefully and use the least restraint possible. ___________ is critical in the nurse-client relationship because the client is in a vulnerable position. - correct answerTrust ___________ is the recognition of the inherent dignity, worth and uniqueness of every individual, regardless of socio-economic status, personal attributes and the nature of the health problem - correct answerRespect ________ ____________ is inherent in the type of care and services that nurses provide. It may relate to the physical activities, such as bathing, that nurses perform for, and with, the client that create closeness. - correct answerProfessional intimacy JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update TRUE OR FALSE. It is acceptable for a nurse to spend extra time with one client beyond his/ her therapeutic needs. - correct answerFALSE. TRUE OR FALSE. Feeling other members of the team do not understand a specific client as well as you do is a warning sign that a nurse should be mindful of - correct answerTRUE TRUE OR FALSE. Disclosing personal information to a specific client is a good way of getting a patient to open up to you. - correct answerFALSE. TRUE OR FALSE. Finding yourself frequently thinking about a client when away from work is a sign of being overly attached to a client. - correct answerTRUE TRUE OR FALSE. It is acceptable to spend time outside of work hours with a client. - correct answerFALSE TRUE OR FALSE. Keeping secrets with the client and apart from the health care team (for example, not documenting relevant discussions with the client in the health record) is an example of crossing an ethical boundary. - correct answerTRUE TRUE OR FALSE. Your client never has any visitors and discloses extreme loneliness, giving them your phone number so that they can call you when they're feeling down is a good way to boost their spirits. - correct answerFALSE. JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update When an unregulated care provider abuses a client, the nurse must ______________ to protect the client and notify the employer. - correct answerintervene _____________ can take many forms, including verbal and emotional, physical, neglect, sexual and financial. - correct answerAbuse WHAT KIND OF ABUSIVE BEHAVIOUR? ■ sarcasm; ■ retaliation or revenge; ■ intimidation, including threatening gestures/ actions; ■ teasing or taunting; ■ insensitivity to the client's preferences; ■ swearing; ■ cultural/racial slurs; and ■ an inappropriate tone of voice, such as one expressing impatience. - correct answerVERBAL AND EMOTIONAL WHAT KIND OF ABUSIVE BEHAVIOUR? ■ hitting; ■ pushing; ■ slapping; ■ shaking; JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update ■ using force; and ■ handling a client in a rough manner. - correct answerPHYSICAL WHAT KIND OF ABUSIVE BEHAVIOUR? ■ non-therapeutic confining or isolation; ■ denying care; ■ non-therapeutic denying of privileges; ■ ignoring; ■ withholding clothing, food, fluid, needed aids or equipment, medication, and/or communication. - correct answerNEGLECT WHAT KIND OF ABUSIVE BEHAVIOUR? ■ sexually demeaning, seductive, suggestive, exploitative, derogatory or humiliating behaviour, comments or language toward a client; ■ touching of a sexual nature or touching that may be perceived by the client or others to be sexual; College of Nurses of Ontario Practice Standard: Therapeutic Nurse-Client Relationship, Revised 2006 ■ sexual intercourse or other forms of sexual contact with a client; ■ sexual relationships with a client's significant other; and ■ non-physical sexual activity such as viewing pornographic websites with a client. - correct answerSEXUAL JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update 2. share her/his reasons for this decision with the client. _________________ is demonstrated through one's decision-making processes, competency and integrity. It is reflected in accurate documentation and in the nurse's actions. - correct answerAccountability 3 questions a nurse must ask herself when providing complementary therapy: - correct answer1. Is it appropriate to provide the complementary therapy? 2. Do I have the required knowledge, skill and judgment to provide this therapy safely and effectively? 3. Do I understand, and can I deal with, the possible outcomes of this therapy? You are a visiting nurse providing palliative care. Your client has been told by the health care team that there are no more "curative" treatment options available to him, and the plan of treatment is to provide comfort and support. The client is having great difficulty accepting this. He has heard about an unconventional treatment involving IV infusion of ozone and is asking you to provide this treatment. What should you do? - correct answerThe client is asking you to participate in an unconventional treatment. You have an obligation to explore with the client his understanding of the treatment and his reason for choosing it. It is important to seek guidance from your agency and colleagues, and as much information about the treatment as possible. If you are unable to obtain adequate information about this treatment to assess the risk and recognize that there may be a significant risk, you would determine that it is not appropriate to get involved in this treatment. You would then explain your decision to the client. JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update You have completed Levels 1 and 2 of a therapeutic touch program. In the acute care setting where you work, you have identified some clients you think could really benefit from this intervention. Is it acceptable for you to suggest it to them? - correct answerYou may propose to a client the use of therapeutic touch if you have the knowledge to believe that the treatment would benefit the client, and therapeutic touch has been recognized by the acute care agency as an appropriate intervention. If the agency has not determined the appropriateness of this intervention, then you may advocate to have it recognized. In the long-term care setting where you work, some of the residents are prescribed herbal remedies by a physician who practises Chinese medicine. What are you accountable for in administering these substances? - correct answerYou must balance client choice with professional responsibility. At a minimum, you would need information about the purpose, action and anticipated effects of the substance to fulfil your professional responsibility to assess the risks and benefits of providing this treatment in relation to the health status of the client. You would also be responsible for evaluating the effects of the treatment. If you had access to sufficient information to meet this expectation, then you may agree to provide this treatment. One way to achieve this would be to arrange for a team conference with the physician to develop a plan of care related to the administration of the prescribed herbal substances. TRUE OR FALSE? All conflict is negative. - correct answerFALSE. The experience of dealing with conflict can lead to positive outcomes for nurses, their colleagues and clients. JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update Conflict between a nurse and a client can escalate if a client is: - correct answera) intoxicated or withdrawing from a substance- induced state; b) being constrained (for example, not being permitted to smoke) or restrained (for example, with a physical or chemical restraint); c) fatigued or overstimulated; and/or d) tense, anxious, worried, confused, disoriented or afraid. Conflict between a nurse and a client can escalate if a client has: - correct answera) a history of aggressive or violent behaviour, or is acting aggressively or violently (for example, using profane language or assuming an intimidating physical stance); b) a medical or psychiatric condition that causes impaired judgment or an altered cognitive status; c) an active drug or alcohol dependency or addiction; d) difficulty communicating (for example, has aphasia or a language barrier exists); and/or e) ineffective coping skills or an inadequate support network. Conflict between a nurse and a client can escalate if a nurse: - correct answera) judges, labels or misunderstands a client; b) uses a threatening tone of voice or body language (for example, speaks loudly or stands too close); c) has expectations based on incorrect perceptions of cultural or other differences; JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update professional judgment To manage conflict, a nurse can: implement a ____________ ______________ management plan; - correct answercritical incident To manage conflict, a nurse can: remain calm and ______________ the client to express his/her concerns; - correct answerencourage To manage conflict, a nurse can: __________ arguing, criticizing, defending or judging; - correct answeravoid To manage conflict, a nurse can: focus on the client's _________________ rather than the client personally; - correct answerbehaviour To manage conflict, a nurse can: ____________ the client, the client's family and the health care team members in assisting with the behaviour and developing ______________ to prevent or manage it; - correct answerinvolve solutions To manage conflict, a nurse can: JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update state that abusive language and behaviours are ______________, if the nurse believes this will not ______________ the client's behaviour; - correct answerunacceptable escalate To manage conflict, a nurse can: _________ ___________ from the client, if necessary (for example, to regain composure or to set personal space boundaries); - correct answerstep away To manage conflict, a nurse can: leave the situation to develop a ________ ___ ________ with the assistance of a colleague if the client intends to harm the nurse - correct answerplan of care To manage conflict, a nurse can: protect themselves and other clients in abusive situations by ______________ services, if necessary - correct answerwithdrawing Poor relationships among members of the health care team negatively affect the ___________ ____ ___________. - correct answerdelivery of care DEFINITION Involving the client in making decisions based on the client's values, beliefs and wishes. - correct answerANTICIPATORY PLANNING DEFINITION JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update Any act or verbal comment that could isolate or have negative psychological effects on a person. Bullying usually involves repeated incidents or a pattern of behaviour that is intended to intimidate, offend, degrade or humiliate a particular person or group of people. - correct answerBULLYING DEFINITION Any sudden unexpected event that has an emotional impact that can overwhelm the usually effective coping skills of an individual or a group - correct answerCRITICAL INCIDENT DEFINITION Interpersonal conflict among colleagues that includes antagonistic behaviour such as gossiping, criticism, innuendo, scapegoating, undermining, intimidation, passive aggression, withholding information, insubordination, bullying, and verbal and physical aggression. - correct answerHORIZONTAL VIOLENCE The Health Care Consent Act (HCCA) The goals of the HCCA include promoting individual authority and ______________, facilitating __________________ between health care practitioners and their clients, and ensuring a significant ___________ for family members when the client is _______________ of ________________. - correct answerautonomy communication role incapable of consenting JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update One health care practitioner can propose a plan of treatment and obtain consent to the plan on _____________ of all the health care practitioners involved in the plan. - correct answerbehalf The Health Care Consent Act (HCCA) When a health care practitioner finds a client is _________________ of making a treatment decision, the legislation requires the practitioner to provide the client with ___________________ about the consequences of the finding. This provision of information must be performed in accordance with __________________ established by the practitioner's governing body. - correct answerincapable information guidelines The Health Care Consent Act (HCCA) A _______________ ________________ acting as a substitute decision- maker is not required to make a formal statement verifying his/her status. The legislation does contain a __________________ of substitute decision-makers. - correct answerfamily member hierarchy The Health Care Consent Act (HCCA) A person's ________________ about treatment, admissions or personal assistance services may be expressed _____________, in ______________, in any other form, or they may be _______________. - correct answerwishes orally writing JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update implied The Substitute Decisions Act (SDA) An individual may _______________ a specific person to make decisions about his/her personal care or treatment in the event that he/she becomes _______________. The person may also express his/her wishes about the kinds of decisions to be made or factors to ______________ decisions. - correct answerdesignate incapable guide The Substitute Decisions Act (SDA) The Office of the PGT is the government department that deals with ____________ ____________ and _________________ _____________. - correct answerpersonal care property matters The Substitute Decisions Act (SDA) Only trained _____________ _______________ may determine capacity for the purpose of the SDA (i.e., the capacity to make decisions on an ongoing basis). The HCCA requires assessment of capacity to make decisions about a specific treatment. - correct answercapacity assessors The Substitute Decisions Act (SDA) JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update A ____________ _____ _______________ for personal care comes into _______________ when the person who granted it becomes mentally incapable, unless it states otherwise. - correct answerpower of attorney effect DEFINITION A person identified by the HCCA who may make a treatment decision for someone who is incapable of making his/her own decision. Usually a spouse, partner or relative. - correct answerSUBSTITUTE DECISION-MAKER DEFINITION A board established by and accountable to the government. Its members are appointed by the government. The Board considers applications for review of findings of incapacity, applications relating to the appointment of a representative, and applications for direction regarding the best interests and wishes of an incapable person. - correct answerConsent and Capacity Board (CCB) DEFINITION Two persons who are married to each other, or who are living in a conjugal relationship and have cohabited for at least a year, or who are the parents of a child or who have a cohabitation agreement under the Family Law Act. - correct answerSPOUSE DEFINITION JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update Consent is required for any treatment except treatment provided in certain ______________ _____________. - correct answeremergency situations The consent must: ◗ __________ to the treatment being proposed; ◗ be ____________; ◗ be ____________; and ◗ not have been ______________ through misrepresentation or fraud. - correct answerrelate informed voluntary obtained The health care practitioner who proposes the treatment is responsible for taking ______________ __________ to ensure that treatment is not administered without ______________. - correct answerreasonable steps consent If consent to admission to a care facility is required by law, then consent is needed in all cases except in a _____________ _____________. - correct answercrisis situation The HCCA does not specify that consent to a personal assistance service is ________________. - correct answerrequired JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update Consent is informed if, before giving it: - correct answer1. the person received the information about the treatment that a reasonable person in the same circumstances would require to make a decision; and 2. the person received responses to his/her requests for additional information about the treatment. A person is capable of giving consent to a treatment, admission to a care facility and personal assistance services if he/she: - correct answer1. understands the information that is relevant to making a decision concerning the treatment, admission or personal assistance service; and 2. appreciates the reasonably possible consequences of a decision or lack of a decision. TRUE OR FALSE? A person has to be 18 years of age before they can give an informed consent. - correct answerFALSE. There is no minimum age for giving consent. Health care practitioners and evaluators should use professional judgment, taking into account the circumstances and the client's condition, to determine whether the young client has the capacity to understand and appreciate the information relevant to making the decision. Who must determine capacity in the case of admission to a care facility or provision of personal assistance services? - correct answerAn evaluator. The evaluator may be the person proposing the admission or services, or the JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update evaluator may be identified by facility or agency policies. Nurses and some other health care professionals may be evaluators. A _______________ ______________ conducts assessments of capacity on persons who need decisions made on their behalf on a continuing basis. - correct answerCAPACITY ASSESSOR NPs, RNs and RPNs are eligible to become capacity assessors. Designation will require the successful completion of a capacity assessor education or training course approved or required by the attorney general. If a person is incapable, the consent (or refusal to give consent) is to be obtained from who? - correct answerhighest- ranked available substitute decision-maker from the HCCA hierarchy who is willing to make the decision. If a person is incapable, and there is no other substitute decision- maker, who is the substitute decision-maker of last resort. - correct answerthe PGT Treatment in an emergency can be provided immediately if the person is _____________ of giving consent and provides the consent. - correct answercapable Treatment in an emergency can be provided immediately if communication can't take place because of a ____________ ____________ or _____________, and reasonable efforts to overcome these have been made, but a ___________ will prolong the suffering the person is apparently experiencing or will put the person at risk of sustaining serious bodily harm, and there is no reason to believe the person does _______ ___________ the treatment. - correct answerlanguage barrier or disability JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update 3. Someone appointed as a representative by the CCB. 4. Spouse, partner or relative in the following order: a. spouse or partner, b. child if 16 or older; custodial parent (who can be younger than 16 years old if the decision is being made for the substitute's child); or Children's Aid Society; c. parent who has only a right of access; d. brother or sister; e. other relative. 5. PGT is the substitute decision-maker of last resort in the absence of any more highly ranked substitute, or in the event two more equally ranked substitutes cannot agree. Clients have a legal and ethical right to ________________ about their care and treatment, and a right to _____________ that treatment. - correct answerinformation refuse Regardless of whether consent has been obtained by the nurse, nurses should always _____________ to the client the treatment or procedure they are performing. - correct answerexplain Nurses should not provide a treatment if there is JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update any ______________ about whether the client understands and is capable of consenting. This applies whether or not there is an _____________, or even if the client has already consented. It does not ________________ if a substitute decision-maker has consented. - correct answerdoubt order apply A substitute decision-maker has the right to access the same ___________________ that a capable client would be able to access. - correct answerinformation Consent can be __________________ at any time. - correct answerwithdrawn Nurses need to __________________ for clients' access to information about care and treatment if it is not ___________________ from other care providers. - correct answeradvocate forthcoming Informed consent does not always need to be ______________, but can be oral or implied. - correct answerwritten Nurses who obtain consent have a professional ___________________ to be satisfied that the client is capable of giving consent - correct answeraccountability JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update Also, nurses are professionally accountable for acting as _____________ ______________ and for helping clients __________________ the information relevant to making decisions to the extent permitted by the client's capacity. - correct answerclient advocates understand If the nurse proposing a treatment or evaluating capacity to make an admission or personal assistance service decision determines the client is __________________ of making the decision, then the nurse _______________ the client that a substitute decision-maker will be asked to make the final decision. This is __________________ in a way that takes into account the particular circumstances of the client's condition and the nurse-client relationship. - correct answerincapable informs communicated If there is an indication that the client is uncomfortable with this information, then the nurse ________________ and _________________ the nature of the client's discomfort. If it relates to the finding of incapacity, or to the choice of substitute decision-maker, then the nurse informs the client of his/her _______________ to apply to the CCB for a review of the finding of incapacity, and/ or for the ________________ of a representative of the client's choice. - correct answerexplores clarifies options appointment JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update An individual's culture is ________________ by many factors, such as race, gender, religion, ethnicity, socio-economic status, sexual orientation and life experience. The extent to which particular factors influence a person will ______________. - correct answerinfluenced vary Culture is _______________. It changes and evolves over time as individuals change over time. - correct answerdynamic TRUE OR FALSE. Reactions to cultural differences require a lot of thought and reflection. - correct answerThey are automatic, and often subconscious and influence the dynamics of the nurse-client relationship. A nurse's culture is influenced by personal ______________ as well as by nursing's professional ______________. The _____________ of the nursing profession are upheld by all nurses. - correct answerbeliefs values values The nurse is responsible for ________________ and _______________ appropriately to the client's cultural expectations and needs. - correct answerassessing responding JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update A nurse, working as a community case manager, visited the home of a toddler with severe physical and developmental delays. She explained to the parents that with their consent she would refer the child to a physiotherapy and occupational therapy program that would help the child be more independent. The parents refused, saying that it was their duty to care for their child because the child's condition is punishment for having conceived before they were married. They were not supportive of a program to increase independence. The nurse was upset and felt the parents were not acting in the child's best interests. - correct answerThe nurse did not understand the family's initial refusal of treatment. After reflection and discussion with colleagues, she realized that her personal and professional values of independence were causing her to feel upset with the parents' refusal. She decided to explore with the family their goals for their child. In doing this, she learned that the parents wanted their child to become stronger and have fewer infections. When the same therapies were described as a means of meeting these goals, the parents were quite willing to participate. The program was developed to meet the goals that the family identified as important. Clients differ in their ___________________ of health, well-being and quality of life, as well as their ______________ for treatment and who they consider appropriate providers of care. - correct answerdefinitions goals The client is a woman who has developed a very good relationship with the nurse in the community health clinic. On a visit, she asks the nurse how to arrange for the excision of female genitalia for a member of her community. - correct answerRegardless of her personal feelings about female genital excision, the nurse needs to understand the meaning of this custom for the client, which is linked to values about family purity and family honour. The nurse, however, also knows that the practice is illegal in Canada. The nurse needs to inform the client, in a nonjudgmental manner, of the potential risks and harm associated with the practice and of the legal implications. By exploring the custom and providing JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update education and support to the woman, the nurse has a better chance of preventing a practice that carries considerable risk of harm. A client from a First Nations community requests that a sweetgrass ceremony be performed in the hospital as part of the treatment. The ceremony involves chanting and burning some substances, which will result in small amounts of smoke (similar to that of burning an incense stick). The nurse's initial reaction is that something like this has never been done, and that it is against hospital policy. However, she also understands the significance of this ritual for the client. The nurse raises the issue with the unit administration and, with the support of colleagues, explores the potential impact on other clients. The nurse also reviews relevant fire policies and consults with appropriate staff in other departments. It is determined that any risk to other clients can be removed by transferring the client to a private room. This is done, and the ceremony is performed. - correct answerThe nurse's commitment to client-centred care prompts her to explore ways of meeting the client's needs within the limits of the hospital setting. Lack of experience and fear are two of the most common barriers to providing culturally sensitive care. Through collaboration with other colleagues, the nurse is able to address the assumption that it cannot be done and to determine ways of meeting client needs without exposing other clients to discomfort or risk. The nurse succeeds in meeting the needs of her client, not only because of her creativity, but because she takes responsibility for influencing policies and procedures in the practice setting. ________________ can be essential in situations in which a language barrier exists between the nurse and the client - correct answerInterpreters TRUE OR FALSE. JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update door at the start of each visit, the neighbour will accompany the nurse to the client's apartment, and the nurse will use the inte - correct answerThe care planning demonstrates a thoughtful process, responsive to the client's needs. There is evidence of the nurse consulting with the client and supporting the client's choice of an interpreter. The nurse stresses confidentiality and respects the neighbour's schedule by providing a list of planned visits. A couple comes to a walk-in clinic with a young child who is crying and tugging at his ears. The couple has recently come to Canada, but understands English well enough that the nurse feels language is not an issue. An assessment reveals that the child has an infection in both ears, and the couple is given a prescription for an antibiotic and Tylenol drops for fever and pain. The situation is fairly routine, and an interpreter is not considered necessary. The parents are informed about the diagnosis and treatment, and they nod in understanding. The next day the couple returns with the child whose condition seems to have worsened. There is now pink discharge from both ears, and the entire family is in distress. An interpreter is called to assist. Through the interpreter, the nurse learns that the parents had the prescription filled promptly, and they understood the child was to be given the medicine every four hours. - correct answerThis example illustrates the importance of confirming that accurate communication has been achieved. To reduce the chance of confusion, the nurse could have demonstrated how to measure, and then administer, both medications. Culturally appropriate client education materials would also have been helpful. A woman, 35, is admitted to the general medical unit. While in the hospital, she expresses concern about her partner's ability to care for her children. She also appears worried about how she will manage at home after she is discharged. The nurse suggests that perhaps a family meeting is necessary and offers to contact her husband. The nurse further suggests that maybe the client's mother, who has called often to inquire about her daughter, should be involved in the meeting. - JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update correct answerThe nurse has made an assumption that the client's partner is male and that the relationship with the mother is one that will be supportive to the entire family. For many couples in a homosexual relationship, the issue of family can be sensitive. For some people, "family" is often their chosen family as opposed to kin. By using the word "partner," and asking the client who would be appropriate for a family meeting, the nurse shows openness and a nonjudgmental attitude. A home care client has lost sensation and mobility in her legs. On a home visit to provide wound care for a severe burn on the sole of her left foot, the nurse discovers a picture of St. Francis of Assisi covered in plastic and carefully placed between the layers of bandage around the foot. The client describes the picture as a relic that can prevent or positively influence life's problems, and that St. Francis is known for healing animals and people. She believes that placing the picture in the dressings will help the wound to heal. - correct answerIn considering the client's preference, the nurse considers the risk of harm. In this instance, the request may be unusual, but does not pose a threat to the client if the relic is cleansed appropriately and wrapped in gauze. The spiritual benefits of the relic to the client should be recognized. A nurse is providing direct care to an elderly woman newly diagnosed with angina. She has been prescribed nitroglycerine to manage her angina attacks. The client reveals to the nurse her firm belief that her illness is caused by the "evil eye," a glance cast upon her by another to cause this condition. She shows the nurse her own remedy, which she claims will lift the curse of the evil eye and cure her. - correct answerThe nurse assesses the client's remedy for possible health risks, such as a high sodium content. As well, the nurse negotiates with the client to take the nitroglycerine. In doing so, the nurse will need to be vigilant to potential objections the client may have to taking the medication. The goal is to have a plan of care that includes the remedy for the evil eye, but also includes the appropriate JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update use of the nitroglycerine. The nurse and the client may not fully understand each other's preferences, but are willing to accommodate both interventions. A 35-year-old client is diagnosed with chronic renal failure and has started peritoneal dialysis. Maintaining adequate protein intake is an essential part of the client's ongoing treatment, and animal protein is the recommended source. The client is a Hindu by religion and has been eating eggs, chicken and goat all his life. However, since the commencement of dialysis, he has stopped eating these foods and has become a vegetarian. He tells the health care team that he wants to become a good Hindu so that God will help him with his ordeal. He says that even though many Hindus eat meat, not eating meat is a more devout way of life and one he wishes to follow. - correct answerRecognizing that, at times of crisis, clients may revert to more traditional beliefs, the team needs to work with this client to determine the reason for his change in dietary practices. The goal is not to change his beliefs, but to increase the client's choices about how to achieve adequate protein intake. The team could involve a dietitian to teach ways to increase protein intake from vegetarian sources, such as cheese, lentils, nuts, beans and tofu. They also want to help the client explore his perceptions of what caused his illness and the role religion plays in his care. Involving a Hindu priest may be an effective way of addressing spiritual needs, and the priest may, in fact, be able to assist the client in resuming some intake of animal protein, if he chooses to do so. Regardless of approach, the ultimate decisions about diet remain with the client. Who Should Be Involved in Developing a Directive? - correct answerAlthough it is by definition a medical document, the collaborative involvement of health care professionals affected directly or indirectly by the directive is strongly encouraged. JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update DEFINITION What a capable person expresses about treatment, admission to a care facility or a personal assistance service. - correct answerWISHES TRUE OR FALSE. The most recent wishes a client expresses while he or she is capable prevail over any earlier wishes the client may have given. - correct answerTRUE. When assisting clients in making choices and articulating their wishes about end- of-life care, nurses are guided by two core themes: - correct answerCOMMUNICATION IMPLEMENTATION Nurses communicate the goals of care and treatment by: using professional ________________ to determine how the interprofessional team needs to be involved in discussions about the client's end-of-life care wishes; - correct answerjudgment Nurses communicate the goals of care and treatment by: _________________ whether the client has sufficient and relevant information to make an ________________ decision about treatment and end-of-life care, including ____________________; - correct answerassessing informed resuscitation JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update Nurses communicate the goals of care and treatment by: providing an opportunity to discuss, identify and review the client's end-of-life care ________________; - correct answerwishes Nurses communicate the goals of care and treatment by: identifying the client's wishes about preferred treatment and/or end-of-life care as ___________ as ________________, while considering the client's condition and the degree to which the therapeutic nurse-client relationship has been established; - correct answerearly as possible Nurses communicate the goals of care and treatment by: identifying and using appropriate _______________ ______________ when discussing treatment and end-of-life issues with the client; - correct answercommunication techniques Nurses communicate the goals of care and treatment by: helping and being involved in client and family _________________ about treatment and/or end-of- life care; - correct answerdiscussions Nurses communicate the goals of care and treatment by: _________________ with other health care team members as required, to identify and resolve treatment and/or end-of-life care _________________. (For example, a nurse could present a client situation during a team meeting or rounds or include an ethicist on the care team, if it is appropriate); - correct answerconsulting issues Nurses communicate the goals of care and treatment by: knowing the end-of-life care wishes of the client or obtaining that knowledge from: - correct answer■ the client's direct instructions (which include non-verbal means); JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update ■ the client's advance directive (such as a living will or power of attorney for personal care); ■ the substitute decision-maker's instructions, if the client is incapable; or ■ documented instructions from another member of the health care team; Nurses communicate the goals of care and treatment by: ________________ the client's wishes to all members of the interprofessional care team; - correct answerexplaining Nurses communicate the goals of care and treatment by: maintaining ______________ of client and interprofessional team communications about treatment and end-of-life care decisions according to organizational policies and procedures as well as the College's Documentation practice document; - correct answerrecords Nurses communicate the goals of care and treatment by: contributing to ongoing communication about end-of-life care wishes and implementing the client's wishes by: - correct answer■ reviewing the client's plan of treatment including resuscitation wishes as needed or when required by organizational policy. (For example, in long-term care settings, the review could be part of the regular client health review); ■ documenting the relevant information; and JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update Nurses implement a client's treatment and end-of- life care wishes by: engaging in the following when a client's death is expected or unexpected: - correct answer■ identifying whom to notify when the client dies; ■ identifying the most appropriate category of health care provider to notify the family; ■ identifying the client's and family's cultural and religious beliefs and values about death, and management of the body after death;24 ■ identifying whether the family wants to see the body after death; and ■ documenting according to policies and procedures; Nurses implement a client's treatment and end-of- life care wishes by: the knowledge, skill and judgment to determine that ___________ has occurred; - correct answerdeath Nurses implement a client's treatment and end-of- life care wishes by: deciding, if necessary, the ________________ of health care provider that will pronounce the death; - correct answercategory Nurses implement a client's treatment and end-of- life care wishes by: recognizing that all nurses have the _________________ to pronounce death when clients are _______________ to die and their plan of treatment does not include resuscitation. - correct answerauthority JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update expected Nurses implement a client's treatment and end-of- life care wishes by: ___________________ for the creation or modification of practice-setting policies and procedures on the implementation of clients' treatment and end-of- life care wishes that are consistent with College documents. - correct answeradvocating TRUE OR FALSE. All nurses do not have the authority to certify death in any situation. - correct answerFALSE. While RNs and RPNs do not have the authority to certify death in any situation, Nurse Practitioners do have the authority to certify an expected death, except in specific circumstances; Before administering a vaccination to a client, colleague or family member, a nurse must consider four issues: - correct answer■ if informed consent has been obtained; ■ if a prescription/medical directive is in place; ■ if she or he is competent to deliver and manage the vaccine; and ■ how the administration will be documented. To give informed consent, the client must be provided with the information necessary to make a decision to consent to or refuse the vaccine. This information must include the following: - correct answer■ the nature of the treatment; ■ expected benefits of the treatment; JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update ■ material risks and adverse effects of the treatment; ■ alternative courses of action; and ■ likely consequences of not having the treatment. TRUE OR FALSE. Consent for flu shot must be given in writing. - correct answerFALSE. Consent can be written or oral. Nurses should document that consent was obtained, either by using a consent form or by recording it in the health record. Nurses may administer the flu vaccine to their colleagues if the employer approves this practice and provides the necessary supports to meet the standards of practice. What should they remember when doing so? - correct answerIt is important to recognize that by administering the vaccine, the nurse is establishing a nurse-client relationship with the colleague and must keep any information obtained in the course of providing the treatment confidential. TRUE OR FALSE. CNO requires that all registered members receive annual influenza vaccination. - correct answerFALSE. Some employers may require that nurses be vaccinated each year during flu season. The College does not establish the requirements for immunization of health care workers. These requirements are established by individual workplaces and by legislation. Who is responsible for ensuring client safety when learners participate in providing client care? - correct answera nurse supporting the learner is JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update - signs and symptoms subtle and difficult to detect - correct answerRN RN OR RPN? high risk of negative outcomes - correct answerRN RN OR RPN? recognizes changes, probes further and manages or consults appropriately with other health care team member - correct answerRPN The more complex the client situation and the more dynamic the environment, the greater the need for the ___________ to provide the full range of care, assess changes, reestablish priorities and determine the need for additional resources. - correct answerRN TRUE OR FALSE. An RPN hired to be a PSW is only accountable for working within the PSW scope of practice. - correct answerFALSE. An RPN working in a UCP role is still accountable as an RPN In the event of an _____________ situation, the nurse working as a UCP will immediately function at the RN, NP or RPN level. - correct answeremergency In the event that symptoms present that are beyond the expectations of a UCP role, a nurse working as a UCP is accountable for: - correct answerpractising as an RN or RPN until a member practising at the RN or RPN level is available JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update A nurse cannot assume that a UCP is _________________ to perform any procedure, regardless of how straightforward the procedure appears. - correct answercompetent A nurse who teaches, assigns duties to or supervises UCPs must: know the UCP is _______________ to perform the particular procedure or activity safely for the client in the given circumstances. When ________________ a UCP, a nurse is expected to have first-hand knowledge of the UCP's competence. A nurse who assigns or supervises is expected to ___________ that the UCP's competence has been determined. - correct answercompetent teaching verify A nurse who teaches, assigns duties to or supervises UCPs must ensure that the UCP: ◗ ________________ the extent of her or his responsibilities in performing the procedure(s) ◗ knows when and who to ask for _______________, ◗ knows when, how and to whom to ___________ the outcome of the procedure. - correct answerunderstands assistance report JURISPRUDENCE 2024/2025 Exam Actual Test Questions And Verified correct answers 100% New Update A UCP only has the authority to perform a controlled act through an exception or when an individual who has the authority to order or perform the act ________________ this authority to the UCP. - correct answerdelegates The Regulated Health Professions Act, 1991 identifies a number of exceptions that allow individuals who are not members of a regulated health profession to perform some controlled act procedures. These exceptions include: - correct answer1. treating a member of her/his household, and the procedure falls within the second or third controlled acts authorized to nursing, 2. assisting a person with routine activities of living, and the procedure falls within the second or third controlled acts authorized to nursing (see the table below). A nurse may teach a controlled act procedure to a UCP when the nurse meets all of the following six requirements: Requirement 1 The nurse has the knowledge, skill and judgment to _______________ the procedure __________________. - correct answerperform competently A nurse may teach a controlled act procedure to a UCP when the nurse meets all of the following six requirements: Requirement 2