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Jurisprudence Exam: Ethical Practice and Client Care, Exams of Nursing

Key concepts and competencies related to ethical nursing practice and client care, including public protection, therapeutic relationships, evidence-based practice, authorizing mechanisms, delegation, orders, transfer of accountability, and addressing client conflicts. It provides definitions and explanations of important terms and principles that registered practical nurses (rpns) must understand to practice safely and ethically. The document aims to prepare rpns for the jurisprudence 2024 exam by covering a range of topics that demonstrate their knowledge, skills, and judgment in making decisions and providing care to clients while upholding professional standards and promoting client safety and well-being.

Typology: Exams

2024/2025

Available from 09/13/2024

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Download Jurisprudence Exam: Ethical Practice and Client Care and more Exams Nursing in PDF only on Docsity! JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS CNO MISSION - CORRECT ANSWERS regulating nursing in the public interest 2 documents that provide the legislative framework for regulating nursing in Ontario: - CORRECT ANSWERS 1. Regulated Health Professions Act, 1991 2. Nursing Act, 1991 4 regulatory functions: - CORRECT ANSWERS 1. practice standards. 2. entry to practice. 3. quality Assurance Program. 4. enforcing standards 5 statutory committeess - CORRECT ANSWERS 1. 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 ANSWERS nursing regulation COMPETENCY ASSUMPTIONS Entry-level RPNs possess the ________________ required to demonstrate the wide range of competencies in this document. - CORRECT ANSWERS knowledge 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 ANSWERS collaboration JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS 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 ANSWERS prepared 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 ANSWERS client-specific COMPETENCY ASSUMPTIONS Entry-level RPNs enter into practice with competencies that are _______________ across diverse practice settings. - CORRECT ANSWERS transferable COMPETENCY ASSUMPTIONS Entry-level RPNs have a _______________ ___________ in nursing, health and social sciences, ethics, leadership and research. - CORRECT ANSWERS knowledge base COMPETENCY ASSUMPTIONS Entry-level RPNs are committed to engaging in quality assurance practices, including ____________ _____________. - CORRECT ANSWERS Reflective Practice COMPETENCY ASSUMPTIONS Entry-level RPNs use ____________ _______________ skills to support clinical decision- making and reflect upon practice experiences. - CORRECT ANSWERS critical thinking The entry-level RPN is accountable for: JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS Individuals, families, groups or entire communities across the lifespan who require nursing expertise. - CORRECT ANSWERS CLIENT 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 contributes from within the limits of her or his scope of practice. - CORRECT ANSWERS COLLABORATE DEFINITION An organized group of people bound together by ties of social, ethnic, cultural or occupational origin; or by geographic location. - CORRECT ANSWERS COMMUNITY 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 ANSWERS COMPETENCE DEFINITION Descriptions of the expected performance behaviour that reflects the professional attributes required in a given nursing role, situation or practice setting. - CORRECT ANSWERS COMPETENCY STATEMENTS DEFINITION Activities that are considered potentially harmful if performed by unqualified people. - CORRECT ANSWERS CONTROLLED ACTS DEFINITION Reasoning in which one analyzes the use of language, formulates problems, clarifies and explains assumptions, weighs evidences, evaluate conclusions, discriminates between pros and cons, and seeks to justify those facts and values that result in credible beliefs and actions. - CORRECT ANSWERS CRITICAL THINKING JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS 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 ANSWERS CULTURE DEFINITION The formal process that transfers authority to perform a controlled act. - CORRECT ANSWERS DELEGATE 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 ANSWERS DETERMINANTS 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 ANSWERS EVIDENCE-INFORMED PRACTICE DEFINITION All people sharing a common health issue, problem or characteristic. These people may or may not come together as a group. - CORRECT ANSWERS POPULATIONS DEFINITION A relationship that is professional and ensures the client's needs are first and foremost. The relationship is based on trust, respect and intimacy and requires the appropriate use of the power inherent in the health care provider's role. The professional relationship between RPNs and their clients is based on a recognition that clients (or their alternative decision- JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS makers) are in the best position to make decisions about their lives when they are active and informed participants in the decision-making process. - CORRECT ANSWERS THERAPEUTIC RELATIONSHIP DEFINITION Expectations that contribute to public protection that inform nurses of their accountabilities and the public of what to expect of nurses. These apply to all nurses regardless of their role, job description or area of practice. - CORRECT ANSWERS NURSING STANDARDS What legislation governs health care information privacy in Ontario? - CORRECT ANSWERS Personal Health Information Protection Act, 2004 (PHIPA) TRUE OR FALSE? PHIPA permits the sharing of personal health information among health care team members to facilitate efficient and effective care. - CORRECT ANSWERS TRUE Which legislation provides a broad protection to quality of care information produced by a health care facility or a health care entity, or for a governing or regulatory body. - CORRECT ANSWERS Quality of Care Information Protection Act (QOCIPA) What is the purpose of the Quality of Care Information Protection Act (QOCIPA)? - CORRECT ANSWERS To promote open discussion of adverse events, peer review activities and quality of care information, while protecting this information from being used in litigation or accessed by clients. What is personal health information? - CORRECT ANSWERS Personal health information is any identifying information about clients that is in verbal, written or electronic form. TRUE OR FALSE? Clients have to be named for information to be considered personal health information. - CORRECT ANSWERS FALSE. JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS 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 ANSWERS There 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 to the employer without the client's express consent is a breach of PHIPA. However, if a client would like personal health information to be given to the employer, then the client must give express consent to the nurse. In obtaining express consent, the nurse needs to clarify exactly which information the client is requesting be disclosed, and obtain written express consent that includes the employee's specific request. DEFINITION means by which the authority to perform a procedure is obtained or the decision is made to perform a procedure - CORRECT ANSWERS AUTHORIZING MECHANISM DEFINITION JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS formal process that transfers the authority to perform a controlled act - CORRECT ANSWERS DELEGATION DEFINITION A client-specific order can be an order for a procedure, treatment, drug or intervention for an individual client - CORRECT ANSWERS DIRECT CLIENT ORDER DEFINITION an order for a procedure, treatment, drug or intervention that may be implemented for a number of clients when specific conditions are met and specific circumstances exist - CORRECT ANSWERS DIRECTIVE DEFINITION a prescription for a procedure, treatment, drug or intervention - CORRECT ANSWERS ORDER Which legislation contains a scope of practice statement that describes in a general way what the profession does and the methods that it uses? - CORRECT ANSWERS NURSING ACT WHAT IS "The practice of nursing is the promotion of health and the assessment of, the provision of, care for, and the treatment of, health conditions by supportive, preventive, therapeutic, palliative and rehabilitative means in order to attain or maintain optimal function." - CORRECT ANSWERS SCOPE OF PRACTICE STATEMENT HOW MANY CONTROLLED ACTS ARE SPECIFIED BY THE Regulated Health Professions Act, 1991? - CORRECT ANSWERS 13 HOW MANY CONTROLLED ACTS CAN A NURSE PERFORM? - CORRECT ANSWERS 3 JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS WHAT ARE THE 3 CONTROLLED ACTS THAT NURSES CAN PERFORM? - CORRECT ANSWERS 1. Performing a prescribed procedure below the dermis or a mucous membrane. 2. Administering a substance by injection or inhalation. 3. Putting an instrument, hand or finger beyond the external ear canal, the point in the nasal passages where they normally narrow, the larynx, the opening of the urethra, the labia majora, the anal verge, or into an artificial opening into the body. WHAT ARE THE TWO CONDITIONS BY WHICH AN RPN CAN PERFORM A CONTROLLED ACT? - CORRECT ANSWERS 1. 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 ANSWERS 1. 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 ANSWERS 1. Appropriate health care provider 2. Authority JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS Nurses may still not be individually satisfied with the resolution; in this case, they need to examine why they're unsatisfied, and consider the possibility of taking follow-up action. TRUE OR FALSE. Clients are always the best people to make decisions about their own health. - CORRECT ANSWERS TRUE. If a client is competent, then they are the best person to make choices about their health, but... if a client is deemed incompetent, they a nurse must consult a substitute decision-maker WHAT SHOULD A NURSE DO IF THEY DISCOVER THAT A CLIENT'S WISHES CONFLICT WITH THEIR OWN PERSONAL VALUES? - CORRECT ANSWERS When a client's wish conflicts with a nurse's personal values, and the nurse believes that she/he cannot provide care, the nurse needs to arrange for another caregiver and withdraw from the situation. If no other caregiver can be arranged, the nurse must provide the immediate care required. If no other solution can be found, the nurse may have to leave a particular place of employment to adhere to her/his personal values. WHICH ETHICAL VALUE? facilitating the client's health and welfare, and preventing or removing harm. - CORRECT ANSWERS CLIENT WELL-BEING WHICH ETHICAL VALUE? self-determination and includes the right to the information necessary to make choices and to consent to or refuse care - CORRECT ANSWERS CLIENT CHOICE WHICH ETHICAL VALUE? limited access to a person, the person's body, conversations, bodily functions or objects immediately associated with the person - CORRECT ANSWERS PRIVACY AND CONFIDENTIALITY WHICH ETHICAL VALUE? JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS means that human life is precious and needs to be respected, protected and treated with consideration - CORRECT ANSWERS RESPECT FOR LIFE WHICH ETHICAL VALUE? keeping promises, being honest and meeting implicit or explicit obligations toward their clients, themselves, each other, the nursing profession, other members of the health care team and quality practice settings. - CORRECT ANSWERS MAINTAINING COMMITMENTS WHICH ETHICAL VALUE? speaking or acting without intending to deceive. - CORRECT ANSWERS TRUTHFULLNESS TRUE OR FALSE. Omissions are as untruthful as false information. - CORRECT ANSWERS TRUE. WHICH ETHICAL VALUE? allocating health care resources on the basis of objective health-related factors - CORRECT ANSWERS FAIRNESS TRUE OR FALSE. In regards to ethical concerns, sometimes the best possible outcome may be the one that is least bad. - CORRECT ANSWERS TRUE. 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 ANSWERS A. ASSESS JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS 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. 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 ANSWERS Proper hand hygiene is the single most- important infection prevention and control practice. The spread of infection requires an _____________ ____________ - CORRECT ANSWERS infectious agent The infectious agent needs a ______________ where it can live, grow and reproduce - CORRECT ANSWERS reservoir JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS DEFINITION an individual who is found to be colonized (culture-positive) for a particular organism, at one or more body sites, but has no signs or symptoms of infection. - CORRECT ANSWERS CARRIER DEFINITION a chemical agent with a drug identification number (DIN) used on inanimate (non-living) objects to kill micro-organisms. - CORRECT ANSWERS DISINFECTANT DEFINITION a process that destroys or kills some, but not all, disease-producing micro-organisms on an object or surface. - CORRECT ANSWERS DISINFECTION DEFINITION a circumstance of being in contact with an infected person or item in a manner that may allow for the transfer of micro-organisms, either directly or indirectly, to another person. - CORRECT ANSWERS EXPOSED 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 ANSWERS GERMICIDE DEFINITION the physical separation of infected individuals from uninfected individuals for the period of communicability of a particular disease. - CORRECT ANSWERS ISOLATION JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS DEFINITION microscopic organisms such as bacteria, virus or fungus, commonly known as germs, that can cause an infection in humans. - CORRECT ANSWERS MICRO-ORGANISM DEFINITION thin sheets of tissue that line various openings of the body, such as the mouth, nose, eyes and genitals. - CORRECT ANSWERS MUCUS MEMBRANES DEFINITION infection acquired in a health care setting. - CORRECT ANSWERS NOSOCOMIAL INFECTION DEFINITION specialized clothing or equipment (for example, gloves, masks, protective eyewear, gowns) worn by an employee for protection against an infectious hazard. - CORRECT ANSWERS PERSONAL 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 ANSWERS PRECAUTIONS CNO'S 8 RIGHTS - CORRECT ANSWERS 1. right client, 2. right medication 3. right reason, 4. right dose, 5. right frequency, 6. right route, 7. right site, 8. right time; JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS 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 ANSWERS MEDICATION ERROR DEFINITION giving the wrong medication - CORRECT ANSWERS ERROR OF COMMISSION DEFINITION not administering an ordered medication - CORRECT ANSWERS ERROR OF OMISSION error does not reach the client, but had it, the client could have been harmed - CORRECT ANSWERS NEAR MISS DEFINITION Undesirable physical reactions to health products, including drugs, medical devices and natural health products. - CORRECT ANSWERS ADVERSE REACTION DEFINITION Drugs that bear a heightened risk of causing significant client harm when they are used in error. - CORRECT ANSWERS HIGH 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 ANSWERS Independent double- check. DEFINITION JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS 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 ANSWERS SELF-ADMINISTRATION TRUE OR FALSE? A nurse cannot teach a PSW how to administer medication. - CORRECT ANSWERS FALSE 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 ANSWERS FALSE 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 - effectiveness of the medication(s). Reasons for using _____________ include protecting clients from injury, maintaining treatment and controlling disruptive behaviour. - CORRECT ANSWERS restraints 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 ANSWERS least restraint DEFINITION JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS physical, chemical or environmental measures used to control the physical or behavioural activity of a person or a portion of his/her body. - CORRECT ANSWERS RESTRAINT ___________ 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 ANSWERS Physical ____________ restraints control a client's mobility. Examples include a secure unit or garden, seclusion or a time-out room. - CORRECT ANSWERS Environmental _____________ restraints are any form of psychoactive medication used not to treat illness, but to intentionally inhibit a particular behaviour or movement. - CORRECT ANSWERS Chemical ___________ _____________ means all possible alternative interventions are exhausted before deciding to use a restraint. - CORRECT ANSWERS Least 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 ANSWERS This 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 ANSWERS Trust JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS ___________ 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 ANSWERS Respect ________ ____________ 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 ANSWERS Professional intimacy ____________ is the expression of understanding, validating and resonating with the meaning that the health care experience holds for the client. - CORRECT ANSWERS Empathy The nurse-client relationship is one of unequal ___________. Although the nurse may not immediately perceive it, the nurse has more _____________ than the client. - CORRECT ANSWERS power power DEFINITION the misuse of the power imbalance intrinsic in the nurse-client relationship. It can also mean the nurse betraying the client's trust, or violating the respect or professional intimacy inherent in the relationship, when the nurse knew, or ought to have known, the action could cause, or could be reasonably expected to cause, physical, emotional or spiritual harm to the client - CORRECT ANSWERS ABUSE DEFINITION the nurse-client relationship is the point at which the relationship changes from professional and therapeutic to unprofessional and personal. Crossing a _____________ means that the care provider is misusing the power in the relationship to meet her/his personal needs, rather than the needs of the client, or behaving in an unprofessional manner with the client. - CORRECT ANSWERS BOUNDARY DEFINITION JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS ■ 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 ANSWERS VERBAL AND EMOTIONAL WHAT KIND OF ABUSIVE BEHAVIOUR? ■ hitting; ■ pushing; ■ slapping; ■ shaking; ■ using force; and ■ handling a client in a rough manner. - CORRECT ANSWERS PHYSICAL 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 ANSWERS NEGLECT WHAT KIND OF ABUSIVE BEHAVIOUR? ■ sexually demeaning, seductive, suggestive, JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS 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 ANSWERS SEXUAL WHAT KIND OF ABUSIVE BEHAVIOUR? ■ borrowing money or property from a client; ■ soliciting gifts from a client; ■ withholding finances through trickery or theft; ■ using influence, pressure or coercion to obtain the client's money or property; ■ having financial trusteeship, power of attorney or guardianship; ■ abusing a client's bank accounts and credit cards; and ■ assisting with the financial affairs of a client without the health care team's knowledge. - CORRECT ANSWERS FINANCIAL TRUE OR FALSE. UNDER NO CIRCUMSTANCES SHOULD A NURSE PROVIDE CARE FOR A SEXUAL PARTNER. - CORRECT ANSWERS FALSE. If a nurse's sexual partner is admitted to an agency where the nurse is providing care or services, the nurse must make every effort to ensure that alternative care arrangements are made. Until alternative arrangements are made, however, the nurse may provide care. JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS TRUE OR FALSE. If a nurse does not have time to complete an act ordered to her, it is acceptable for her to delegate it to a PSW. - CORRECT ANSWERS FALSE. They cannot delegate an act that has been delegated to them - sub-delegation TRUE OR FALSE. It is acceptable for a nurse to delegate a patient's standard dose insulin injection to a family member. - CORRECT ANSWERS TRUE The RHPA includes an exception allowing UCPs to perform some controlled acts as long as they are considered to be routine activities of living. Procedures are considered to be routine activities of living when the need for, response to, and outcome of the procedure have been established over time and are predictable. For instance, administering the same dosage of insulin to a person with well-controlled diabetes over an extended period of time is a routine activity of living. It is not a routine activity if the dosage or type of insulin requires frequent adjustment. How many requirements must be met before a nurse can delegate to an UCP. - CORRECT ANSWERS 10 How many requirements must be met before a nurse can accept delegation? - CORRECT ANSWERS 7 DEFINITION They include a wide range of treatment modalities, such as herbal therapies and manual healing, such as reflexology and acupuncture. The therapies are not discipline-specific, and the knowledge required to provide them is not specific to nursing. - CORRECT ANSWERS COMPLEMENTARY THERAPIES TRUE OR FALSE? Consent from the client is required regardless if the therapy is requested by the client or proposed by a health practitioner - CORRECT ANSWERS TRUE. JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS Conflict between a nurse and a client can escalate if a client has: - CORRECT ANSWERS a) 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 ANSWERS a) 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; d) does not listen to, understand or respect a client's values, opinions, needs and ethnocultural beliefs;12 e) does not listen to the concerns of the family and significant others, and/or act on those concerns when it is appropriate and consistent with the client's wishes; f) does not provide sufficient health information to satisfy the client or the client's family; and/or g) does not reflect on the impact of her/his behaviour and values on the client. Nurses can employ client-centred care strategies to _______________ behaviours that contribute to the escalation of conflict. - CORRECT ANSWERS prevent Nurses can prevent the escalation of conflict by: continually seek to ________________ the client's health care needs and perspectives; - CORRECT ANSWERS understand JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS Nurses can prevent the escalation of conflict by: __________________ the feelings behind the client's behaviour; - CORRECT ANSWERS acknowledge Nurses can prevent the escalation of conflict by: ask __________-_____________ questions to establish the underlying meaning of the client's behaviour; - CORRECT ANSWERS open-ended Nurses can prevent the escalation of conflict by: engage in ____________ _____________ (for example, use verbal and nonverbal cues to acknowledge what is being said); - CORRECT ANSWERS active listening Nurses can prevent the escalation of conflict by: use open ___________ ______________ to display a calm, respectful and attentive attitude; - CORRECT ANSWERS body language Nurses can prevent the escalation of conflict by: acknowledge the client's _______________ about the health care system and his/her experiences as a client; - CORRECT ANSWERS concerns Nurses can prevent the escalation of conflict by: _____________ and address the client's wishes, concerns, values, priorities and point of view; - CORRECT ANSWERS respect Nurses can prevent the escalation of conflict by: anticipate _______________ in situations in which it has previously existed and create a plan of care to prevent its escalation - CORRECT ANSWERS conflict Nurses can prevent the escalation of conflict by: _____________ to understand how her/his behaviour and values may negatively affect the client. - CORRECT ANSWERS reflect JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS Conflict-management strategies should be individually ______________ to each client situation. Nurses need to use their _________________ ____________ to determine which strategy is most appropriate for each client. - CORRECT ANSWERS tailored professional judgment To manage conflict, a nurse can: implement a ____________ ______________ management plan; - CORRECT ANSWERS critical incident To manage conflict, a nurse can: remain calm and ______________ the client to express his/her concerns; - CORRECT ANSWERS encourage To manage conflict, a nurse can: __________ arguing, criticizing, defending or judging; - CORRECT ANSWERS avoid To manage conflict, a nurse can: focus on the client's _________________ rather than the client personally; - CORRECT ANSWERS behaviour 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 ANSWERS involve solutions To manage conflict, a nurse can: JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS The Health Care Consent Act (HCCA) Consent to treatment involves an ongoing process that can ________________ at any time. - CORRECT ANSWERS change The Health Care Consent Act (HCCA) Health care practitioners have no ___________________ to make treatment decisions on behalf of clients, except in an ________________ when no authorized person is available to make the decisions. Similarly, they have no __________________ to make a decision to consent to the admission of a client to a care facility, except in a ________________. - CORRECT ANSWERS authority emergency authority crisis The Health Care Consent Act (HCCA) _________________ the client's capacity to make a treatment decision is the responsibility of the health care practitioner proposing the treatment. - CORRECT ANSWERS Assessing The Health Care Consent Act (HCCA) An ___________________ determines client capacity to make a decision about admission to a care facility or a personal assistance service. Registered Nurses (RNs), Registered Practical Nurses (RPNs) and Nurse Practitioners (NPs) may be _________________. - CORRECT ANSWERS evaluator evaluators The Health Care Consent Act (HCCA) The client has the ______________ to ask the Consent and Capacity Board (CCB) to review the finding of _________________. - CORRECT ANSWERS right incapacity JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS The Health Care Consent Act (HCCA) ______________ adjustments to a treatment plan for an incapable client can be made without having to seek repeated consent from a substitute decision- maker. - CORRECT ANSWERS Minor The Health Care Consent Act (HCCA) 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 ANSWERS behalf 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 ANSWERS incapable 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 ANSWERS family 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 ANSWERS wishes orally writing JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS 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 ANSWERS designate incapable guide The Substitute Decisions Act (SDA) The Office of the PGT is the government department that deals with ____________ ____________ and _________________ _____________. - CORRECT ANSWERS personal 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 ANSWERS capacity assessors The Substitute Decisions Act (SDA) A ____________ _____ _______________ for personal care comes into _______________ when the person who granted it becomes mentally incapable, unless it states otherwise. - CORRECT ANSWERS power of attorney effect DEFINITION JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS According to College of Nurses of Ontario (CNO) standards, nurses are accountable for __________ ______________ whether the intervention or service relates to a treatment (as defined in the HCCA or as required in common law), admission to a facility, or the provision of a personal assistance service. - CORRECT ANSWERS obtaining consent Consent is required for any treatment except treatment provided in certain ______________ _____________. - CORRECT ANSWERS emergency situations The consent must: ◗ __________ to the treatment being proposed; ◗ be ____________; ◗ be ____________; and ◗ not have been ______________ through misrepresentation or fraud. - CORRECT ANSWERS relate informed voluntary obtained The health care practitioner who proposes the treatment is responsible for taking ______________ __________ to ensure that treatment is not administered without ______________. - CORRECT ANSWERS reasonable 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 ANSWERS crisis situation The HCCA does not specify that consent to a personal assistance service is ________________. - CORRECT ANSWERS required JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS Consent is informed if, before giving it: - CORRECT ANSWERS 1. 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 ANSWERS 1. 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 ANSWERS FALSE. 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 ANSWERS An evaluator. The evaluator may be the person proposing the admission or services, or the 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 ANSWERS CAPACITY ASSESSOR JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS 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 ANSWERS highest- 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 ANSWERS the PGT Treatment in an emergency can be provided immediately if the person is _____________ of giving consent and provides the consent. - CORRECT ANSWERS capable 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 ANSWERS language barrier or disability delay not want Treatment in an emergency can be provided immediately if incapable with respect to the treatment decision but a __________________________ is available to give consent. - CORRECT ANSWERS substitute decision-maker Treatment in an emergency can be provided immediately if incapable with respect to a treatment, a substitute decision-maker is not readily ___________, it is not ___________ JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS Nurses should not provide a treatment if there is 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 ANSWERS doubt order apply A substitute decision-maker has the right to access the same ___________________ that a capable client would be able to access. - CORRECT ANSWERS information Consent can be __________________ at any time. - CORRECT ANSWERS withdrawn Nurses need to __________________ for clients' access to information about care and treatment if it is not ___________________ from other care providers. - CORRECT ANSWERS advocate forthcoming Informed consent does not always need to be ______________, but can be oral or implied. - CORRECT ANSWERS written Nurses who obtain consent have a professional ___________________ to be satisfied that the client is capable of giving consent - CORRECT ANSWERS accountability 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 ANSWERS client advocates JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS 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 ANSWERS incapable 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 ANSWERS explores clarifies options appointment If there is an indication that the client is uncomfortable with the finding of incapacity when the finding was made by another health care practitioner, 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 health care practitioner who made the _________________ of incapacity and discusses appropriate _____________-_____. - CORRECT ANSWERS explores clarifies finding follow-up JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS The nurse uses _______________ ______________ and _______________ __________ to determine whether the client is able to ________________ the information. For example, a young child or a client suffering advanced dementia is not likely to understand the information. It would not be reasonable in these circumstances for the nurse to inform the client that a substitute decision-maker will be asked to make a decision on his/her behalf. - CORRECT ANSWERS professional judgment common sense understand The nurse uses professional judgment to determine the scope of ______________ ______________ to assist the client in exercising his/her options. The nurse documents her/his actions according to CNO's Documentation, Revised 2008 practice standard and agency policy. - CORRECT ANSWERS advocacy services DEFINITION learned values, beliefs, norms and way of life that influence an individual's thinking, decisions and actions in certain ways. - CORRECT ANSWERS CULTURE TRUE OR FALSE. Knowledge of different cultures is critical to client care because a person's culture dictates the nursing approach required. - CORRECT ANSWERS FALSE. There is no single right approach to all cultures or all individuals with a similar cultural background. The focus of care is always the client's needs. Each client and each situation is unique and requires individual assessment and planning. TRUE OR FALSE. A nurse's age, gender, past experiences, strengths and weaknesses have no impact client interactions. - CORRECT ANSWERS FALSE. All the attributes of the nurse, including age, gender, past experiences, strengths and weaknesses, have an impact on the interaction with the client. Through reflection, learning and support, nurses will be better able to strengthen the quality of care they provide to the diverse communities they serve. JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS 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 ANSWERS The 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 ANSWERS Interpreters TRUE OR FALSE. A nurse must obtain consent before using an interpreter in the presence of a language barrier between he/she and the client. - CORRECT ANSWERS TRUE When using interpreters to communicate with clients, nurses need to obtain client consent, be sensitive to the issues surrounding interpretation and ascertain that the interpreter is appropriate for the particular client situation. TRUE OR FALSE. Rules of confidentiality do not apply to interpreters. - CORRECT ANSWERS FALSE. Interpreters need to recognize that, by virtue of their role, they are gaining access to personal health information that must be protected. To help the client feel comfortable with the interpreter, the nurse should inform the client that confidential information is shared only within the health care team. The interpreter must not disclose client information to anyone. Family members and friends, in particular, need to realize that the role they play as interpreter needs to be separated from their personal role. JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS Explain to the interpreter the importance of ______________ everything that the client and the health care provider say, without omissions, summary or judgments. - CORRECT ANSWERS repeating WHAT IS AN INTERPRETER'S ROLE? - CORRECT ANSWERS The interpreter's role is to be the voice of the client. TRUE OR FALSE? It is important to maintain eye contact with the interpreter at all times so that valuable information is not missed. - CORRECT ANSWERS FALSE. Talk to the client, not to the interpreter. Maintain eye contact as appropriate. Looking at the client directly reinforces that the communication is between the provider and the client, assisted by the interpreter. This also allows the provider to assess the non-verbal reactions and responses. A woman arrives at a walk-in clinic with her nine- year-old son. She does not speak English, but the child is available to interpret for his mother. The client is clutching her abdomen and showing what appears to be visible signs of pain. The child says he is very worried about his mother. - CORRECT ANSWERS While it is often convenient to rely on children to interpret for their parents, it is important for the nurse to be sensitive to the needs of the parent and the child. If no other interpreter is readily available, the nurse will have to work with the child to do the initial assessment and determine the severity of the situation. The woman and the son may feel uncomfortable talking about health issues such as vaginal discharge, menstruation and pregnancy, thus compromising the accuracy of the health history. An adult, preferably female, interpreter should be sought with urgency to ensure a thorough and comprehensive history. The nurse also needs to address the child's concerns and fears appropriately, as well as the stress associated with having to interpret for his mother. When using family members as interpreters, the nurse must carefully evaluate each situation on an ongoing basis. A nurse is asked to teach a 60-year-old woman of Chinese descent how to perform self- continuous ambulatory peritoneal dialysis. The woman has no family, speaks only Mandarin and lives in a Chinese housing environment. The visiting nurse identifies the language barrier JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS and creates a care plan with the goal of promoting communication. The client identifies her next-door neighbour as an interpreter she would be comfortable with. The nurse asks the neighbour if she is willing to help in this role. The neighbour agrees, and the nurse reviews with the neighbour the need to maintain client confidentiality. A written list of visit dates and times is given to the neighbour, who agrees to be available for scheduled nursing visits. The care plan indicates that the nurse will knock at the neighbour's 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 ANSWERS The 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 ANSWERS This 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. - CORRECT ANSWERS The 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 JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS DEFINITION The means used to document and communicate to a substitute decision-maker a client's preferences regarding treatment in the event that the client becomes incapable of expressing those wishes. - CORRECT ANSWERS ADVANCED DIRECTIVE The goal of end-of-life care is to _______________ the quality of living and dying, and ________________ unnecessary suffering. - CORRECT ANSWERS improve minimize DEFINITION when, in the opinion of the health care team, the client is irreversibly and irreparably terminally ill; that is, there is no available treatment to restore health or the client refuses the treatment that is available. - CORRECT ANSWERS EXPECTED DEATH DEFINITION Care that aims to relieve client suffering and improve the quality of living and dying. It strives to help clients and families address physical, psychological, social, spiritual and practical issues, and their associated expectations, needs, hopes and fears. - CORRECT ANSWERS PALLIATIVE CARE DEFINITION An invasive and immediate life- saving treatment that is administered to a client who has a sudden unexpected cardiac or respiratory arrest. It may include basic cardiac life support involving the application of artificial ventilation (such as mouth-to-mouth resuscitation and bagging) and chest compression. It may also include advanced cardiac life support, such as intubation and the application of a defibrillator. - CORRECT ANSWERS RESUSCITATION DEFINITION What a capable person expresses about treatment, admission to a care facility or a personal assistance service. - CORRECT ANSWERS WISHES JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS 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 ANSWERS TRUE. When assisting clients in making choices and articulating their wishes about end-of-life care, nurses are guided by two core themes: - CORRECT ANSWERS COMMUNICATION 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 ANSWERS judgment 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 ANSWERS assessing informed resuscitation 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 ANSWERS wishes 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 ANSWERS early as possible JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS 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 ANSWERS communication 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 ANSWERS discussions 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 ANSWERS consulting 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 ANSWERS ■ the client's direct instructions (which include non-verbal means); ■ 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 ANSWERS explaining Nurses communicate the goals of care and treatment by: maintaining ______________ of client and interprofessional team communications JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS 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 ANSWERS ■ 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 ANSWERS death 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 ANSWERS category 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 ANSWERS authority 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 ANSWERS advocating JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS TRUE OR FALSE. All nurses do not have the authority to certify death in any situation. - CORRECT ANSWERS FALSE. 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 ANSWERS ■ 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 ANSWERS ■ the nature of the treatment; ■ expected benefits of the treatment; ■ 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 ANSWERS FALSE. 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 ANSWERS It is important to recognize JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS 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 ANSWERS FALSE. 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 ANSWERS a nurse supporting the learner is responsible for ensuring client safety while facilitating a positive learning experience. DEFINITION the conversion of data into a form called cipher text that cannot be easily understood by unauthorized people. - CORRECT ANSWERS ENCRYPTION DEFINITION A clinical practice guideline, decision guide, algorithm or standardized interview tool. - CORRECT ANSWERS PROTOCOL DEFINITION Referring to the extension of communication over a distance, this term covers all forms of distance and/or conversion of the original communications, including radio, telegraphy, television, telephony, data communication and computer networking - CORRECT ANSWERS TELECOMMUNICATION DEFINITION JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS A nurse cannot assume that a UCP is _________________ to perform any procedure, regardless of how straightforward the procedure appears. - CORRECT ANSWERS competent 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 ANSWERS competent 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 ANSWERS understands assistance report 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 ANSWERS delegates 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 ANSWERS 1. treating a member of her/his household, and the procedure falls within the second or third controlled acts authorized to nursing, JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS 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 ANSWERS perform competently A nurse may teach a controlled act procedure to a UCP when the nurse meets all of the following six requirements: Requirement 2 The nurse has the _________________ knowledge, skill and judgment to teach the procedure. - CORRECT ANSWERS additional A nurse may teach a controlled act procedure to a UCP when the nurse meets all of the following six requirements: Requirement 3 The nurse accepts ____________ ________________ for the decision to teach the procedure after considering: ■ the known __________ and _____________ to the client of performing the procedure ■ the ________________ of the outcomes of performing the procedure - CORRECT ANSWERS sole accountability risks and benefits JURISPRUDENCE 2024 EXAM ACTUAL TEST QUESTIONS AND VERIFIED CORRECT ANSWERS 100% NEW UPDATE BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS predictability A nurse may teach a controlled act procedure to a UCP when the nurse meets all of the following six requirements: Requirement 4 The nurse has _______________ that the UCP has acquired, through teaching and supervision of practice, the knowledge, skill and judgment to perform the procedure. - CORRECT ANSWERS determined A nurse may teach a controlled act procedure to a UCP when the nurse meets all of the following six requirements: Requirement 6 Considering the factors in Requirements 3 and 4, the nurse ________________ the continuing competence of the UCP to perform the procedure or reasonably believes that a mechanism is in place to determine the UCP's continuing competence. - CORRECT ANSWERS evaluates DEFINITION the transfer of authority to perform a controlled act procedure from a person who is authorized to perform the procedure to a person who is not otherwise authorized to perform the procedure. - CORRECT ANSWERS DELEGATION DEFINITION the act of determining or allocating responsibility for particular aspects of care to another individual. This includes procedures that may or may not be a controlled act. Ideally, a range of care needs, rather than specific procedures. - CORRECT ANSWERS ASSIGNING ________________ involves the monitoring and directing of specific activities of UCPs. It does not include ongoing managerial responsibilities. Often, the person who assigns a task