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The History and Regulation of Nursing in Canada, Exams of Nursing

This document provides a comprehensive overview of the history and development of nursing in Canada, tracing its origins from the early days of New France to the modern nursing profession. It explores key milestones, the regulatory framework governing nursing practice, the evolution of nursing education, and the ongoing efforts to promote diversity within the profession. The document also offers insights into the religious roots of nursing, the influence of Florence Nightingale, and the current challenges and ethical considerations facing Canadian nurses.

Typology: Exams

2023/2024

Available from 08/21/2024

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BSNC 1020 Exam Questions With 100%

Correct Answers 2024/2025 New Update

What is the importance of Isabel Maitland Stewart

  • founder of the Winnipeg general hospital nursing alumnae
  • member of the first legislative committee that helped establish the Manitoba Association of Graduate Nurses When was the starting point of nursing in Canada? 1639 Which was the first Canadian hospital? Hotel-Dieu Who was the first laywoman to provide nursing care in New France? Marie Rollet Hebert What is the importance of the Nightingale Fund?
  • was used to establish the first Nightingale School of Nursing
  • at St. Thomas Hospital London, 1860 What did Nightingale's book "Notes of Nursing" stress?
  • stressed the need for good environmental conditions
  • like clean air and water, that would allow nature to cure naturally Why is the history of modern nursing a story of globalization?
  • Nursing history is full of examples of nurses travelling across geographic and national boundaries to bring nursing services and training to communities in need When did the nursing profession become aware for the need for gender balance and social diversity? 1960s and 1970s

What is the importance of Mary Agnes Snively?

  • Snively developed a successful curriculum plan which included nursing theory and practice, making the Toronto General Hospital the largest thriving nursing school in Canada
  • founded the first nurses alumnae association in Canada at Toronto General Hospital in 1894 When did the Nurses Association become a federation of provincial associations?
  • 1930 When and who developed the code of ethics for Canadian nurses?
  • Sister Simone Roach When did the nursing leaders call for an education reform? 1960s **The founder of modern nursing is
  • Hippocrates
  • Florence Nightingale
  • Jeanne Mance
  • Mary Agnes Snively**
  • Florence Nightingale **The earliest role of nurses involved
  • Caring for the sick at home
  • Using herbal remedies to relieve symptoms
  • Caring for the sick in hospitals
  • Supervising nursing students**
  • using herbal remedies to relieve symptoms **The religious roots of nursing in Canada can be seen in the development of:
  • The ICN
  • The VON
  • The code of ethics
  • BETP**
  • the code of ethics **The following characteristics of nursing in Canada today can be traced back to Nightingale:
  • The high percentage of men in nursing
  • The apprenticeship model
  • Public health education
  • Nursing as a highly regarded profession**
  • Nursing as a highly regarded profession **Minimum standards for nursing education are set by:
  • The nursing school
  • The provincial regulators and associations
  • The Canadian Nurses Association
  • The Canadian Nurses Federation**
  • The provincial regulators and associations Who is responsible for setting standards of practice for nurses in BC BCCNM What is the purpose of the Health Professions Act?
  • Provides common regulatory framework for the governance of health professions in BC, gives BCCNM its powers What are BCCNM Standards
  • Practice Standards
  • Professional Standards
  • Scope of Practice Standards What does BCCNM's Scope of Practice Standards refer to? Sets limits and conditions - refers to the activities that RN's are educated and authorized to perform What does BCCNM's Practice Standards refer to?

Requirements related to specific aspects of registered nurses' practice. These standards complement the Professional Standards and provide additional information on specific topics. What are the BCCNM Professional Standards?

  • Standard 1: Professional Responsibility and Accountability
  • Standard 2: Knowledge-Based Practice
  • Standard 3: Client-Focused provision of service
  • Standard 4: Ethical Practice How many standards of practice are there? 14 What are the reserved nursing titles?
  • LPN
  • RN
  • NP
  • Midwives
  • RPN When can a registered nurse provide care that is outside of their scope of practice? Situations involving imminent risk of death or serious harm. Delegation. What are the four controls of nursing practice?
  • Individual nurse competence
  • employer Policies
  • BCCNM standards, limits and conditions.
  • Regulation/Legislation What requires additional nursing certification? Reproductive health, remote practice, RN first call What are three streams of NP practice?
  • Family
  • Adult
  • Pediatric What is a client specific order? Instruction or authorization given by regulated health professional for a nurse to provide care for a specific client even if the scope is restricted for an RN. Must be documented. What is not a client specific order A consultation, referral or professional recommendation What is the name of the nurses union? BC Nursing Union (BCNU) What is ethical distress? occurs when the nurse knows the right thing to do but either personal or institutional factors make it difficult to follow the correct course of action Ethical problems when you put a client's health at harm and interfere with CNA code of ethics or guidelines Ethical violations actions or failures to act that breach fundamental duties to persons receiving care or to colleagues and other healthcare providers Ethical residue what nurses experience when they seriously compromise themselves or allow themselves to be compromised What is accountability Accepting responsibility or being able to account for one's actions What did the Canadian Nurse's Association do? develop code of ethics, established in 1924

What did Hall Report recommend? 2 tier education system with BAC and diploma What does professionalism involve? specialized knowledge, accountability, autonomy, inquiry, collegiality, collaboration, innovation, and ethics and values What is self regulation the exercise of voluntary control over the self to bring the self into line with preferred standards What is the advisory council? what the umbrella legislation has led some provinces to create What does the advisory council do? offer policy advice of health professional regulation to the respective health minister What are standards of care? legal guidelines for defining nursing practice and identifying the minimum acceptable nursing care What does the health professions acts do? educational requirements for nurses, distinguish between nursing and medical practice, define nursing practice What did the CNA develop? standards of practice, policy statements and similar resolutions Who is BCCNM? health regulator that protects the public What entrusts the BCCNM to monitor nurses? health professions act What is knowledge based practice? consistently applies knowledge, skills and judgement in nursing practice

What is client focused provision of service? provides nursing service and works with others to provide health care services in the best interest of clients Where is the scope of practice for RN and NP in BC set out? nurses and nurse practitioner regulation under the health professions act What does the regulation of the scope of practice cover? reserved titles for nurses, scope of practice statement and restricted activities who lists health professionals? NNPBC What is the professional regulation called? NNPBC what does the union do? acts on behalf of workers to secure salary, benefits and working conditions what is CNPS? legal non profit support system created by nurses for nurses to manage legal risks when in profession legal problems BCNU mission statement? protects and advances health and safety, social and economic well being of our members, profession and community Regulatory functions of BCCNM quality assurance, education program review, inquiry and discipline, registration, inquiry, discipline procedures, policy and practice support and regulatory learning Fitness to practice?

all the qualities and capabilities of an individual relevant to his or her capability to practice as a nurse, including but not limited to freedom from any cognitive, physical, psychological or emotional condition or a dependence on alcohol or drugs, that impair his or her ability to practice nursing What are the pillars of support in nursing? regulatory college (BCCNM), professional association and labour union What are the nursing values and ethical responsibilities of code of ethics? Providing safe, compassionate, competent and ethical care, promoting health and well being, promoting and respecting informed decision making, preserving dignity, maintaining privacy and confidentiality, promoting justice, accountability What is the title for employed student nurses? ESN What is the title for a new grad who hasn't completed the NCLEX? RN (P) What is the title for a student nurse? SN What does Standard 4: Ethical Practice mean? Maintaining client dignity. Acting within the code of ethics. What does Standard 3: Client-Focused Provision of Service mean? Acting in the client's best interest, putting the client at the centre of care. Providing care that is holistic, not only looking at physical needs but looking at all dynamics. What does Standard 2: Knowledge-Based Practice mean? practicing within your own scope of practice. Understanding your limits. What does Standard 1: Professional Responsibility and Accountability mean? Maintain standards of nursing practice and professional conduct determined by BCCNM

What does the ICN do? Works to ensure nursing quality care, sounds health policies globally, and advances nursing knowledge. Operated by nurses worldwide. What does the NNPBC do? Acts on behalf of nursing, advances the profession, and influences health and social policy. What is autonomous scope of practice for RN's? Assuming accountability and responsibility for making decisions about client care. Performing activities, they are educated, competent and allowed to perform without a client specific order CNPS mission exists so Canadian nurses are enabled to effectively manage their professional legal risks and are appropriately assisted when in professional legal jeopardy What does CNPS stand for? Canadian Nurses Protective Society What does NNPBC stand for? Nurses and nurse practitioners of BC What are BCCNMs responsibilities?dfd establishing, monitoring and enforcing standards of practice, registration, discipline procedures, recognizing nursing education programs and courses What does the code of ethics help with? provides guidelines for ethical conflicts and is value based if you are a member of NNPBC and are being sued what can cover you>? CNPS, except if you are a student Controls in student nursing practice

government legislation and regulation. BCCNM professional and practice standards and the CNA code of ethics. health authority and agency policies and procedures. BCIT and BSN policies, procedures and guidelines. BSN term specific scope of practice. Students individual level of competence Boundaries in nurse-client relationship Relationship should be therapeutic and focused on needs of client What is value clarification? the process of self-evaluation that helps gain insight into personal values constrained moral agency feeling powerless to act for what you think is right, or if you believe your actions will not effect change what are the indicators for standard of practice? clinical practice, education practice, administration practice and research proactive Nurses must identify themselves to whom with their title clients and health care professionals what is an ethical problem? situation where there are conflicts between one or more values about correct course of action what is ethical resilience? capacity of an individual to sustain or restore their integrity in response to moral confusion, distress or setbacks capacity of an individual to sustain or restore their integrity in response to moral confusion, distress or setbacks Only registered individuals with BCCNM can use a reserved title What are culture safety core concepts? Self-reflective practice, building knowledge through education, anti-racist practice, creating safe health care experiences, person-led care, strengths-based and trauma-informed practice

What does duty to provide care mean? Obligation to provide safe, competent, and ethical care to their clients What does duty to report mean? Legal and ethical obligation to report incompetent or impaired practice or unethical conduct How do nurses display professionalism? Commitment to profession led regulation, professional ethics, fitness to practice, legal/ethical dimensions What is the purpose of the code of ethics? to inform everyone of ethical values and responsibilities, a regulatory tool to serve and protect public, provides guidance for ethical relationships, behaviours, and decision making, provides guidance for nurses through ethical situations What are ethics? Set of principles relating to what is morally right or wrong What is ethical courage? standing firm of moral principle or decision What is ethical dilemma? Equally compelling reasons for possible course of action What is the Oberle & Raffin model Assesses ethics of situation, reflects and reviews potential actions, selects an ethical action maximizing good, engages in action, reflects and reviews ethical action Privacy and Confidentiality Ethical and legal responsibilities to protect clients privacy and confidentiality of clients personal and health information What is the Canadian Nurses Foundation (CNF)?

Provides scholarships, bursaries, and fellowships for graduate study in nursing