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
JURISPRUDENCE EXAM questions and the environment, the client's circumstances and whether the client's needs can be met by the
entry-level RPN. - correct answers.client-specific
answers well illustrated.
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
CNO MISSION - correct answers.regulating nursing in the public interest
COMPETENCY ASSUMPTIONS
2 documents that provide the legislative framework for regulating nursing in Ontario: - correct Entry-level RPNs use ____________ _______________ skills to support clinical
answers.1. Regulated Health Professions Act, 1991 decisionmaking and reflect upon practice experiences. - correct answers.critical thinking
2. Nursing Act, 1991
The entry-level RPN is accountable for:
4 regulatory functions: - correct answers.1. practice standards. All client __________ she or he provides. - correct answers.care
2. entry to practice.
3. quality Assurance Program. The entry-level RPN is accountable for:
4. enforcing standards All decisions about _____________ _________ to other care providers
- correct answers.assigning care
5 statutory committeess - correct answers.1. Discipline
2. Fitness to Practice The entry-level RPN is accountable for:
3. Inquiries, Complaints, and Reports Knowing and recognizing her or his _______________ __________ (knowledge, skill and
4. Quality Assurance judgment) when making decisions and providing care to clients. - correct answers.competence
5. Registration level
The Outreach Program provides ways for nurses to engage in _____________ ___________ The entry-level RPN is accountable for:
by offering consultation and resources to help members practise according to the practice Actively identifying and asking ________________ of self, colleagues (including members of
standards. - correct answers.nursing regulation the Interprofessional health care team) and clients. - correct answers.questions
COMPETENCY ASSUMPTIONS The entry-level RPN is accountable for:
Entry-level RPNs possess the ________________ required to demonstrate the wide range of The application of _____________ to ______________ via the use of critical thinking and
competencies in this document. - correct answers.knowledge problem-solving skills consistent with the RPN's educational preparation. - correct
answers.theory to practice
COMPETENCY ASSUMPTIONS
Entry-level RPNs are beginning practitioners whose level of autonomy and proficiency will WHICH COMPETENCY STATEMENT?
grow through ______________ and ______________ from the interprofessional health Demonstrates professional conduct; practises in accordance with legislation and the standards
care team. - correct answers.collaboration support as determined by the regulatory body and the practice setting; and demonstrates that the
primary duty is to the client to ensure consistently safe, competent and ethical care - correct
answers.Professional Responsibility and Accountability
, DEFINITION
WHICH COMPETENCY STATEMENT? Descriptions of the expected performance behaviour that reflects the professional attributes
Demonstrates competence in professional judgments and practice decisions by applying required in a given nursing role, situation or practice setting. - correct answers.COMPETENCY
principles implied in the ethical framework, and by using knowledge from many sources. STATEMENTS
Engages in critical thinking to inform clinical decision- making, which includes both systematic
and analytical processes, along with reflective and critical processes. Establishes therapeutic DEFINITION
caring and culturally safe relationships with clients and health care team members based on Activities that are considered potentially harmful if performed by unqualified people. - correct
appropriate rel - correct answers.Ethical Practice answers.CONTROLLED ACTS
WHICH COMPETENCY STATEMENT? DEFINITION
Demonstrates an understanding of the concept of public protection and the duty to practise Reasoning in which one analyzes the use of language, formulates problems, clarifies and
nursing in collaboration with clients and other members of the health care team to provide and explains assumptions, weighs evidences, evaluate conclusions, discriminates between pros
improve health care services in the best interests of the public. - correct answers.Service to and cons, and seeks to justify those facts and values that result in credible beliefs and actions.
the Public - correct answers.CRITICAL THINKING
WHICH COMPETENCY STATEMENT? DEFINITION
Demonstrates an understanding of professional self-regulation by developing and enhancing Includes, but is not restricted to age or generation, gender, sexual orientation, occupation and
one's competence, ensuring consistently safe practice, and ensuring and maintaining one's socioeconomic status, ethnic origin or migrant experience, religious or spiritual belief and
fitness to practise. - correct answers.Self-Regulation disability. - correct answers.CULTURE
DEFINITION DEFINITION
The obligation to answer for the professional, ethical and legal responsibilities of one's The formal process that transfers authority to perform a controlled act. - correct
activities and duties. - correct answers.ACCOUNTABILITY answers.DELEGATE
DEFINITION DEFINITION
Actively supporting a right and good cause; supporting others for speaking for themselves or At every stage of life, health is determined by complex interactions among social and
speaking on behalf of those who cannot speak for themselves. - correct answers.ADVOCATE economic factors, the physical environment and individual behaviour. They do not exist in
isolation from each other. These determinants, in combination, influence health status. -
DEFINITION correct answers.DETERMINANTS OF HEALTH
defining lines that separate the therapeutic behaviour of an RPN from any behaviour that,
wellintentioned or not, could reduce the benefit of nursing care to clients, families or DEFINITION
communities. - correct answers.BOUNDARY 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,
DEFINITION national guidelines, policies, consensus statements, expert opinion and quality improvement
Individuals, families, groups or entire communities across the lifespan who require nursing data. - correct answers.EVIDENCE-INFORMED PRACTICE
expertise. - correct answers.CLIENT
DEFINITION
DEFINITION All people sharing a common health issue, problem or characteristic. These people may or
To work together with one or more members of the health care team who each make a unique may not come together as a group. - correct answers.POPULATIONS
contribution to achieving a common goal. Each individual contributes from within the limits of
her or his scope of practice. - correct answers.COLLABORATE DEFINITION
A relationship that is professional and ensures the client's needs are first and foremost. The
DEFINITION relationship is based on trust, respect and intimacy and requires the appropriate use of the
An organized group of people bound together by ties of social, ethnic, cultural or occupational power inherent in the health care provider's role. The professional relationship between RPNs
origin; or by geographic location. - correct answers.COMMUNITY and their clients is based on a recognition that clients (or their alternative decision-makers) are
in the best position to make decisions about their lives when they are active and informed
DEFINITION participants in - correct answers.THERAPEUTIC RELATIONSHIP
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, DEFINITION
skill, judgment, values and beliefs. - correct answers.COMPETENCE
, Expectations that contribute to public protection that inform nurses of their accountabilities and information with them to provide health care. You can, therefore, share her personal health
the public of what to expect of nurses. These apply to all nurses regardless of their role, job information.
description or area of practice. - correct answers.NURSING STANDARDS
2. the insurance company. Express consent is required because this disclosure is not to a
What legislation governs health care information privacy in Ontario? - correct custodian and is not required to treat the client. Because the client is incapable of providing
answers.Personal Health Information Protection Act, 2004 (PHIPA) 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
TRUE OR FALSE? PHIPA permits the sharing of personal health information among health may arrange her transfer. Once you obtain express consent from the husband, you may
care team members to facilitate efficient and effective care. - correct answers.TRUE provide the information to an insurance company staff member.
Which legislation provides a broad protection to quality of care information produced by a A man who received severe facial injuries in a motor vehicle crash arrives in your emergency
health care facility or a health care entity, or for a governing or regulatory body. - correct room (ER). He is unable to communicate. No next of kin has come with him. A woman calls in
answers.Quality of Care Information Protection Act (QOCIPA) 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
What is the purpose of the Quality of Care Information Protection Act (QOCIPA)? - correct the facial injuries. Can you tell this woman that he is in the ER? - correct answers.Normally, a
answers.To promote open discussion of adverse events, peer review activities and quality of client would have an opportunity to request that the hospital not disclose that he is a client in
care information, while protecting this information from being used in litigation or accessed by the facility or his location within the facility. This information may be given out in this case,
clients. 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,
What is personal health information? - correct answers.Personal health information is any 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
identifying information about clients that is in verbal, written or electronic form.
indicates she is the person who can act as a substitute decision-maker for consent to
treatment.
TRUE OR FALSE?
Clients have to be named for information to be considered personal health information. -
Your client has reviewed his health record. You answered his questions to ensure he
correct answers.FALSE.
understood the record, but he wants corrections made to a consulting physician's note. What
Information is "identifying" if a person can be recognized, or when it can be combined with
do you do? - correct answers.The issue is correcting a health record made by another health
other information to identify a person. Personal health information can also be found in a
care professional. If the client requested a correction to your note, and you agreed with the
"mixed record," which includes personal information other than that noted above.
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
TRUE OR FALSE? requested, then you can have the client make a note and append it to the record. You can
When a nurse learns information that, if not revealed, could result in harm to the client or then make a separate note regarding the client's request in the health record. A client does not
others, she/he must keep this information confidential within the therapeutic relationship. - have the right to correct an opinion or professional judgment by a health care professional.
correct answers.FALSE. He/she must consult with the health care team and, if appropriate,
report the information to the person or group affected.
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
TRUE OR FALSE? Nurses must explain to clients that information will be shared with the
have two options in this case: you can either contact the health care professional who wrote
health care team and identify the general composition of the health care team. - correct
answers.TRUE. the note and have this physician speak with the client about the corrections; or you can speak
TRUE OR FALSE. Nurses must report suspected child abuse. - correct answers.TRUE Child You are an OHN. The manager of an employee who is your client has asked questions about
and Family Services Act, 1990 requires all health care professionals to report suspected child the client's health condition. The manager has also asked if the client has medical notes to
abuse to the Children's Aid Society; the Health Protection and Promotion Act permits substantiate absences on particular dates. Can you provide this information to the manager? -
reporting of certain conditions to the Medical Officer of Health. 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.
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. Medical notes to substantiate the employee's absences may be held in an employee's health
Before the client is transferred, you want to share information about the care she received and file. If the medical note does not contain other personal health information (e.g., symptoms,
the current plan of care with the nurse who will receive her. The client's cost for this transfer is treatment, diagnosis), then this information can be provided to the manager. Information
being covered b - correct answers.1. the receiving hospital nursing staff. These nurses are concerning accommodation for the employee's needs may be given so the employer can
members of the health care team; therefore, there is implied consent for the sharing of
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
JURISPRUDENCE EXAM questions and the environment, the client's circumstances and whether the client's needs can be met by the
entry-level RPN. - correct answers.client-specific
answers well illustrated.
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
CNO MISSION - correct answers.regulating nursing in the public interest
COMPETENCY ASSUMPTIONS
2 documents that provide the legislative framework for regulating nursing in Ontario: - correct Entry-level RPNs use ____________ _______________ skills to support clinical
answers.1. Regulated Health Professions Act, 1991 decisionmaking and reflect upon practice experiences. - correct answers.critical thinking
2. Nursing Act, 1991
The entry-level RPN is accountable for:
4 regulatory functions: - correct answers.1. practice standards. All client __________ she or he provides. - correct answers.care
2. entry to practice.
3. quality Assurance Program. The entry-level RPN is accountable for:
4. enforcing standards All decisions about _____________ _________ to other care providers
- correct answers.assigning care
5 statutory committeess - correct answers.1. Discipline
2. Fitness to Practice The entry-level RPN is accountable for:
3. Inquiries, Complaints, and Reports Knowing and recognizing her or his _______________ __________ (knowledge, skill and
4. Quality Assurance judgment) when making decisions and providing care to clients. - correct answers.competence
5. Registration level
The Outreach Program provides ways for nurses to engage in _____________ ___________ The entry-level RPN is accountable for:
by offering consultation and resources to help members practise according to the practice Actively identifying and asking ________________ of self, colleagues (including members of
standards. - correct answers.nursing regulation the Interprofessional health care team) and clients. - correct answers.questions
COMPETENCY ASSUMPTIONS The entry-level RPN is accountable for:
Entry-level RPNs possess the ________________ required to demonstrate the wide range of The application of _____________ to ______________ via the use of critical thinking and
competencies in this document. - correct answers.knowledge problem-solving skills consistent with the RPN's educational preparation. - correct
answers.theory to practice
COMPETENCY ASSUMPTIONS
Entry-level RPNs are beginning practitioners whose level of autonomy and proficiency will WHICH COMPETENCY STATEMENT?
grow through ______________ and ______________ from the interprofessional health Demonstrates professional conduct; practises in accordance with legislation and the standards
care team. - correct answers.collaboration support as determined by the regulatory body and the practice setting; and demonstrates that the
primary duty is to the client to ensure consistently safe, competent and ethical care - correct
answers.Professional Responsibility and Accountability
, DEFINITION
WHICH COMPETENCY STATEMENT? Descriptions of the expected performance behaviour that reflects the professional attributes
Demonstrates competence in professional judgments and practice decisions by applying required in a given nursing role, situation or practice setting. - correct answers.COMPETENCY
principles implied in the ethical framework, and by using knowledge from many sources. STATEMENTS
Engages in critical thinking to inform clinical decision- making, which includes both systematic
and analytical processes, along with reflective and critical processes. Establishes therapeutic DEFINITION
caring and culturally safe relationships with clients and health care team members based on Activities that are considered potentially harmful if performed by unqualified people. - correct
appropriate rel - correct answers.Ethical Practice answers.CONTROLLED ACTS
WHICH COMPETENCY STATEMENT? DEFINITION
Demonstrates an understanding of the concept of public protection and the duty to practise Reasoning in which one analyzes the use of language, formulates problems, clarifies and
nursing in collaboration with clients and other members of the health care team to provide and explains assumptions, weighs evidences, evaluate conclusions, discriminates between pros
improve health care services in the best interests of the public. - correct answers.Service to and cons, and seeks to justify those facts and values that result in credible beliefs and actions.
the Public - correct answers.CRITICAL THINKING
WHICH COMPETENCY STATEMENT? DEFINITION
Demonstrates an understanding of professional self-regulation by developing and enhancing Includes, but is not restricted to age or generation, gender, sexual orientation, occupation and
one's competence, ensuring consistently safe practice, and ensuring and maintaining one's socioeconomic status, ethnic origin or migrant experience, religious or spiritual belief and
fitness to practise. - correct answers.Self-Regulation disability. - correct answers.CULTURE
DEFINITION DEFINITION
The obligation to answer for the professional, ethical and legal responsibilities of one's The formal process that transfers authority to perform a controlled act. - correct
activities and duties. - correct answers.ACCOUNTABILITY answers.DELEGATE
DEFINITION DEFINITION
Actively supporting a right and good cause; supporting others for speaking for themselves or At every stage of life, health is determined by complex interactions among social and
speaking on behalf of those who cannot speak for themselves. - correct answers.ADVOCATE economic factors, the physical environment and individual behaviour. They do not exist in
isolation from each other. These determinants, in combination, influence health status. -
DEFINITION correct answers.DETERMINANTS OF HEALTH
defining lines that separate the therapeutic behaviour of an RPN from any behaviour that,
wellintentioned or not, could reduce the benefit of nursing care to clients, families or DEFINITION
communities. - correct answers.BOUNDARY 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,
DEFINITION national guidelines, policies, consensus statements, expert opinion and quality improvement
Individuals, families, groups or entire communities across the lifespan who require nursing data. - correct answers.EVIDENCE-INFORMED PRACTICE
expertise. - correct answers.CLIENT
DEFINITION
DEFINITION All people sharing a common health issue, problem or characteristic. These people may or
To work together with one or more members of the health care team who each make a unique may not come together as a group. - correct answers.POPULATIONS
contribution to achieving a common goal. Each individual contributes from within the limits of
her or his scope of practice. - correct answers.COLLABORATE DEFINITION
A relationship that is professional and ensures the client's needs are first and foremost. The
DEFINITION relationship is based on trust, respect and intimacy and requires the appropriate use of the
An organized group of people bound together by ties of social, ethnic, cultural or occupational power inherent in the health care provider's role. The professional relationship between RPNs
origin; or by geographic location. - correct answers.COMMUNITY and their clients is based on a recognition that clients (or their alternative decision-makers) are
in the best position to make decisions about their lives when they are active and informed
DEFINITION participants in - correct answers.THERAPEUTIC RELATIONSHIP
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, DEFINITION
skill, judgment, values and beliefs. - correct answers.COMPETENCE
, Expectations that contribute to public protection that inform nurses of their accountabilities and information with them to provide health care. You can, therefore, share her personal health
the public of what to expect of nurses. These apply to all nurses regardless of their role, job information.
description or area of practice. - correct answers.NURSING STANDARDS
2. the insurance company. Express consent is required because this disclosure is not to a
What legislation governs health care information privacy in Ontario? - correct custodian and is not required to treat the client. Because the client is incapable of providing
answers.Personal Health Information Protection Act, 2004 (PHIPA) 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
TRUE OR FALSE? PHIPA permits the sharing of personal health information among health may arrange her transfer. Once you obtain express consent from the husband, you may
care team members to facilitate efficient and effective care. - correct answers.TRUE provide the information to an insurance company staff member.
Which legislation provides a broad protection to quality of care information produced by a A man who received severe facial injuries in a motor vehicle crash arrives in your emergency
health care facility or a health care entity, or for a governing or regulatory body. - correct room (ER). He is unable to communicate. No next of kin has come with him. A woman calls in
answers.Quality of Care Information Protection Act (QOCIPA) 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
What is the purpose of the Quality of Care Information Protection Act (QOCIPA)? - correct the facial injuries. Can you tell this woman that he is in the ER? - correct answers.Normally, a
answers.To promote open discussion of adverse events, peer review activities and quality of client would have an opportunity to request that the hospital not disclose that he is a client in
care information, while protecting this information from being used in litigation or accessed by the facility or his location within the facility. This information may be given out in this case,
clients. 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,
What is personal health information? - correct answers.Personal health information is any 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
identifying information about clients that is in verbal, written or electronic form.
indicates she is the person who can act as a substitute decision-maker for consent to
treatment.
TRUE OR FALSE?
Clients have to be named for information to be considered personal health information. -
Your client has reviewed his health record. You answered his questions to ensure he
correct answers.FALSE.
understood the record, but he wants corrections made to a consulting physician's note. What
Information is "identifying" if a person can be recognized, or when it can be combined with
do you do? - correct answers.The issue is correcting a health record made by another health
other information to identify a person. Personal health information can also be found in a
care professional. If the client requested a correction to your note, and you agreed with the
"mixed record," which includes personal information other than that noted above.
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
TRUE OR FALSE? requested, then you can have the client make a note and append it to the record. You can
When a nurse learns information that, if not revealed, could result in harm to the client or then make a separate note regarding the client's request in the health record. A client does not
others, she/he must keep this information confidential within the therapeutic relationship. - have the right to correct an opinion or professional judgment by a health care professional.
correct answers.FALSE. He/she must consult with the health care team and, if appropriate,
report the information to the person or group affected.
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
TRUE OR FALSE? Nurses must explain to clients that information will be shared with the
have two options in this case: you can either contact the health care professional who wrote
health care team and identify the general composition of the health care team. - correct
answers.TRUE. the note and have this physician speak with the client about the corrections; or you can speak
TRUE OR FALSE. Nurses must report suspected child abuse. - correct answers.TRUE Child You are an OHN. The manager of an employee who is your client has asked questions about
and Family Services Act, 1990 requires all health care professionals to report suspected child the client's health condition. The manager has also asked if the client has medical notes to
abuse to the Children's Aid Society; the Health Protection and Promotion Act permits substantiate absences on particular dates. Can you provide this information to the manager? -
reporting of certain conditions to the Medical Officer of Health. 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.
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. Medical notes to substantiate the employee's absences may be held in an employee's health
Before the client is transferred, you want to share information about the care she received and file. If the medical note does not contain other personal health information (e.g., symptoms,
the current plan of care with the nurse who will receive her. The client's cost for this transfer is treatment, diagnosis), then this information can be provided to the manager. Information
being covered b - correct answers.1. the receiving hospital nursing staff. These nurses are concerning accommodation for the employee's needs may be given so the employer can
members of the health care team; therefore, there is implied consent for the sharing of
