Questions & Answers
1.According to CNO practice standard professional standards, Revised 2002,
which one of the following descriptions best reflects the standard statement
related to 'Accountability'?
a) All nurses are accountable to their clients, their employer and themselves.
b) Each nurse is accountable for providing, facilitating and promoting the
best possible care to the public.
c) Each nurse is accountable to the public and responsible for meeting
leg- islative requirements and the standards of the profession
d) All nurses are accountable for possessing, through continuing learning,
knowledge relevant practice.
ANS C. Each nurse is accountable to the public and responsible for
meeting legislative requirements and the standards of the profession.
Rational
Each nurse is accountable to the public and responsible for ensuring
that her/his practice and conduct meets legislative requirements and
the standards of the profession.
2.A physician calls in a telephone order for pain medication. The physician
is not in the facility. Should the nurse accept the order?
a) No, because telephone orders are limited to emergency situations.
b) Yes, because the physician is not physically present.
,c) Yes, if the physician will return to sign the order within 48 hours.
d) No, because telephone orders are not best practice.
ANS B. Yes, because the physician is not physically present.
Rational
Telephone order. An order communicated via telephone by an authorize
who is not physically present to write the order.
3.What is CNO's mandate?
a) to develop practice standards
b) To protect the public interest.
c) to provide a disciplinary body available to the public
d) To create entry-to-practice requirements in Ontario.
ANS B. To protect the public interest.
Rational
CNO's principal mandate is to protect the public interest by ensuring tha
Ontario nurses provide safe, effective and ethical care to clients.
4.The consent and capacity board has found Mr. Silva incapable of making
de- cisions. His nephew, who is his substitute decision-maker, has given
consent to start the application for placement in long-term care. Mr. Silva
wishes to stay in his home. According to the health care consent Act, 1996,
which one of the following statements is true?
a) Mr. Silva's nephew has the authority to make the placement decision.
b) Mr. Silva's consent overrides that of his nephew because they are in
disagreement.
,c) Mr. Silva can refuse to leave his home and arrange his own support
system through the community care assess centre.
d) Mr. Silva's physician has the ability to override the finding of incapacity.
ANS A. Mr. Silva's nephew has the authority to make the placement
decision.
Rational
In deciding what the incapable person's best interests are, the person
who gives or refuses consent on his or her behalf if treatment is likely to
improve the incapable person's condition or well-being.
5.Which one of the following statements is true?
a) The regulated health profession Act, 1991 is applicable to all health
care providers.
b) The nursing act, 1991 regulates nursing practice; however, the
regulated health profession act, 1991 does not.
c) The regulated health professions act, 1991 does not have provisions
that are relevant to nursing students.
d) The regulated health professions Act, 1991 and the nursing Act, 1991
both regulate the nursing profession.
ANS D. The regulated health professions Act, 1991 and the nursing Act,
1991 both regulate the nursing profession.
Rational
The Nursing Act, 1991 in conjunction with the Regulated Health Profes-
sions Act, 1991 (RHPA) came into effect in December 1993. These two
pieces of legislation determine how the nursing profession is regulated in
, the province of Ontario.
6.An 80-year-old nursing home resident with advanced Alzheimer's disease
requires minor surgery. Which one of the following individuals should sign
the consent for his operation?
a) His 66-year-old spouse who has no cognitive deficits.
b) His eldest adult child who is a lawyer.
c) A person appointed by the consent and capacity board.
d) The person named as his power of attorney for personal care.
ANS D. The person named as his power of attorney for personal care.
Rational
The incapable person's attorney for personal care, if the power of
attorney confers authority to give or refuse consent to the treatment.
7.7. A nurse disagrees with a client's decision to terminate a pregnancy
for genetic reasons and wishes to discontinue nursing care. What should
the nurse do first?
a) Discuss changing the client's plan of care with the health care team
b) Attempt to convince the client's family that there are other options.
c) Consult with a nursing colleague to clarify the nurse's own values.
d) Report the plan of care to the ethics review committee.
ANS C. Consult with a
nursing colleague to clarify the nurse's own values.
Rational
Collaboration, respectful behavior's and collegial communication among