NSRG 2221 Jurisprudence exam Problem-Solving
Exam Questions with Certified Accuracy Solutions
Updated 2025/2026
According to the CNO practice standard: ethics, how is ‘fairness’
defined?
A) ensuring the clients have enough information to make an informed
decision
B) allocating health care resources on the basis of objective health related
factors
C) facilitating the clients’ wishes for their treatment plan
D) following through with implicit or explicit commitments towards clients
B. Allocating health care resources on the basis of objective health
related factors.
Rational: “fairness means allocating health care resources on the basis of
objective health- related factors.”
Which of the following situations would represent a concern about
exceeding the boundaries of nurse- client therapeutic relationship?
A) a nurse introduced herself or himself to the client by name and
professional designation
B) a nurse reveals to the health care team a secret shared by the client that
is relevant to the plan of care
C) a client asks the nurse to address him by his middle name because that
is what all his friends call him
D) a client is willing to speak only with his primary nurse and refuses to
speak with the other nurses
D. A client is willing to speak only with his primary nurse and refuses
to speak with the other nurses
,Rational: warning signs of crossing a boundary: a client is willing to speak
only with you and refuses to speak with other nurses.
Under the regulated health professions act, 1991, which one of the
following activities is prohibited if performed by an unauthorized
person?
A) male circumcision performed outside of a religious tradition or ceremony
B) tattooing at a public health inspected facility
C) acupuncture performed at an alternative therapy clinic
D) body piercing to accommodate jewelry
A. Male circumcision performed outside of a religious tradition or
ceremony.
Rational: male circumcision is an activity that is exempt from subsection.
As part of his end-of-life care, a client decided he only wants palliative
measures to maintain his quality of life. The nurse does not support
the client’s decision and does not feel that he can provide care to the
client. How should the nurse proceed?
A) withdraw from the situation immediately
B) advocate to the client’s family for full treatment
C) inform the client that the nurse has the duty to preserve life
D) arrange for another health care provider
D. Arrange for another health care provider.
Rational: discontinuing professional services that are needed unless: the
client requests the discontinuation, alternative or replacement services are
arranged, or the client is given reasonable opportunity to arrange
alternative or replacement services.
A physician gives a nurse a telephone directive to catheterize the
physician’s admitted clients. Why should the nurse refuse to follow
this directive?
A) direct orders must always be written for any procedure of treatment
,B) nurse can initiate catheterization on in-patients without a directive
C) directive must always be written and signed by the physician or np
D) nurses must always have the act of catheterization delegated
C. Directive must always be written and signed by the physician or
np.
Rational: “a directive is an order for a procedure or series of procedures
that may be implemented for a number of clients when specific conditions
are met and specific circumstances exist. A directive is always written by a
regulated health professional who has the legislative authority to order the
procedure for which she/he has ultimate responsibility.”
What must a nurse consider when determining to discontinue nursing
services?
A) if the decision is supported by the union’s collective agreement
B) whether there are conflicting obligations
C) if it will be necessary to consult with the nurse’s professional association
D) whether the decision must be reported to cno
B. Whether there are conflicting obligations.
Rational: “resolving dilemmas caused by conflicting obligations requires the
thoughtful consideration of all relevant factors and the use of an ethical
decision-making process to ensure that the best decision is reached.
Sometimes there is no one best solution, but only the best of two or more
imperfect solutions"
What is one part of the self-assessment component of the cno’s
quality assurance program?
A) practice evaluation
B) practice reflection
, C) practice assessment
D) practice consultation
B. Practice reflection.
Rational: the qa program includes the following components: self-
assessment, practice reflection, developing and maintaining a learning
plan, practice assessment, peer assessment.
A client has been deemed incapable of making her own decisions and
has no family. Whom should the nurse contact for decision making
and consent for treatment?
A) the most responsible physician
B) the client’s social worker
C) the office of public guardian and trustee
D) the client’s closest friend
C. The office of public guardian and trustee.
Rational: “public guardian and trustee (pgt): the pgt is the substitute
decision-maker of last resort for a mentally incapable person. The court will
not appoint the pgt as guardian of property or guardian of the person
unless there is no other suitable person available and willing to be
appointed.”
A nurse witnesses another health regulated professional making a
sexual comment to a client. To whom does the nurse have ‘legal
responsibility’ to report this individual?
A) the holder of the client’s power of attorney for personal care
B) the other members of the health care team
C) the manager of the health care team
D) the regulatory college of the health care team member
D. The regulatory college of the health care team member
Rational: “facility operators at organizations where nurses practice are
required to report to the college when there is reason to believe that a
Exam Questions with Certified Accuracy Solutions
Updated 2025/2026
According to the CNO practice standard: ethics, how is ‘fairness’
defined?
A) ensuring the clients have enough information to make an informed
decision
B) allocating health care resources on the basis of objective health related
factors
C) facilitating the clients’ wishes for their treatment plan
D) following through with implicit or explicit commitments towards clients
B. Allocating health care resources on the basis of objective health
related factors.
Rational: “fairness means allocating health care resources on the basis of
objective health- related factors.”
Which of the following situations would represent a concern about
exceeding the boundaries of nurse- client therapeutic relationship?
A) a nurse introduced herself or himself to the client by name and
professional designation
B) a nurse reveals to the health care team a secret shared by the client that
is relevant to the plan of care
C) a client asks the nurse to address him by his middle name because that
is what all his friends call him
D) a client is willing to speak only with his primary nurse and refuses to
speak with the other nurses
D. A client is willing to speak only with his primary nurse and refuses
to speak with the other nurses
,Rational: warning signs of crossing a boundary: a client is willing to speak
only with you and refuses to speak with other nurses.
Under the regulated health professions act, 1991, which one of the
following activities is prohibited if performed by an unauthorized
person?
A) male circumcision performed outside of a religious tradition or ceremony
B) tattooing at a public health inspected facility
C) acupuncture performed at an alternative therapy clinic
D) body piercing to accommodate jewelry
A. Male circumcision performed outside of a religious tradition or
ceremony.
Rational: male circumcision is an activity that is exempt from subsection.
As part of his end-of-life care, a client decided he only wants palliative
measures to maintain his quality of life. The nurse does not support
the client’s decision and does not feel that he can provide care to the
client. How should the nurse proceed?
A) withdraw from the situation immediately
B) advocate to the client’s family for full treatment
C) inform the client that the nurse has the duty to preserve life
D) arrange for another health care provider
D. Arrange for another health care provider.
Rational: discontinuing professional services that are needed unless: the
client requests the discontinuation, alternative or replacement services are
arranged, or the client is given reasonable opportunity to arrange
alternative or replacement services.
A physician gives a nurse a telephone directive to catheterize the
physician’s admitted clients. Why should the nurse refuse to follow
this directive?
A) direct orders must always be written for any procedure of treatment
,B) nurse can initiate catheterization on in-patients without a directive
C) directive must always be written and signed by the physician or np
D) nurses must always have the act of catheterization delegated
C. Directive must always be written and signed by the physician or
np.
Rational: “a directive is an order for a procedure or series of procedures
that may be implemented for a number of clients when specific conditions
are met and specific circumstances exist. A directive is always written by a
regulated health professional who has the legislative authority to order the
procedure for which she/he has ultimate responsibility.”
What must a nurse consider when determining to discontinue nursing
services?
A) if the decision is supported by the union’s collective agreement
B) whether there are conflicting obligations
C) if it will be necessary to consult with the nurse’s professional association
D) whether the decision must be reported to cno
B. Whether there are conflicting obligations.
Rational: “resolving dilemmas caused by conflicting obligations requires the
thoughtful consideration of all relevant factors and the use of an ethical
decision-making process to ensure that the best decision is reached.
Sometimes there is no one best solution, but only the best of two or more
imperfect solutions"
What is one part of the self-assessment component of the cno’s
quality assurance program?
A) practice evaluation
B) practice reflection
, C) practice assessment
D) practice consultation
B. Practice reflection.
Rational: the qa program includes the following components: self-
assessment, practice reflection, developing and maintaining a learning
plan, practice assessment, peer assessment.
A client has been deemed incapable of making her own decisions and
has no family. Whom should the nurse contact for decision making
and consent for treatment?
A) the most responsible physician
B) the client’s social worker
C) the office of public guardian and trustee
D) the client’s closest friend
C. The office of public guardian and trustee.
Rational: “public guardian and trustee (pgt): the pgt is the substitute
decision-maker of last resort for a mentally incapable person. The court will
not appoint the pgt as guardian of property or guardian of the person
unless there is no other suitable person available and willing to be
appointed.”
A nurse witnesses another health regulated professional making a
sexual comment to a client. To whom does the nurse have ‘legal
responsibility’ to report this individual?
A) the holder of the client’s power of attorney for personal care
B) the other members of the health care team
C) the manager of the health care team
D) the regulatory college of the health care team member
D. The regulatory college of the health care team member
Rational: “facility operators at organizations where nurses practice are
required to report to the college when there is reason to believe that a
