NSG 5130 JURISPRUDENCE EXAM REVIEW -1 Questions and Answers,100% CORRECT

NSG 5130 JURISPRUDENCE EXAM REVIEW -1 Questions and Answers 1. Who may determine capacity (I.e ability or power to do) for the purpose of the Substitute Decisions Act, 1992? • €The office of the public Guardian and Trustee. 2. An RPN assesses that a client in the home requires routine urinary catheterization. What must be considered prior to initiation? • €Identifying the risks and benefits of the procedure. 3. What is the purpose of ‘mandatory reporting’ to CNO? • €To notify CNO of unsafe nursing practice. 4. Which of the following statements best describes the ‘clients’ in the context of the therapeutic nurse-client relationship? • €An individual, family, group or community. 5. What is the purpose of mandatory reporting? • €To allow CNO to take action to protect the public and use innovative approaches to help rehabilitate (i.e restore to normal) the nurse. 6. What is CNO’s mandate? • €To protect the public interest. 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? • €Consult with a nursing colleague to clarify the nurse’s own values. 8. Who does the Regulated Health Professions Act(RHPA), 1991 govern in Ontario? • €Self-regulated health care providers 9. What CNO Statutory Committee would act upon a finding of ‘professional misconduct’? • €Discipline 10. An RN case manager visits a client in the community whose needs are becoming more complex. According to the CNO Practice Guideline: RN and RPN Practice: The Client, the nurse and the Environment, what is one factor that the case manager must consider when determining the appropriate category of care provider? • €Environment 11. According to the CNO Practice Standard: Professional Standard, Revised 2002, which one of the following descriptions best reflects the Standard Statement related to ‘Accountability’? • €Each nurse is accountable to the public and responsible for meeting legislative requirements and the standards of the profession. 12. According to the CNO Practice Standard: Documentation, Revised 2008, what is one of the three CNO Standard Statements that describes a nurse’s accountability when documenting? • €Communication 13. Under which of the following conditions can all nurses perform controlled acts according to the Nursing Act, 1991? • €When delegated or ordered by an NP. 14. What should a nurse do first when observing another nurse abusing a client? • €Report the matter to CNO 15. In which one of the following situations can a nurse accept an order from another nurse? • €An NP orders an RN to catheterize a client 16. What is one nursing responsibility when deciding whether to use restraints? • €Using the restraint that is least restrictive to the client 17. A nurse is asked by a client’s employer for information on the client’s prognosis. What information, if any, can the nurse disclose? • €No information without consent from the client 18. Under which one of the following conditions can a nurse accept ‘verbal orders’ from a physician? • €When the physician is not physically present 19. What is the key piece of legislation that protects the client’s confidentiality? • €Personal Health Information Protection Act, 2004. 20. Which one of the following statements is a key element of informed consent according to the CNO Practice Guideline: Consent? • €Alternative courses of action 21. Which of the following situations would represent a concern about exceeding the boundaries of the therapeutic nurse-client relationship? • €A client is willing to speak only with his primary nurse and refuses to speak with other nurses 22. A client expresses a wish to die at home. The nurse discusses the client’s expectations and negotiates a plan of care involving all relevant parties. According to the CNO Practice Standard: Therapeutic Nurse-Client Relationship, Revised 2006, which Standard Statement does this demonstrate? • €Client-Centered Care 23. An RPN and an NP practise collaboratively. The NP has written an order for acetaminophen (Tylenol) for pain. What is the RPN’S responsibility? • €Administer the medication as ordered. 24. What is one of the components of the nursing scope of practice statement • €Providing care by supportive and therapeutic means 25. A nurse is assigned a client with complications following a therapeutic abortion, which is in direct conflict with the nurse’s values and religious beliefs. What action should the nurse take in this situation? • €Find another nurse to care for the client 26. According to the CNO Practice Standard: Decision about Procedures and Authority, Revised 2006 what is one of the four standards a nurse must consider before performing aby procedure? • €Appropriate care provider. 27. A nurse has relocated to Ontario from Florida, USA. Which one of the following facts is the nurse obligated to report to CNO? • €The nurse has been disciplined by the Florida state nursing regulatory body. 28. A nurse is caring for an 87-year-old male resident of a long-term care facility. The client has a history of Parkinson’s disease, requiring assistance with all activities of daily living. He has now developed aspiration pneumonia. Transfer to acute care has been ordered; however, the client does not wish to go. How should consent for treatment be obtained? • €From the client. 29. Which of the following examples represent sexual abuse as defined by the Health Professions Procedural Code? • €Consensual sexual relations between a nurse and a client. 30. A Nurse may disclose personal health information without consent in which of the following situations? • €The client poses a serious risk of injuring others. 31. What is an example of abusive behaviour in the context of the therapeutic nurse-client relationship? • €A nurse addresses a client in a demeaningmanner. 32. According to the CNO Practice Standard: Professional Standards, Revised 2002, which one of the following options best reflects the Standard Statement of ‘Knowledge Application’? • €Incorporates evidence-informed practice into clinical performance 33. A nurse wishes to control a client’s violent behaviour. What should the nurse do? • €Consider the use of restraints only as a last resort 34. What differentiates RPNs from RNs? • €RPNs achieve a more focused or basic foundation of knowledge. 35. Which one of the following situations requires a nurse to make a mandatory report to CNO? • €Learning that a nursing colleague is under investigation for theft. 36. An RN writes an order for daily irrigation of a wound for a home care client. The next day, a different nurse comes to the client’s home how should the second nurse proceed? • €Call the physician for an order 37. Which one of the following health care providers is appropriately using the authorizing mechanism of ‘initiation’? • €An RN who establishes peripheral venous access in an emergency situation 38. The physician askes a nurse to perform a wound dressing change for a 15-year-old client under the nurse’s care. Is consent needed? • €Yes, because consent is required for any treatment. 39. Which one of the following examples reflects one of the three controlled acts that all nurses are authorized to perform according to the Nursing Act, 1991? • €Putting an instrument, hand or finger into an artificial opening in the body. 40. What is the definition of ‘self regulation’ as it applies to CNO? • €Every member is responsible for practising in accordance with the standards of the profession and being current and competent throughout their career. 41. A nurse is overheard saying “Your breasts look great in that shirt” to a client. The client smiles and walks away. Is this sexual abuse? • €Yes, because the comment was of a sexual nature. 42. A 79-year-old mentally competent client is at high risk for falls. The nurse recommends the use of a cane or a walker, but the client refuses. What should the nurse do first? • €Explore other options with the client that may be acceptable 43. Which one of the following statutes is relevant to the practice of nursing in Ontario? • €Public Hospital Act. 44. What is the key element of informed consent? • €The client receives responses to requests for additional information about treatment. 45. A nurse is obtaining consent from a client for treatment. The nurse describes the information about the treatment required to make a decision. What else must the nurse dot to provide informed consent? • €Respond to the client’s questions regarding the treatment. 46. An RN notes a change in a client’s wound and seeks advice from the only other nurse working during the shift, an RPN. The RN is later told by another nursing colleague that this was inappropriate. Should the RN have sought advice from the RPN? • €Yes, because all nurses are expected to collaborate. 47. The physician has prepared a medical directive for all post hysterectomy client that includes the administration of a narcotic ‘Q4H’ what must the nurse do if a post hysterectomy client has concern of pain? • €Administer the narcotic to the client as per the medical directive. 48. A client is transferred to palliative care. The client asks for the nurse’s personal cell phone number in case he has questions regarding pain management. Based on the content of the CNO Practice Standard: Therapeutic Nurses-Client Relationship, Revised 2006, what should the nurse do? • €Explore the client’s concerns regarding pain management. 49. What is one part of the definition of ‘profession misconduct’ as defined by the Health Professions Procedural Code? • €Guilty of an offence relevant to the member’s suitability to practise. 50. An NP has written an order for an influenza immunization at a local clinic. What should the RPN do? • €Implement the order. 51. How does CNO provide support to nurses in their practice? • €Web-based learning centre. 52. Which one of the following statements is considered to be a ‘directive’ • €A written physician’s order that may be used for a number of clients 53. Which one of the following statement represents a component of therapeutic communication used by nurses? • €Modifying their communication style for each client. 54. Why is using the title RPN, RN or NP considered misrepresentation if an individual is not registered with CNO? • €The titles are protected under legislation 55. According to the CNO Practice Standard: Professional Standards, Revised 2002, which action by a nurse best describe the Standard Statement ‘Knowledge Application”? • €Recognizing that a client is exhibiting the symptoms of a stroke and taking appropriate action. 56. A nurse is advocating for a group of clients to obtain government subsidies for adequate nutrition. According to the CNO Practice Standard: Profession Standards, Revised 2002, which one of the following Standard Statements best describes the nurse’s actions? • €Leadership 57. When is a nurse obligated to make a report to the Children’s Aid Society under the Child and Family Services Act, 1990? • €With any suspected child abuse. 58. A 14-year-old girl presents at a birth control centre requesting the oral contraceptive pill. She has a boyfriend, but has not yet had sex. How can the RN provide client-centred care? • €Explore sexuality and birth control methods with the client. 59. Gladys has decided to resume nursing practice after resigning from the profession to raise a family. After an interview, she was successful in obtaining a position at a local long-term care facility. Can Gladys begin working as a nurse? • €No, because Gladys requires current registration with CNO 60. According to the CNO Practice Standard: Profession Standards, Revised 2002, what is the purpose of the seven standard Statements? • €They list the specific knowledge, skills, judgement, and attitudes that nurses must demonstrate at all times. 61. Which one of the following statement is true? • €The regulated Health Profession Act, 1991 and the Nursing Act, 1991 both regulate the nursing profession. 62. A 7 year-old boy is admitted to the emergency department with a compound fracture of the arm. His parents are not reachable. Is consent required to initiate treatment? • €No, because this is an emergency situation. 63. According to CNO Practice Standard: Professional Standard, Revised 2002, what is included in the Standard Statement Related to ‘Relationship’? • €Therapeutic and professionalism 64. An RN is precepting a nursing student. The student is performing many aspects of care. In this situation, what is the role of the RN? • €Supervising 65. A client requires chemotherapy and radiation. The client agrees to the treatment on the condition that he receives constant nursing support due to his anxiety. What should the nurse do? • €Advocate for effective care for the client. 66. What is one of the factors that must be considered when determining whether an RN or RPN should care for a client? • €The environment 67. Which one of the following titles is protected under the Nursing Act, 1991? • €Licensed Practical Nurse. 68. What must be included for consent to be considered informed? • €Alternative courses of action instead of the proposed treatment. 69. What organization regulates nurses in Ontario? • €College of Nurses of Ontario. 70. A nurse working in a cancer care centre encounters many competent clients who refuse further treatment. The nurse disagrees with the client’s decisions and believes she cannot continue to provide care. What should the nurse consider? • €Resigning from her place of employment to adhere to her personal values. 71. According to the CNO Practice Standard: Professional Standard, Revised 2002, what is one element of ‘Accountability’? • €Nurses are accountable for their actions and their consequences. 72. What is included in the mandatory requirements for nurses who are randomly selected to participate in CNO’s Quality Assurance Program? • €Peer Assessment 73. A client has been deemed incapable to making her own decisions and has no family. Whom should the nurse contact for decision-making and consent for treatment? • €The office of the Public Guardian and Trustee. 74. What are the components of the therapeutic nurse-client relationship? • €Communication, culture sensitivity, understanding, advocacy, and professionalism 75. A teacher asks the school nurse to see a 9-year-old boy, who regularly comes to school “unkempt, dirty, and hungry”. Today, the child presents with several bruises on his arms at different stages of healing, and tells the nurse he “fell down”. What action must the nurse take? • €Make a report to the local Children’s Aid Society 76. How are ‘peer assessors’ assigned in CNO’s Quality Assurance Program? • €The college assigns a peer to assist in the process 77. A physician calls in a telephone order for pain medication. The physician is not in the facility. Should the nurse accept the order? • €Yes, because the physician is not physically present 78. A nurse is caring for a client on life support. The client’s estranged spouse, who is the client’s power of attorney for personal care, visits on a regular basis. The nurse has become attracted to the client’s spouse and has been invited to the spouse’s home for dinner. What demonstrates protecting the client from abuse? • €Declining the invitation to the spouse’s home 79. Which one of the following statements about the Practice Assessment component of CNO’s quality Assurance (QA) Program is true? • €END WITH ……Learning Plan to CNO 80. In which of the following situation can a nurse perform a controlled act? • €A nurse disimpacts a client, knowing that the physician will write the order during daily rounds 81. According to the CNO Practice STANDARD: Ethics, which one of the following terms represents an Ethical Value related to client choice? • €Self-determination 82. Consistent with the Health Care Consent Act, 1996, when is a nurse required to obtain consent to treatment? • €Providing nursing services to an ill 8-year-old in a community health centre. 83. According to the CNO Practice Standard: Confidentiality and Privacy - Personal Health information, what is the ‘lockbox provision? • €A client instructs that a part of his or her personal health information is not shared with other providers. 84. What is a condition associated with the appropriate delegation of controlled acts to unregulated care providers (UCPs) • €Competence must be determined 85. According to the CNO practice Standard: Documentation, Revised 2008, which one of the following statements best demonstrates appropriate documentation? • €“Client states that his roommate had his ‘girlfriend in overnight’.” 86. Which one of the following options is an example of an ‘authorizing mechanism’? • €Standing order 87. What is one of the four key regulatory functions of CNO? • €Establish requirements for entry to practice. 88. The nurse encounters a confused, combative client. Which one of the following actions would represent abuse? • €Ignoring the client until he become calm 89. According to the CNO Practice Standard: Ethics, which one of the following statements best describes the Ethical Value related to ‘Privacy and Confidentiality’? • €Clients need to be inform that their relevant health information will be shared with the health care team 90. How does professional misconduct relate to CNO’s practice standard? • €Failure to meet any of the practice standards may be considered professional misconduct. 91. According to the CNO Practice Standard: Ethics, how is “Fairness” defined? • €Allocating health care resources on the basic of objective health-related factors 92. Which one of the following options is an example of an “authorizing mechanism”? • €Standing order 93. Which one of the following examples demonstrates a nurse effectively maintaining the boundaries of the therapeutic nurse- client relationship? • €Encouraging the nurse not to interfere with the client’s personal relationships 94. According to the CNO Practice Standard: Ethics, what is a component of the definition of the Ethical Value of “Truthfulness”? • €Speaking or acting without intending to deceive. 95. A client has frequent visitors in his room. A regular practice on the unit is to do bedside reports. Based on the content of the CNO Practice Standard: Confidentiality and Privacy – Personal Health information, what does the nurse need to do prior to the report? • €Ask the client’s visitors to leave the room during the report unless the client requeststhat they stay 96. The consent and capacity Board has found Mr. Silva incapable of making decision. 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? • €Mr. Silva’s consent overrides that of his nephew because they are in disagreement 97. While off duty; a nurse is charged with impaired driving. Ultimately, she is found guilty of this offence. Following this finding, does the nurse have any obligations to CNO? • €Yes, because the nurse must self-report a finding of guilt for an offence 98. According to CNO, nurses must obtain explicit (straightforward) consent for which one of the following actions? • €Providing activities of daily living 99. A nurse askes a client’s family member to bring in a document that the client signed, and which gives the family member the legal authority to make decisions about treatment for the client who is now incapable. What is this document called? • €Power of attorney for personal care 100. Jane started practicing as an RN in a long-term care facility 10 years ago. She last paid her registration fees with CNO 2 years ago and has continued to work in a non-nursing role at the facility. She is planning on re-registering with CNO this year. A client asks Jane about her role at the facility. How should Jane respond? • €I am an unregulated care provider. 101. A nurse, who works with street youth, intentionally reveals her breast tattoo to a group of clients. Another nursing colleague witnesses this action. Is the colleague required to report this behaviour to CNO? • €Yes, sexual abuse must be reported 102. Erica, an RN, is working in the role of an unregulated care provider (UCP) at a long-term care home. Is Erica accountable to practice in accordance with the CNO standards? • €Yes, because Erica is registered as an RN 103. A physician gives a nurse a telephone directiveto catheterize the physician’s admitted clients. Why should the nurse refuse to follow this directive? • €Direct orders must always be written for any procedure or treatment 104. What is one purpose of documentation? • €To monitor the client’s progress 105. What federal legislation relates to narcotics? • €Controlled Drugs and Substances Act 106. Which of the following actions by a nurse demonstrates an unequal power in the nurse-client relationship? • €Administering an antibiotic as ordered. 107. The nurse has a client who does not speak or understand English or French. Family members acting as interpreters, have stated that the client would not want to know his prognosis. What is the nurse’s responsibility in this situation? • €Involve a non-family member as an interpreter to confirm the client’s wishes 108. Mrs. Johnson, a frail elderly client with multiple co-morbidities, has recently developed pneumonia requiring admission to an acute care facility. Suzanne, an RPN, is assigned to care for Mrs. Johnson in collaboration with an RN. The family approaches the RN and demands that only RNs care for their mother. How should the RN respond? • €Explain to the family that the RPN is capable of caring for their mother with RN support 109. What is one purpose of nursing documentation? • €To communicate interventions (i.e actions taken) of care given to the health care team 110. Sue, a nurse, has arrived home at the end of a long shift and realizes that she forgot to sign for a medication. Sue calls the unit and asks a colleague to “sign my name on the record”. The colleague refuses. What is the rational for his refusal to sign? • €Falsifying a record is an example of professional misconduct 111. A client situation arises that may present an ethical issue. What is the first thing the nurse must do? • €Determine the client’s wishes 112. Every time the nurse begins work on the afternoon shift, she finds that most of the clients’ incontinence briefs are saturated. After providing care for the clients, what should the nurse do? • €Communicate her concerns to the day staff 113. A nurse has been asked to perform tracheal suctioning on a client. According to the CNO Practice Standard: Decisions about Procedures and Authority, Revised 2006, what is one of the Standard statements that must be considered when determining if the nurse can perform this procedure? • €Assessment 114. Are nurse administrators accountable to practice in accordance with all CNO standards of practice? • €Yes, because all nurses are accountable to the standards of practice regardless of role 115. Which one of the following nursing practices demonstrates client choice? • €Providing the client with the necessary information for informed decision-making 116. Which one of the following actions is an example of a controlled act that all nurses are authorized to perform as per the Nursing Act, 1991? • €Performing a client’s digital rectal examination 117. Which one of the following statements describes the Ethical Value related to ‘Privacy andConfidentiality’, as outlined in the CNO Practice Standard: Ethics? • €Collecting only information necessary for providing health care. 118. 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? • €The person named as his power of attorney for personal care 119. What must a nurse consider when determining whether to discontinue nursing services? • €Whether there are conflicting obligations 120. Which one of the following conditions must be met prior to a nurse ‘initiating’ a controlled act authorized to nurse? • €The nurse has determined the client’s condition warrants performance of the procedure. 121. What is one part of the Self-assessment component of CNO’s Quality AssuranceProgram? • €Practice Assessment 122. What controlled act is a nurse authorized to perform, when ordered, as found in the Nursing Act, 1991? • €Putting an instrument beyond the external ear canal 123. What statement best articulates the overall responsibility for all nurses to practice in accordance with CNO’s standard of practice? • €Nurses will practice in accordance with the standard of the profession and will keep current and competent throughout their nursing careers 124. What must nurses reflect upon when determining whether they are competent to provide safe nursing care to client? • €Knowledge, skill and judgment 125. A nurse wants to ‘initiate’ cleansing and dressing of a client’s wound. In which practice setting is there a restriction for the nurse to initiate this procedure? • €A hospital inpatient unit 126. What information from each member is required to be made public on the CNO register? • €Last name and all current and previous employers 127. In which one of the following situation can a nurse accept and perform a delegated task? • €When an authorizing mechanism is in place 128. When sharing health information, in which one of the following scenarios is a nurse best demonstrating confidentiality? • €Discussion with the client’s employer, with the client’s permission 129. According to the CNO Practice Standard: Therapeutic Nurse- Client Relationship, Revised 2006, which one of the following Standard Statements best describes the nurse’s accountability? • €Maintaing Boundaries 130. What is the legislation related to the CNO Practice Standard: On Restraints? • €Patient Restraints Minimization Act, 2001 131. As part of his end of life care, a client decides he wants only palliative measure to maintain his quality of life. The nurse does not support the client’s decision and does not feel he can provide care to the client. How should the nurse proceed? • €Arrange for another health care provider 132. A nurse witnesses another nurse taking a client’s personal items from the client’s room. What is the first action the nurse should take? • €Report it to CNO immediately 133. Under which of the following conditions may nurses perform a controlled act? • €If ordered by a physician, dentist, chiropodist, or nurse practitioner 134. Which one of the following Standard Statement is from the CNO Practice Standard: Therapeutic Nurse-Client Relationship, Revised 2006? • €Client-Centred Care 135. What is a difference between ‘initiating’ and ‘performing’ a controlled act? • €When initiating, the nurse accepts accountability for determining that the client’s condition warrants performance of the controlled act 136. A nurse has recently relocated and changed employers. What is the nurse’s responsibility to CNO? • €Immediately update changes to the nurse’s employer or home address with CNO 137. During the lunch break, a nurse observes a colleague drinking several alcoholic beverages. Later in the day, the colleague is observed loudly laughing and slurring words when interacting with clients. How would CNO most likely assess this type of behaviour? • €Incompetence 138. An RPN employed as an unregulated care provider (UCP) administers a medication and an error is identified. To what level of accountability will CNO hold this staff member? • €As an RPN 139. Which one of the following circumstances is mandatory for nurse to self-report to CNO? • €Pardoned criminal offences 140. Which one of the following activities in CNO’s Quality Assurance Program do all nurses have to complete? • €Completing a Learning Plan 141. A nurse documents all the care provided during the workday at the end of the shift. What documentation standard has the nurse breached? • €Care must be documented in a timely manner 142. A nurse witnesses another regulated health professional making a sexual comment to a client. To whom does the nurse have a ‘legal responsibility’ to report this individual? • €The regulatory college of the health care team member 143. A visiting nurse is providing foot care to an 85-year-old client. Which one of the following behaviours may be considered abusive in the context of the therapeutic nurse-client relationship? • €Engaging in a romantic relationship with the client’s son following discharge 144. Which one of the following examples always reflects establishing and maintaining appropriate boundaries in the therapeutic nurse-client relationship? • €Documenting consultation with a colleague about a questionable client interaction 145. Consistent with the Nursing Act, 1991, which one of the following examples involves a nurse correctly exercising the right to refuse assignments or discontinue nursing services? • €A nurse is called at home and asked to work an extra shift over the weekend. The nurse is very fatigued and refuses. 146. A nurse is providing care for a client in the client’s home. After the nurse provides treatment, the client invites the nurse out for a coffee. How should the nurse respond? 147. An occupational health nurse reveals to a manager that one of their probationary employeesis pregnant. What is wrong with this action • €Nothing, the nurse has acted in good faith to protect the employee 148. When can a nurse discontinue nursing services for a cognitively impaired client without resulting in professional misconduct? • €If replacement services have been arranged 149. According to the CNO Standard: Ethics, what is one of the ‘Ethical Values’? • €Maintaining commitments