Jurisprudence Exam Questions and Answers Latest
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________ ____________ is inherent in the type of care and services that nurses provide. It may relate to
the physical activities, such as bathing, that nurses perform for, and with, the client that create closeness.
- ansProfessional intimacy
___________ _____________ means all possible alternative interventions are exhausted before deciding
to use a restraint. - ansLeast restraint
___________ is critical in the nurse-client relationship because the client is in a vulnerable position. -
ansTrust
___________ is the recognition of the inherent dignity, worth and uniqueness of every individual,
regardless of socio-economic status, personal attributes and the nature of the health problem -
ansRespect
___________ restraints limit a client's movement. These restraints include a table fixed to a chair
or a bed rail that cannot be opened by the client. - ansPhysical
____________ is the expression of understanding, validating and resonating with the meaning that the
health care experience holds for the client. - ansEmpathy
____________ restraints control a client's mobility. Examples include a secure unit or garden, seclusion
or a time-out room. - ansEnvironmental
_____________ can take many forms, including verbal and emotional, physical, neglect, sexual and
financial. - ansAbuse
_____________ restraints are any form of psychoactive medication used not to treat illness, but to
intentionally inhibit a particular behaviour or movement. - ansChemical
________________ can be essential in situations in which a language barrier exists between the nurse
and
the client - ansInterpreters
________________ involves the monitoring and directing of specific activities of UCPs. It does not
include ongoing managerial responsibilities. Often, the person who assigns a task also _______________
the performance of that task. This can be direct or indirect, depending on the circumstances. For direct,
the supervisor is physically present during the provision of care. For indirect, the supervisor is not
physically present but monitors activities by having the UCP report regularly to the supervisor, or by
periodically observing the UCP's activities. - ansSupervising
supervises
_________________ is demonstrated through one's decision-making processes, competency and
integrity. It is reflected in accurate documentation and in the nurse's actions. - ansAccountability
2 documents that provide the legislative framework for regulating nursing in Ontario: - ans1. Regulated
Health Professions Act, 1991
2. Nursing Act, 1991
3 questions a nurse must ask herself when providing complementary therapy: - ans1. Is it appropriate to
provide the complementary therapy?
2. Do I have the required knowledge, skill and judgment to provide this therapy safely and effectively?
3. Do I understand, and can I deal with, the possible outcomes of this therapy?
,Jurisprudence Exam Questions and Answers Latest
(Verified Answers)
3 requirements of nursing documentation - ans1. documentation presents an accurate, clear and
comprehensive picture of the client's needs, the nurse's interventions and the client's outcomes.
2. documentation of client care is accurate, timely and complete.
3. safeguard client health information by maintaining confidentiality and acting in accordance with
information retention and destruction policies and procedures that are consistent with the standard(s) and
legislation.
4 regulatory functions: - ans1. practice standards.
2. entry to practice.
3. quality Assurance Program.
4. enforcing standards
5 statutory committeess - ans1. Discipline
2. Fitness to Practice
3. Inquiries, Complaints, and Reports
4. Quality Assurance
5. Registration
5 Steps to obtaining consent - ansStep 1 Assess capacity.
Step 2 Provide emergency treatment or crisis admission.
Step 3 Inform the client that a substitute decision-maker will make decision.
Step 4 Identify a substitute decision-maker.
Step 5 Obtain consent from the substitute decision-maker.
A _______________ ______________ conducts assessments of capacity on persons who need
decisions made on their behalf on a continuing basis. - ansCAPACITY ASSESSOR
NPs, RNs and RPNs are eligible to become capacity assessors. Designation will require the successful
completion of a capacity assessor education or training course approved or required by the attorney
general.
A 35-year-old client is diagnosed with chronic renal failure and has started peritoneal dialysis. Maintaining
adequate protein intake is an essential part of the client's ongoing treatment, and animal protein is the
recommended source. The client is a Hindu by religion and has been eating eggs, chicken and goat all
his life. However, since the commencement of dialysis, he has stopped eating these foods and has
become a vegetarian. He tells the health care team that he wants to become a good Hindu so that God
will help him with his ordeal. He says that even though many Hindus eat meat, not eating meat is a more
devout way of life and one he wishes to follow. - ansRecognizing that, at times of crisis, clients may revert
to more traditional beliefs, the team needs to work with this client to determine the reason for his change
in dietary practices. The goal is not to change his beliefs, but to increase the client's choices about how to
achieve adequate protein intake. The team could involve a dietitian to teach ways to increase protein
intake from vegetarian sources, such as cheese, lentils, nuts, beans and tofu. They also want to help the
client explore his perceptions of what caused his illness and the role religion plays in his care. Involving a
Hindu priest may be an effective way of addressing spiritual needs, and the priest may, in fact, be able to
assist the client in resuming some intake of animal protein, if he chooses to do so. Regardless of
approach, the ultimate decisions about diet remain with the client.
A client asks a nurse to perform an act that has an unknown risk, what two things should the nurse do? -
ans1. refuse to follow the client's wishes if she/he believes it may cause harm.
2. share her/his reasons for this decision with the client.
A client from a First Nations community requests that a sweetgrass ceremony be performed in the
hospital as part of the treatment. The ceremony involves chanting and burning some substances, which
will result in small amounts of smoke (similar to that of burning an incense stick). The nurse's initial
reaction is that something like this has never been done, and that it is against hospital policy. However,
,Jurisprudence Exam Questions and Answers Latest
(Verified Answers)
she also understands the significance of this ritual for the client. The nurse raises the issue with the unit
administration and, with the support of colleagues, explores the potential impact on other clients. The
nurse also reviews relevant fire policies and consults with appropriate staff in other departments. It is
determined that any risk to other clients can be removed by transferring the client to a private room. This
is done, and the ceremony is performed. - ansThe nurse's commitment to client-centred care prompts her
to explore ways of meeting the client's needs within the limits of the hospital setting. Lack of experience
and fear are two of the most common barriers to providing culturally sensitive care. Through collaboration
with other colleagues, the nurse is able to address the assumption that it cannot be done and to
determine ways of meeting client needs without exposing other clients to discomfort or risk. The nurse
succeeds in meeting the needs of her client, not only because of her creativity, but because she takes
responsibility for influencing policies and procedures in the practice setting.
A couple comes to a walk-in clinic with a young child who is crying and tugging at his ears. The couple
has recently come to Canada, but understands English well enough that the nurse feels language is not
an issue. An assessment reveals that the child has an infection in both ears, and the couple is given a
prescription for an antibiotic and Tylenol drops for fever and pain. The situation is fairly routine, and an
interpreter is not considered necessary. The parents are informed about the diagnosis and treatment, and
they nod in understanding. The next day the couple returns with the child whose condition seems to have
worsened. There is now pink discharge from both ears, and the entire family is in distress. An interpreter
is called to assist. Through the interpreter, the nurse learns that the parents had the prescription filled
promptly, and they understood the child was to be given
the medicine every four hours. - ansThis example illustrates the importance of confirming that accurate
communication has been achieved. To reduce the chance of confusion, the nurse could have
demonstrated how to measure, and then administer, both medications. Culturally appropriate client
education materials would also have been helpful.
A home care client has lost sensation and mobility in her legs. On a home visit to provide wound care for
a severe burn on the sole of her left foot, the nurse discovers a picture of St. Francis of Assisi covered in
plastic and carefully placed between the layers of bandage around the foot. The client describes the
picture as a relic that can prevent or positively influence life's problems, and that St. Francis is known for
healing animals and people. She believes that placing the picture in the dressings will help the wound to
heal. - ansIn considering the client's preference, the nurse considers the risk of harm. In this instance, the
request may be unusual, but does not pose a threat to the client if the relic is cleansed appropriately and
wrapped in gauze. The spiritual benefits of the relic to the client should be recognized.
A man who received severe facial injuries in a motor vehicle crash arrives in your emergency room (ER).
He is unable to communicate. No next of kin has come with him. A woman calls in 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 the facial injuries. Can you tell this woman that
he is in the ER? - ansNormally, a client would have an opportunity to request that the hospital not disclose
that he is a client in the facility or his location within the facility. This information may be given out in this
case, 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, 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 indicates she is the person who can act as a substitute
decision-maker for consent to treatment.
A nurse cannot assume that a UCP is _________________ to perform any procedure, regardless of how
straightforward the procedure appears. - anscompetent
A nurse is asked to teach a 60-year-old woman of Chinese descent how to perform self-continuous
ambulatory peritoneal dialysis. The woman has no family, speaks only Mandarin and lives in a Chinese
housing environment. The visiting nurse identifies the language barrier and creates a care plan with the
goal of promoting communication. The client identifies her next-door neighbour as an interpreter she
, Jurisprudence Exam Questions and Answers Latest
(Verified Answers)
would be comfortable with. The nurse asks the neighbour if she is willing to help in this role. The
neighbour agrees, and the nurse reviews with the neighbour the need to maintain client confidentiality. A
written list of visit dates and times is given to the neighbour, who agrees to be available for scheduled
nursing visits. The care plan indicates that the nurse will knock at the neighbour's door at the start of each
visit, the neighbour will accompany the nurse to the client's apartment, and the nurse will use the inte -
ansThe care planning demonstrates a thoughtful process, responsive to the client's needs. There is
evidence of the nurse consulting with the client and supporting the client's choice of an interpreter. The
nurse stresses confidentiality and respects the neighbour's schedule by providing a list of planned visits.
A nurse is providing direct care to an elderly woman newly diagnosed with angina. She has been
prescribed nitroglycerine to manage her angina attacks. The client reveals to the nurse her firm belief that
her illness is caused by the "evil eye," a glance cast upon her by another to cause this condition. She
shows the nurse her own remedy, which she claims will lift the curse of the evil eye and cure her. -
ansThe nurse assesses the client's remedy for possible health risks, such as a high sodium content. As
well, the nurse negotiates with the client to take the nitroglycerine. In doing so, the nurse will need to be
vigilant to potential objections the client may have to taking the medication. The goal is to have a plan of
care that includes the remedy for the evil eye, but also includes the appropriate use of the nitroglycerine.
The nurse and the client may not fully understand each other's preferences, but are willing to
accommodate both interventions.
A nurse may teach a controlled act procedure to a UCP when the nurse meets all of the following six
requirements:
Requirement 1
The nurse has the knowledge, skill and judgment to _______________ the procedure
__________________. - ansperform
competently
A nurse may teach a controlled act procedure to a UCP when the nurse meets all of the following six
requirements:
Requirement 2
The nurse has the _________________ knowledge, skill and judgment to teach the procedure. -
ansadditional
A nurse may teach a controlled act procedure to a UCP when the nurse meets all of the following six
requirements:
Requirement 3
The nurse accepts ____________ ________________ for the decision to teach the procedure after
considering:
■ the known __________ and _____________ to the client of performing the procedure
■ the ________________ of the outcomes of performing the procedure - anssole accountability
risks and benefits
predictability
A nurse may teach a controlled act procedure to a UCP when the nurse meets all of the following six
requirements:
Requirement 4
The nurse has _______________ that the UCP has acquired, through teaching and supervision of
practice, the knowledge, skill and judgment to perform the procedure. - ansdetermined
(Verified Answers)
________ ____________ is inherent in the type of care and services that nurses provide. It may relate to
the physical activities, such as bathing, that nurses perform for, and with, the client that create closeness.
- ansProfessional intimacy
___________ _____________ means all possible alternative interventions are exhausted before deciding
to use a restraint. - ansLeast restraint
___________ is critical in the nurse-client relationship because the client is in a vulnerable position. -
ansTrust
___________ is the recognition of the inherent dignity, worth and uniqueness of every individual,
regardless of socio-economic status, personal attributes and the nature of the health problem -
ansRespect
___________ restraints limit a client's movement. These restraints include a table fixed to a chair
or a bed rail that cannot be opened by the client. - ansPhysical
____________ is the expression of understanding, validating and resonating with the meaning that the
health care experience holds for the client. - ansEmpathy
____________ restraints control a client's mobility. Examples include a secure unit or garden, seclusion
or a time-out room. - ansEnvironmental
_____________ can take many forms, including verbal and emotional, physical, neglect, sexual and
financial. - ansAbuse
_____________ restraints are any form of psychoactive medication used not to treat illness, but to
intentionally inhibit a particular behaviour or movement. - ansChemical
________________ can be essential in situations in which a language barrier exists between the nurse
and
the client - ansInterpreters
________________ involves the monitoring and directing of specific activities of UCPs. It does not
include ongoing managerial responsibilities. Often, the person who assigns a task also _______________
the performance of that task. This can be direct or indirect, depending on the circumstances. For direct,
the supervisor is physically present during the provision of care. For indirect, the supervisor is not
physically present but monitors activities by having the UCP report regularly to the supervisor, or by
periodically observing the UCP's activities. - ansSupervising
supervises
_________________ is demonstrated through one's decision-making processes, competency and
integrity. It is reflected in accurate documentation and in the nurse's actions. - ansAccountability
2 documents that provide the legislative framework for regulating nursing in Ontario: - ans1. Regulated
Health Professions Act, 1991
2. Nursing Act, 1991
3 questions a nurse must ask herself when providing complementary therapy: - ans1. Is it appropriate to
provide the complementary therapy?
2. Do I have the required knowledge, skill and judgment to provide this therapy safely and effectively?
3. Do I understand, and can I deal with, the possible outcomes of this therapy?
,Jurisprudence Exam Questions and Answers Latest
(Verified Answers)
3 requirements of nursing documentation - ans1. documentation presents an accurate, clear and
comprehensive picture of the client's needs, the nurse's interventions and the client's outcomes.
2. documentation of client care is accurate, timely and complete.
3. safeguard client health information by maintaining confidentiality and acting in accordance with
information retention and destruction policies and procedures that are consistent with the standard(s) and
legislation.
4 regulatory functions: - ans1. practice standards.
2. entry to practice.
3. quality Assurance Program.
4. enforcing standards
5 statutory committeess - ans1. Discipline
2. Fitness to Practice
3. Inquiries, Complaints, and Reports
4. Quality Assurance
5. Registration
5 Steps to obtaining consent - ansStep 1 Assess capacity.
Step 2 Provide emergency treatment or crisis admission.
Step 3 Inform the client that a substitute decision-maker will make decision.
Step 4 Identify a substitute decision-maker.
Step 5 Obtain consent from the substitute decision-maker.
A _______________ ______________ conducts assessments of capacity on persons who need
decisions made on their behalf on a continuing basis. - ansCAPACITY ASSESSOR
NPs, RNs and RPNs are eligible to become capacity assessors. Designation will require the successful
completion of a capacity assessor education or training course approved or required by the attorney
general.
A 35-year-old client is diagnosed with chronic renal failure and has started peritoneal dialysis. Maintaining
adequate protein intake is an essential part of the client's ongoing treatment, and animal protein is the
recommended source. The client is a Hindu by religion and has been eating eggs, chicken and goat all
his life. However, since the commencement of dialysis, he has stopped eating these foods and has
become a vegetarian. He tells the health care team that he wants to become a good Hindu so that God
will help him with his ordeal. He says that even though many Hindus eat meat, not eating meat is a more
devout way of life and one he wishes to follow. - ansRecognizing that, at times of crisis, clients may revert
to more traditional beliefs, the team needs to work with this client to determine the reason for his change
in dietary practices. The goal is not to change his beliefs, but to increase the client's choices about how to
achieve adequate protein intake. The team could involve a dietitian to teach ways to increase protein
intake from vegetarian sources, such as cheese, lentils, nuts, beans and tofu. They also want to help the
client explore his perceptions of what caused his illness and the role religion plays in his care. Involving a
Hindu priest may be an effective way of addressing spiritual needs, and the priest may, in fact, be able to
assist the client in resuming some intake of animal protein, if he chooses to do so. Regardless of
approach, the ultimate decisions about diet remain with the client.
A client asks a nurse to perform an act that has an unknown risk, what two things should the nurse do? -
ans1. refuse to follow the client's wishes if she/he believes it may cause harm.
2. share her/his reasons for this decision with the client.
A client from a First Nations community requests that a sweetgrass ceremony be performed in the
hospital as part of the treatment. The ceremony involves chanting and burning some substances, which
will result in small amounts of smoke (similar to that of burning an incense stick). The nurse's initial
reaction is that something like this has never been done, and that it is against hospital policy. However,
,Jurisprudence Exam Questions and Answers Latest
(Verified Answers)
she also understands the significance of this ritual for the client. The nurse raises the issue with the unit
administration and, with the support of colleagues, explores the potential impact on other clients. The
nurse also reviews relevant fire policies and consults with appropriate staff in other departments. It is
determined that any risk to other clients can be removed by transferring the client to a private room. This
is done, and the ceremony is performed. - ansThe nurse's commitment to client-centred care prompts her
to explore ways of meeting the client's needs within the limits of the hospital setting. Lack of experience
and fear are two of the most common barriers to providing culturally sensitive care. Through collaboration
with other colleagues, the nurse is able to address the assumption that it cannot be done and to
determine ways of meeting client needs without exposing other clients to discomfort or risk. The nurse
succeeds in meeting the needs of her client, not only because of her creativity, but because she takes
responsibility for influencing policies and procedures in the practice setting.
A couple comes to a walk-in clinic with a young child who is crying and tugging at his ears. The couple
has recently come to Canada, but understands English well enough that the nurse feels language is not
an issue. An assessment reveals that the child has an infection in both ears, and the couple is given a
prescription for an antibiotic and Tylenol drops for fever and pain. The situation is fairly routine, and an
interpreter is not considered necessary. The parents are informed about the diagnosis and treatment, and
they nod in understanding. The next day the couple returns with the child whose condition seems to have
worsened. There is now pink discharge from both ears, and the entire family is in distress. An interpreter
is called to assist. Through the interpreter, the nurse learns that the parents had the prescription filled
promptly, and they understood the child was to be given
the medicine every four hours. - ansThis example illustrates the importance of confirming that accurate
communication has been achieved. To reduce the chance of confusion, the nurse could have
demonstrated how to measure, and then administer, both medications. Culturally appropriate client
education materials would also have been helpful.
A home care client has lost sensation and mobility in her legs. On a home visit to provide wound care for
a severe burn on the sole of her left foot, the nurse discovers a picture of St. Francis of Assisi covered in
plastic and carefully placed between the layers of bandage around the foot. The client describes the
picture as a relic that can prevent or positively influence life's problems, and that St. Francis is known for
healing animals and people. She believes that placing the picture in the dressings will help the wound to
heal. - ansIn considering the client's preference, the nurse considers the risk of harm. In this instance, the
request may be unusual, but does not pose a threat to the client if the relic is cleansed appropriately and
wrapped in gauze. The spiritual benefits of the relic to the client should be recognized.
A man who received severe facial injuries in a motor vehicle crash arrives in your emergency room (ER).
He is unable to communicate. No next of kin has come with him. A woman calls in 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 the facial injuries. Can you tell this woman that
he is in the ER? - ansNormally, a client would have an opportunity to request that the hospital not disclose
that he is a client in the facility or his location within the facility. This information may be given out in this
case, 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, 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 indicates she is the person who can act as a substitute
decision-maker for consent to treatment.
A nurse cannot assume that a UCP is _________________ to perform any procedure, regardless of how
straightforward the procedure appears. - anscompetent
A nurse is asked to teach a 60-year-old woman of Chinese descent how to perform self-continuous
ambulatory peritoneal dialysis. The woman has no family, speaks only Mandarin and lives in a Chinese
housing environment. The visiting nurse identifies the language barrier and creates a care plan with the
goal of promoting communication. The client identifies her next-door neighbour as an interpreter she
, Jurisprudence Exam Questions and Answers Latest
(Verified Answers)
would be comfortable with. The nurse asks the neighbour if she is willing to help in this role. The
neighbour agrees, and the nurse reviews with the neighbour the need to maintain client confidentiality. A
written list of visit dates and times is given to the neighbour, who agrees to be available for scheduled
nursing visits. The care plan indicates that the nurse will knock at the neighbour's door at the start of each
visit, the neighbour will accompany the nurse to the client's apartment, and the nurse will use the inte -
ansThe care planning demonstrates a thoughtful process, responsive to the client's needs. There is
evidence of the nurse consulting with the client and supporting the client's choice of an interpreter. The
nurse stresses confidentiality and respects the neighbour's schedule by providing a list of planned visits.
A nurse is providing direct care to an elderly woman newly diagnosed with angina. She has been
prescribed nitroglycerine to manage her angina attacks. The client reveals to the nurse her firm belief that
her illness is caused by the "evil eye," a glance cast upon her by another to cause this condition. She
shows the nurse her own remedy, which she claims will lift the curse of the evil eye and cure her. -
ansThe nurse assesses the client's remedy for possible health risks, such as a high sodium content. As
well, the nurse negotiates with the client to take the nitroglycerine. In doing so, the nurse will need to be
vigilant to potential objections the client may have to taking the medication. The goal is to have a plan of
care that includes the remedy for the evil eye, but also includes the appropriate use of the nitroglycerine.
The nurse and the client may not fully understand each other's preferences, but are willing to
accommodate both interventions.
A nurse may teach a controlled act procedure to a UCP when the nurse meets all of the following six
requirements:
Requirement 1
The nurse has the knowledge, skill and judgment to _______________ the procedure
__________________. - ansperform
competently
A nurse may teach a controlled act procedure to a UCP when the nurse meets all of the following six
requirements:
Requirement 2
The nurse has the _________________ knowledge, skill and judgment to teach the procedure. -
ansadditional
A nurse may teach a controlled act procedure to a UCP when the nurse meets all of the following six
requirements:
Requirement 3
The nurse accepts ____________ ________________ for the decision to teach the procedure after
considering:
■ the known __________ and _____________ to the client of performing the procedure
■ the ________________ of the outcomes of performing the procedure - anssole accountability
risks and benefits
predictability
A nurse may teach a controlled act procedure to a UCP when the nurse meets all of the following six
requirements:
Requirement 4
The nurse has _______________ that the UCP has acquired, through teaching and supervision of
practice, the knowledge, skill and judgment to perform the procedure. - ansdetermined
