JURISPRUDENCE EXAM CORRECT QUESTIONS AND ANSWERS

Medications that are prescribed and administered as needed. - ANSWER PRN MEDICATION DEFINITION Dosages, frequencies or routes that are prescribed in ranges (for example, Gravol 50-100 mg for nausea). - ANSWER RANGE DOSES Most medications are not prescribed in range doses; however, range doses are used in situations in which the need for the amount of a drug varies from day to day or within the same day. Range doses give nurses the flexibility to administer the dose that best suits the assessment of the client. DEFINITION Administrating one's own medication. - ANSWER SELF-ADMINISTRATION TRUE OR FALSE? A nurse cannot teach a PSW how to administer medication. - ANSWER FALSE Nurses may teach UCPs medication administration, including the process of administration and documentation, as required. TRUE OR FALSE? If a nurse delegates medication administration to a PSW, they assume all the responsibilities related to med admin. - ANSWER FALSE The nurse remains responsible for the: - ongoing assessment of the client's needs; - plan of care in conjunction with the health care team; - evaluation of the client's health status; and - effectiveness of the medication(s). Reasons for using _____________ include protecting clients from injury, maintaining treatment and controlling disruptive behaviour. - ANSWER restraints Many facilities in Ontario use a __________ ____________ philosophy that the quality of life for each client, with the preservation of dignity, is the value guiding the practice of health care practitioners, including nurses. CNO supports this in all settings where nurses practise. - ANSWER least restraint DEFINITION physical, chemical or environmental measures used to control the physical or behavioural activity of a person or a portion of his/her body. - ANSWER RESTRAINT ___________ 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. - ANSWER Physical ____________ restraints control a client's mobility. Examples include a secure unit or garden, seclusion or a time-out room. - ANSWER Environmental _____________ restraints are any form of psychoactive medication used not to treat illness, but to intentionally inhibit a particular behaviour or movement. - ANSWER Chemical ___________ _____________ means all possible alternative interventions are exhausted before deciding to use a restraint. - ANSWER Least restraint Jody, a three-year-old, is intubated post-operatively on a ventilator following brain surgery. To prevent her from pulling out the endotracheal tube, her hands are restrained with mittens. Prior to the surgery, the need to use the mittens was explained to her parents and consent was obtained. - ANSWER This is an appropriate use of restraints that will be discontinued as soon as possible. To avoid frightening the child, the nurse arranged for the family to reassure Jody during the post-operative period. As well, using language Jody could understand, the nurse explained to her why she had to wear mittens. There are circumstances in which a nurse may need to restrain clients when they are not capable of understanding the necessity for the intervention. The nurse needs to consider these situations carefully and use the least restraint possible. ___________ is critical in the nurse-client relationship because the client is in a vulnerable position. - ANSWER Trust ___________ 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 - ANSWER Respect ________ ____________ 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. - ANSWER Professional intimacy ____________ is the expression of understanding, validating and resonating with the meaning that the health care experience holds for the client. - ANSWER Empathy The nurse-client relationship is one of unequal ___________. Although the nurse may not immediately perceive it, the nurse has more _____________ than the client. - ANSWER power power DEFINITION the misuse of the power imbalance intrinsic in the nurse-client relationship. It can also mean the nurse betraying the client's trust, or violating the respect or professional intimacy inherent in the relationship, when the nurse knew, or ought to have known, the action could cause, or could be reasonably expected to cause, physical, emotional or spiritual harm to the client - ANSWER ABUSE DEFINITION the nurse-client relationship is the point at which the relationship changes from professional and therapeutic to unprofessional and personal. Crossing a _____________ means that the care provider is misusing the power in the relationship to meet her/his personal needs, rather than the needs of the client, or behaving in an unprofessional manner with the client. - ANSWER BOUNDARY DEFINITION In this approach, a client is viewed as a whole person. - ANSWER CLIENT-CENTRED CARE DEFINITION relationship involves planned and structured psychological, psychosocial and/or interpersonal interventions aimed at influencing a behaviour, mood and/or the emotional reactions to different stimuli - ANSWER PSYCHOTHERAPEUTIC RELATIONSHIP DEFINITION may include, but is not limited to, the person who a client identifies as the most important in his/her life. - ANSWER SIGNIFICANT OTHER Nurses use a wide range of effective _____________ _____________ and _____________ __________ to appropriately establish, maintain, re-establish and terminate the nurse-client relationship. - ANSWER communication strategies interpersonal skills Nurses work with the client to ensure that all professional behaviours and actions meet the _______________ needs of the client. - ANSWER therapeutic Nurses are responsible for effectively establishing and maintaining the limits or ______________ in the therapeutic nurse-client relationship. - ANSWER boundaries