JURISPRUDENCE EXAM REVIEWER VERIFIED QUESTIONS 180 Q&A 2023/2024

1. 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? a. Work within the normal staffing parameters. b. Suggest the client consider hiring a private nurse. c. Provide the extra care requested by the client. d. Advocate for effective care for the client. * 2. According to the 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 legislative requirements and the standards of the profession. * d. All nurses are accountable for possessing, through continuing learning, knowledge relevant to practice. 3. What must be included for consent to be considered informed? a. Information the physician determines the client should know. b. The composition of the health care team. c. The exact length of time to recover from treatment. d. Alternative courses of action instead of the proposed treatment. * 4. According to the CNO Practice Standard: Professional Standards, Revised 2002, what is included in the Standard Statement related to ‘Relationships’? a. Caring and compassionate. b. Collegial and knowledgeable. c. Supportive and comprehensive. d. Therapeutic and professional. * 5. What is one part of the definition of ‘professional misconduct’ as defined by the Health Professions Procedural Code? a. Guilty of an offence relevant to the member’s suitability to practice. * b. Has a physical condition limiting practice. c. Guilty of a criminal offence under Ontario Law. d. Has a mental illness that limits the member’s suitability to practice safely. 6. Which one of the following statements describes the Ethical Value related to ‘Privacy and Confidentiality’, as outlined in the CNO Practice Standard: Ethics? a. Maintaining client well-being. b. Using a framework to determine ethical uncertainty. c. Supporting informed decision-making for clients. d. Collecting only information necessary for providing health care. * 7. The physician asks a nurse to perform a wound dressing change for a 15-yearold under the nurse’s care. Is consent needed? a. No, because routine treatment does not require consent. b. Yes, because of the age of the client. c. No, because the treatment was ordered by the physician. d. Yes, because consent is required for any treatment. * 8. According to the CNO Practice Standard: Ethics, which of the following statements best describes the Ethical Value related to ‘Privacy and confidentiality’? a. Ethical problems are identified and solved by nurses using sensitivity, intellectual curiosity and commitment. b. Nurses must understand the organization’s perspective of privacy and confidentiality prior to sharing information. c. Clients need to be informed that their relevant health information will be shared with the health care team. * d. Important aspects of privacy and confidentiality need to be identified by clients’ families. 9. Which of the following examples reflects one of the three controlled acts that all nurses are authorized to perform according to the Nursing Act, 1991? a. Communicating to an individual a diagnosis based on laboratory results. b. Managing labour or conducting the delivery of a baby. c. Putting an instrument, hand or finger into an artificial opening in the body. * d. Moving the joints of the spine beyond the client’s usual range of motion. 10. A client situation arises that may present an ethical issue. What is the first thing the nurse must do? a. Review the employer’s policies and procedures. b. Discuss the issue with the health care team. c. Determine the client’s wishes. * d. Consult the supervisor. 11. Which one of the following health care providers is appropriately using the authorizing mechanism of ‘initiation’? a. An RN who establishes peripheral venous access in an emergency situation. * b. An RPN who cleanses, soaks, probes and packs a wound below the dermis. c. A PSW who discontinues an intravenous site. d. An RN who performs an elective cardioversion. 12. A nurse is advocating for a group of clients to obtain government subsidies for adequate nutrition. According to the CNO Practice Standard: Professional Standards, Revised 2002, which one of the following Standard Statements best describes the nurse’s actions? a. Relationships. b. Accountability. * c. Knowledge. d. Leadership. 13. 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 be always written for any procedure and treatment. b. Nurses can initiate catheterization on in-patients without a directive. c. Directives must always be written and signed by the physician or NP. * d. Nurses must always have the act of catheterization delegated. 14. What is the purpose of ‘mandatory reporting’ to CNO? a. To update CNO regarding address changes. b. To protect nursing colleagues. c. To notify CNO of unsafe nursing practice. * d. To enforce limitations on nurses’ practices. 15. A client expresses a wish to die at home. The nurses’ 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? a. Therapeutic Communication. b. Maintaining boundaries. c. Client-centered care. * d. Maintaining a Quality Practice setting. 16. Which of the following nursing practices demonstrates client choice? a. Providing the client with the necessary information for informed decision-making. * b. Exploring the wishes of the health care team regarding client care. c. Encouraging the client to choose a specific treatment option. d. Having a substitute decision-maker appointed for incapable clients. 17. A nurse disagrees with the 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.