Jurisprudence Exam Questions and Answers Latest (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