QUESTIONS AND ANSWERS GUARANTEE A+
✔✔DEFINITION
The obligation to answer for the professional, ethical and legal responsibilities of one's
activities and duties. - ✔✔ACCOUNTABILITY
✔✔DEFINITION
Actively supporting a right and good cause; supporting others for speaking for
themselves or speaking on behalf of those who cannot speak for themselves. -
✔✔ADVOCATE
✔✔DEFINITION
defining lines that separate the therapeutic behaviour of an RPN from any behaviour
that, well-intentioned or not, could reduce the benefit of nursing care to clients, families
or communities. - ✔✔BOUNDARY
✔✔DEFINITION
Individuals, families, groups or entire communities across the lifespan who require
nursing expertise. - ✔✔CLIENT
✔✔DEFINITION
To work together with one or more members of the health care team who each make a
unique contribution to achieving a common goal. Each individual contributes from within
the limits of her or his scope of practice. - ✔✔COLLABORATE
✔✔DEFINITION
An organized group of people bound together by ties of social, ethnic, cultural or
occupational origin; or by geographic location. - ✔✔COMMUNITY
✔✔DEFINITION
The ability of a nurse to integrate the professional attributes required to perform in a
given role, situation or practice setting. Professional attributes include, but are not
limited to, knowledge, skill, judgment, values and beliefs. - ✔✔COMPETENCE
✔✔DEFINITION
Descriptions of the expected performance behaviour that reflects the professional
attributes required in a given nursing role, situation or practice setting. -
✔✔COMPETENCY STATEMENTS
✔✔DEFINITION
Activities that are considered potentially harmful if performed by unqualified people. -
✔✔CONTROLLED ACTS
,✔✔DEFINITION
Reasoning in which one analyzes the use of language, formulates problems, clarifies
and explains assumptions, weighs evidences, evaluate conclusions, discriminates
between pros and cons, and seeks to justify those facts and values that result in
credible beliefs and actions. - ✔✔CRITICAL THINKING
✔✔DEFINITION
Includes, but is not restricted to age or generation, gender, sexual orientation,
occupation and socioeconomic status, ethnic origin or migrant experience, religious or
spiritual belief and disability. - ✔✔CULTURE
✔✔DEFINITION
The formal process that transfers authority to perform a controlled act. - ✔✔DELEGATE
✔✔DEFINITION
At every stage of life, health is determined by complex interactions among social and
economic factors, the physical environment and individual behaviour. They do not exist
in isolation from each other. These determinants, in combination, influence health
status. - ✔✔DETERMINANTS OF HEALTH
✔✔DEFINITION
Practice that is based on successful strategies that improve client outcomes and are
derived from a combination of various sources of evidence, including client perspective,
research, national guidelines, policies, consensus statements, expert opinion and
quality improvement data. - ✔✔EVIDENCE-INFORMED PRACTICE
✔✔DEFINITION
All people sharing a common health issue, problem or characteristic. These people may
or may not come together as a group. - ✔✔POPULATIONS
✔✔DEFINITION
A relationship that is professional and ensures the client's needs are first and foremost.
The relationship is based on trust, respect and intimacy and requires the appropriate
use of the power inherent in the health care provider's role. The professional
relationship between RPNs and their clients is based on a recognition that clients (or
their alternative decision-makers) are in the best position to make decisions about their
lives when they are active and informed participants in the decision-making process. -
✔✔THERAPEUTIC RELATIONSHIP
✔✔DEFINITION
Expectations that contribute to public protection that inform nurses of their
accountabilities and the public of what to expect of nurses. These apply to all nurses
regardless of their role, job description or area of practice. - ✔✔NURSING
STANDARDS
,✔✔What legislation governs health care information privacy in Ontario? - ✔✔Personal
Health Information Protection Act, 2004 (PHIPA)
✔✔TRUE OR FALSE? PHIPA permits the sharing of personal health information among
health care team members to facilitate efficient and effective care. - ✔✔TRUE
✔✔Which legislation provides a broad protection to quality of care information produced
by a health care facility or a health care entity, or for a governing or regulatory body. -
✔✔Quality of Care Information Protection Act (QOCIPA)
✔✔What is the purpose of the Quality of Care Information Protection Act (QOCIPA)? -
✔✔To promote open discussion of adverse events, peer review activities and quality of
care information, while protecting this information from being used in litigation or
accessed by clients.
✔✔What is personal health information? - ✔✔Personal health information is any
identifying information about clients that is in verbal, written or electronic form.
✔✔TRUE OR FALSE?
Clients have to be named for information to be considered personal health information. -
✔✔FALSE.
Information is "identifying" if a person can be recognized, or when it can be combined
with other information to identify a person. Personal health information can also be
found in a "mixed record," which includes personal information other than that noted
above.
✔✔TRUE OR FALSE?
When a nurse learns information that, if not revealed, could result in harm to the client
or others, she/he must keep this information confidential within the therapeutic
relationship. - ✔✔FALSE. He/she must consult with the health care team and, if
appropriate, report the information to the person or group affected.
✔✔TRUE OR FALSE? Nurses must explain to clients that information will be shared
with the health care team and identify the general composition of the health care team. -
✔✔TRUE.
✔✔TRUE OR FALSE. Nurses must report suspected child abuse. - ✔✔TRUE
Child and Family Services Act, 1990 requires all health care professionals to report
suspected child abuse to the Children's Aid Society; the Health Protection and
Promotion Act permits reporting of certain conditions to the Medical Officer of Health.
✔✔Your client with an acquired brain injury has been stabilized and is being transferred
to another hospital for continuing care. The client is unconscious. Her husband is aware
, of the transfer, but does not know it is happening today. You tried to reach him by
telephone, without success. Before the client is transferred, you want to share
information about the care she received and the current plan of care with the nurse who
will receive her. The client's cost for this transfer is being covered by private insurance,
so you also need to share personal health information with the insurance company.
How much information can you share, and with whom, under these circumstances? -
✔✔1. the receiving hospital nursing staff. These nurses are members of the health care
team; therefore, there is implied consent for the sharing of information with them to
provide health care. You can, therefore, share her personal health information.
2. the insurance company. Express consent is required because this disclosure is not to
a custodian and is not required to treat the client. Because the client is incapable of
providing this consent, her husband (the substitute decision- maker) must provide
express consent either in writing or verbally, before you share information. Since you
cannot reach him, you may arrange her transfer. Once you obtain express consent from
the husband, you may provide the information to an insurance company staff member.
✔✔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? - ✔✔Normally, 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.
✔✔Your client has reviewed his health record. You answered his questions to ensure
he understood the record, but he wants corrections made to a consulting physician's
note. What do you do? - ✔✔The issue is correcting a health record made by another
health care professional. If the client requested a correction to your note, and you
agreed with the correction the client requested, you could have the client write a
correction and include it with the record or make the changes yourself. If you did not
agree with the correction the client requested, then you can have the client make a note
and append it to the record. You can then make a separate note regarding the client's
request in the health record. A client does not have the right to correct an opinion or
professional judgment by a health care professional.
Because this is a note by another health care professional (the consulting physician),
you cannot be certain about the accuracy of the information that the client wants
corrected. You have two options in this case: you can either contact the health care
professional who wrote the note and have this physician speak with the client about the