DOS EXAM QUESTIONS & ANSWERS
Explain the process and importance of collaboration within the intra professional care. -
Answer -Intraprofessional care- collaborative relationship with multiple members of the
same profession working collaboratively to deliver quality care within and across
settings.
Promote best possible outcomes for clients, positive environment.
Explain the differences between a RN, RPN and RN (EC) (nurse practitioner). - Answer
-Study under same body of nursing knowledge.
RN and RPN can perform same procedures, diference in patients.
RN study 4 years, RPN 2 years, NP 6 years, at least 2 years of experience in between
RN and NP.
Outline a NP's scope of practice and identify the difference between a RN and RN (EC)
scope of practice. Note: Delegation and Authorization of Directives will be reviewed in
DOS 2. - Answer -RN greater foundational knowledge in clinical practice, decision
making, critical thinking, leadership, research, and resource management. RN's have
more complex and less stable clients, as well as less stable environments, compared to
RPN.
NP has additional nursing education, experience and exam requirements.
NP can diagnose, order, interpret diagnostic tests, and prescribe medication, and other
treatments for clients. Health promotion of people, families and communities.
Outline the three factors and explain how each supports nurses in making decisions that
are specific to their intraprofessional responsibilities. - Answer -Complexity- degree of
clients condition and requirements needed
Predictability- clients outcome and future care requirements anticipated
Risk of negative outcomes- likelihood of client experiencing negative outcome from
treatment
What should a nurse do when they are in a situation that is beyond their level of
competence? - Answer -Seek advice, information or assistance.
Transfer aspects of care or transfer care
What factors affect a nurse's ability to provide safe and ethical client care? - Answer -
Nurses knowledge and skill, competency.
The factors that affect a nurse's ability to provide safe and ethical care to a given client
include leadership, decision-making and critical-thinking skills. Other factors include the
application of knowledge, knowing when and how to apply knowledge, and having the
resources available to consult as needed.
Dual registrants are accountable for the body of knowledge of both categories and for
knowledge of the distinct role of each category. Give an example of this dual
registration. - Answer -Refers to nurses who hold registration in more than one
, category. Example, is a nurse may be registered as a RPN and as a RN. It is important
for this kind of nurse to know their accountability when working in different roles. Dual
registration permits a nurse to use both titles but does not change accountability of both
categories and distinct role of each.
Provide 2 different examples of accountability for nurses working in different nursing
roles. (See Fact Sheet) - Answer -An RN working in an RPN or UCP role is still
accountable as an RN if needed.
An RPN working in a UCP role is still accountable as an RPN.
Describe the standards of practice required for an RN who is employed as an RPN?
And the client she / he is assigned to becomes unstable and the RN is not present on
that unit at that moment. - Answer -The RN working as an RPN is expected to function
as an RN until another RN becomes available.
Describe the steps an RPN hired in an unregulated care provider role would take in an
emergency situation if the client requires and emergency medication. Note: dispensing
this medication is within the scope of practice for this RPN. - Answer -In emergency
situation, the RPN hired as an UCP would have to immediately function as an RPN, so
this would be dispensing the medication and acting as an RPN until another RPN
becomes available.
Describe who falls under the category of UCP? - Answer -UCPS include personal
support workers, health care aides, homemakers, family, visitors, personal attendants,
psychiatric assistants, and lay visitors.
Why is the NP not included within this Standard of Practice? - Answer -The complexity
of client care does not define their involvement in care. They have a different scope of
practice.
What is the difference between the two categories of a nurse? - Answer -RN more
complex and unstable patients, RPN stable patients.
Explain what a controlled act is. - Answer -What a nurse is authorized to perform
(procedure).
Activities that can be potentially harmful if performed by an unqualified person.
How many controlled acts are there under the RHPA? - Answer -5
What does it mean to practice to full scope? - Answer -To be able to practice all the
controlled acts.
Full scope of practice refers to nurses practicing to the full extent of their competencies,
knowledge and skills or full range of roles, responsibilities and functions that they are
educated, competent and authorized by the College of Nurses of Ontario to perform.
Explain the process and importance of collaboration within the intra professional care. -
Answer -Intraprofessional care- collaborative relationship with multiple members of the
same profession working collaboratively to deliver quality care within and across
settings.
Promote best possible outcomes for clients, positive environment.
Explain the differences between a RN, RPN and RN (EC) (nurse practitioner). - Answer
-Study under same body of nursing knowledge.
RN and RPN can perform same procedures, diference in patients.
RN study 4 years, RPN 2 years, NP 6 years, at least 2 years of experience in between
RN and NP.
Outline a NP's scope of practice and identify the difference between a RN and RN (EC)
scope of practice. Note: Delegation and Authorization of Directives will be reviewed in
DOS 2. - Answer -RN greater foundational knowledge in clinical practice, decision
making, critical thinking, leadership, research, and resource management. RN's have
more complex and less stable clients, as well as less stable environments, compared to
RPN.
NP has additional nursing education, experience and exam requirements.
NP can diagnose, order, interpret diagnostic tests, and prescribe medication, and other
treatments for clients. Health promotion of people, families and communities.
Outline the three factors and explain how each supports nurses in making decisions that
are specific to their intraprofessional responsibilities. - Answer -Complexity- degree of
clients condition and requirements needed
Predictability- clients outcome and future care requirements anticipated
Risk of negative outcomes- likelihood of client experiencing negative outcome from
treatment
What should a nurse do when they are in a situation that is beyond their level of
competence? - Answer -Seek advice, information or assistance.
Transfer aspects of care or transfer care
What factors affect a nurse's ability to provide safe and ethical client care? - Answer -
Nurses knowledge and skill, competency.
The factors that affect a nurse's ability to provide safe and ethical care to a given client
include leadership, decision-making and critical-thinking skills. Other factors include the
application of knowledge, knowing when and how to apply knowledge, and having the
resources available to consult as needed.
Dual registrants are accountable for the body of knowledge of both categories and for
knowledge of the distinct role of each category. Give an example of this dual
registration. - Answer -Refers to nurses who hold registration in more than one
, category. Example, is a nurse may be registered as a RPN and as a RN. It is important
for this kind of nurse to know their accountability when working in different roles. Dual
registration permits a nurse to use both titles but does not change accountability of both
categories and distinct role of each.
Provide 2 different examples of accountability for nurses working in different nursing
roles. (See Fact Sheet) - Answer -An RN working in an RPN or UCP role is still
accountable as an RN if needed.
An RPN working in a UCP role is still accountable as an RPN.
Describe the standards of practice required for an RN who is employed as an RPN?
And the client she / he is assigned to becomes unstable and the RN is not present on
that unit at that moment. - Answer -The RN working as an RPN is expected to function
as an RN until another RN becomes available.
Describe the steps an RPN hired in an unregulated care provider role would take in an
emergency situation if the client requires and emergency medication. Note: dispensing
this medication is within the scope of practice for this RPN. - Answer -In emergency
situation, the RPN hired as an UCP would have to immediately function as an RPN, so
this would be dispensing the medication and acting as an RPN until another RPN
becomes available.
Describe who falls under the category of UCP? - Answer -UCPS include personal
support workers, health care aides, homemakers, family, visitors, personal attendants,
psychiatric assistants, and lay visitors.
Why is the NP not included within this Standard of Practice? - Answer -The complexity
of client care does not define their involvement in care. They have a different scope of
practice.
What is the difference between the two categories of a nurse? - Answer -RN more
complex and unstable patients, RPN stable patients.
Explain what a controlled act is. - Answer -What a nurse is authorized to perform
(procedure).
Activities that can be potentially harmful if performed by an unqualified person.
How many controlled acts are there under the RHPA? - Answer -5
What does it mean to practice to full scope? - Answer -To be able to practice all the
controlled acts.
Full scope of practice refers to nurses practicing to the full extent of their competencies,
knowledge and skills or full range of roles, responsibilities and functions that they are
educated, competent and authorized by the College of Nurses of Ontario to perform.
