Nursing Jurisprudence Exam with accurate detailed solutions || || || || || ||
According to 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
|| || || || || || || || || || || ||
practice.
C. Each nurse is accountable to the public and responsible for meeting legislative
|| || || || || || || || || || || || ||
requirements and the standards of the profession. || || || || || ||
Rational: Each nurse is accountable to the public and responsible for ensuring that her/his
|| || || || || || || || || || || || || ||
practice and conduct meets legislative requirements and the standards of the profession.
|| || || || || || || || || || ||
A physician calls in a telephone order for pain medication. The physician is not in the
|| || || || || || || || || || || || || || || ||
facility. Should the nurse accept the order? || || || || || ||
a) No, because telephone orders are limited to emergency situations.
|| || || || || || || || ||
b) Yes, because the physician is not physically present.
|| || || || || || || ||
c) Yes, if the physician will return to sign the order within 48 hours.
|| || || || || || || || || || || || ||
d) No, because telephone orders are not best practice.
|| || || || || || || ||
B. Yes, because the physician is not physically present.
|| || || || || || || ||
Rational: Telephone order. An order communicated via telephone by an authorizer who is not
|| || || || || || || || || || || || || ||
physically present to write the order. || || || || ||
What is CNO’s mandate? || || ||
a) to develop practice standards
|| || || ||
b) To protect the public interest.
|| || || || ||
c) to provide a disciplinary body available to the public
|| || || || || || || || ||
d) To create entry-to-practice requirements in Ontario.
|| || || || || ||
,B. To protect the public interest.
|| || || || ||
Rational: CNO’s principal mandate is to protect the public interest by ensuring that Ontario
|| || || || || || || || || || || || || ||
nurses provide safe, effective and ethical care to clients.
|| || || || || || || || ||
The consent and capacity board has found Mr. Silva incapable of making decisions. His
|| || || || || || || || || || || || || ||
nephew, who is his substitute decision-maker, has given consent to start the application for
|| || || || || || || || || || || || || ||
placement in long-term care. Mr. Silva wishes to stay in his home. According to the health
|| || || || || || || || || || || || || || || ||
care consent Act, 1996, which one of the following statements is true?
|| || || || || || || || || || ||
a) Mr. Silva’s nephew has the authority to make the placement decision.
|| || || || || || || || || || ||
b) Mr. Silva’s consent overrides that of his nephew because they are in disagreement.
|| || || || || || || || || || || || ||
c) Mr. Silva can refuse to leave his home and arrange his own support system through the
|| || || || || || || || || || || || || || || || ||
community care assess centre. || || ||
d) Mr. Silva’s physician has the ability to override the finding of incapacity.
|| || || || || || || || || || || ||
A. Mr. Silva’s nephew has the authority to make the placement decision.
|| || || || || || || || || || ||
Rational: In deciding what the incapable person’s best interests are, the person who gives or
|| || || || || || || || || || || || || || ||
refuses consent on his or her behalf if treatment is likely to improve the incapable person’s
|| || || || || || || || || || || || || || || ||
condition or well-being. || || ||
Which one of the following statements is true? || || || || || || ||
a) The regulated health profession Act, 1991 is applicable to all health care providers.
|| || || || || || || || || || || || ||
b) The nursing act, 1991 regulates nursing practice; however, the regulated health profession act,
|| || || || || || || || || || || || || ||
1991 does not. || ||
c) The regulated health professions act, 1991 does not have provisions that are relevant to nursing
|| || || || || || || || || || || || || || || ||
students.
d) The regulated health professions Act, 1991 and the nursing Act, 1991 both regulate the nursing
|| || || || || || || || || || || || || || || ||
profession.
D. The regulated health professions Act, 1991 and the nursing Act, 1991 both regulate the
|| || || || || || || || || || || || || || ||
nursing profession. ||
Rational: The Nursing Act, 1991 in conjunction with the Regulated Health Professions Act,
|| || || || || || || || || || || || ||
1991 (RHPA) came into effect in December 1993. These two pieces of legislation determine how
|| || || || || || || || || || || || || || ||
the nursing profession is regulated in the province of Ontario.
|| || || || || || || || ||
An 80-year-old nursing home resident with advanced Alzheimer’s disease requires minor
|| || || || || || || || || || ||
surgery. Which one of the following individuals should sign the consent for his operation?
|| || || || || || || || || || || || ||
a) His 66-year-old spouse who has no cognitive deficits.
|| || || || || || || ||
,b) His eldest adult child who is a lawyer.
|| || || || || || || ||
c) A person appointed by the consent and capacity board.
|| || || || || || || || ||
d) The person named as his power of attorney for personal care.
|| || || || || || || || || || ||
D. The person named as his power of attorney for personal care.
|| || || || || || || || || || || ||
Rational: The incapable person’s attorney for personal care, if the power of attorney confers
|| || || || || || || || || || || || || ||
authority to give or refuse consent to the treatment. || || || || || || || || ||
7. A nurse disagrees with a 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.
|| || || || || || || || || ||
C. Consult with a nursing colleague to clarify the nurse’s own values.
|| || || || || || || || || || ||
Rational: Collaboration, respectful behavior's and collegial communication among everyone in
|| || || || || || || || || ||
the nursing and health team contribute to positive outcomes for clients and prevent problems
|| || || || || || || || || || || || || ||
from arising in determining how nursing services are to be delivered.
|| || || || || || || || || || ||
What is included in the mandatory requirements for nurses who are randomly selected to
|| || || || || || || || || || || || || ||
participate in CNO’s quality assurance program? || || || || ||
a) Peer assessment
|| ||
b) Client assessment
|| ||
c) Health assessment
|| ||
d) Workplace assessment
|| ||
A. Peer assessment
|| ||
Rational: The QA Program includes the following components: Self-Assessment, Practice
|| || || || || || || || || ||
Assessment, Peer Assessment || ||
During the lunch break, a nurse observes a colleague drinking several alcoholic beverages.
|| || || || || || || || || || || || ||
Later in the day, the colleague is observed loudly laughing and slurring words when
|| || || || || || || || || || || || || ||
interacting with clients. How would CNO most likely assess this type of behavior's? || || || || || || || || || || || ||
a) Incompetence.
||
b) Incapacity.
||
, c) Negligence.
||
d) Abuse.
||
A. Incompetence.
||
Rational: Incompetence may be evident when a member’s professional care of a client displays a
|| || || || || || || || || || || || || ||
lack of knowledge, skill or judgment, or disregard for the welfare of a client.
|| || || || || || || || || || || || || ||
Gladys has decided to resume nursing practice after resigning from the profession to raise a
|| || || || || || || || || || || || || || ||
family. After an interview, she was successful in obtaining a position at a local long-term
|| || || || || || || || || || || || || || ||
care facility. Can Gladys begin working as a nurse?
|| || || || || || || ||
a) Yes, because Gladys was previously registered with CNO.
|| || || || || || || ||
b) No, because Gladys must first complete a geriatric education program.
|| || || || || || || || || ||
c) Yes, because the long-term care facility assessed her competence.
|| || || || || || || || ||
d) No, because Gladys requires current registration with CNO.
|| || || || || || || ||
D. No, because Gladys requires current registration with CNO.
|| || || || || || || ||
Rational: Members who have left the nursing profession permanently may resign from the
|| || || || || || || || || || || || ||
College. Once resigned, you can no longer use any of the protected titles, including “nurse,”
|| || || || || || || || || || || || || || ||
“Registered Nurse,” “Registered Practical Nurse” or “Nurse Practitioner,” and you must not
|| || || || || || || || || || || ||
practice as a nurse (whether paid or unpaid) in Ontario or hold yourself out to anyone as a
|| || || || || || || || || || || || || || || || || ||
person qualified to practice nursing in Ontario.
|| || || || || ||
According to CNO, nurses must obtain explicit consent for which one of the following
|| || || || || || || || || || || || || ||
actions?
a) Providing activates of daily living.
|| || || || ||
b) Assessing a person’s capacity to make decisions about treatment.
|| || || || || || || || ||
c) Taking a health history.
|| || || ||
d) Evaluating a person’s general condition.
|| || || || ||
A. Providing activates of daily living.
|| || || || ||
Rational: Explicit consent — also known as express or direct consent — means that an
|| || || || || || || || || || || || || || ||
individual is clearly presented with an option to agree or disagree with the collection, use, or
|| || || || || || || || || || || || || || || ||
disclosure of personal information. || || || ||
Who may determine capacity for the purpose of the substitute decisions act, 1992?
|| || || || || || || || || || || ||
a) A trained capacity assessor
|| || || ||
According to 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
|| || || || || || || || || || || ||
practice.
C. Each nurse is accountable to the public and responsible for meeting legislative
|| || || || || || || || || || || || ||
requirements and the standards of the profession. || || || || || ||
Rational: Each nurse is accountable to the public and responsible for ensuring that her/his
|| || || || || || || || || || || || || ||
practice and conduct meets legislative requirements and the standards of the profession.
|| || || || || || || || || || ||
A physician calls in a telephone order for pain medication. The physician is not in the
|| || || || || || || || || || || || || || || ||
facility. Should the nurse accept the order? || || || || || ||
a) No, because telephone orders are limited to emergency situations.
|| || || || || || || || ||
b) Yes, because the physician is not physically present.
|| || || || || || || ||
c) Yes, if the physician will return to sign the order within 48 hours.
|| || || || || || || || || || || || ||
d) No, because telephone orders are not best practice.
|| || || || || || || ||
B. Yes, because the physician is not physically present.
|| || || || || || || ||
Rational: Telephone order. An order communicated via telephone by an authorizer who is not
|| || || || || || || || || || || || || ||
physically present to write the order. || || || || ||
What is CNO’s mandate? || || ||
a) to develop practice standards
|| || || ||
b) To protect the public interest.
|| || || || ||
c) to provide a disciplinary body available to the public
|| || || || || || || || ||
d) To create entry-to-practice requirements in Ontario.
|| || || || || ||
,B. To protect the public interest.
|| || || || ||
Rational: CNO’s principal mandate is to protect the public interest by ensuring that Ontario
|| || || || || || || || || || || || || ||
nurses provide safe, effective and ethical care to clients.
|| || || || || || || || ||
The consent and capacity board has found Mr. Silva incapable of making decisions. His
|| || || || || || || || || || || || || ||
nephew, who is his substitute decision-maker, has given consent to start the application for
|| || || || || || || || || || || || || ||
placement in long-term care. Mr. Silva wishes to stay in his home. According to the health
|| || || || || || || || || || || || || || || ||
care consent Act, 1996, which one of the following statements is true?
|| || || || || || || || || || ||
a) Mr. Silva’s nephew has the authority to make the placement decision.
|| || || || || || || || || || ||
b) Mr. Silva’s consent overrides that of his nephew because they are in disagreement.
|| || || || || || || || || || || || ||
c) Mr. Silva can refuse to leave his home and arrange his own support system through the
|| || || || || || || || || || || || || || || || ||
community care assess centre. || || ||
d) Mr. Silva’s physician has the ability to override the finding of incapacity.
|| || || || || || || || || || || ||
A. Mr. Silva’s nephew has the authority to make the placement decision.
|| || || || || || || || || || ||
Rational: In deciding what the incapable person’s best interests are, the person who gives or
|| || || || || || || || || || || || || || ||
refuses consent on his or her behalf if treatment is likely to improve the incapable person’s
|| || || || || || || || || || || || || || || ||
condition or well-being. || || ||
Which one of the following statements is true? || || || || || || ||
a) The regulated health profession Act, 1991 is applicable to all health care providers.
|| || || || || || || || || || || || ||
b) The nursing act, 1991 regulates nursing practice; however, the regulated health profession act,
|| || || || || || || || || || || || || ||
1991 does not. || ||
c) The regulated health professions act, 1991 does not have provisions that are relevant to nursing
|| || || || || || || || || || || || || || || ||
students.
d) The regulated health professions Act, 1991 and the nursing Act, 1991 both regulate the nursing
|| || || || || || || || || || || || || || || ||
profession.
D. The regulated health professions Act, 1991 and the nursing Act, 1991 both regulate the
|| || || || || || || || || || || || || || ||
nursing profession. ||
Rational: The Nursing Act, 1991 in conjunction with the Regulated Health Professions Act,
|| || || || || || || || || || || || ||
1991 (RHPA) came into effect in December 1993. These two pieces of legislation determine how
|| || || || || || || || || || || || || || ||
the nursing profession is regulated in the province of Ontario.
|| || || || || || || || ||
An 80-year-old nursing home resident with advanced Alzheimer’s disease requires minor
|| || || || || || || || || || ||
surgery. Which one of the following individuals should sign the consent for his operation?
|| || || || || || || || || || || || ||
a) His 66-year-old spouse who has no cognitive deficits.
|| || || || || || || ||
,b) His eldest adult child who is a lawyer.
|| || || || || || || ||
c) A person appointed by the consent and capacity board.
|| || || || || || || || ||
d) The person named as his power of attorney for personal care.
|| || || || || || || || || || ||
D. The person named as his power of attorney for personal care.
|| || || || || || || || || || || ||
Rational: The incapable person’s attorney for personal care, if the power of attorney confers
|| || || || || || || || || || || || || ||
authority to give or refuse consent to the treatment. || || || || || || || || ||
7. A nurse disagrees with a 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.
|| || || || || || || || || ||
C. Consult with a nursing colleague to clarify the nurse’s own values.
|| || || || || || || || || || ||
Rational: Collaboration, respectful behavior's and collegial communication among everyone in
|| || || || || || || || || ||
the nursing and health team contribute to positive outcomes for clients and prevent problems
|| || || || || || || || || || || || || ||
from arising in determining how nursing services are to be delivered.
|| || || || || || || || || || ||
What is included in the mandatory requirements for nurses who are randomly selected to
|| || || || || || || || || || || || || ||
participate in CNO’s quality assurance program? || || || || ||
a) Peer assessment
|| ||
b) Client assessment
|| ||
c) Health assessment
|| ||
d) Workplace assessment
|| ||
A. Peer assessment
|| ||
Rational: The QA Program includes the following components: Self-Assessment, Practice
|| || || || || || || || || ||
Assessment, Peer Assessment || ||
During the lunch break, a nurse observes a colleague drinking several alcoholic beverages.
|| || || || || || || || || || || || ||
Later in the day, the colleague is observed loudly laughing and slurring words when
|| || || || || || || || || || || || || ||
interacting with clients. How would CNO most likely assess this type of behavior's? || || || || || || || || || || || ||
a) Incompetence.
||
b) Incapacity.
||
, c) Negligence.
||
d) Abuse.
||
A. Incompetence.
||
Rational: Incompetence may be evident when a member’s professional care of a client displays a
|| || || || || || || || || || || || || ||
lack of knowledge, skill or judgment, or disregard for the welfare of a client.
|| || || || || || || || || || || || || ||
Gladys has decided to resume nursing practice after resigning from the profession to raise a
|| || || || || || || || || || || || || || ||
family. After an interview, she was successful in obtaining a position at a local long-term
|| || || || || || || || || || || || || || ||
care facility. Can Gladys begin working as a nurse?
|| || || || || || || ||
a) Yes, because Gladys was previously registered with CNO.
|| || || || || || || ||
b) No, because Gladys must first complete a geriatric education program.
|| || || || || || || || || ||
c) Yes, because the long-term care facility assessed her competence.
|| || || || || || || || ||
d) No, because Gladys requires current registration with CNO.
|| || || || || || || ||
D. No, because Gladys requires current registration with CNO.
|| || || || || || || ||
Rational: Members who have left the nursing profession permanently may resign from the
|| || || || || || || || || || || || ||
College. Once resigned, you can no longer use any of the protected titles, including “nurse,”
|| || || || || || || || || || || || || || ||
“Registered Nurse,” “Registered Practical Nurse” or “Nurse Practitioner,” and you must not
|| || || || || || || || || || || ||
practice as a nurse (whether paid or unpaid) in Ontario or hold yourself out to anyone as a
|| || || || || || || || || || || || || || || || || ||
person qualified to practice nursing in Ontario.
|| || || || || ||
According to CNO, nurses must obtain explicit consent for which one of the following
|| || || || || || || || || || || || || ||
actions?
a) Providing activates of daily living.
|| || || || ||
b) Assessing a person’s capacity to make decisions about treatment.
|| || || || || || || || ||
c) Taking a health history.
|| || || ||
d) Evaluating a person’s general condition.
|| || || || ||
A. Providing activates of daily living.
|| || || || ||
Rational: Explicit consent — also known as express or direct consent — means that an
|| || || || || || || || || || || || || || ||
individual is clearly presented with an option to agree or disagree with the collection, use, or
|| || || || || || || || || || || || || || || ||
disclosure of personal information. || || || ||
Who may determine capacity for the purpose of the substitute decisions act, 1992?
|| || || || || || || || || || || ||
a) A trained capacity assessor
|| || || ||
