NURSING MISC JURISPRUDENCE EXAM REVIEWER Questions and Answers
A client requires chemotherapy and radiation. The client agrees to the treatment on
... [Show More] 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. *
1. 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.
2. 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. *
3. 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. *
4. 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.
5. 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. *
6. The physician asks a nurse to perform a wound dressing change for a 15-year-old 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. *
7. 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.
8. 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.
9. 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.
10. 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.
11. 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.
12. 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.
13. 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.
14. 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.
15. 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.
16. 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.
17. Which one pf the following options is an example of an ‘authorizing mechanism’?
a. Standing order.
b. Delegation. *
c. Practice guideline.
d. Advance directive.
18. Which one of the following conditions must be met prior to a nurse ‘initiating’ a controlled act authorized to nurses?
a. There is a directive for the nurse to perform the procedure.
b. The nurse has determined the client’s condition warrants performance of the procedure.
*
c. A mechanism exists to support delegation of the procedure.
d. There is a physician’s order for the procedure.
19. Which one of the following statements is true?
a. The Regulated Health Professions Act, 1991 is applicable to all health care providers.
b. The Nursing Act, 1991 regulates nursing practice; however, the Regulated health Professions 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. *
20. Which one of the following actions by a nurse demonstrates unequal power in the nurse-client relationship?
a. Administering an antibiotic as ordered.
b. Assisting the client with personal care.
c. Informing a client of a toileting schedule. *
d. Expressing empathy for a client.
21. The nurse has a client who does not speak or understand English or French. Family members, acting as interpreters, have stated that the client would not want to know his prognosis. What is the nurse’s responsibility in this situation?
a. Respect the wishes of family and do not disclose this information.
b. Encourage the family members to reconsider their situation.
c. Involve a non family member as an interpreter to confirm the client’s wishes. *
d. Consult with the client’s physician.
22. What is one of the reasons why nurses document?
a. To allow clients to monitor their progress.
b. To prevent ethical dilemmas.
c. To promote continuity of care. *
d. To meet the need of organizational policies.
23. What should a nurse do first when observing another nurse abusing a client?
a. Stop the colleague’s behavior. *
b. Speak to the colleague’s supervisor.
c. Report the matter to CNO.
d. Document the observed behavior.
24. A 7-year old boy is admitted to the emergency department with a compound fracture of the arm. His parents are not reachable. Is consent required to initiate treatment?
a. No, because this is an emergency situation. *
b. No, because the nurse must act as a client advocate.
c. Yes, because the parents must provide consent.
d. Yes, because the child is a minor.
25. A client returns from the operating room with a chest tube. The client’s nurse has recently been assigned to the unit from another department and does not feel competent to manage this client’s care needs. The nurse seeks assistance from another
nurse immediately. Which one of the following statements from the CNO Practice Standard: Professional Standard, Revised 2002, has the nurse demonstrated?
a. Continuing competence.
b. Leadership.
c. Ethics.
d. Accountability. *
26. What is an example of abusive behaviour in the context of therapeutic nurse-client relationship?
a. A male nurse has been assigned to a client who is uncomfortable with him.
b. A client has accused a nurse of stealing some of her personal belongings.
c. A confused client uses racial slurs when addressing the nurse.
d. A nurse addresses a client in a demeaning manner. *
27. In which of the following situations can a nurse accept and perform a delegated task?
a. When any emergency situation occurs.
b. When an authorizing mechanism is in place.
c. When the activity is not a controlled act.
d. When the nurse has the necessary certification. *
28. According to the CNO Practice Standard: Documentation, Revised 2008, which one of the following statements best demonstrates appropriate documentation?
a. “Client admitted via stretcher”.
b. “Client states that his roommate had his ‘girlfriend in overnight’.”
c. “Client states his pain is a ‘1 out of 10’.” *
d. “Client is non-adherent to treatment.”
29. Which of the following examples represents sexual abuse as defined by the Health Professions Procedural Code?
a. A 12-year old client with suspected vaginal trauma.
b. Consensual sexual relations between a nurse and a client. *
c. A female client who discloses unwanted sexual relations with a partner.
d. Unwanted sexual relations between a nurse and a colleague.
30. 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.
31. 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 Access Centre.
d. Mr. Silva’s physician has the ability to override the finding of incapacity.
32. What statement best articulates the overall responsibility for all nurses to practice in accordance with CNO’s standards of practice?
a. Nurses must participate in CNO’s Quality Assurance Program including creating an annual Learning Plan and obtaining peer input.
b. Nurses must remit their annual registration fee in a timely manner to maintain their registration.
c. Nurses are responsible for reporting colleagues who are practicing nursing in a manner inconsistent with professional standards.
d. Nurses will practice in accordance with the standards of the Profession and will keep current and competent throughout their nursing careers. *
33. Which one of the following statements is a key element of informed consent according to the CNO Practice Guideline: Consent?
a. Age of consent.
b. Power of attorney of personal care.
c. The common law.
d. Alternative courses of action. *
34. According to the CNO Practice Standard: Documentation, Revised 2008, what is one of the CNO Standard Statements that describes a nurse’s accountability when documenting? [Show Less]