JURISPRUDENCE EXAM REVIEW ACTUAL

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JURISPRUDENCE EXAM REVIEW ACTUAL

EXAM 150 QUESTIONS AND CORRECT DETAILED

ANSWERS) WITH RATIONALES VERIFIED BY

EXPERTS |ALREADY GRADED A+

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.

• 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.

• 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?

• to develop practice standards

b) To protect the public interest.

• to provide a disciplinary body available to the public

d) To create entry-to-practice requirements in Ontario.

• 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 1 / 4

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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.

• 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.

• 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.

• 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.

• 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 2 / 4

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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.

• 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

• 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.

• 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.

• 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. 3 / 4

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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.

• 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

b) Any physician or social worker.

c) The client’s substitute decision-maker.

d) The office of the public guardian and trustee.

• A trained capacity assessor.

Rational: the assessor performed an assessment of the person’s capacity and specifies the date on which the assessment was performed.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.

• Determine the client’s wishes.

Rational: When assessing an ethical situation, Pay close attention to all aspects of the situation, nurses need to take into account the client’s beliefs, values, wishes and ethnocultural background. (Ethical standard under Assessment/description of situation first line.Which one of the following statements best describes the ‘client’ in the context of the therapeutic nurse-client relationship?

a) An individual, family, group or community.

b) An individual who receives direct care.

c) An individual requiring therapeutic nursing interventions.

d) An individual or group, other than health care providers, who receive

treatment.

• An individual, family, group or community.

Rational: Client. A client may be an individual, family, group or community. (therapeutic nurse- client relationship standard.

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