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A father expresses concerns about his son's upcoming surgery. The nurse listens to the father's concerns and validates his feelings. What component of the nurse-client relationship is the nurse demonstrating? A. Trust B. Respect C. Empathy D. Professional intimacy - ANSWER- c A nurse gives a double dose of acetaminophen (Tylenol) to a client who only requires a single dose. What, if anything, must the nurse do? A. Ask a colleague to help assess the client B. Withhold the client's next dose of Tylenol C. Report the error as soon as possible D. Nothing, because this is an over-the-counter medication - ANSWER- c An RPN orders an RPN colleague to insert a urethral catheter into a newly admitted client. What should the RPN colleague do? A. Confirm the order with a physician before proceeding with the intervention B. Accept the order and proceed with the intervention C. Consult with an RN before proceeding with the intervention D. Decline to accept the order - ANSWER- d A client writes to the College of Nurses stating that a nurse assaulted him during care. What action may the College take in this situation? A. Report the nurse to the employer B. Investigate the allegation C. Request that the nurse's employment be terminated
D. Refer the complaint to local law enforcement - ANSWER- b 2 documents that provide the legislative framework for regulating nursing in Ontario: A. Regulated Health Professions Act, 1991 & Nursing Act, 1991 B. CNO & RPNAO - ANSWER- a Who is the governing body for registered nurses and registered practical nurses and nurse practitioners in ontario? A. Regulated Health Professions Act, 1991 B. Nursing Act, 1991 C. CNO D. RPNA - ANSWER- c Who sets out common elements for colleges to be self regulated, scope of practice & Controlled acts for all health care professionals. A. Regulated Health Professions Act, 1991 B. Nursing Act, 1991 C. CNO D. RPNA - ANSWER- a Who sets out the Provisions and regulations specific to the nursing profession? A. Regulated Health Professions Act, 1991 B. Nursing Act, 1991 C. CNO D. RPNA - ANSWER- b Who Sets Criteria, administers QA programs. Enforces the standards, and establishes standards for regulating nursing. A. Regulated Health Professions Act, 1991 B. Nursing Act, 1991 C. CNO D. RPNA - ANSWER- c Who handles complaints and investigations A. Regulated Health Professions Act, 1991 B. Nursing Act, 1991 C. CNO D. RPNA - ANSWER- c Who Protects the student nurse against public suing them? A. Regulated Health Professions Act, 1991 B. Nursing Act, 1991 C. CNO D. Durham College - ANSWER- d Do RN's and RPN's have the same controlled acts?
d) Accountability - ANSWER- a increasing the publics confidence by updating their knowledge, and knowing your scope of practice is an example of which standard? a) Ethics b) Relationship c) Continuing Competence d) Accountability - ANSWER- c Being honest, advocating and respecting views is an example of which standard? a) Ethics b) Relationship c) Leadership d) Accountability - ANSWER- a Participating in communities and interest groups, teaching, and working together professionally are examples of which standard? a) Ethics b) Relationship c) Leadership d) Accountability - ANSWER- c Working within your boundaries is an example of which standard? a) Ethics b) Relationship c) Leadership d) Accountability - ANSWER- b Can a nurse initiate care of a wound below the dermis? Including cleansing, soaking and dressing? a) true b) false - ANSWER- a Can a nurse provide an order to care for a wound below the dermis? Including cleansing, soaking and dressing? a) true b) false - ANSWER- b an RN provides an order for an RPN to preform wound care including irrigating, debriding and packing can the RPN preform this order? a) yes b) no - ANSWER- a an RN is busy on the floor, medical attention is needed for the pt athe RN provides an order the the RPN to access and maintain a venipuncture with 0.9% N/S. Can the RPN do this?
a) yes b) no - ANSWER- a a nurse can NOT initiate putting an instrument beyond the larynx? a) true b) false - ANSWER- b can an RPN provide an order to put an instrument beyond the opening of the urethra? a) yes b) no - ANSWER- b Can a nurse intitiate a procedure that involves putting an instrument or finger into one of the body openings or into an artificial opening for the purpose of treating a health problem? a) yes b) no - ANSWER- b can a nurse in the general class prescribe drugs? a) yes b) no - ANSWER- b an RN orders an RPN to perform care of a patient with a tracheotomy. Can the RPN suction the trach with this order from the RPN? a) yes b) no - ANSWER- a an RN orders an RPN to pack a wound, can this RPN subdelegate to another RPN when she is busy with other clients? a) yes b) no - ANSWER- b a nurse is has been given the directive for a controlled substance such as narcotics, can this directive be used? a) yes b) no - ANSWER- b A nurse follows a directive for routine blood work or treatment of a urinary tract infection. Is this acceptable? a) yes b) no - ANSWER- a an AED is required for care, can a nurse apply a form of energy as an act without an order? a) yes b) no - ANSWER- b
b) the PSW - ANSWER- a an unregulated care provider has been caring for Alice, a client, for three years and has a delegation for inserting a rectal suppository. can the unregulated care provider use this delegation with another client? a) yes b) no - ANSWER- b when documenting particulars of delegation the date, the name of the individual who is delegating, the nurse authorizing the delegation , and the individual to whom the procedure has been delegated and any conditions that apply should be documented? a) yes b) no - ANSWER- a can a community nurse initiate an over the counter suppository? a) yes b) no - ANSWER- a can an RPN initiate an intravenous line without an order? a) yes b) no - ANSWER- b can an RPN perform allergy testing on a patient? a) yes b) no - ANSWER- b Can temporary class nurses delegate or accept delegation? a) yes b) no - ANSWER- b it is the RPNs first time with a client, can the nurse delegate the regular dose of insulin for this patient to the UCP? a) yes b) no - ANSWER- b Can RNs and RPNs initiate treatments in a hospital setting? a) yes b) no - ANSWER- b outlines how to perform a controlled act a) Delegation b) Order - ANSWER- b Provides the legal authority to perform an act a) Delegation
b) Order - ANSWER- a as per the 3 factor framework, can an RPN take care of a patient whose coping mechanisms and supports are unknown and not set in place? a) yes b) no - ANSWER- b Who protects a nurses title? A. Regulated Health Professions Act, 1991 B. Nursing Act, 1991 C. CNO D. RPNA - ANSWER- b When someone is being prosecuted for attempting to work as a nurse or illegal practitioners they are prosecuted under: A. Regulated Health Professions Act, 1991 & Nursing Act, 1991 B. CNO & RPNAO - ANSWER- a as a nurse you must complete the QA program requirements every year? a) true b) false - ANSWER- a A nurse during a busy morning shift gave the patient the wrong medication this is an example of a) Assault b) Battery c) Negligence d) False imprisonment - ANSWER- c Can an RN or RPN delegate dispensing a drug? a) yes b) no - ANSWER- b a nurse applies restraints to a patient who keeps getting out of bed with out an order they can be charged with which tort? a) Assault b) Battery c) Negligence d) False imprisonment - ANSWER- d A fall resulting in jury, failure to use septic technique, med error, infiltration or phlebitis or burns caused by equipment, bathing, spills are a) Negligence b) Battery - ANSWER- a
a) Expressed consent b) Implied consent - ANSWER- a a patient prepares themselves for surgery by fasting for the previous 24 hours or nods when they ask if they are ready for surgery this is an example of a) Expressed consent b) Implied consent - ANSWER- b Cann a nurse walk out if staffing is inadequate?? a) yes b) no - ANSWER- b Is refusing to work an extra shift or overtime considered abandonment? a) yes b) no - ANSWER- b Working while impaired, theft, failure to obtain informed consent, breach of confidentiality are examples of: a) Breach b) Professional misconduct c) Duty d) Causation - ANSWER- b A nurse must report abuse of a clien, incompetent or incapacitated HCP, termination of a nurse a) true b) false - ANSWER- a a nurse must self report guilt for an offence, charges/proceedings, findings of negligence a) True b) False - ANSWER- a if an employer suspects that a nurse has been stealing meds, and patients on her shift gets more PRN meds, taking longer breaks, using up all sick days, asks the nurse and she denies it Does the facility operator have an obligation to report the manager's concerns to the College? a) yes b) no - ANSWER- a Paul, a nurse at a retirement facility, is being treated for bipolar disorder. The owner of the facility has never had any concerns with Paul's practice, conduct, or his relationships with his nursing colleagues or clients. Paul has had some short-term absences, which were supported by his physician, but he has always returned to work in good health. However, because of the new legislation, the facility operator wonders if he is required to report Paul's condition even though there have been no issues.
a) yes b) no - ANSWER- b Who can sue individually or the hospital a) CNO b) RPNAO - ANSWER- b IS PO meds a controlled act? a) yes b) no - ANSWER- b involves disputes between the individuals and the state a) public law b) Private law c) statue law - ANSWER- a involves disputes between individuals a) public law b) Private law c) statue law - ANSWER- b created by elective legislative bodies (ex: federal parliament, provincial legislatures) RHPA, Nursing Act a) public law b) Private law c) statue law - ANSWER- c