QUIZ 3 - quiz 3 PDF

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A client tells the nurse, "I have something very important to tell you if you promise not to tell." The best response by the nurse is: a. I can't make such a promise." b. That depends on what you tell me." c. I must report everything to the treatment team." d. "I must document and report any important information."

A 24-year-old woman had surgery today. Her father, a physician but not her surgeon enter the nursing station and ask for her chart. The best action for the nurse to take is. a. To give him the chart as requested b. Not to allow him to read the chart c. To ask the attending surgeon if it is permissible for him to read the chart d. To ask the client if she wants him to read her chart The practical nurse is caring for a patient who wants to take part in a spiritual incense burning ceremony. Burning incense will produce smoke and a strongly scented odour, which the patient will breathe in as part of the ceremony. The patient suffers from a severe respiratory condition, which is worsened by environmental contaminants such as scents and smoke. Which of the following is most important for the nurse to explain to the patient in regards to choice? a. Each patient has the right to choose how to live b. Every patient has the right to choose a risky course of action c. Any patient may be incompetent and require a substitute decision maker d. A patient's choice may be limited when choosing a harmful course of action

In accepting delegation, professional misconduct for an RPN would be considered if the nurse: a. Delegates an act that has been delegated to them b. Meets standards of practice c. Informing the employer of their inability to accept responsibility in areas of specific training d. Directs a member of the health care team to preform a controlled act for which they are able to perform

The practical nurse is involved in an outreach program providing wound care to the homeless. The program focuses on individuals who otherwise have no access to care. Recently the funding for this program has ceased and the program is ending. Which ethical value is being most compromised? a. Choice b. Fairness c. Maintaining commitments d. Respect for life

The practical nurse has been caring for a client with end-stage renal disease for over a year. The client recently changed doctors, resulting in changes to the plan of care. The practical nurse disagrees with this new plan of care. In preparation to call the doctor for a discussion of the new plan, the practical nurse conducts a client assessment, consults with the client, and consults with nurse colleagues. Which of the initial steps to disagreeing with a plan of care has the nurse missed? a. Assessing the situation b. Consulting with the client, colleagues and experts c. Referring to relevant reference material d. Discussing the nurses concern with the nurse manager

A physician asks Maria, a RPN, to administer a dose of medication that Maria believes is too much for the weight of her particular patient. The nurse asks the physician to reassess the dosage. The physician does and determines the patient should still receive the initial dose ordered. Maria, again, expresses her concern and the physician tells Maria, "if you don't give it, I will". Which of the following would occur if the nurse implements the physician's request? a. Employer insurance would protect the nurse b. The nurse would be liable for the action c. If the nurse has developed a good relationship with the client, a problem will not likely arise d. This situation illustrates one of the reasons for nurses to have malpractice insurance Canada's national health insurance program is called; a. Medicare b. Medihealth c. OHIP d. Medisystem The practical nurse gossips about peers, belittles the work done by the medical staff, and bullies new staff members. Which ethical standard of practice is the nurse compromising? a. Maintaining commitments b. Privacy and confidentiality c. Respect for life d. Truthfulness Social justice is an important aspect of professional nursing practice. It encourages nurses to challenge injustice and inequality. Social justice includes allocation of physical, financial, and human healthcare resources. Which of the following ethical practice standards most reflects the concept of social justice? a. Fairness

b. Truthfulness c. Respect for life d. Choice According to the College of Nurses, in a situation such as Ebola, nurses have an obligation to a. Only provide care to clients that have flu like symptoms and advise all other clients to go home. b. Go home and come back to work once the pandemic is over c. Continue practicing and caring for clients within the community as long as proper protective equipment is available d. Continue caring for clients no matter the circumstances The practical nurse is caring for a patient who is a recent refugee from Syria. During the admission assessment the patient describes himself as a Kurdish Christian. The nurse is unfamiliar with the patient's culture. Where should the nurse go first to find out information about how to care for this patient? a. The patient b. The patient's family c. A nurse colleague with the same culture d. A local religious leader from the same culture In regards to Registration and Regulation, the College of Nurses of Ontario develops and implements policies and changes to nursing legislation with which of the following as their primary the goal? a. Protecting the publics interests through the regulation of nursing practice b. Protecting the employers interests through the regulation of nursing practice c. Protecting the nurses interests through the regulation of nursing practice d. Protecting the governments interests through the regulation of nursing practice d. Professional boundaries Abstaining from disclosing personal information is an example of maintaining what, within the therapeutic relationship? a. Conflict prevention b. Consent c. Confidentiality d. Professional boundaries d. "I am sorry Chandra, I cannot accept gifts from patients as it is not policy." Chandra states, "I want to thank you for all the support you have given me and would like to pay for your coffee". Which of the following would be the MOST appropriate response for Joe to give? a. "Thank you Chandra, that would be nice of you." Joe would accept the gift, as refusal could be harmful to the therapeutic relationship

b. "Thank you Chandra, I enjoy our time together and hope to spend more time with you." c. Accept the gift and say nothing, as it is only a coffee. d. "I am sorry Chandra, I cannot accept gifts from patients as it is not policy."

b. Other health care professionals may administer medications or provide care to the client without the necessary up-to-date information. According to the documentation practice standard, nurses are required to document as soon as possible after performing an intervention. Shelley is making a habit of documenting all client care at the end of the shift. Why might this be a concern? a. When charts are incomplete, there is a presumption that the care was negligent b. Other health care professionals may administer medications or provide care to the client without the necessary up-to-date information. c. It maybe assumed if nothing was charted there is no change in the client d. It may imply that the care of the client was inadequate

As regulated health professionals, nurses dealing with change still remain accountable for ensuring that the quality of care they provide to their clients is not compromised by the challenges of coping with or adapting to changes. Nurses remain accountable by: a. Engaging in reflective practice b. Participating in the CNO quality assurance program c. Participating in continuing education d. All of the above The practical nurse is providing health teaching to a new mother. The new mother is a recent immigrant and has limited English language skill. The nurse has translated some facts into the client's native language and has used pictures to convey information. The new mother is smiling and nodding. What is most important for the nurse to remember when considering culturally sensitive nursing care in this situation? a. The nurse should observe for non-verbal reactions when assessing the client b. The nurse should demonstrate open and receptive body language to the client c. The nurse should explore the meaning behind the client's non-verbal responses d. The nurse should include demonstration and gestures to convey information

Health care professionals are affected by increasing health care costs. Why might nurses be most directly influenced by cost control? a. Given nurses are the largest bodies of health care professionals, they constitute a large percentage of the healthcare budget b. They achieve higher salary levels than do other health care professionals c. They provide direct client care without reimbursement d. They deliver the least cost-effective care

a. I can't make such a promise." A client tells the nurse, "I have something very important to tell you if you promise not to tell." The best response by the nurse is: a. I can't make such a promise." b. That depends on what you tell me." c. I must report everything to the treatment team." d. "I must document and report any important information."

b. Not to allow him to read the chart A 24-year-old woman had surgery today. Her father, a physician but not her surgeon enter the nursing station and ask for her chart. The best action for the nurse to take is. a. To give him the chart as requested b. Not to allow him to read the chart c. To ask the attending surgeon if it is permissible for him to read the chart d. To ask the client if she wants him to read her chart

d. A patient's choice may be limited when choosing a harmful course of action The practical nurse is caring for a patient who wants to take part in a spiritual incense burning ceremony. Burning incense will produce smoke and a strongly scented odour, which the patient will breathe in as part of the ceremony. The patient suffers from a severe respiratory condition, which is worsened by environmental contaminants such as scents and smoke. Which of the following is most important for the nurse to explain to the patient in regards to choice? a. Each patient has the right to choose how to live b. Every patient has the right to choose a risky course of action c. Any patient may be incompetent and require a substitute decision maker d. A patient's choice may be limited when choosing a harmful course of action

a. Delegates an act that has been delegated to them In accepting delegation, professional misconduct for an RPN would be considered if the nurse: a. Delegates an act that has been delegated to them b. Meets standards of practice c. Informing the employer of their inability to accept responsibility in areas of specific training d. Directs a member of the health care team to preform a controlled act for which they are able to perform

b. Fairness The practical nurse is involved in an outreach program providing wound care to the homeless. The program focuses on individuals who otherwise have no access to care. Recently the funding for this program has ceased and the program is ending. Which ethical value is being most compromised? a. Choice

b. Fairness c. Maintaining commitments d. Respect for life

c. Referring to relevant reference material The practical nurse has been caring for a client with end-stage renal disease for over a year. The client recently changed doctors, resulting in changes to the plan of care. The practical nurse disagrees with this new plan of care. In preparation to call the doctor for a discussion of the new plan, the practical nurse conducts a client assessment, consults with the client, and consults with nurse colleagues. Which of the initial steps to disagreeing with a plan of care has the nurse missed? a. Assessing the situation b. Consulting with the client, colleagues and experts c. Referring to relevant reference material d. Discussing the nurses concern with the nurse manager

b. The nurse would be liable for the action A physician asks Maria, a RPN, to administer a dose of medication that Maria believes is too much for the weight of her particular patient. The nurse asks the physician to reassess the dosage. The physician does and determines the patient should still receive the initial dose ordered. Maria, again, expresses her concern and the physician tells Maria, "if you don't give it, I will". Which of the following would occur if the nurse implements the physician's request? a. Employer insurance would protect the nurse b. The nurse would be liable for the action c. If the nurse has developed a good relationship with the client, a problem will not likely arise d. This situation illustrates one of the reasons for nurses to have malpractice insurance

a. Medicare Canada's national health insurance program is called; a. Medicare b. Medihealth c. OHIP d. Medisystem a. Maintaining commitments The practical nurse gossips about peers, belittles the work done by the medical staff, and bullies new staff members. Which ethical standard of practice is the nurse compromising? a. Maintaining commitments b. Privacy and confidentiality c. Respect for life d. Truthfulness

a. Fairness Social justice is an important aspect of professional nursing practice. It encourages nurses to challenge injustice and inequality. Social justice includes allocation of physical, financial, and human healthcare resources. Which of the following ethical practice standards most reflects the concept of social justice? a. Fairness b. Truthfulness c. Respect for life d. Choice c. Continue practicing and caring for clients within the community as long as proper protective equipment is available According to the College of Nurses, in a situation such as Ebola, nurses have an obligation to a. Only provide care to clients that have flu like symptoms and advise all other clients to go home. b. Go home and come back to work once the pandemic is over c. Continue practicing and caring for clients within the community as long as proper protective equipment is available d. Continue caring for clients no matter the circumstances

a. The patient The practical nurse is caring for a patient who is a recent refugee from Syria. During the admission assessment the patient describes himself as a Kurdish Christian. The nurse is unfamiliar with the patient's culture. Where should the nurse go first to find out information about how to care for this patient? a. The patient b. The patient's family c. A nurse colleague with the same culture d. A local religious leader from the same culture

a. Protecting the publics interests through the regulation of nursing practice In regards to Registration and Regulation, the College of Nurses of Ontario develops and implements policies and changes to nursing legislation with which of the following as their primary the goal? a. Protecting the publics interests through the regulation of nursing practice b. Protecting the employers interests through the regulation of nursing practice c. Protecting the nurses interests through the regulation of nursing practice d. Protecting the governments interests through the regulation of nursing practice

d. Professional boundaries Abstaining from disclosing personal information is an example of maintaining what, within the therapeutic relationship? a. Conflict prevention b. Consent c. Confidentiality d. Professional boundaries

d. "I am sorry Chandra, I cannot accept gifts from patients as it is not policy." Chandra states, "I want to thank you for all the support you have given me and would like to pay for your coffee". Which of the following would be the MOST appropriate response for Joe to give? a. "Thank you Chandra, that would be nice of you." Joe would accept the gift, as refusal could be harmful to the therapeutic relationship b. "Thank you Chandra, I enjoy our time together and hope to spend more time with you." c. Accept the gift and say nothing, as it is only a coffee. d. "I am sorry Chandra, I cannot accept gifts from patients as it is not policy."

b. Other health care professionals may administer medications or provide care to the client without the necessary up-to-date information. According to the documentation practice standard, nurses are required to document as soon as possible after performing an intervention. Shelley is making a habit of documenting all client care at the end of the shift. Why might this be a concern? a. When charts are incomplete, there is a presumption that the care was negligent b. Other health care professionals may administer medications or provide care to the client without the necessary up-to-date information. c. It maybe assumed if nothing was charted there is no change in the client d. It may imply that the care of the client was inadequate d. All of the above As regulated health professionals, nurses dealing with change still remain accountable for ensuring that the quality of care they provide to their clients is not compromised by the challenges of coping with or adapting to changes. Nurses remain accountable by: a. Engaging in reflective practice b. Participating in the CNO quality assurance program c. Participating in continuing education d. All of the above c. The nurse should explore the meaning behind the client's non-verbal responses The practical nurse is providing health teaching to a new mother. The new mother is a recent immigrant and has limited English language skill. The nurse has translated some facts into the client's native language and has used pictures to convey information. The new mother is smiling and nodding. What is most important for the nurse to remember when considering culturally sensitive nursing care in this situation?

a. The nurse should observe for non-verbal reactions when assessing the client b. The nurse should demonstrate open and receptive body language to the client c. The nurse should explore the meaning behind the client's non-verbal responses d. The nurse should include demonstration and gestures to convey information a. Given nurses are the largest bodies of health care professionals, they constitute a large percentage of the healthcare budget Health care professionals are affected by increasing health care costs. Why might nurses be most directly influenced by cost control? a. Given nurses are the largest bodies of health care professionals, they constitute a large percentage of the healthcare budget b. They achieve higher salary levels than do other health care professionals c. They provide direct client care without reimbursement d. They deliver the least cost-effective care

c. Non-maleficence Mrs. Umlah, 33, has recently returned from major surgery. The nurse enters her room with the intention of turning her in bed but decides against it because it would cause her great pain. What is the principle being utilized by the nurse? a. Justice b. Beneficence c. Non-maleficence d. Advocacy a. Describing the services offered A nurse has established a small private homecare business and intends to advertise the business to obtain customers. According to the College of Nurses of Ontario which of the following is appropriate when advertising services to the public? a. Describing the services offered b. Referring to the products used and sold c. Providing a guarantee of the outcomes of the services d. Comparing the quality of services provided to other service providers c. College of Nurses of Ontario (CNO) In Ontario, the law requires health care professionals to be regulated. Which of the following is the formal body that is the regulator and governing body of nursing in Ontario? a. Registered Practical Nurses Association (RPNAO) b. Registered Nurses Association (RNAO) c. College of Nurses of Ontario (CNO) d. Canadian Nurses Association (CNA) b. Implied An unconscious young man is brought in by paramedics to the emergency department of the local hospital following an accidental drug overdose. He has no family members or friends with

him. What type of consent is applicable...