NURS2730 – TEST QUESTIONS AND ANSWERS A+
GRADED
The Nursing Act
defines competencies as the knowledge, skills and judgement required to practise
safely and ethically
Individual Scope of Practice
the services for which a registrant is educated, authorized and competent to perform
Scope of Employment
the description of the nurse's role within the employment setting. It is defined by the
employer through job descriptions, policies, guidelines and context specific education
LPN scope of practice
application of practical nursing knowledge and theory in the:
- assessment of the clients
- collaboration in the development of the nursing plan of care
- implementation of the nursing plan of care
- evaluation of the client
Nursing services are provided for the purpose of:
promoting health; preventing illness; providing palliative and rehabilitative care, and;
assisting clients to achieve an optimal state of health.
To achieve an optimal state of health, LPN's can provide nursing services:
- independently for client with predictable outcomes
- in consultation with appropriate care providers, for clients whose outcomes are
variable
- under the guidance or direction of a RN, medical practitioner or other health care
professional authorized to provide such guidance or direction for clients with
unpredictable outcomes
LPNs make independent nursing decisions for clients with:
less complex care needs within an established plan of care.
As the client's nursing needs become more complex or variable, LPNs are
expected to:
work in collaboration with the RN to identify, meet and manage these needs by
adjusting the nursing care plan as necessary
When clients needs become very complex and variable, the LPN:
works with guidance and direction of the RN
RN professional scope of practice
the application of specialized and evidence-based knowledge of nursing theory, health
and human sciences, inclusive of principles of primary health care, in the provision of
professional services to a broad array of clients ranging from stable or predictable to
unstable or unpredictable
Registered Nurse level of autonomy allows them to:
provide nursing services independently in their practice context for individuals of all
ages, groups (including families) and communities, in a variety of care settings.
, Registered Nurses make independent nursing care decisions regardless of the client's
acuity or complexity.
NP professional scope of practice
the application of advanced nursing knowledge, skills and judgement in addition to the
scope of practice for the RN designation under this Act
an NP may, in accordance with standards for nurse practitioners, do one or more
of the following:
a) Make a diagnosis identifying a disease, disorder or condition;
b) Communicate the diagnosis to the client and other health care professionals as
appropriate;
c) Perform procedures;
d) Initiate, order or prescribe consultations, referrals and other acts;
e) Order and interpret screening and diagnostic tests;
f) Recommend, prescribe or reorder drugs, blood, blood products and related
paraphernalia, including research, education, consultation, management,
administration, regulation, policy or system development relevant to clauses (a) to (f).
When nurses and employers work together to optimize scope they should ask the
following questions to determine whether an intervention falls within the scope of
practice of a nurse, including but not limited to
- Is the proposed intervention consistent with the legislated scope of practice of the
profession of that designation?
- Is the proposed intervention prohibited or protected by other legislation?
- Will the nurse be able to attain and maintain their competence in its performance?
- Will performance of the intervention improve health outcomes of the population?
If it is determined that a proposed intervention will be added to the scope of
practice, the employer is responsible to:
provide the nurse with the required education and practice experience to gain and
maintain competence of the intervention
Three Factor Framework
3 factors that have impact on decision making:
-The client
-The nurse
-The environment
Client Factors
- the client needs are known and;
- the intervention is part of an established plan of care and;
- the client's response(s) to the intervention are known, consistent over time, or readily
anticipated
Nurse Factors
- the nurse has the necessary knowledge, skill and judgement (competence) to safely
perform the intervention and;
- the nurse is able to predict and manage the outcomes of their actions and/or the
client's response to the intervention
Environment Factors
GRADED
The Nursing Act
defines competencies as the knowledge, skills and judgement required to practise
safely and ethically
Individual Scope of Practice
the services for which a registrant is educated, authorized and competent to perform
Scope of Employment
the description of the nurse's role within the employment setting. It is defined by the
employer through job descriptions, policies, guidelines and context specific education
LPN scope of practice
application of practical nursing knowledge and theory in the:
- assessment of the clients
- collaboration in the development of the nursing plan of care
- implementation of the nursing plan of care
- evaluation of the client
Nursing services are provided for the purpose of:
promoting health; preventing illness; providing palliative and rehabilitative care, and;
assisting clients to achieve an optimal state of health.
To achieve an optimal state of health, LPN's can provide nursing services:
- independently for client with predictable outcomes
- in consultation with appropriate care providers, for clients whose outcomes are
variable
- under the guidance or direction of a RN, medical practitioner or other health care
professional authorized to provide such guidance or direction for clients with
unpredictable outcomes
LPNs make independent nursing decisions for clients with:
less complex care needs within an established plan of care.
As the client's nursing needs become more complex or variable, LPNs are
expected to:
work in collaboration with the RN to identify, meet and manage these needs by
adjusting the nursing care plan as necessary
When clients needs become very complex and variable, the LPN:
works with guidance and direction of the RN
RN professional scope of practice
the application of specialized and evidence-based knowledge of nursing theory, health
and human sciences, inclusive of principles of primary health care, in the provision of
professional services to a broad array of clients ranging from stable or predictable to
unstable or unpredictable
Registered Nurse level of autonomy allows them to:
provide nursing services independently in their practice context for individuals of all
ages, groups (including families) and communities, in a variety of care settings.
, Registered Nurses make independent nursing care decisions regardless of the client's
acuity or complexity.
NP professional scope of practice
the application of advanced nursing knowledge, skills and judgement in addition to the
scope of practice for the RN designation under this Act
an NP may, in accordance with standards for nurse practitioners, do one or more
of the following:
a) Make a diagnosis identifying a disease, disorder or condition;
b) Communicate the diagnosis to the client and other health care professionals as
appropriate;
c) Perform procedures;
d) Initiate, order or prescribe consultations, referrals and other acts;
e) Order and interpret screening and diagnostic tests;
f) Recommend, prescribe or reorder drugs, blood, blood products and related
paraphernalia, including research, education, consultation, management,
administration, regulation, policy or system development relevant to clauses (a) to (f).
When nurses and employers work together to optimize scope they should ask the
following questions to determine whether an intervention falls within the scope of
practice of a nurse, including but not limited to
- Is the proposed intervention consistent with the legislated scope of practice of the
profession of that designation?
- Is the proposed intervention prohibited or protected by other legislation?
- Will the nurse be able to attain and maintain their competence in its performance?
- Will performance of the intervention improve health outcomes of the population?
If it is determined that a proposed intervention will be added to the scope of
practice, the employer is responsible to:
provide the nurse with the required education and practice experience to gain and
maintain competence of the intervention
Three Factor Framework
3 factors that have impact on decision making:
-The client
-The nurse
-The environment
Client Factors
- the client needs are known and;
- the intervention is part of an established plan of care and;
- the client's response(s) to the intervention are known, consistent over time, or readily
anticipated
Nurse Factors
- the nurse has the necessary knowledge, skill and judgement (competence) to safely
perform the intervention and;
- the nurse is able to predict and manage the outcomes of their actions and/or the
client's response to the intervention
Environment Factors
