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1. 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 leg-
islative requirements and the standards of the profession
d) All nurses are accountable for possessing, through continuing learning,
knowledge relevant practice.: C. 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.
2. 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.: B. 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.
3. What is CNO's mandate?
a) to develop practice standards
b) To protect the public interest.
c) to provide a disciplinary body available to the public
d) To create entry-to-practice requirements in Ontario.: B. 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.
4. The consent and capacity board has found Mr. Silva incapable of making de-
cisions. 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
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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.: A.
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.
5. 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.: D. 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 Profes-
sions 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.
6. 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.: D. 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.
7. 7. 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
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.: C. Consult with a
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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.
8. What is included in the mandatory requirements for nurses who are ran-
domly selected to participate in CNO's quality assurance program?
a) Peer assessment
b) Client assessment
c) Health assessment
d) Workplace assessment: A. Peer assessment
Rational: The QA Program includes the following components: Self-Assessment,
Practice Assessment, Peer Assessment
9. During the lunch break, a nurse observes a colleague drinking several alco-
holic 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.: A. 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.
10. 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.: D. 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.
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11. 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.: A. 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.
12. 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. 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.
13. 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.: C. 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.
14. 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.: A. An individual, family, group or community.
Rational: Client. A client may be an individual, family, group or community. (therapeu-
tic nurse- client relationship standard.
15. An occupational health nurse reveals to a manager that one of their pro-
bationary employees is pregnant. What, if anything, is wrong with this action?
a) The manager may choose to terminate the employee.