NURS4516 Final (2025) Actual Exam
Questions and Answers A+ Graded
.
1. .What .is .the .primary .focus .of .nurse .prescribing .in .Ontario?
A) .To .allow .nurses .to .prescribe .complex .medications .independently
B) .To .improve .patient .access .to .care .through .regulated .medication .prescribing
C) .To .limit .the .scope .of .practice .for .RNs
D) .To .expand .the .role .of .nurse .practitioners .only .- .CORRECT .ANSWER-Answer:
.B) .To .improve .patient .access .to .care .through .regulated .medication .prescribing
Rationale: .Nurse .prescribing .in .Ontario .was .implemented .to .enhance .patient
.access .to .care .by .allowing .RNs .to .prescribe .specific .medications .for .non-
complex .conditions, .but .it .is .regulated .under .strict .guidelines(NURS .4516 .W8
.SLIDES).
2. .Which .of .the .following .is .required .for .Registered .Nurses .(RNs) .to .prescribe
.medications .in .Ontario?
A) .Immediate .implementation .without .additional .training
B) .Completion .of .prescribing .education .approved .by .the .College .of .Nurses .of
.Ontario .(CNO)
C) .Authorization .from .the .Public .Hospitals .Act
D) .Prescribing .in .any .practice .setting .- .CORRECT .ANSWER-Answer: .B)
.Completion .of .prescribing .education .approved .by .the .College .of .Nurses .of
.Ontario .(CNO)
Rationale: .RNs .must .complete .CNO-approved .prescribing .education .to .gain .the
.authority .to .prescribe .medications .safely .and .effectively(NURS .4516 .W8
.SLIDES).
3. .What .is .the .main .difference .between .a .directive .and .a .prescription .in .nursing
.practice?
A) .A .directive .is .for .individual .patients, .while .a .prescription .applies .to .multiple
.patients
B) .A .directive .is .a .written .order .for .multiple .patients .under .specific .conditions,
.while .a .prescription .applies .to .an .individual .patient
C) .A .prescription .involves .procedures, .while .a .directive .is .limited .to .medication
.administration
D) .There .is .no .significant .difference .- .CORRECT .ANSWER-Answer: .B) .A
.directive .is .a .written .order .for .multiple .patients .under .specific .conditions, .while
.a .prescription .applies .to .an .individual .patient
,Rationale: .Directives .are .intended .for .multiple .patients, .typically .in .mass
.vaccination .or .similar .scenarios, .whereas .prescriptions .are .individual .orders
.for .patients(NURS .4516 .W8 .SLIDES).
4. .Which .of .the .following .is .true .regarding .the .qualifications .for .nurse
.psychotherapists .in .Ontario?
A) .Nurses .are .required .to .take .specific .certification .courses .in .psychotherapy
B) .CNO .mandates .specific .training .hours .for .psychotherapy .practice
C) .Nurses .must .reflect .on .their .practice .and .develop .a .learning .plan .annually
D) .Nurses .are .not .held .accountable .for .the .quality .of .psychotherapy .they
.provide .- .CORRECT .ANSWER-Answer: .C) .Nurses .must .reflect .on .their .practice
.and .develop .a .learning .plan .annually
Rationale: .Nurses .are .accountable .to .continuously .assess .their .practice,
.identify .learning .needs, .and .create .annual .learning .plans, .though .CNO .does
.not .mandate .specific .certifications .for .psychotherapy(NURS .4516 .W8 .SLIDES).
5. .What .must .be .present .for .a .nurse .to .be .performing .the .controlled .act .of
.psychotherapy, .as .per .the .Regulated .Health .Professions .Act .(RHPA)?
A) .Only .the .application .of .a .psychotherapy .technique
B) .A .therapeutic .relationship .and .treatment .for .a .serious .disorder .of .thought,
.cognition, .or .mood
C) .The .patient's .agreement .to .receive .psychotherapy
D) .The .nurse's .certification .in .psychotherapy .- .CORRECT .ANSWER-Answer: .B)
.A .therapeutic .relationship .and .treatment .for .a .serious .disorder .of .thought,
.cognition, .or .mood
Rationale: .The .controlled .act .of .psychotherapy .involves .treating .an .individual
.with .a .serious .mental .health .disorder .using .psychotherapy .techniques .through
.a .therapeutic .relationship(NURS .4516 .W8 .SLIDES).
6. .Which .of .the .following .countries .has .implemented .a .nurse .prescribing
.system .similar .to .Ontario's?
A) .Canada
B) .Ireland
C) .United .States
D) .Australia .- .CORRECT .ANSWER-Answer: .B) .Ireland
Rationale: .Ireland .has .established .a .nurse .prescribing .system, .similar .to .the
.one .being .implemented .in .Ontario, .with .structured .regulations .in .place(NURS
.4516 .W8 .SLIDES).
1. .What .was .the .key .change .made .to .the .Nursing .Act .in .Ontario .on .May .17,
.2017?
A) .It .allowed .nurses .to .prescribe .all .types .of .medication
B) .It .permitted .Registered .Nurses .(RNs) .to .prescribe .specific .medications .and
.communicate .diagnoses .for .prescribing .purposes
C) .It .required .nurses .to .obtain .certification .before .prescribing .any .medication
,D) .It .limited .the .scope .of .nursing .practice .in .Ontario .- .CORRECT .ANSWER-
Answer: .B) .It .permitted .Registered .Nurses .(RNs) .to .prescribe .specific
.medications .and .communicate .diagnoses .for .prescribing .purposes
Rationale: .The .Nursing .Act .was .amended .to .allow .RNs .to .prescribe
.medications .for .non-complex .conditions .and .communicate .diagnoses .related .to
.prescribing(NURS .4516 .W8 .SLIDES).
2. .What .is .a .major .benefit .of .allowing .RNs .to .prescribe .medications .in .Ontario?
A) .RNs .can .prescribe .medications .for .any .health .condition
B) .It .improves .access .to .care .for .patients .by .reducing .wait .times .for
.prescriptions
C) .It .allows .nurses .to .practice .independently .without .medical .oversight
D) .It .eliminates .the .need .for .nurse .practitioners .in .healthcare .settings .-
.CORRECT .ANSWER-Answer: .B) .It .improves .access .to .care .for .patients .by
.reducing .wait .times .for .prescriptions
Rationale: .The .primary .aim .of .allowing .RNs .to .prescribe .is .to .improve .patient
.access .to .timely .care .for .non-complex .health .conditions(NURS .4516 .W8
.SLIDES).
3. .What .is .the .responsibility .of .employers .regarding .RN .prescribing .in .Ontario?
A) .Employers .must .determine .if .RN .prescribing .is .permitted .in .their .practice
.setting
B) .Employers .are .required .to .provide .training .for .nurses .who .wish .to .prescribe
C) .Employers .must .prescribe .medications .on .behalf .of .nurses
D) .Employers .are .not .involved .in .determining .RN .prescribing .authority .-
.CORRECT .ANSWER-Answer: .A) .Employers .must .determine .if .RN .prescribing .is
.permitted .in .their .practice .setting
Rationale: .While .RNs .are .authorized .to .prescribe .under .specific .conditions,
.employers .must .confirm .whether .this .is .allowed .within .their .practice .settings
(NURS .4516 .W8 .SLIDES).
4. .In .what .type .of .settings .are .RNs .permitted .to .prescribe .medications .in
.Ontario?
A) .Only .in .private .practices
B) .Only .in .settings .where .RN .prescribing .is .authorized .by .law .and .employer
C) .In .all .healthcare .settings, .including .hospitals
D) .In .all .settings .regardless .of .employer .consent .- .CORRECT .ANSWER-Answer:
.B) .Only .in .settings .where .RN .prescribing .is .authorized .by .law .and .employer
Rationale: .RN .prescribing .is .restricted .to .settings .where .it .is .both .legally
.authorized .and .employer-approved(NURS .4516 .W8 .SLIDES).
6. .What .is .the .role .of .the .College .of .Nurses .of .Ontario .(CNO) .in .nurse
.prescribing?
A) .To .approve .individual .nurse .prescribing .decisions
B) .To .ensure .that .nurse .prescribing .is .safe, .effective, .and .ethical
, C) .To .prescribe .medications .on .behalf .of .nurses
D) .To .provide .all .necessary .medications .for .prescribing .nurses .- .CORRECT
.ANSWER-Answer: .B) .To .ensure .that .nurse .prescribing .is .safe, .effective, .and
.ethical
Rationale: .The .CNO .is .responsible .for .regulatory .oversight .to .ensure .that .nurse
.prescribing .is .carried .out .in .a .safe .and .ethical .manner(NURS .4516 .W8 .SLIDES).
7. .What .is .required .for .an .RN .to .prescribe .medications .safely .and .ethically .in
.Ontario?
A) .An .endorsement .from .the .employer
B) .Successful .completion .of .prescribing .education .approved .by .the .CNO
C) .Certification .in .advanced .nursing .practice
D) .A .special .license .from .the .Ministry .of .Health .- .CORRECT .ANSWER-Answer:
.B) .Successful .completion .of .prescribing .education .approved .by .the .CNO
Rationale: .RNs .must .complete .specific .prescribing .education .to .ensure .they
.can .prescribe .medications .safely .and .meet .the .CNO's .regulatory .standards
(NURS .4516 .W8 .SLIDES).
8. .Which .of .the .following .is .NOT .an .aspect .of .nurse .psychotherapy?
A) .An .intense .therapeutic .relationship
B) .Diagnosing .and .treating .serious .mental .health .disorders
C) .Providing .direct .medical .prescriptions .for .medications
D) .Examining .emotional .experiences .and .destructive .behavior .patterns .-
.CORRECT .ANSWER-Answer: .C) .Providing .direct .medical .prescriptions .for
.medications
Rationale: .Nurse .psychotherapy .involves .therapeutic .relationships .and
.emotional .work, .not .prescribing .medications .directly(NURS .4516 .W8 .SLIDES).
9. .What .is .the .controlled .act .component .of .psychotherapy, .as .defined .by .the
.Regulated .Health .Professions .Act .(RHPA)?
A) .The .application .of .any .psychotherapy .technique
B) .Treating .an .individual's .serious .disorder .of .thought, .cognition, .or .mood
C) .Providing .counseling .for .emotional .issues
D) .Offering .advice .based .on .general .psychotherapy .knowledge .- .CORRECT
.ANSWER-Answer: .B) .Treating .an .individual's .serious .disorder .of .thought,
.cognition, .or .mood
Rationale: .The .controlled .act .of .psychotherapy .involves .treating .serious .mental
.health .disorders .using .specific .techniques(NURS .4516 .W8 .SLIDES).
Which .of .the .following .is .a .necessary .element .for .performing .the .controlled .act
.of .psychotherapy?
A) .The .presence .of .a .therapeutic .relationship
B) .The .application .of .any .psychotherapy .technique
C) .The .ability .to .diagnose .and .treat .mental .health .conditions
Questions and Answers A+ Graded
.
1. .What .is .the .primary .focus .of .nurse .prescribing .in .Ontario?
A) .To .allow .nurses .to .prescribe .complex .medications .independently
B) .To .improve .patient .access .to .care .through .regulated .medication .prescribing
C) .To .limit .the .scope .of .practice .for .RNs
D) .To .expand .the .role .of .nurse .practitioners .only .- .CORRECT .ANSWER-Answer:
.B) .To .improve .patient .access .to .care .through .regulated .medication .prescribing
Rationale: .Nurse .prescribing .in .Ontario .was .implemented .to .enhance .patient
.access .to .care .by .allowing .RNs .to .prescribe .specific .medications .for .non-
complex .conditions, .but .it .is .regulated .under .strict .guidelines(NURS .4516 .W8
.SLIDES).
2. .Which .of .the .following .is .required .for .Registered .Nurses .(RNs) .to .prescribe
.medications .in .Ontario?
A) .Immediate .implementation .without .additional .training
B) .Completion .of .prescribing .education .approved .by .the .College .of .Nurses .of
.Ontario .(CNO)
C) .Authorization .from .the .Public .Hospitals .Act
D) .Prescribing .in .any .practice .setting .- .CORRECT .ANSWER-Answer: .B)
.Completion .of .prescribing .education .approved .by .the .College .of .Nurses .of
.Ontario .(CNO)
Rationale: .RNs .must .complete .CNO-approved .prescribing .education .to .gain .the
.authority .to .prescribe .medications .safely .and .effectively(NURS .4516 .W8
.SLIDES).
3. .What .is .the .main .difference .between .a .directive .and .a .prescription .in .nursing
.practice?
A) .A .directive .is .for .individual .patients, .while .a .prescription .applies .to .multiple
.patients
B) .A .directive .is .a .written .order .for .multiple .patients .under .specific .conditions,
.while .a .prescription .applies .to .an .individual .patient
C) .A .prescription .involves .procedures, .while .a .directive .is .limited .to .medication
.administration
D) .There .is .no .significant .difference .- .CORRECT .ANSWER-Answer: .B) .A
.directive .is .a .written .order .for .multiple .patients .under .specific .conditions, .while
.a .prescription .applies .to .an .individual .patient
,Rationale: .Directives .are .intended .for .multiple .patients, .typically .in .mass
.vaccination .or .similar .scenarios, .whereas .prescriptions .are .individual .orders
.for .patients(NURS .4516 .W8 .SLIDES).
4. .Which .of .the .following .is .true .regarding .the .qualifications .for .nurse
.psychotherapists .in .Ontario?
A) .Nurses .are .required .to .take .specific .certification .courses .in .psychotherapy
B) .CNO .mandates .specific .training .hours .for .psychotherapy .practice
C) .Nurses .must .reflect .on .their .practice .and .develop .a .learning .plan .annually
D) .Nurses .are .not .held .accountable .for .the .quality .of .psychotherapy .they
.provide .- .CORRECT .ANSWER-Answer: .C) .Nurses .must .reflect .on .their .practice
.and .develop .a .learning .plan .annually
Rationale: .Nurses .are .accountable .to .continuously .assess .their .practice,
.identify .learning .needs, .and .create .annual .learning .plans, .though .CNO .does
.not .mandate .specific .certifications .for .psychotherapy(NURS .4516 .W8 .SLIDES).
5. .What .must .be .present .for .a .nurse .to .be .performing .the .controlled .act .of
.psychotherapy, .as .per .the .Regulated .Health .Professions .Act .(RHPA)?
A) .Only .the .application .of .a .psychotherapy .technique
B) .A .therapeutic .relationship .and .treatment .for .a .serious .disorder .of .thought,
.cognition, .or .mood
C) .The .patient's .agreement .to .receive .psychotherapy
D) .The .nurse's .certification .in .psychotherapy .- .CORRECT .ANSWER-Answer: .B)
.A .therapeutic .relationship .and .treatment .for .a .serious .disorder .of .thought,
.cognition, .or .mood
Rationale: .The .controlled .act .of .psychotherapy .involves .treating .an .individual
.with .a .serious .mental .health .disorder .using .psychotherapy .techniques .through
.a .therapeutic .relationship(NURS .4516 .W8 .SLIDES).
6. .Which .of .the .following .countries .has .implemented .a .nurse .prescribing
.system .similar .to .Ontario's?
A) .Canada
B) .Ireland
C) .United .States
D) .Australia .- .CORRECT .ANSWER-Answer: .B) .Ireland
Rationale: .Ireland .has .established .a .nurse .prescribing .system, .similar .to .the
.one .being .implemented .in .Ontario, .with .structured .regulations .in .place(NURS
.4516 .W8 .SLIDES).
1. .What .was .the .key .change .made .to .the .Nursing .Act .in .Ontario .on .May .17,
.2017?
A) .It .allowed .nurses .to .prescribe .all .types .of .medication
B) .It .permitted .Registered .Nurses .(RNs) .to .prescribe .specific .medications .and
.communicate .diagnoses .for .prescribing .purposes
C) .It .required .nurses .to .obtain .certification .before .prescribing .any .medication
,D) .It .limited .the .scope .of .nursing .practice .in .Ontario .- .CORRECT .ANSWER-
Answer: .B) .It .permitted .Registered .Nurses .(RNs) .to .prescribe .specific
.medications .and .communicate .diagnoses .for .prescribing .purposes
Rationale: .The .Nursing .Act .was .amended .to .allow .RNs .to .prescribe
.medications .for .non-complex .conditions .and .communicate .diagnoses .related .to
.prescribing(NURS .4516 .W8 .SLIDES).
2. .What .is .a .major .benefit .of .allowing .RNs .to .prescribe .medications .in .Ontario?
A) .RNs .can .prescribe .medications .for .any .health .condition
B) .It .improves .access .to .care .for .patients .by .reducing .wait .times .for
.prescriptions
C) .It .allows .nurses .to .practice .independently .without .medical .oversight
D) .It .eliminates .the .need .for .nurse .practitioners .in .healthcare .settings .-
.CORRECT .ANSWER-Answer: .B) .It .improves .access .to .care .for .patients .by
.reducing .wait .times .for .prescriptions
Rationale: .The .primary .aim .of .allowing .RNs .to .prescribe .is .to .improve .patient
.access .to .timely .care .for .non-complex .health .conditions(NURS .4516 .W8
.SLIDES).
3. .What .is .the .responsibility .of .employers .regarding .RN .prescribing .in .Ontario?
A) .Employers .must .determine .if .RN .prescribing .is .permitted .in .their .practice
.setting
B) .Employers .are .required .to .provide .training .for .nurses .who .wish .to .prescribe
C) .Employers .must .prescribe .medications .on .behalf .of .nurses
D) .Employers .are .not .involved .in .determining .RN .prescribing .authority .-
.CORRECT .ANSWER-Answer: .A) .Employers .must .determine .if .RN .prescribing .is
.permitted .in .their .practice .setting
Rationale: .While .RNs .are .authorized .to .prescribe .under .specific .conditions,
.employers .must .confirm .whether .this .is .allowed .within .their .practice .settings
(NURS .4516 .W8 .SLIDES).
4. .In .what .type .of .settings .are .RNs .permitted .to .prescribe .medications .in
.Ontario?
A) .Only .in .private .practices
B) .Only .in .settings .where .RN .prescribing .is .authorized .by .law .and .employer
C) .In .all .healthcare .settings, .including .hospitals
D) .In .all .settings .regardless .of .employer .consent .- .CORRECT .ANSWER-Answer:
.B) .Only .in .settings .where .RN .prescribing .is .authorized .by .law .and .employer
Rationale: .RN .prescribing .is .restricted .to .settings .where .it .is .both .legally
.authorized .and .employer-approved(NURS .4516 .W8 .SLIDES).
6. .What .is .the .role .of .the .College .of .Nurses .of .Ontario .(CNO) .in .nurse
.prescribing?
A) .To .approve .individual .nurse .prescribing .decisions
B) .To .ensure .that .nurse .prescribing .is .safe, .effective, .and .ethical
, C) .To .prescribe .medications .on .behalf .of .nurses
D) .To .provide .all .necessary .medications .for .prescribing .nurses .- .CORRECT
.ANSWER-Answer: .B) .To .ensure .that .nurse .prescribing .is .safe, .effective, .and
.ethical
Rationale: .The .CNO .is .responsible .for .regulatory .oversight .to .ensure .that .nurse
.prescribing .is .carried .out .in .a .safe .and .ethical .manner(NURS .4516 .W8 .SLIDES).
7. .What .is .required .for .an .RN .to .prescribe .medications .safely .and .ethically .in
.Ontario?
A) .An .endorsement .from .the .employer
B) .Successful .completion .of .prescribing .education .approved .by .the .CNO
C) .Certification .in .advanced .nursing .practice
D) .A .special .license .from .the .Ministry .of .Health .- .CORRECT .ANSWER-Answer:
.B) .Successful .completion .of .prescribing .education .approved .by .the .CNO
Rationale: .RNs .must .complete .specific .prescribing .education .to .ensure .they
.can .prescribe .medications .safely .and .meet .the .CNO's .regulatory .standards
(NURS .4516 .W8 .SLIDES).
8. .Which .of .the .following .is .NOT .an .aspect .of .nurse .psychotherapy?
A) .An .intense .therapeutic .relationship
B) .Diagnosing .and .treating .serious .mental .health .disorders
C) .Providing .direct .medical .prescriptions .for .medications
D) .Examining .emotional .experiences .and .destructive .behavior .patterns .-
.CORRECT .ANSWER-Answer: .C) .Providing .direct .medical .prescriptions .for
.medications
Rationale: .Nurse .psychotherapy .involves .therapeutic .relationships .and
.emotional .work, .not .prescribing .medications .directly(NURS .4516 .W8 .SLIDES).
9. .What .is .the .controlled .act .component .of .psychotherapy, .as .defined .by .the
.Regulated .Health .Professions .Act .(RHPA)?
A) .The .application .of .any .psychotherapy .technique
B) .Treating .an .individual's .serious .disorder .of .thought, .cognition, .or .mood
C) .Providing .counseling .for .emotional .issues
D) .Offering .advice .based .on .general .psychotherapy .knowledge .- .CORRECT
.ANSWER-Answer: .B) .Treating .an .individual's .serious .disorder .of .thought,
.cognition, .or .mood
Rationale: .The .controlled .act .of .psychotherapy .involves .treating .serious .mental
.health .disorders .using .specific .techniques(NURS .4516 .W8 .SLIDES).
Which .of .the .following .is .a .necessary .element .for .performing .the .controlled .act
.of .psychotherapy?
A) .The .presence .of .a .therapeutic .relationship
B) .The .application .of .any .psychotherapy .technique
C) .The .ability .to .diagnose .and .treat .mental .health .conditions
