What is moral distress? - Answer -feelings of anger, frustration, or guilt are unable to
act on their ethical judgement
what is a moral community? - Answer -a workplace in which individuals feel safe to be
heard, and where there is alignment between publicly professed values and the lived
reality
what is moral agency? - Answer -the ability to direct ones actions toward an ethical
end, such as good outcomes for patients
What role do nurses play in emergency situations? (i.e., covid-19 emergencies) -
Answer --prevention
-mitigation
-preparedness
-response
-recovery
what controlled acts can a nurse delegate? - Answer --3 out of 5
-Performing a prescribed procedure below the dermis or mucous membrane;
-Administering a substance by injection or inhalation
-Putting an instrument, hand or finger beyond/into the 7 documented areas of the body
what are the 7 requirements for a nurse to delegate a controlled act? - Answer -
Requirement 1: The nurse has the authority under the Nursing Act to perform the
controlled act.
Requirement 2: The nurse has the knowledge, skill and judgment to perform the
controlled act safely and ethically.
Requirement 3: The nurse has a nurse-client relationship with the client for whom the
controlled act will be performed.
Requirement 4: The nurse has considered whether the delegation of the controlled act
is appropriate, keeping in mind the best interests and needs of the client.
Requirement 5: The nurse takes reasonable steps to ensure that she/he is satisfied that
sufficient safeguards and resources are available to the delegatee so that the controlled
act can be performed safely and ethically.
Requirement 6: The nurse has considered whether the delegation should be subject to
any conditions to ensure that it is performed safely and ethically, and has made the
delegation subject to conditions, if applicable.
Requirement 7: After taking reasonable steps, the nurse is satisfied that the delegatee
is a person who is permitted to accept the delegation and is:
-nurse who has a nurse-client relationship with the client
-health care provider who has a professional relationship with the client
-a person in the client's household, or
-a person who routinely provides assistance or treatment for the client.
, -Requirement 8: documentation of delegation particulars
what are the 5 stages of progression in the donneer and wheeler framework? - Answer
-1.Learning - in the learning process (taking nursing course)
2.Entry - when they select their first workplace
3.Commitment - identifies likes and dislikes, 2-5 years post-grad, focus shifts to long-
term commitment
4.Consolidation - become comfortable in chosen path
5.Withdrawal - begin to think about what comes after nursing
what controlled acts are RNs authorized to perform? - Answer --Performing a
prescribed procedure below the dermis or mucous membrane
-Administering a prescribed medication by injection or inhalation
-Putting a finger or instrument in a hole
(Nasal passages, larynx, urethra, labia majora, anal verge,)
-Dispensing a drug
-Psychotherapy
what are the purposes of the CNA? what is the CNA? - Answer --Professional
-Educational
-Political
-the national and global professional voice of regulated nurses
-CNA = canadian nurses association
what is the CASN? what do they do/provide? - Answer --canadian association of
schools of nursing
-professional and educational involvement
-Has a framework which provides the most basic elements for the programs and
graduates at each degree level
-offers certifications
what is the CNPS? Their purpose? - Answer --Canadian Nurses Protective Society
-Nonprofit society that offers legal advice and professional liability protection
What is the CNSA? their purpose? - Answer --Canadian Nursing Students Association
-National voice of canadian nurses students
-Dedicated to positive promotion of nurses and nursing profession as a whole
what is the Ontario nursing scope of practice statement? - Answer -The practice of
nursing is the promotion of health and the assessment of, the provision of, care for, and
the treatment of, health conditions by supportive, preventative, therapeutic, palliative,
and rehabilitative means in order to attain or maintain optimal function
what is the CNO? Their purpose? What they offer? - Answer --college of nurses of
ontario