Jurisprudence Exam ACTUAL QUESTIONS
AND CORRECT ANSWERS
Mrs Johnston, a frail elderly client with multiple co-morbidities, has recently developed
pneumonia requiring admission to an acute care facility. Suzanne, a RPN is assigned to care for
mrs. johnston in collaboration with a RN. The family approaches the RN and demand that only
RNs care for their mother. How should the RN respond?
A) Respect the family's wishes and ask the charge nurse to adjust the nursing assignment
B) Inform the RPN that a change in assignment is necessary due to the acute pneumonia
C) Refer the family to the facility's client representative for support to have the assignment
changed
D) Explain to the family that the RPN is capable of caring for their mother with RN support -
Correct answers✔D
A nurse documents all the care provided during the workday at the end of the shift. Which
documentation standard has the nurse breached ?
A) Care must be documented immediately after it occurs
B) Documentation must be relevant to client care
C) Documentation must be comprehension
D) Care must be documented in a timely manner - Correct answers✔D
Which one of the following actions by a nurse demonstrates unequal power in the nurse- client
relationship?
A) Administering an antibiotic as ordered
B) Assisting a client with personal care
C) Informing a client of a toileting schedule
D) Expressing empathy for a client - Correct answers✔C
,According to the CNO practice standard: Ethics, which one of the following terms represents an
ethical value related to client choice?
A) Self-esteem
B) self worth
C) self respect
D) self determination - Correct answers✔D
A nurse is assigned a client with complications following a therapeutic abortion which is in direct
conflict with the nurses values and religious beliefs. What action should the nurse take in this
situation
A) reconsider her or his beliefs
B) find another nurse to care for the client
C) inform the client about his or hers personal beliefs
D) refused assignment and discontinue services for the client - Correct answers✔B
Which of the following situations would represent a concern about exceeding the boundaries of
the therapeutic nurse client relationship?
A) a nurse introduces herself or himself to the client by name and professional designation
B) A nurse reveals to the healthcare team a secret shared by the client that is relevant to the plan
of care
C) A client asked the nurse to address him by his middle name because that is what all his
friends call him
D) a client is willing to speak only with his primary nurse and refuses to speak with other nurses
- Correct answers✔D
A nursed disagrees with the clients decision to terminate a pregnancy for genetic reasons and
wishes to discontinue nursing care. What should the nurse do first?
A) discuss changing the clients plan of care with the healthcare team
,B) Attempt to convince the clients family that there are other options
C) consult with a nursing colleague to clarify the nurses on values
D) Report the plan of care to the ethics review committee - Correct answers✔C
The nurse has a client who does not speak or understand English or French. Family members,
acting as the interpreters, have stated that the client would not want to know his prognosis. What
is the nurses responsibility in this situation?
A) respect the wishes of the family and do not disclose this information
B) encourage the family members to reconsider their position
C) involve a non-family member as an interpreter to confirm the clients wishes D) consult with
the client physician - Correct answers✔C
NP has written an order for influenza immunization at a local clinic what should the RPM do?
A) implement the order
B) request that RN administer the injection
C) refused to administer the injection
D) Call the physician to confirm the order - Correct answers✔A
When sharing health information, in which of the following scenarios is a nurse best
demonstrating confidentiality?
A) discussion with the clients family in private, without informing the client
B) Discussion with the clients employer, with the clients permission
C) discussion with any healthcare provider, without informing the client
D) Discussion with the client in a public area, with the clients permission - Correct answers✔B
What are the components of the therapeutic nurse client relationship
, A) Respect, trust, professional intimacy, empathy, and power
B) Communication, cultural sensitivity, understanding, advocacy, and professionalism
C) Empowerment, compassion, tolerance, autonomy, and cooperation
D) Fairness, acceptance, sympathy, accountability, and collaboration - Correct answers✔A
According to the CNO practice standard; professional standards, revised 2002, which one of the
following options best reflect the standard statement of knowledge application?
A) Identifies ethical issues and communicates them effectively
B) incorporates evidenced informed practice into clinical performance
C) Seeks appropriate assistance in a timely manner
D) Behaves professionally to meet the therapeutic needs of a client - Correct answers✔B
What is the difference between initiating and performing a controlled act?
A) A nurse requires a physicians order for initiating, but not for performing, a controlled act
B) When initiating, the nurse excepts accountability for determining that the clients condition
warrants performance of the controlled act
C) when initiating, a nurse performs the controlled act and then obtains a physicians order for the
procedure
D) A nurse can only initiate a controlled act in an emergency situation - Correct answers✔B
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 this 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 - Correct answers✔D
AND CORRECT ANSWERS
Mrs Johnston, a frail elderly client with multiple co-morbidities, has recently developed
pneumonia requiring admission to an acute care facility. Suzanne, a RPN is assigned to care for
mrs. johnston in collaboration with a RN. The family approaches the RN and demand that only
RNs care for their mother. How should the RN respond?
A) Respect the family's wishes and ask the charge nurse to adjust the nursing assignment
B) Inform the RPN that a change in assignment is necessary due to the acute pneumonia
C) Refer the family to the facility's client representative for support to have the assignment
changed
D) Explain to the family that the RPN is capable of caring for their mother with RN support -
Correct answers✔D
A nurse documents all the care provided during the workday at the end of the shift. Which
documentation standard has the nurse breached ?
A) Care must be documented immediately after it occurs
B) Documentation must be relevant to client care
C) Documentation must be comprehension
D) Care must be documented in a timely manner - Correct answers✔D
Which one of the following actions by a nurse demonstrates unequal power in the nurse- client
relationship?
A) Administering an antibiotic as ordered
B) Assisting a client with personal care
C) Informing a client of a toileting schedule
D) Expressing empathy for a client - Correct answers✔C
,According to the CNO practice standard: Ethics, which one of the following terms represents an
ethical value related to client choice?
A) Self-esteem
B) self worth
C) self respect
D) self determination - Correct answers✔D
A nurse is assigned a client with complications following a therapeutic abortion which is in direct
conflict with the nurses values and religious beliefs. What action should the nurse take in this
situation
A) reconsider her or his beliefs
B) find another nurse to care for the client
C) inform the client about his or hers personal beliefs
D) refused assignment and discontinue services for the client - Correct answers✔B
Which of the following situations would represent a concern about exceeding the boundaries of
the therapeutic nurse client relationship?
A) a nurse introduces herself or himself to the client by name and professional designation
B) A nurse reveals to the healthcare team a secret shared by the client that is relevant to the plan
of care
C) A client asked the nurse to address him by his middle name because that is what all his
friends call him
D) a client is willing to speak only with his primary nurse and refuses to speak with other nurses
- Correct answers✔D
A nursed disagrees with the clients decision to terminate a pregnancy for genetic reasons and
wishes to discontinue nursing care. What should the nurse do first?
A) discuss changing the clients plan of care with the healthcare team
,B) Attempt to convince the clients family that there are other options
C) consult with a nursing colleague to clarify the nurses on values
D) Report the plan of care to the ethics review committee - Correct answers✔C
The nurse has a client who does not speak or understand English or French. Family members,
acting as the interpreters, have stated that the client would not want to know his prognosis. What
is the nurses responsibility in this situation?
A) respect the wishes of the family and do not disclose this information
B) encourage the family members to reconsider their position
C) involve a non-family member as an interpreter to confirm the clients wishes D) consult with
the client physician - Correct answers✔C
NP has written an order for influenza immunization at a local clinic what should the RPM do?
A) implement the order
B) request that RN administer the injection
C) refused to administer the injection
D) Call the physician to confirm the order - Correct answers✔A
When sharing health information, in which of the following scenarios is a nurse best
demonstrating confidentiality?
A) discussion with the clients family in private, without informing the client
B) Discussion with the clients employer, with the clients permission
C) discussion with any healthcare provider, without informing the client
D) Discussion with the client in a public area, with the clients permission - Correct answers✔B
What are the components of the therapeutic nurse client relationship
, A) Respect, trust, professional intimacy, empathy, and power
B) Communication, cultural sensitivity, understanding, advocacy, and professionalism
C) Empowerment, compassion, tolerance, autonomy, and cooperation
D) Fairness, acceptance, sympathy, accountability, and collaboration - Correct answers✔A
According to the CNO practice standard; professional standards, revised 2002, which one of the
following options best reflect the standard statement of knowledge application?
A) Identifies ethical issues and communicates them effectively
B) incorporates evidenced informed practice into clinical performance
C) Seeks appropriate assistance in a timely manner
D) Behaves professionally to meet the therapeutic needs of a client - Correct answers✔B
What is the difference between initiating and performing a controlled act?
A) A nurse requires a physicians order for initiating, but not for performing, a controlled act
B) When initiating, the nurse excepts accountability for determining that the clients condition
warrants performance of the controlled act
C) when initiating, a nurse performs the controlled act and then obtains a physicians order for the
procedure
D) A nurse can only initiate a controlled act in an emergency situation - Correct answers✔B
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 this 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 - Correct answers✔D
