Empirical
A nurse is reviewing the latest research on the effectiveness of strategies for managing hypertension and can look to the RNAO for these guidelines.
Best Practice Guidelines
A nurse notices that they are increasingly feeling emotionally exhausted, detached from patients, and unable to connect with their usual passion for care. They also recognize a decrease in their motivation and a sense of ineffectiveness in their role. The nurse is likely experiencing this:
What is Burnout
A nurse is assigned a patient undergoing MAiD, something that goes against the nurse’s personal beliefs. Are they allowed to refuse care and under what rationale?
Yes, as long as they find a nurse to cover care.
A nurse is caring for a patient who refuses a life-saving treatment and removes their full-code status due to personal beliefs, and as a result they become unconscious, and arrested. Their next-of-kin then changes the code status and is then sent to the ICU. In this scenario, who has the final say on the change of code status?
The next-of-kin
A nurse is caring for a 36-year-old female, who is precariously housed, unemployed and seeking treatment for substance use disorder. The nurse understands these factors affect the patient’s ability to seek ongoing healthcare resources.
What are Social Determinants of Health
A nurse is caring for a patient who completed antibiotic therapy for an infection. When reviewing the lab work, the nurse should see a drop in this lab value.
White Blood Cell Count
A nurse is working in a LTC facility and comes across a client who has fallen. What is the first thing the nurse should do?
Call for Help
Knowledge of this plan is the primary responsibility of the nurse in preparation for disaster management, that includes natural disasters and bioterrorism incidents?
Emergency Response Plan
A 16-year-old female comes into the ER with her parents for a laceration. After stitching the wound, the ER doctor orders her a T-DAP vaccination. Her parents refuse her to get the vaccine, stating they are fearful of the side effects. The patient understands the risks but wants to receive the vaccine. Who is allowed to consent in the case?
The Patient
A nurse learns that a hospital policy disproportionately affects patients from marginalized communities. By advocating for the policy to change she is upholding for what part of the Canada Health Act?
Accessibility
A nurse is providing care for a postoperative patient. The nurse evaluates the effectiveness of pain management interventions and adjusts the care plan based on clinical guidelines. What acronym is commonly used to conduct a pain assessment?
PQRST
A nurse spends time listening to a patient’s concerns about their upcoming surgery, validating their fears and offering emotional support. What is this example of building?
Therapeutic Nurse-Client Relationship
A nurse reflects on their past experience with a challenging patient and identifies that emotional reactions affected the care they provided. The nurse decides to change their approach for future patients. This is an example of:
Reflective Practice
A nurse is working in a hospital and is repeatedly looking up patients that they are not assigned to. When asked they state they are just curious about some friends and family members? What is this a breach of?
Confidentiality
A 38-year-old South Asian-Canadian is admitted for chest pain and requires a CABG. He has an extensive family history of Acute MI causing early death, including his father and uncle who passed away at 45. He is a non-smoker,admits he is not physically active, and works for Dofasco. What risk factor is non-modifiable in this scenario?
Genetics