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Practice Standards
Controlled Acts
Accountability
Values
Pot Pourri
100
A father expresses concerns abut his son's upcoming surgery. The nurse listens to the father's concerns and validates his feelings. What component of the nurse-client relationship is the nurse demonstrating? A. Trust B. Respect C. Empathy D. Professional intimacy
What is Empathy?
100
An RPN asks an RPN colleague to insert a Foley catheter (urinary catheter). What should the RPN colleague do? A. Confirm the order with the physician before inserting the catheter B. Accept the order and proceed with the catheter insertion C. Consult with an RN before proceeding D. Decline to accept the order
What is D. An RPN cannot order another nurse to perform a controlled act. If initiating a Controlled Act is within the scope of the RPN's role and competence, they may perform the procedure, but not order another nurse to perform it.
100
A client writes to the CNO stating that a nurse assaulted him during care. What action may the College take in this situation? A. Report the nurse to the employer B. Investigate the allegation C. Request that the nurse's employment be terminated D. Refer the complaint to the local police
What is B. The College is required under RHPA to investigate all complaints. (The employer may investigate too, but the CNO is obligated to investigate by law)
100
Fiona takes the full bedpan away to clean it immediately. Which essential nursing value is being displayed? A. Autonomy B. Social Justice C. Integrity D. Human Dignity
What is D. Fiona is respecting her client by ensuring that the environment is clean and free of odour. Also, respecting the client's privacy.
100
Give an example of a cognitive support at DC
What is SALS etc.
200
A nurse gives a double dose of acetaminophen to a client who only requires a single dose. What, if anything, must the nurse do? A. Ask a colleague to help assess the client B. Withhold the client's next dose of Tylenol C. Report the error as soon as possible D. Nothing, because it's an over-the-counter medication
What is C - Report the error ASAP. All nurses are accountable for their actions. Disclosure is important to ensure appropriate interventions can be taken.
200
The client is presenting in the Emergency Dept. with polydipsia, polyuria, and elevated blood glucose. The RPN states to the client, "Chances are that you have diabetes, my husband has it and had the same symptoms." Is the RPN practising within her scope of practice? A. Yes, as long as she is correct in her assumption of the health care condition. B. No, it is outside of an RPNs scope of practice to communicate a diagnosis based on the client's symptoms C. Yes, as long as the RPN saw the physician write the correct diagnosis in the client's chart D. No, but normally it would be OK if the client had a less serious condition
What is B. It is outside of the scope of practice of either an RPN or RN to communicate a diagnosis as the cause of a set of symptoms where it is foreseeable that the client will rely on the dignosis
200
These are the 3 aspects of the 3 Factor Framewrk
What are: The Client, The Nurse, The Environment
200
Fiona discusses the different pain medications that are available with her patient, Mr. Sanchez, to determine which would be most suited to minimize his pain. A. Social Justice B. Integrity C. Human Dignity D. Autonomy
What is D. Autonomy. Fiona is giving information about available treatment options for pain so that her patient can be involved in the decision-making process.
200
State 3 physical symptoms of test anxiety
What are: Perspiration, Sweaty palms, Headache, Upset stomach, Rapid heart beat, Tense muscles, Frequent urination
300
Providing culturally sensitive care is an example of a? A. Professional Standard B. Practice Guideline C. Practice Standard D. Ethics Standard
What is B. a Practice Guideline. Which assist nurses in understanding their responsibilities and in making safe, effective decisions.
300
Fiona, the community RPN regularly visits Mr. Sachez, who has type II diabetes, to monitor his vital signs and blood sugar. Mr. Sanchez reports that he has noticed a blistered area on the top of his foot, where his shoe rubs him. Fiona assesses that the skin is broken, so cleanses the wound with normal saline and applies a dressing. Is this with Fiona's scope of practice? A. Yes, if Fiona, has the knowledge, skill and judgement to perform the skill safely, and takes responsibility for her actions. B. Yes, if Fiona knows the client and is comfortable with all of the home care that he requires C. No, RPN,s are never allowed to perform controlled acts D. No, in this situation because Mr. Sanchez has diabetes, Fiona may not perform the controlled act
What is A. Yes, An RPN can cleanse, soak, or dress a wound below the dermis if she is competent to do so, has weighed the risks and benefits, determined that the client's condition warrants the procedure, and accepts full accountability for doing so.
300
These are the 2 components of the Quality Assurance program:
What are: A practice reflection, a learning plan
300
Mr. Sanchez slips and falls during Fiona's shift. She fills out a safety report and documents the incident in Mr. Sanchez's chart. A. Integrity B. Social Justice C. Autonomy D. Human Dignity
What is A. Documenting accurately and honestly is part of practising with integrity.
300
State 3 ways to manage test anxiety
What are: Know the material well, Practice good time management, Study throughout the semester, Understand not just memorize, Positive Self Talk, Imagery, Form Study Group – teach someone else, Use relaxation techniques etc.
400
Don, an RPN, takes the nephrology certificate course at Durham College to enhance the care of the patients that he cares for with kidney failure. This is an example of: A. Culturally sensitive care B. Ethics C. The nurse, the client and the environment D. Continuing competence
What is D. Continuing competence. Don is learning more about kidney disease to take better care of his patients.
400
Fiona, the RPN, is visiting Mrs. Cologna to assess her ankle ulcer and provide wound care. While she is there Mrs. Cologna states that she has run out of the Ibuprofen that she takes for her wound pain. Fiona has some in her purse and offers to give Mrs. Cologna a few to tide her over until she gets to the pharmacy. Is this within Fiona's scope of practice? A. Yes, as of 2014 the College of Nurses determined that nurses can dispense medications to their clients B. Yes, it doesn't matter because Ibuprofen can be purchased over-the-counter and Mrs. C is in her own home C. No, Fiona must have a physicians order to dispense medications and follow the guidelines for dispensing D. Who cares?
What is C. Fiona cannot dispense medications without a physician's or NP's order. Once she has the order she must adhere to the strict guidelines outlined in the Medication Practice Standard.
400
Sandra, an RPN, notices another nurse walking away from a client's bedside with the bed rails down. The client has a history of falls. What is Sandra's responsibility?
What is... taking action in situations in which client safety and well-being are compromised.
400
The nurse discusses the benefit of a stop smoking program with her client that has smoked a pack a day for 20 years. Which CNO ethical value does this relate to? A. Privacy and Confidentiality B. Fairness C. Client Well-Being D. Respect for Life
What is C. Client Well-Being
400
True or False. When writing multiple choice questions, cover the answers first then try to predict your own answer.
What is True
500
The plant manager, who is the occupational health nurse’s supervisor, has asked to see a worker’s health record. The nurse refuses to release the health record to the manager. The manager becomes angry and says she will discipline the nurse for not taking direction from a supervisor. This is an example of which value from the Ethics Standard? A. Privacy and confidentiality B. Client well-being C. Client choice D. Respect for life
What is A. Privacy and confidentiality. The manager has no right to look at the worker's private medical records.
500
Mr. Halloway has an order for intravenous ampicillin. Can the RPN give the IV antibiotic? A. Yes, she can B. No, she can't C. Yes, she can if an RN is present D. Yes, but she needs special training in order to do so
What is A. Yes, she can
500
Nora, an RPN, has looked after clients with drainage tubes in the past, but it has been several months since her last client with any drainage tubes. Her client, Johnny, has 2 Jackson Pratt drains insitu, from his abdominal surgery. What is Nora's responsibility?
What is ....ensuring her competence and refraining from performing activities that she/he is not competent in;
500
The nurse advocates for a children's breakfast program for low income families in her community. Which CNO ethical value does this relate to? A. Fairness B. Client Well-Being C. Truthfulness D. Respect for Life
What is A. Fairness
500
Name 1 of the 4 roles of the College of Nurses
What are: 1 Establishing the requirements for entry to practice, 2 Establishing and promoting practice standards, 3 Administering the Quality Assurance Program, 4 Enforcing the standards of practice and conduct