Jurisprudence Exam Questions and Answers 2022

1. A client expresses a wish to die at home. The nurse discusses the client’s expectations and negotiates a plan of care involving all relevant parties. According to the CNO Practice Standard: Therapeutic nurse-client ...

1. A client expresses a wish to die at home. The nurse discusses the client’s expectations and negotiates a plan of care involving all relevant parties. According to the CNO Practice Standard: Therapeutic nurse-client relationship, Revised 2006, which Standard Statement does this demonstrate? – Client – Centered Care 2. A client has been deemed incapable of making her own decisions and has no family. Whom should the nurse contact for decision-making and consent for treatment? – The office of the public guardian and trustee. 3. A client has frequent visitors in his room. A regular practice on the unit is to do bedside reports. Based on the content of the CNO Practice Standard: Confidentiality and Privacy – Personal Health Information, what does the nurse need to do prior to the report? – Ask the client’s visitors to leave the room during the report unless the client requests that they stay. 4. A client is transferred to palliative care. The client asks for the nurse’s personal cellphone number in case he has questions regarding pain management. Based on the content of the CNO practice Standard: Therapeutic nurse-client relationship, Revised 2006, what should the nurse do? – explore the client’s concernsregarding pain management. 5. A client requires chemotherapy and radiation. The client agrees to the treatment on the condition that he receives constant nursing support due to his anxiety. What should the nurse do? – Advocate for effective care for the client. 6. A client situation arises that may present an ethical issue. What isthe first thing the nurse must do? - Determine the client’s wishes 7. According to CNO, nurses must obtain explicit consent for which one of the following actions? – assessing a person’s capacity to make decisions about treatment. 8. According to the CNO Practice Standard: Confidentiality and Privacy – Personal Health information, what is the ‘lockbox provision’? – A client instructs that a part of his or her personal health information is notshared with other providers. 9. According to the CNO Practice Standard: Decisions about Procedures and Authority, Revised 2006, what is one of the four standards a nurse must consider before performing any procedure? – Appropriate care provider. 10. According to the CNO Practice Standard: Documentation, Revised 2008, which one of the following statements best demonstrates appropriate documentation? – “Clientstates his pain is a ‘1 out of 10’.” 11. According to the CNO Practice Standard: Ethics, how is ‘’ defined? - Allocating health care resources on the basis of objective health related factors. 12. According to the CNO Practice standard: Ethics, what is a component of the definition of the ethical value of ‘Truthfulness’? – speaking or acting without intending to deceive. 13. According to the CNO Practice Standard: Ethics, what is one of the ‘Ethical Values’? – Maintaining commitments 14. According to the CNO Practice standard: Ethics, which one of the following statements best describes the Ethical value related to ‘Privacy and Confidentiality’? – Clients need to be informed that their relevant health information will be shared with the health care team. 15. According to the CNO Practice Standard: Ethics, which one of the following terms represents an Ethical Value related to client choice? – Self-respect 16. According to the CNO Practice Standard: Professional Standards, Revised 2002, what is one element of accountability? -Nurses are accountable for their actions and their consequences. 17. According to the CNO Practice Standard: Professional Standards, Revised 2002, what is the purpose of the seven Standard Statements? – They list the specific knowledge, skills, judgment, and attitudes that nurses must demonstrate at all times. 18. According to the CNO Practice Standard: Professional Standards, Revised 2002, which actions by a nurse best describe the Standard Statement ‘Knowledge Application’? – recognizing that a client is exhibiting the symptoms of a stroke and taking appropriate action. 19. According to the CNO Practice Standard: Professional Standards, Revised 2002, which one of the following descriptions best reflects the Standard Statement related to ‘Accountability’? – Each nurse is accountable to the public and responsible for meeting legislative requirements and the standards of the profession. 20. According to the CNO Practice Standard: Professional Standards, Revised 2002, which one of the following options best reflects the Standard Statement of ‘Knowledge Application’? – incorporates evidence-informed practice into clinical performance. 21. According to the CNO Practice Standard: Therapeutic nurse-client relationship, Revised 2006, which one of the following Standard Statements best describes the nurse’s accountability? – self disclosure 22. A 14-year old girl presents at a birth control center requesting the oral contraceptive pill. She has a boyfriend, but has not yet had sex. How can the RN provide client-centered care? – explore sexuality and birth control methods with the client. 23. An 80-year old nursing home resident with advanced Alzheimer’s disease requires minor surgery. Which of the following individuals should sign the consent for his operation? – The person named as his power of attorney for personal care. 24. An emergency department nurse is providing care to a 5- year old with a fractured humerus. Upon review of the health record, the nurse notes that the child has presented to the emergency department on several occasions with unexplained injuries over the previous 8 months. What should the nurse do? – Inform the attending physician. 25. An NP has written an order for an influenza immunization at a local clinic. Whatshould the RPN do? – implement the order. 26. An occupational Health nurse reveals to a manager that one of their probationary employees is pregnant. What, if anything, is wrong with this action? – The nurse has breached confidentiality. 27. An RN is precepting a nursing student. The student is performing many aspects of care. In this situation, what is the role of the RN? – Supervising 28. An RN writes an order for daily irrigation of a wound for a home care client. The next day, a different nurse comes to the client’s home. How should the second nurse proceed? – call the physician for an order. 29. A RN case manager visits a client in the community whose needs are becoming more complex. According to the CNO Practice Guideline: RN and RPN Practice: the client, the nurse and the environment, what is one factor that the case manager must consider when determining the appropriate category of care provider? – Environment 30. An RPN and an NP practice collaboratively. The NP has written an order for acetaminophen (Tylenol) for pain. What is the RPN’s responsibility? – Administer the medication as ordered. 31. An RPN assesses that a client in the home requires routine urinary catheterization. What must be considered prior to initiation? – identifying the risks and benefits of the procedure. 32. An RPN employed as an unregulated care provider (UCP) administers a medication and an error is identified. To what level of accountability will CNO hold this staff member? – As an RPN. 33. A nurse disagrees with a client’s decision to terminate a pregnancy for genetic reasons and wishes to discontinue nursing care. What should the nurse do first? – Discuss changing the client’s plan of care with the health care team. 34. A nurse documents all the care provided during the workday at the end of the shift. Which documentation standard has the nurse breached? – Care must be documented in a timely manner. 35. A nurse hasrecently relocated and changed employers. What isthe nurse’sresponsibility to CNO? – Immediately update any changes to the nurse’s employer or home address with CNO. 36. A nurse has relocated to Ontario from Florida, USA. Which one of the following facts is the nurse obligated to report to CNO? – The nurse has been disciplined by the Florida state nursing regulatory body. 37. A nurse is advocating for a group of clients to obtain government subsidies for adequate nutrition. According to the CNO Practice Standard: Professional Standards, Revised 2002, which one of the following standard statements best describes the nurse’s actions? – accountability 38. A nurse is asked by a client’s employer for information on the client’s prognosis. What information, if any, can the nurse disclose? – No information without consent from the client. 39. A nurse is assigned to a client with complications following a therapeutic abortion, which is in direct conflict with the nurse’s values and religious beliefs. What action should the nurse take in this situation? – Find another nurse to care for the client. 40. A nurse is caring for a client on life support. The client’s estranged spouse, who is the client’s power of attorney for personal care, visits on a regular basis. The nurse has become attracted to the client’s spouse and has been invited to the spouse’s home for dinner. What demonstrates protecting the client from abuse? – declining the invitation to the spouse’s home. 41. A nurse is caring for an 87-y