Angelin, a nurse in the ICU feels

Angelin, a nurse in the ICU feels extremely exhausted almost all days, and is highly irritable and angry, has low levels of job satisfaction. This may be due to a. Preexisting mental illness b. Compassion fatigue caused by burnout c. Burnout caused by compassion fatigue d. Physical overload Nursing students are encouraged to use self-marketing strategies to move from planning their careers to achieving their career visions. All of the following are ways in which nursing students can market themselves, except: a. Building networks with the nursing staff b. Finding a mentor c. Developing a strong resume d. Developing a career plan Peter is a nurse practitioner working remotely. Peter calls Kate, the nurse, to provide a verbal order to administer medication. Can Kate accept the order over the phone? a.Yes, if Peter’s order is clear and complete b. No, Kate cannot accept verbal orders c. Yes, Kate can accept the verbal order, but she must document it immediately and in the order that she received it d.Yes, but Kate can only do so in an emergency According to Kelly (2020) “an emotional response culminating in a decrease in feelings towards others” is consistent with the definition of: a.Compassion fatigue b. Apathy c. Caregiver stress d. Burnout The area in which newly graduated nurses have the highest level of competence is a. stress management b. leadership c. psychomotor skills d. conflict resolution The Nursing Graduate Guarantee Initiative a. provides 20 weeks of funding for the nurse’s transition to practice period b. is open only to Canadian-educated nurses c. provides 12 weeks of funding for the nurse’s transition to practice period d. is open only to graduates of baccalaureate programs Which statement most accurately reflects the concept of initiation of a controlled act authorized to nursing? a. General class registered nurses and registered practical nurses may put an instrument or finger into a body opening for the purpose of treating a health problem b.An experienced registered nurse may provide an order for a less experienced registered nurse to perform venipuncture for the purposes of establishing access only when delaying this procedure may be assessed as harmful c.Administering a substance by inhalation is an example of a controlled act authorized to nursing that may be initiated independently by a nurse d. Registered nurses on a medical unit in a hospital can independently decide to initiate a procedure in the absence of a medical order John is suffering from a chronic disease and would like to end his life. John requests the doctor to suggest ways to end thier life. The doctor provides medication that will help end Johns life. This is termed as: a. Euthanasia b. Physician assisted suicide c. Physician assisted euthanasia d. Medical Assitance in Dying Which one of the following statements is most representative of the College of Nurses of Ontario’s Practice Reflection process? a. Nurses must submit their learning plan and goals to their employer on an annual basis b. Nurses can choose whether or not to participate c. Seeking peer feedback is not required when undergoing practice reflection d. It is a self-directed process A nursing student accompanies the medical team as they get consent for surgery from a patient. When the student informs the physician that the patient does not speak English and requires a translator, the physician responds, “it doesn’t matter; it’s a straightforward procedure.” The student knows that a translator should be called but is afraid to speak against the physician. Which concept best describes this situation for the student? a.Moral autonomy b. Moral distress c. Moral residue d. Moral integrity Robots in healthcare a. increase both health care and hospital costs b. increase waste because of increased recycling rates c. improve patient care and increase medication error d. provide sophisticated levels of measurability and traceability When privatization of health care services occur, this violates which of the following principles of health care legislation in Canada? a. Public Administration b. Universality c. Portability d. Accessibility Transcultural issues and conflicts are more likely to arise when nurses: a. Judge other people’s behavior by the person’s own cultural values b. Understand their own cultural beliefs and values C. Are aware of their own biases and judgments against others d. Judge other people’s behavior by the nurse’s own cultural values When privatization of health care services occurs, this violates which of the following principles of health care legislation in Canada? a. Universality b. Public Administration c. Accessibility d. Portability In quality improvement, the type of measure that captures system performance is called a. a balancing measure b. a process measure c. an outcome measure d. a PDSA measure According to the College of Nurses of Ontario’s Ethics Practice Standard, advocating for nursing input into policies relating to client care is a. a behavioural directive within maintaining commitments to the nursing profession b. a behavioural directive within maintaining commitments to quality practice settings c. a behavioural directive within maintaining commitments to oneself d. a behavioural directive within maintaining commitments to nursing colleagues Each day, Larry a nurse, tweets about his shift on Twitter. Which one of the following best reflects professional judgment concerning Larry’s participation on Twitter? a. According to the Code of Conduct, Larry should avoid using Twitter b. Larry must take care to never write about his patients c.Participating on a social networking sites, such as Twitter, is a great use of technology for professional development d. Larry can tweet about his patients if he has received their consent Arnold, a new graduate nurse is caring for a patient with a peripherally inserted central catheter (PICC) line that requires flushing. This is a skill that Arnold has not practiced before. To ensure safe and professional care, which of the following is the most appropriate course of action for Arnold? a.Ask the nurse educator to provide a bedside education session for him when they are available b. Attempt to flush the PICC line as he would a peripheral intravenous line c. Ask the charge nurse to assign another nurse to complete the skill and then arrange for a session with the nurse educator on PICC line care d. Leave the flushing of the PICC line for the oncoming nurse, whose shift starts in an hour Which of the following occurs during the initial stage of transition (transition stages model)? a. Performing skills and complex routines is a priority b. The graduate is capable of advanced reasoning c.Thinking is relatively inflexible and prescribed d. New graduates advocate for change in their practice areas Daniel, a middle-aged man, suffering from mental illness is requesting the RN about MAID. The best response of the RN would be: a. “MAID is an option and you can discuss with your doctor” b. “MAID is not an option as the death is not imminent” c. “MAID is not an option with the existing laws” d. “MAID is an option only when you become cognitively impaired” Nurse John is not a part of the team that is providing care to a patient named Marcus. However, John is curios to know the diagnosis and access the medical records of John. John could be punished under which of the acts? a. Privacy and Confidentiality act b. Personal health information protection act c. Electronic health information protection act d. Nursing act Nurses who take part in the College of Nurses of Ontario’s (CNO) Quality Assurance Program and practice in accordance to CNO’s standards of practice, best exemplify which one of the following principles of the CNO’s Code of Conduct? a. Nurses maintain public confidence in the nursing profession b. Nurses work respectfully with colleagues to best meet patients’ needs c. Nurses maintain patients’ trust by providing safe and competent care d. Nurses acting with integrity to maintain patients’ trust What is the main reason for regulation laws in the nursing profession? a. To provide an opportunity for nurses to validate their expertise in a specialty area b. To enhance the quality of nursing care and improve health outcomes c. To ensure that nurses demonstrate knowledge, skill, and judgment in a professional role d. To protect the public against unqualified and incompetent nurses Nurse Tim is the charge nurse working on a busy medical-surgical unit. Two nurses have called in sick and another is feeling unwell. If Tim decides to delegate tasks to other healthcare professionals until float nurses arrive. Which one of Tim’s delegations would be inappropriate? Suctioning to the speech-language pathologist Intermittent bladder catheterization to an occupational therapist Administration of inhaled salbutamol to a physiotherapist Dispensing medication to the respiratory therapist 25. Which nursing organization below most likely has the following function/role description: “An organization that is committed to improving the economic welfare and quality of work-life for its members, to enable them to provide high-quality health care.” Canadian Nurses Association College of Nurses of Ontario Ontario Nurses Association Registered Nurses Association of Ontario 26. Kelly, a nurse, reflected on her practice and decided to participate in e-learning opportunities offered through her employer, attend a research conference, and complete a nursing assessment refresher course at a community college. She ensures to do these types of activities annually. Which of the following practices best describes what Kelly is taking part in? a.Continuing education B. Reflective practice c . Fitness to practice d.Continuing competence 27. Which one of the following statements is true about the controlled act of psychotherapy? a.An order is needed before a nurse can perform psychotherapy in some community settings b. Activities such as providing support, encouragement and health teaching are considered as part of psychotherapy c. At least four elements must be met for the nurse to perform psychotherapy d. Nurses can use the title psychotherapist under specific regulatory requirements Next 28. Nursing students are encouraged to use self-marketing strategies to move from planning their careers to achieving their career visions. All of the following are ways in which a nursing student can market themselves, except: a. Developing a strong resume b. Developing a career plan c. Finding a mentor d. Building networks with the nursing staff 29. The acronym PDSA stands for a. Propose, Define, Supervise, Act b. Plan, Do, Study, Act c. Plan, Define, Supervise, Act d. Propose, Define, Study, Act 30. Anton, a nurse, ‘liked’ a colleague’s post on Facebook. The post discussed a patient that the colleague recently cared for and included the patient’s identifying information, such as name and diagnosis. Which one of the following is the most appropriate in describing Anton’s action? a. Anton should not ‘like’ or comment on any of his work colleague’s posts on any social media platform, including Facebook b. Since Anton did not make the post himself, by ‘liking’ it he did not do anything wrong C. “Liking’ the colleague’s post is the same as making the post himself d. Anton was using his private Facebook account, so it was okay for him to ‘like” the post 31. Which of the following is true about the College of Nurses of Ontario Quality Assurance Program? a. Is mandatory for all nurses every year b. Assesses nurses’ knowledge of the standards c. Requires 3-4 learning goals d. Is a multiple choice exam completed each year 32. A nurse who is involved in the career planning process scans the environment to: a. Identify individual preferences for specific nursing positions b. Determine issues and trends in a particular clinical area c. Imagine an ideal system in which optimal nursing care may be provided d. Identify resources within the environment 33. Under the Canada Health Act (1984), our healthcare system requires universality. Which of the following answers defines universality? a. Depending on income a person may pay at source for certain medical treatments b. Insured health care services are the same across Canada c. Everyone physically in Canada is entitled to free at-source health care services d. Insured residents are entitled to receive the same level of insured healthcare services 34. Mrs. Lee is 70 years old who requires a hip replacement after a bad fall. Mrs. Lee must wait 14 months for the surgery. Which principle does this violate? a. Universality b.Accessibity c. Medical Necessity d. Public Administration 35. Sara, is new graduate. According to transition stages model it would take how many months for Sara to complete the stage of crisis in confidence? a. Seven to Nine months b. four to five months c. Nine to Twelve months d. Three to four months 36. Transcultural issues and conflicts are more likely to arise when nurses: a. Judge other people’s behaviour by the person’s own cultural values b. Judge other people’s behaviour by the nurse’s own cultural values C. c.Understand their own cultural beliefs and values d. Are aware of their own biases and judgments against others 37.The CNO Code of Conduct was a. developed to encompass nine themes related to nurse competencies b. developed to encompass nine themes related to nurse accountability c. developed so the Ontario public knows what to expect of nurses registered with CNO d. developed for graduates who want to become registered with NO 38. In which of the following situations should the care of a client likely not be transferred to an unregulated care provider? a. The activity will be performed infrequently b. Only telephone consultation is readily available in the community c.The client’s response to a planned procedure is predictable d. The client’s condition is well-controlled or managed 39. Myles is a registered nurse who has been working throughout the pandemic. Myles is aware that he no longer has the emotional capacity to practice competently. Myles should perform which action first? a. Request a week’s vacation b. Speak with manager about withdrawal from patient care c. Speak with the unit’s social worker about next steps to take d. Withdraw from providing patient care to prevent harm to patients 40. Nurse Jackie has posted written derogatory comments about nurse Mary. This is termed as a. Slander b. Assault c. Libel d. Fruad 41. Nursing informatics: a. comprises a science and practice that integrates nursing, its information and knowledge, and their management with information and communication technologies to promote the health of people, families, and communities worldwide b. produces a health record that holds at least a portion of the relevant health information about a person over their lifetime c.comprises a combination of vital and health statistical data from multiple sources that are used to derive information and make decisions about the health needs, health resources, costs, use, and outcomes of health care D. encompasses the digital and analogue technologies that facilitate the capturing, processing, storage, and exchange of information via electronic communication 42. The CNO RN Jurisprudence Examination a. tests knowledge and understanding of laws and regulations that pertain to nursing in Ontario b. may be written any time after a graduate successfully passes the NCLEX-RN c. tests the physical and behavioural skills graduates need to practice as an RN in Ontario d. must be passed in a maximum of five attempts 43. The seven broad standard statements in the NO Professional Standards document a. include authoritative statements that set out the legal and professional basis of nursing practice in Ontario. b. provide a comprehensive, prescriptive document that registered nurses in Ontario must adhere to at all times c. do not interpret nursing’s scope of practice in Ontario d. provide a comprehensive, prescriptive document that registered nurses in Ontario must adhere to sometimes 44.The Regulated Health Professions Act (RHPA) identifies 14 controlled acts for the 29 regulated health professionals. Which of the following statements best describes the RHPA? O a. Each College is responsible to mandate and monitor high quality health care, knowledge based on nursing practice, and deliver excellence in professional development • b. The scope of practice of nursing is caring for individuals, families and communities through the assessment of, provision of, care for, and the treatment of disease conditions to attain or maintain optimal function O c. Registered nureses and registered practical nurses are authorized to perform 5 of the 14 controlled acts O d. Controlled acts are defined as acts that could cause harm if performed by those who do not have the knowledge, skill or judgment to perform them 45.Medical Assistance in Dying (MAID): Conscientious objection allows the RN to a. not administer MAiD-prescribed medications b. not document a patient’s request for MAiD c. express judgment on the patient’s values/beliefs regarding MAiD d. transfer care of a patient to another provider who can address the patient’s needs 46.The restrictions to MAiD in Canada are all the following, EXCEPT: a.Available to residents with long-term disability b. MAiD cannot be consented in advanced directives c. Not available to minors d. Available only to residents eligible for Canadian health care coverage 47.The Nursing Graduate Guarantee Initiative a. is open only to Canadian-educated nurses b. provides funding for a 12-week, full-time transition into practice period for the new nurse c. is open only to graduates of baccalaureate programs d. provides funding for a 20-week, full-time transition into practice period for the new nurse 48.Arnold, a nurse, is caring for a patient with a peripherally inserted central catheter (PICC) line that requires flushing. This is a skill that Arnold has not practiced before. To ensure safe and professional care, which of the following is the most appropriate course of action for Arnold? a. Ask the charge nurse to switch patients with another nurse who has such experience and then arrange a session with the nurse educator on PICC line care b. Leave the flushing of the PICC line to the oncoming shift, which starts in only one hour c. Ask the nurse educator to provide a bedside education session for him when she is available d.Attempt to flush the PICC line as he would with a peripheral intravenous line 49.Which of the follwoing statements by an RN demonstrates a proper understaning of the term duty of care? a. Refers to the deontology of providing care b. Refers to the obligation to help people in the circle of care c. Refers to the obligation to provide care d. Refers to the obligation to help and not cause harm 50.Each day, Larry, a nurse, tweets about his shift on Twitter. Which one of the following best reflects professional judgement concerning Larry’s participation on Twitter? a. Larry can tweet about his patients if he has received their consent b. Participating on a social networking site, such as Twitter, is an optimum use of technology for professional development c. Larry must take care to never write about his patients d. Larry, according to the Code of Conduct, should not participate in Twitter 51.The seven broad standard statements in the NO Professional Standards document a. include authoritative statements that set out the legal and professional basis of nursing practice in Ontario. b. do not interpret nursing’s scope of practice in Ontario c. provide a comprehensive, prescriptive document that RNs in Ontario must adhere to at all times d. provide a comprehensive, prescriptive document that RNs in Ontario must adhere to 52.Which of the following situations would best be addressed by the Registered Nurses Association Ontario, and reflect an aspect of this organization’s mandate? a. A manager is notified by nursing staff of safety concerns in the workplace and wonders where to seek advice b. A new baccalaureate graduate has questions about which practice competencies they are required to meet in their new work setting c. A nurse identifies a common area of nursing practice for which there are no standardized practice recommendations d. An educator would like to share their innovative teaching approaches at a national level 53. Nurses who respect the interests and acknowledge the special history of Indigenous Peoples as outlined in the Calls to Action (2012) document by the Truth and Reconciliation Commission of Canada, best exemplify which one of the following CNA’s Code of Ethics nursing values? a. Providing safe, compassionate, competent and ethical care b. Promoting justice c. Promoting health and well-being d. Honouring dignity 54.During the Medical Assistance in Dying (MAID) process (before any 2020 amendments) a. it is illegal for nurses to participate b. only a physician can administer the medication to the patient c. the patient can self-administer the medication d. both a nurse practitioner and physician must administer the medication to the patient 55.During the process of medical assistance in dying (MAiD) in Canada, which of the following statements is correct? a. Patients can self-administer the prescribed medication b. Registered nurses and registered practical nurses can administer the prescribed medication to the patient if there is a medical order c. Only a physician can administer the prescribed medication to the patient d. Registered nurses and registered practical nurses can administer the prescribed medication to the patient if delegated by a physician 56. In which of the following situations is it most appropriate for a nurse to disclose a patient’s personal health information? a. To lower the risk of serious harm to another person b. To the patient’s work manager so that the manager knows when to expect the patient to return to work c. To the patient’s family member requesting the information d. To the patient’s insurance company requesting the information to process a reimbursement claim for the patient 57.Which of the following situations would best be addressed by the Registered Nurses Association of Ontario, and reflect an aspect of this organization’s mandate? a. An educator would like to share her innovative teaching approaches at a national level b. A new baccalaureate graduate has questions about which practice competencies they are required to meet in their new work setting c. A nurse identifies a common area of nursing practice for which there are no standardized practice recommendations d. A manager is notified by nursing staff of safety concerns in the workplace and wonders where to seek advice 58.When working with technology, nurses must remember that a. technology may dehumanize nursing care b. technology improves health care costs savings c. technology enhances the activities of human beings d. data from technology answers nurses’ questions 59. Nurses who fail to comply with the Medical Assistance in Dying (MAID) legal requirements a. may be convicted of a criminal offense b. may use ignorance of the expectations re MAiD as a reasonable defense c. are not sanctioned by the CNO if their values/beliefs are in conflict with MAiD d. are not held legally liable if their values/beliefs are in conflict with MAiD 60.Which of the following professional is allowed to obtain consent for MAiD?: a. Clinical Nurse Educators b. Nurse practitioners c. Registered Nurses d. Anesthesiologists 61.Myles is a registered nurse who has been working throughout the pandemic. Myles is aware that he no longer has the emotional capacity to practice competently. Myles should perform which action first a. Speak with manager about withdrawal from patient care b. Speak with the unit’s social worker about next steps to take c. Request a week’s vacation d. Withdraw from providing patient care to prevent harm to patients 62.According to the College of Nurses of Ontario’s (CNO) Ethics Practice Standard, participating in CNO’s Quality Assurance Program is: a. a behavioural directive within maintaining commitments to the nursing profession b. a behavioural directive within maintaining commitments to oneself c. a behavioural directive within maintaining commitments to quality practice settings d. a behavioural directive within maintaining commitments to nursing colleagues 63.Under the Canada Health Act (1984) which of the following statements is false? • a. Provinces and territories determine which services will be coverered b. The federal government covers the cost of provincial health care services c. Provinces/territories and the federal government equally share the cost of health care services d. The federal government transfers funds to provinces when they comply with the Act 64.A registered nurse (RN) in a pacemaker clinic receives delegation from a physician to adjust a pacemaker. The nurse becomes busy with a patient in crisis when a registered practical nurse (RPN) tells her that a patient’s paced heart rate is slow and asks if she can adjust the rate instead of the RN? For which one of the following reasons should the nurse refuse to delegate this act to the RPN? a. An RN cannot delegate an act that has been delegated to them b. Controlled acts cannot be delegated c.The client is unstable d. An RPN is not competent to adjust a pacemaker 65.Under the Canada Health Act (1984), our health care system requires universality. Which of the following defines universality? a. Everyone physically in Canada is entitled to free at source health care services b. Insured health care services are the same across Canada c. Depending on income a person may pay at source for certain medical treatments d. Insured residents are entitled to receive the same level of insured health care services 66.Professional purpose is a.outlined by each regulatory body b. included in the mission statement of many organizations c. unique to each individual nurse d. for unregulated health care providers 67.Nurses who recognize the impact of social determinants of health on their patients’ ability to access a range of health services, best exemplify which one of the following Canadian Nurses Association’s Code of Ethics nursing values? a. Being accountable b. Promoting health and well-being c. Promoting and respecting informed decision-making d. Promoting justice 68.What is the main reason for regulation laws in the nursing profession? a. To enhance the quality of nursing care and improve health outcomes b. To provide an opportunity for nurses to validate their expertise in a specialty area c. To ensure that nurses demonstrate knowledge, skill, and judgment in a professional role d. To protect the public against unqualified and incompetent nurses 69. All of the following people can access MAiD in Canada except: a. Patient whose natural death is reasonably foreseeable b. A terminally ill patient with liver failure who is expected to lose their ability to consent in the next 2 days c. Patient with stage 4 terminal lung cancer d. Patient seeking assisted suicide 70. The Regulated Health Professions Act (RHPA) identifies 14 controlled acts for the 29 regulated health professionals. Which of the following statements best describes the RHPA? a.Each College is responsible to mandate and monitor high quality health care, knowledge based on nursing practice, and deliver excellence in professional development b. Controlled acts are defined as acts that could cause harm if performed by those who do not have the knowledge, skill or judgment to perform them c. The scope of practice of nursing is caring for individuals, families and communities through the assessment of, provision of, care for, and the treatment of disease conditions to attain or maintain optimal function d. Registered nurses and registered practical nurses are authorized to perform 4 of the 14 controlled acts 71.Fiona, a registered nurse is informed she is about to receive an admission and she needs to complete a dressing change for one of her clients. Fiona decides to delegate the dressing change to an unregulated care provider. Prior to the delegation, Fiona needs to ensure which of the following? Select all that apply. A. Another registered nurse is available if the unregulated care provider has questions B, The client is stable c. There are clear policies in place d. The unregulated care provider has done dressing changes for other clients 72.According to Donner & Wheeler (2010), nurses progress through five stages in their careers. The first stage is: a. Withdrawal b. Learning c. Consolidation d. Entry 73. A new graduate nurse is caring for Mr. Taylor and receives orders from the physician for a dry dressing to be applied to Mr. Taylor’s open leg ulcer. The new graduate nurse believes that this treatment no longer holds as best practice and so performs a search and critical appraisal of online literature and resources to support this clinical judgment. Which of the following nursing informatics competencies is the new graduate nurse best demonstrating in this situation? a. Uses information and communication technologies in accordance with professional and regulatory standards and workplace policies b. Uses appropriate assessment tools and techniques in consultation with clients and other health care team members c Uses relevant information and knowledge to support the delivery of evidence informed patient care d. Uses information and communication technologies in the delivery of patient/client care 74.Emmanuel is a registered nurse who learns that there is a limited supply of personal protective equipment available during the shift. Which of the following actions is most appropriate for Emmanuel to take? a. Refuse to work in such an environment b. Discuss with the manager his concerns and how they can be addressed c. Inform the patients that he can no longer provide nursing care d.Document in each patient’s chart the reason care could not be performed 75. Michael, a new graduate is inquiring about the supports available for the new graduates. All of the following supports are available from the College of Nurses of Ontario for new graduates except: a. Mentorship b. Professional standards c. Practice support d. Ask a related to practice 76.A registered nurse (RN) in a pacemaker clinic receives delegation from a physician to adjust a pacemaker. The RN becomes busy with another patient in crisis. A registered practical nurse (RPN) tells the RN that the patient’s paced heart rate is slow and asks if she can adjust the rate instead of the RN? For which one of the following reasons should the RN refuse to delegate this act to the RPN? a. Controlled acts cannot be delegated b. An RPN is not competent to adjust a pacemaker c. The client is unstable d. An RN cannot delegate an act that has been delegated to them 77.A registered nurse (RN) in a pacemaker clinic receives delegation from a physician to adjust a pacemaker. The RN becomes busy with another patient in crisis. A registered practical nurse (RPN) tel

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