1. Healthcare Informed consent is a signed

1. Healthcare Informed consent is a signed document that is required for all hazardous procedures. Which of the following are required elements of informed consent: A. The person must be over the age of 16 and understand the information provided? B. The client cannot change his mind once consent has been given C. There must always be parental consent when it comes to children, regardless of their age D. The person must understand the risks and beneFits of the procedure and treatment,the risks of not undergoing the procedure or treatment, and any available alternative 2. RPN Hillary works on a surgical unit. There is an influenza epidemic on the unit. Hilary is a single parent and has two school aged children. Her children want her to call in sick because they are afraid of getting the flu from her. If Hillary follows the CNO Practice Standard Refusing Assignments and Discontinuing Nursing Services, what should she do? A. She has a duty to work but can discuss her concerns with her manager B. Call her employer and say she is sick C. Discuss her concerns with her manager and ask another colleague to work her shifts D. Ask her manager to explain to her family that she must work 3. Alex is brought to the emergency department by his family after intentionally trying to kill himself, he states that he does NOT want to be at the hospital and he wishes he was dead. He is assessed by the doctors who determine that Alex needs a psychiatric admission for safety, which admission and form would the Doctor need to order? A.Voluntary: Form 1 B. Involuntary:Form 2 C. Voluntary:Form 2 D. Involuntary: Form 1 4. According to the CNO Practice Guideline, Refusing Assignments and Discontinuing Nursing Services, employers are responsible for: A.Establishing a safe working environment B. Protecting the rights of the recipients of care C. Providing risk situations for patients in isolation D. Informing clients of unknown outcomes of care 5. Regarding restrictions on delegating, consider this statement: RNs and RPNs cannot delegate the controlled act of dispensing a drug. A. Correct B. False C. Using the three-factor framework, RN may be able to delegate to RPN D. Depends on the workload of the RN and RPN 6. According to RNAO’s Healthy Work Environment Framework, recommendations for addressing issues at the Meso level includes all of the following EXCEPT: A. Promoting choice of shift B. Enforcing breaks C. Occupational health and safety policies D. Role clarity 7.What scheduling strategies can reduce nurse fatigue? A. Working no more than six 12-hour shifts in a seven day period B. Limiting the number of hours worked in one day to 12-hours, not including on call hours C.Advocate for a shift schedule that apply to circadian rhythm principles D. Encouragement not to take breaks so they can leave early 8. The CNO’s Jurisprudence examination assesses all of the following for its applicants except: A. Knowledge and understanding of the laws B. Practice standards and guidelines that govern the nursing profession in Ontario C. Disciplinary actions and protocols D.. Knowledge and understanding of regulations and by-laws 9. Nurses themselves can reduce fatigue by: A. Working part time at 2 different jobs B. Refusing overtime hours C. Advocating for clients with fewer care needs D. Scheduling 5 shifts in a row so that they can have several days off 10. According to the Health Care Consent Act, which of the following individuals would be considered incapable of making his/her own health care decision? A. A 74 year old with an acute hearing impairment who is taking a number of medications B. A 45 year old smelling of alcohol that is responding accurately to questions, and wants to talk to someone about rehab C. An agitated 25 year old female who keeps changing her mind about treatment and possible outcomes D. A 14 year old who expresses an understanding of the treatment and consequences 11. A substitute decision maker is required when: A. A client is deemed “capacity to give consent” B. A client is struggling to decide whether they should consent to a treatment C. A client is unable to make their own health care decisions D. A client is a minor 12. The nurse demonstrates the standard of security by doing all of the following except: A. Maintaining confidentiality of the client’s health record B. Accessing only the health records for clients which the nurse is providing care C. Using correction tape to correct documentation errors to ensure accurate medical records D. Logging off the computer so that others cannot gain access through his password 13. In the Practice Guideline; Refusing Assignments and Discontinuing Nursing Services, the CNO gives a process for decision-making about discontinuing or refusing an assignment. The process includes four components. The first step is: A. Completing research about best practices B. Call your nurse educator for help C. Identify the issues, conflicts and your values D. Follow instructions and then complain 14. While Sandeep was walking to work an older lady fell on the side walk. Sandeep was aware that there was ice on the sidewalk but did not do anything to prevent the woman from falling. Sandeep: A. Could be found guilty of negligence because he owed a duty to the older woman B. Could be found guilty of negligence because his inaction resulted in the woman’s injury C. Could not be found guilty of negligence because he had no obligation to act in this situation D. Could not be found guilty of negligence because he fulfilled his duty 15. The physician asks the nurse to obtain written consent from the client for electroconvulsive therapy. The client was medicated with Lorazepam (CNS depressant) 30 minutes ago and is currently sleeping. In order to establish an informed consent the nurse knows that: A. The client cannot be under the influence of medication that may alter cognition B. The client cannot have a diagnosed mental disorder or illness C. The client has to have a high school education D. The client cannot receive any medication 15 minutes prior to signing the consent form 16. Which of the following criteria must be met for an involuntary mental health admission? The D . client is homeless A. The client is unable to provide for basic needs B. The client reports a history of depression C. The client requests admission to the hospital 17. Alyssa is a client on a mental health unit. On admission, she is a voluntary client and is competent to make treatment decisions. She is diagnosed with an eating disorder. At meal times she is anxious and only eats fruit with ice cream. Her nurses want to give her a prn (take as needed) medication to reduce her anxiety in order that she will eat more food. Alyssa is undernourished and has lost weight. Patients with mental illness and their families often feel isolated because: A. Mental illness is often associated with a stigma C. Their illness makes them want to stay alone C. Their behavior is usually very bizarre D. Confidentiality prevents them from talking about their illness 18. Margot Bentley was a long-time nurse, working mostly with patients with dementia. She wrote a living will to be followed when she could not make her own decisions about treatment. She was determined not to die a slow, lonely, frightful death like so many of her patients. Mrs. Bentley currently has severe dementia and lives in a long term care facility. She is being spoon fed three times daily. The team arguing that Mrs. Bentley should not be spoon fed made the following point: D. This action would respect her living will A. Feeding is health care rather than basic care B. Refusing to feed Mrs. Bentley would result in beneficence C. Mrs. Bentley’s husband and daughter are her substitute decision makers and they want a feeding tube inserted Burnout is an emotional condition marked by a depletion of mental and physical energy after a prolonged period of stress. Which of the following statements, related to burnout, is the most accurate? A. It is caused by a reaction to chronic environmental stressors B. The onset is sudden and acute C. The symptoms will improve if you leave your job D. It results from caring for those who are suffering Sandeep is an RPN working on a busy surgical unit. During his medication rounds, Sandeep realizes that he has accidentally administered the wrong medication to his patient. The patient has become severely hypotensive and is being transferred to the ICU. Sandeep knows that this act is considered: A. An unintentional tort for which he can be considered negligent B. An intentional tort for which he can be considered negligent C. An incident of battery for which he can be considered legally liable D. An accident for which he cannot be considered legally liable because his actions were not intentional SCIENCE HEALTH SCIENCE NURSING PNR 300

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