21 Questions
What is the main goal of CNO in the context provided?
To ensure healthy outcomes for patients
How would you best describe a person who believes that hitting children is the best way to discipline them?
Narrow-minded
What is the primary purpose of an Emr according to the text?
To improve communication among the medical team
What is the key difference between an order and a directive as outlined in the text?
An order is specific to a client, while a directive is general to a population
What must be in place to put a patient in restraints according to the text?
An order from a healthcare professional
In what situation might an evidence-informed approach be vital for decision-making?
When implementing a new intervention with unknown outcomes
What is the role of a nurse's personal values system when dealing with a patient who is not in immediate risk?
To decide whether to leave a soiled patient unchanged at the end of the shift
Which of the following contributes to making nursing a legitimate profession according to the College of Nurses of Ontario (CNO)?
Providing learning resources
How should a nurse respond when a patient expresses fear about a surgical procedure?
Encourage the patient to discuss their fears
Which of the following best describes the role of the CNO?
To develop and revise nursing standards
What is the best way for a nurse to ensure the quality of their work according to the CNO?
Through reflection and a learning plan
What should a nurse do if they are found guilty of assault outside of their professional duties?
Report the incident to the CNO
What are the three factors to consider before assuming the responsibility of a client from another nurse who is going on break and passes the client to you?
Your competency, Environmental support, and the client condition
What is the most appropriate action to take if you start your shift with a heavy assignment as a new RPN?
Consult an experienced RN about the best way to manage your patient load and time
What does 'congruence' refer to in the context of a nurse's role?
A match between a patient's affect and mood
What is an example of controlled act?
Dispensing medication
What is the role of the employer in ensuring a safe work environment?
Providing a safe work environment
What is the first step in becoming a nurse?
Graduating from an accredited nursing program
What is the purpose of educating clients in a healthcare setting?
To empower them to make informed decisions about their care
What is intuition in the context of nursing?
A gut feeling or sixth sense
What is stereotyping in a healthcare setting?
Making assumptions about a patient based on demographics
Study Notes
Professional Organizations and Roles
- WeRPN provides education opportunities for nurses who wish to learn more, and does not require membership.
- CNO (College of Nurses of Ontario) mandates protecting the public, sets standards, and ensures quality assurance and reflective practice.
- The Union (nursing union) advocates for nurses and aims for the best patient outcomes.
Decision Making and Critical Thinking
- A nurse's relationship with a doctor is not about blindly following orders, but rather about critically thinking and justifying decisions.
- If a doctor's order seems incorrect, a nurse can refuse and document the reason.
Communication and Patient Care
- EMR (Electronic Medical Record) aims to improve communication among the circle of care.
- When caring for a patient, it is essential to consider the patient's values and beliefs.
- A nurse should not impose their own values and beliefs on a patient, as it can worsen the situation.
- Important aspects of communication include hearing what the patient is saying, focusing on the patient's concerns, and reflecting on one's own values and feelings.
Nursing Standards and Practice
- CNO develops and revises nursing standards.
- The Code of Conduct outlines the minimal expectations for nurses' practice.
- Quality assurance involves reflection, learning plans, and peer evaluation.
- A nurse must report certain changes, such as a criminal conviction or address change, to the CNO.
Nursing Theories and Concepts
- Jean Watson's Caritative Factors emphasize the importance of sensitivity to oneself and others.
- Congruence refers to the harmony between a patient's affect and mood.
- Intuition is a gut feeling or a sixth sense, which can be influenced by empirical, social justice, scientific, personal, and moral/ethical ways of knowing.
Controlled Acts and Practices
- A controlled act is an act that requires competence and can harm the client if performed incorrectly.
- Examples of controlled acts include vaginal and anal examinations, psychotherapy, and dispensing medication.
- The difference between dispensing and administering medication lies in the quantity of the medication.
Advocacy and Education
- Advocating is a standard of practice, which involves mentoring, educating, and supporting patients.
- Forms of advocacy include suggesting treatment courses, giving advice, answering questions, and supporting patients in expressing their opinions.
- A nurse's role is to educate patients so they can make informed decisions about their treatment and care.
Professional Development and Responsibility
- Fitness to practice refers to a nurse's mental or physical condition, which can affect their ability to practice.
- The discipline committee addresses issues related to a nurse's fitness to practice.
- A nurse's role is to prioritize their time and manage their workload effectively to ensure quality care.
- Cultivating sensitivity to oneself and others is essential in nursing practice.
Knowledge and Critical Thinking
- Critical thinking involves analyzing information, identifying patterns, and making informed decisions.
- A nurse must be aware of their own biases and stereotypes to provide quality care.
- Empirical knowledge refers to knowledge based on observation and experience.
- Abstract concepts are summaries of research or articles that provide an overview of the main points.
Prepare for a test review on the development of self with 100 questions to be completed in 2 hours. Some material may also be from the midterm exam. Stay focused when reading the questions to ensure accurate answers.
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