Nurse Competence in Safe Care

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Questions and Answers

Under which of the following conditions can all nurses perform controlled acts according to the Nursing Act, 1991?

  • When delegated or ordered by an NP. (correct)
  • When agency policy allows nurses to perform controlled acts.
  • When ordered or permitted by the regulations. (correct)
  • When ordered by an RN.

Which one of the following statements about the Practice Assessment component of CNO’s Quality Assurance Program is true?

  • Four practice documents are selected for the examination.
  • Nurses must have annual performance appraisals completed by their employers.
  • Selected nurses are required to submit their annual Learning Plan to CNO.
  • All nurses must participate in the QA program every 3 years. (correct)

What are the components of the therapeutic nurse-client relationships?

  • Empowerment, compassion, tolerance, autonomy, and cooperation.
  • Fairness, acceptance, sympathy, accountability, and collaboration.
  • Respect, trust, professional intimacy, empathy, and power. (correct)
  • Communication, cultural sensitivity, understanding, advocacy, and professionalism.

What is CNO’s mandate?

<p>To protect the public interest. (D)</p> Signup and view all the answers

According to CNO, nurses must obtain explicit consent for which one of the following actions?

<p>Assessing a person’s capacity to make decisions about treatment. (A)</p> Signup and view all the answers

Who does the Regulated Health Professional Act, 1991 govern in Ontario?

<p>Self-regulated health care providers. (C)</p> Signup and view all the answers

Is Erica, an RPN working as an unregulated care provider (UCP), accountable to practice in accordance with the CNO Standards?

<p>No, because she is not practicing as an RPN. (D)</p> Signup and view all the answers

Which component is not explicitly required in the therapeutic nurse-client relationship?

<p>Cultural sensitivity. (D)</p> Signup and view all the answers

Which factors must nurses reflect upon to determine their competency in providing safe nursing care?

<p>Knowledge, skill, and judgement (A)</p> Signup and view all the answers

What is the overall responsibility of all nurses according to CNO standards of practice?

<p>To practice according to professional standards and remain competent (A)</p> Signup and view all the answers

Why was it considered inappropriate for the RN to seek advice from the RPN?

<p>RPNs cannot provide care below the dermis (B)</p> Signup and view all the answers

What is the primary role of the RN when precepting a nursing student performing many aspects of care?

<p>Supervising the student’s activities (A)</p> Signup and view all the answers

What ethical issue arises when the occupational health nurse reveals a probationary employee's pregnancy to management?

<p>The nurse has breached confidentiality (D)</p> Signup and view all the answers

What is a nurse required to maintain to practice in accordance with professional standards?

<p>Continuing education and competency updates (B)</p> Signup and view all the answers

In the context of nursing practice, what is the significance of collaborating with other nurses?

<p>To share knowledge and provide comprehensive patient safety (C)</p> Signup and view all the answers

What happens if a nurse acts outside their scope of practice when providing patient care?

<p>They may face administrative reviews and sanctions (D)</p> Signup and view all the answers

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Study Notes

Nurse Competence in Safe Care

  • Nurses must evaluate legislation, policies, procedures, environment, staffing levels, and equipment to determine competence.
  • Knowledge, skill, judgment, education, experience, and specialization are critical factors in assessing nursing capability.

Overall Responsibility per CNO Standards

  • Nurses must adhere to the CNO standards, which involve maintaining competency and current knowledge throughout their careers.
  • Participation in CNO’s Quality Assurance Program, including annual Learning Plans and peer input, is part of professional responsibilities.

Collaboration between RNs and RPNs

  • RNs may seek advice from RPNs even when limited nursing resources are present.

Preceptorship Responsibilities

  • The role of the RN precepting a nursing student is primarily supervisory, ensuring safety and competence in care delivery.

Breach of Confidentiality Concerns

  • Revealing personal information about a probationary employee without consent constitutes a breach of confidentiality.

Performing Controlled Acts

  • Nurses can perform controlled acts when delegated or ordered by a Nurse Practitioner (NP) and under certain regulations.

CNO's Quality Assurance Program

  • The Practice Assessment component requires selected nurses to submit their Learning Plans annually, emphasizing continuous professional development.

Therapeutic Nurse-Client Relationships

  • Effective therapeutic relationships encompass respect, trust, professional intimacy, empathy, and power dynamics.

CNO's Mandate

  • The College of Nurses of Ontario (CNO) focuses on protecting the public interest, developing practice standards, and establishing entry-to-practice requirements.
  • Explicit consent is necessary for assessing a person's decision-making capacity related to treatment under CNO guidelines.

Governance of Health Professionals

  • The Regulated Health Professions Act, 1991 applies to all self-regulated health care providers in Ontario.

Accountability of Unregulated Care Providers

  • RPNs acting as unregulated care providers (UCPs) are not held accountable under CNO standards, indicating a distinction in responsibility.

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