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.</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.</p> Signup and view all the answers

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

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

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

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

    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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    Description

    This quiz evaluates the understanding of nurse competence in relation to safe care practices. It covers critical factors such as legislation, policies, and adherence to CNO standards, emphasizing the need for continuous education and skill assessment. Test your knowledge on the responsibilities of nurses in maintaining competence and quality assurance.

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