Nursing QA Program and Services Overview

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Questions and Answers

What should a nurse do first when observing another nurse abusing a client?

Speak to the colleague’s supervisor.

Stop the colleague’s behaviour.

Report the matter to CNO. (correct)

Document the observed behaviour.

Which one of the following statements is a key element of informed consent according to CNO Practice Guideline: Consent?

Alternative course of action

Power of attorney for personal care

The common law and nursing standard (correct)

Age of Consent

What is the legislation related to CNO Practice Standard: Restraints?

Patient Restraint Minimization Act, 2001. (correct)

Health Care Consent Act, 1996.

Occupational Health and Safety Act, 1990.

Health Protection and Promotion Act, 1990.

What should the nurse do first when a 79-year-old mentally competent client at high risk for falls refuses the use of a cane or walker?

Explore other options with the client that may be acceptable. Signup and view all the answers

According to CNO Standards, what is one of the ‘Ethical Values’?

Maintaining commitments. Signup and view all the answers

Under which of the following conditions may nurses perform a controlled act?

If ordered by a physician, chiropractor, dentist, or nurse practitioner. Signup and view all the answers

What organization regulates nurses in Ontario?

College of Nurses of Ontario. Signup and view all the answers

According to the CNO Practice Standards: Ethics, what is a component of the definition?

Respect for patient's autonomy. Signup and view all the answers

How are ‘peer assessors’ assigned in CNO’s Quality Assurance Program?

The College assigns a peer to assist in the process. Signup and view all the answers

When can a nurse discontinue nursing services for a cognitively impaired client without resulting in professional misconduct?

If replacement services have been arranged. Signup and view all the answers

Should a nurse accept a telephone order for pain medication from a physician who is not in the facility?

No, because telephone orders are limited to emergency situations. Signup and view all the answers

Does a nurse have any obligation to CNO after being found guilty of impaired driving while off duty?

Yes, because the nurse must self-report a finding of guilt for an offense. Signup and view all the answers

Can Gladys practice as a nurse after obtaining a position at a long-term care facility following a break in her nursing career?

No, because Gladys requires current registration with CNO. Signup and view all the answers

What is the primary purpose of the CNO's Quality Assurance Program?

To support nurses in their ongoing professional development. Signup and view all the answers

What entails professional misconduct for a nurse when working with a cognitively impaired client?

Discontinuing services without proper arrangements. Signup and view all the answers

What is required for a nurse to accept a job in a long-term care facility after an absence from practice?

An assessment of competency by the employer. Signup and view all the answers

Study Notes

CNO Quality Assurance Program

Peer assessors are assigned by the College, ensuring an objective process.
Registrants do not choose their peers; manager recommendations are not the system used.

Nursing Services for Cognitively Impaired Clients

Nursing services can be discontinued if replacement services are arranged or discussed with a physician.
Informed consent from the substitute decision-maker or respect for client wishes doesn't allow for discontinuation alone.

Telephone Orders for Medication

Acceptance of telephone orders is restricted to emergency situations.
Physicians not being physically present necessitates following best practice protocols.

Obligation to CNO After Legal Convictions

Nurses must self-report any finding of guilt, regardless of whether they were on duty.
Professional integrity requires incorporating findings into reflective practice.

Resuming Nursing Practice

Gladys must obtain current registration with CNO before practicing after a break from nursing.
Although previously registered, completion of any necessary education or reintegration programs may be required.

Reporting Abuse

Immediate action should involve stopping the colleague's abusive behavior rather than seeking approval or reporting.
Reporting to supervisory authorities or documenting can follow immediate intervention.

Key components include understanding common law and nursing standards, rather than specific consent age or power of attorney.

Patient Restraint Minimization Act, 2001 governs the use of restraints in healthcare settings.
Health Care Consent Act, 1996 provides a framework for informed consent processes.

Managing Refusals in High-Risk Clients

Exploration of acceptable alternatives with the client is the appropriate initial response.
Engaging decision-makers or other healthcare providers is secondary.

CNO Ethical Values

Core ethical values include maintaining commitments and promoting health, emphasizing competence and decision-making processes.

Conditions for Performing Controlled Acts

Controlled acts may be performed if ordered by stringent categories of healthcare professionals, including physicians and nurse practitioners.
Special attention should be given to directive practices from physicians.

Nursing Regulation in Ontario

The College of Nurses of Ontario (CNO) is the regulatory body for nurses in Ontario, overseeing standards and professional conduct.

Component of Ethics in Nursing

Ethical standards are central to CNO practice, safeguarding patient care and professional accountability.

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Description

Explore the various aspects of nursing quality assurance programs and the specific services provided to cognitively impaired clients. This quiz addresses the roles of peer assessors, informed consent, and the protocols surrounding the discontinuation of nursing services. Test your knowledge on these essential nursing principles.