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CNUR - Chapter Multiple Choice
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Health Canada fulfills all of the following roles except:
a. regulating of hospitals
b. providing information essential to maintaining healthcare and safety of canadians
c. overseeing health and health-related laws and regulations
d. proving health care to inuit, innu, and first nations canadians living on reserves, eligible
veterans, refugee claimants; and inmates in federal penitentiaries ✔✔a.
Rationale: Regulating of hospitals is not stated as a role of Health Canada. The other choices are stated roles of Health Canada.
what is the responsibility of the provinces and territories in health care?
a. administration of publicly funded system outlined in the CHA
b. administration of publicly funded system outlined by each regional health authority
c. administration of privately funded system as outlined in the CHA
d. administration of publicly funded system outlined by each regional health authority ✔✔a.
Rationale: Administration of publicly funded system is the responsibility as outlined in the Canada Health Act legislation. The regional health authorities have no jurisdiction, and the system is not privately funded.
In contemporary nursing practice, how do regulatory bodies promote safe and competent care?
a. by adhering to international regulations
b. by adhering to hospital specific standards
c. by adhering to provincial and territorial guidelines
d. by adhering to national nursing competencies for entry to practice ✔✔d.
Rationale: Professional competencies provide benchmarks for safe and competent professional practice. Professional guidelines require application of judgment according to professional competencies and standards; provincial and territorial guidelines are not benchmarks for nursing regulation; hospital standards are not benchmarks for nursing regulation.
Our understanding of health has grown over the last few decades such that the determinants of health established originally by the legislation of the 1980s have changed. Which of the
following can be considered determinants of health in contemporary canadian society? ✔✔b.
Rationale: Gender, sex, and stress are considered standard determinants of health (SDoH) according to the definition of SDoH. Siblings, family size, family composition, social life, and amount of paid vacation are by definition not considered SDoH. Although culture may be considered an SDoH, hobbies and political opinion are not.
Professional self-regulation is:
iv. the ongoing ability of an RN to integrate and apply the knowledge, skills, judgement, and personal attributes required to practice safely and ethically in a designated role and setting ✔✔a.
II
b. I
c. III
d. IV
The nursing regulatory bodies influence what you need to learn in your nursing education program by establishing which of the following?
a. the structure and sequence of nursing and non-nursing courses
b. the forms used to create student performance with patients
c. the entry-level competencies and standards of practice
d. the policies for student grades and conduct ✔✔c.
Rationale: All items except the entry-level competencies and standards of practice are decisions made by the educational institution offering the nursing education program.
Individual self regulation and evidence of your continued competence are requirements for registration to practice. The typical requirements of continuing competence is set by the regulatory bodies are:
a. Written examinations every 3 years
b. learning plans based on self assessment
c. learning plans developed by the nurse manager
d. certificates of short course completion ✔✔b.
Rationale: Learning plans may need to use feedback from nurse managers to inform the self- assessment. The final responsibility for the learning plan rests with the individual nurse. Written examinations or certificates of continuing education credits are not common requirements in Canada for year-by-year continuing competence requirements.
student nurses are learning about regulation and the standards of practice, to what extent are students held accountable to practice in accordance with the standards of practice before they graduate?
a. to the same extent as newly graduated registered nurses
b. to the extent that students have been educated so far to practice competently
c. to a limited extent and only when ethical and integrity issues arise
d. to the full extent that the scope of nursing practice allows ✔✔b.
Rationale: Student nurses are held accountable to the extent they have demonstrated to nursing faculty or preceptors that they have the competence to practice according to certain standards. They are held accountable for what any reasonably successful students would have learned at a particular point in their nursing education. Students are held accountable to all of the standards of
c. the conduct expected of the ordinary skilled nurse in similar circumstances
d. his or her educational background ✔✔c.
Rationale: A nurse is only expected to perform in the same manner as other skilled nurses.
in canada, courts make decisions by:
a. following the decisions made by the supreme court of canada and other higher courts in the province
b. making the decision that the judge feels is the right decision
c. looking only at the decisions made by the supreme court of canada
d. following the decisions made by the courts in the united states ✔✔a.
Rationale: Courts in Canada follow the decisions of the Supreme Court and higher courts in the province.
If a plaintiff is awarded damages by a court, the nurse defendant:
a. never has to pay any money to the defendant himself
b. must pay any monetary damages awarded to the plaintiff from his or her own money
c. will not be responsible for paying the money himself or herself in many cases, as the hospital or his or her employer will be vicariously liable for the payment
d. will not be responsible for paying the money himself or herself in almost all cases, as either the hospital, his or her employer, or his or her insurance will cover the payment ✔✔d.
Rationale: If the concept of vicarious liability does not apply, the nurse's insurer will normally cover any costs.
Consent from a patient must be:
a. timely, detailed, and appropriate
b. informed, timely, and referable,
c. voluntary
d. voluntary, with capacity, referable, and informed ✔✔d.
Rationale: It is important to remember that consent must not only be informed, but must also be voluntary, made with capacity, and referable to the treatment.
proper documentation should:
a. be complete, legible, and accurate
b. state personal opinions about patients or other staff
c. contain the minimum of information to save time
d. be legible so the notes are easy to read ✔✔a.
Rationale: There must be clear and obvious neglect or incompetence for a nurse to second guess a physician and summon other help.
to consent to treatment, a patient must be told:
a. the date and time when the treatment will take place
b. the information that a reasonable person in the position of the patient would want to know
c. the name of the treating physician
d. what public transit is available to get to the place where the treatment will take place ✔✔b.
Rationale: The patient must be told the information which a reasonable person in the position of the patient would want to know. This includes information about alternative treatments and answers to any specific questions.
As a student nurse it is your responsibility to complete your assignment to the best of your ability in a timely and accurate manner. Your responsibility is to learn and grow as a nurse, not to
provide leadership in elevation of the education process. true or false? ✔✔1. False
Rationale: Your feedback on courses, assignments, and clinical practices through the completion of course evaluations, is essential for the continued improvement of nursing education.
1.What is "management by exception" leadership style ✔✔E.this leader focuses on appropriate
completion of tasks to maintain current performance. Failure to adequately complete tasks requires correction
2.What is "laissez-faire" leadership style ✔✔F.refers to leaders who are not concerned about
organizational outcomes or follower behavior. Leaders refuse to take responsibility to address important outcomes
3.What is "transactional" leadership style ✔✔G. These leaders tend to (1) clarify expected
performance and provide rewards for good performance. (2) correct variations from the expected standard and (3) work to prevent problems
4.What is "servant" leadership style ✔✔A. the leader displays stresses service to others and
recognizes that the role of organizations is to create people who can build a better tomorrow
5.What is "passive-avoidant" leadership style ✔✔D.these leaders often avoid taking action,
reacting with corrective action once problems have became serious.
c. national professional voice of RNs
d. National voice for nursing education, research, and scholarship
e. Aligning and advancing the national nursing practice, education, research, and leadership
F. National forum and voice regarding interprovincial/territorial, national and global regulatory matters for nursing regulation ✔✔I. E
II. D
III. F
IV. B
V. C
VI. A
RN's, licensed practical nurses psychiatric nurses are licensed to practice in all canadian provinces and territories - T or F ✔✔False
Rationale: Registered psychiatric nurses are registered only in the four western provinces and the Yukon Territory.
RN's, licensed practical nurses psychiatric nurses may all belong to which of the following organizations?
a. ACEN
b. CASN
c. CNA
d. CNSA
e. none of the above ✔✔e.
Rationale: None of these groups permit members of all the regulated categories to join (however the students' association does admit students studying in all three regulated categories).
Approximately how many RN's are registered to practice in Canada?
a. 80000
b. 149000
c. 275000
d. 360000 ✔✔c. 275000
All members of the CFNU have reciprocal membership in the CNA, T of F ✔✔False
Rationale: The two organizations have no membership relationship.
Which of the following nursing organizations have primarily a professional mandate?
a. CNA, Collage and Association of Registered Nurses Alberta, and ACEN
IV Union
PURPOSE
a Represent nurses and their working conditions
b Quality of practitioners and protection of the public
c education, advocacy, and support to clinical specialty nurses
d advance the practice and profession ✔✔10. I. C
II. D
III. B
IV. A
An error that is caught before it happens is a
a. near miss
b. good save
c. stroke of luck
d. timely discovery ✔✔a.
Rationale: A near miss is sometimes referred to as a "good catch"; mistakes that are caught before they harm a patient.
CNSA: the voice of nursing students in canada has been in existance since:
a 2000
b 1971
c 1999
d 2005 ✔✔b.
Rationale: The Canadian Nursing Students' Association was founded in 1971.
Which of the following behaviors could be perceived as "bullying" behaviors?
a eye rolling by a nurse at you or another nurse
b having other nurses refuse to help you with patient care
c being excluded by other nurses from lunches or social events
d all of the above ✔✔. d.
Rationale: All of the above behaviours could be perceived as bullying by others depending on the context. If a friend rolls his eyes at something you said, you may both find the situation humorous, but there are other times when your opinion is dismissed as being irrelevant and the other person mocks you by rolling her eyes; this could be an unwanted and hurtful reaction.
CAT allows for:
a the computer to choose items based on the individual's ability
- a.
Rationale: You must successfully complete and pass the jurisprudence examination as part of the process to become registered in your home province. It is highly recommended that you visit the website for your provincial regulatory body well ahead of entering your final semester of study. You will not be required to rewrite the examination annually, but if you become a nurse practitioner, you may be required to write another jurisprudence examination as part of that process. The jurisprudence examination is not taken at the same time as the CRNE or the NCLEX.
The exam uses a framework that is organized into four major categories. A safe and effective care environment is further divided into which two sub categories?
a mangement of care and falls prevention
b falls prevention and safe medication administration
c management of care and safety and infection control
d safety and infection control and safe medication administration ✔✔c.
Rationale: The two subcategories are Management of Care and Safety and Infection Control.
Transition shock may involve the following:
a denial, confusion, panic and fear
b denial, confusion, loss and doubt
c doubt, disorientation, loss and confusion
d doubt, disorientation, panic and confusion ✔✔c.
Rationale: Transition Shock may involve doubt, disorientation, loss and confusion for the new graduate.
Which is an example of a health risk assessment?
a family genogram
b past medical history
c general health survey
d exposure to harmful substances ✔✔. d.
Rationale: Health risk assessments incorporate a thorough overview of the patient's past and present health and behaviours
Thomas wants to compete in a local 5km run. Which wellness domain does this represent
a physical
b intellectual
c occupational
d environmental ✔✔a.
