1. A father expresses concerns about his sonâ€™s upcoming surgery. The nurse listens to the father’s concerns and validates his feelings. What component of the nurse-client relationship is the nurse demonstrating?
D. Professional intimacy
A) Not the correct component.
B) Not the correct component.
C) The nurse is empathizing with the father.
D) Not the correct component.
Reference: Therapeutic Nurse-Client Relationship
Jurisprudence Competency: 5.01
2. A nurse gives a double dose of acetaminophen (Tylenol) to a client who only requires a single dose. What, if anything, must the nurse do?
A. Ask a colleague to help assess the client
B. Withhold the clientâ€™s next dose of Tylenol
C. Report the error as soon as possible
D. Nothing, because this is an over-the-counter medication
A) Nurses should be accountable for all errors made.
B) All errors should be reported so that appropriate action can be taken.
C) This is according to the standard.
D) Nurses should be accountable for all errors made.
Reference: Professional Standards, Revised 2002
Jurisprudence Competency: 3.05
3. An RPN orders an RPN colleague to insert a urethral catheter into a newly admitted client. What should the RPN colleague do?
A. Confirm the order with a physician before proceeding with the intervention
B. Accept the order and proceed with the intervention
C. Consult with an RN before proceeding with the intervention
D. Decline to accept the order
A) The original order was made by an RPN and a controlled act cannot be ordered by an RPN.
B) A controlled act cannot be ordered by an RPN.
C) A controlled act cannot be ordered by an RPN.
D) An RPN cannot order another nurse to perform a controlled act.
Reference: Decisions about Procedures and Authority, Revised 2006
Jurisprudence Competency: 2.16
4. A client writes to the College of Nurses stating that a nurse assaulted him during care. What action may the College take in this situation?
A. Report the nurse to the employer
B. Investigate the allegation
C. Request that the nurse’s employment be terminated
D. Refer the complaint to local law enforcement
A) The employer may investigate but the legislation requires the allegation be investigated by the College.
B) The College is required under the RHPA to investigate all complaints.
C) This might be an outcome of the complaint but not at this point.
D) Not the obligation of the College.
Reference: Addressing Complaints at the College of Nurses of Ontario: Process Guide
Jurisprudence Competency: 1.14
5. A client presents to the clinic requesting a renewal of her prescription for oxycodone (Percocet). What should the NP do?
A. Decline to provide the prescription
B. Renew the prescription and document the action taken
C. Assess the client and conduct appropriate investigations
D. Perform a medication reconciliation prior to prescribing
A) Nurse practitioners who prescribe drugs must comply with federal and provincial legislation which does not include prescription or renewal of narcotics.
B) Oxycodone is not included on Schedule 2 and cannot be renewed.
C) Although this is a necessary requirement of drug prescription, the drug still cannot be prescribed or renewed.
D) Although this is a necessary requirement of drug prescription, the drug still cannot be prescribed or renewed.