Ethical Legal Issues Canadian Nursing 3rd Edition by neial B.Smith – Test Bank

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Sample Questions Posted Below

Keatings: Ethical and Legal Issues in Canadian Nursing, 3^rd Edition

Chapter 5: Regulation of the Nursing Profession

Test Bank

MULTIPLE CHOICE

1.Which of the following is an aspect of self-regulation?

ANS: A

Correct A: Self-regulation is a privilege granted to a profession by a provincial or territorial government. Setting standards of entry into the profession is one aspect of self-regulation.

Incorrect B: This is usually the responsibility of a labour union.

Incorrect C: The “self” in “self-regulation” refers to the profession as a whole, not the individual worker.

Incorrect D: Working conditions are the responsibility of a labour union.

DIF: Cognitive level: Knowledge REF: p. 121

2.Which of the following clarifies the nature and scope of nursing practice?

ANS: A

Correct A: A provincial regulatory body (or the legislation under which it falls) will describe and define the nature and scope of nursing practice.

Incorrect B: A national nursing association has no direct regulatory role regarding the nature and scope of nursing practice.

Incorrect C: A nurse practitioner regulation identifies the scope of a specific category of nurse but does not clarify the nature and scope of nursing practice.

Incorrect D: The Criminal Code of Canada may deal with extreme violations of nursing practice (indictable offenses such as criminal negligence) but does not clarify the nature and scope of nursing practice.

DIF: Cognitive level: Analysis REF: p. 121

3.What is the main difference between a two-tier regulatory system for nurses and a single-tier system?

ANS: D

Correct D: A two-tier system has a regulatory branch underneath a higher-level body. The higher-level body may be involved with complaints and appeal and may have a broader scope than nursing alone. In a single-tier system, a provincially created regulatory body has a complete legislative mandate.

Incorrect A: Whether a system is two-tier or single-tier is irrelevant to due process.

Incorrect B: Both single-tier and two-tier systems have mechanisms for managing complaints about a registrant’s practice.

Incorrect C: Both single-tier and two-tier systems are based on self-regulation.

DIF: Cognitive level: Comprehension REF: pp. 126–127

4.Which of the following is an objective of a nursing regulatory body?

ANS: A

Correct A: Regulating education, nursing roles, scope of practice, entry into the profession, standards of practice, complaints processes, and discipline of members are all objectives of a nursing regulatory body.

Incorrect B: This is a national role of the Canadian Nurses Association.

Incorrect C: This is the role of the board of directors for the regulatory body.

Incorrect D: This is a national role of the Canadian Nurses Association.

DIF: Cognitive level: Analysis REF: p. 129

5.A nurse who continues to practise while under suspension is guilty of which of the following?

ANS: D

Correct D: Under most provincial laws, a nurse who continues to practise while under suspension is guilty of professional misconduct.

Incorrect A: Professional negligence is an error or omission during care, resulting in harm to the client; this does not describe what this nurse is doing.

Incorrect B: Professional incompetence is not a term used in nursing.

Incorrect C: Professional misrepresentation is not a term used in nursing.

DIF: Cognitive level: Synthesis REF: p. 132

6.Which of the following sequences best describes the investigation process of disciplinary and competency matters?

ANS: A

Correct A: A written complaint relating to alleged professional misconduct is received by the regulatory body. A preliminary investigation verifies if the complaint is well founded. If the complaint is well founded, it is referred for an interim investigation to a disciplinary committee or professional conduct committee. Before a hearing is scheduled to consider the matter, the disciplinary committee will notify the nurse against whom the claim was brought. Then the committee, after hearing the evidence, will make its decision.

Incorrect B: This is not the correct sequence.

Incorrect C: This is not the correct sequence.

Incorrect D: This is not the correct sequence.

DIF: Cognitive level: Synthesis REF: pp. 133–136

7.A nurse teaches an unregulated care provider to administer medication through a nasogastric tube. Which of the following terms describes this nurse’s actions?

ANS: B

Correct B: Allowing a nonqualified person to perform specific controlled acts is known as delegation.

Incorrect A: Assignment means assigning skills or tasks that fall within an individual’s scope of practice; this does not describe what this nurse is doing.

Incorrect C: Reassignment means to change the assignment of skills or tasks that fall within an individual’s scope of practice; this does not describe what this nurse is doing.

Incorrect D: Regulation is not involved in this scenario because the care provider in question is unregulated.

DIF: Cognitive level: Application REF: p. 143

8.What is the main purpose of having nursing students and nurses seeking employment complete a criminal background check?

ANS: B

Correct B: A person would be excluded from the profession of nursing if her criminal record indicates she poses a threat to the safety of vulnerable patients.

Incorrect A: Depending on the crime or crimes committed, a nurse with a criminal record may still practise.

Incorrect C: This is not a goal of a criminal background check.

Incorrect D: This is not a goal of a criminal background check.

DIF: Cognitive level: Analysis REF: p. 147

TRUE/FALSE

1.Professional standards and practice standards of a nursing regulatory body describe the ability and functioning of the majority of registrants.

ANS: F

Correct: The standards describe the minimum expectations of registrants; however, the majority of registrants exceed the minimum expectations for practice.

Incorrect: The standards describe the minimum expectations of registrants; however, the majority of registrants exceed the minimum expectations for practice.

DIF: Cognitive level: Synthesis REF: p. 144

2.The use of registration assures the public that nurses meet appropriate standards and can safely practise.

ANS: T

Correct: Through registration, the member is recognized as a person who is then authorized to practise nursing in the particular province or territory concerned. The use of registration assures the public that nurses meet appropriate standards and can safely practise.

Incorrect: This statement is true.

DIF: Cognitive level: Analysis REF: p. 129

3.The investigation of a nurse’s fitness and capacity to practise indicates a likelihood of professional misconduct.

ANS: F

Correct: Investigation may reveal concern about a nurse’s physical or mental abilities, and does not necessarily indicate incompetence or misconduct. Physical or psychological examinations may be required.

Incorrect: There are numerous reasons for investigation, so this is not necessarily a true statement.

DIF: Cognitive level: Comprehension REF: p. 139

4.The terms “controlled acts” and “reserved acts” are specific to the nursing profession.

ANS: F

Correct: Several professions may have some controlled, reserved, or restricted acts (medical actions and procedures that may be performed, and who may perform or delegate them; the terms vary depending on the province) in common. For example, some controlled acts and reserved acts are shared by physicians and nurses.

Incorrect: This statement is false. A controlled act or reserved act may be shared by several different health care professions.

DIF: Cognitive level: Comprehension REF: p. 141

5.The primary purpose of nursing regulatory bodies is the protection of the public.

ANS: T

Correct: As Canadians become more aware of their legal rights, they question the ability of health professionals to regulate themselves in the public interest. Thus, the primary purpose of nursing regulatory bodies is to serve as a watchdog and to promote the welfare of the public.

Incorrect: The primary purpose of nursing regulatory bodies is the protection of the public.

DIF: Cognitive level: Comprehension REF: p. 121

6.Regulatory bodies are responsible for maintaining processes to support the evaluation of the ongoing competence of nurses.

ANS: T

Correct: Regulatory bodies are responsible for introducing and maintaining mechanisms or processes to evaluate the ongoing competence of nurses.

Incorrect: This statement is true.

DIF: Cognitive level: Comprehension REF: p. 146