JURISPRUDENCE EXAM REVIEWER EXAM 2 QUESTIONS WITH ANSWERS 100% CORRECTLY VERIFIED RATED A, Exams of Nursing

Download JURISPRUDENCE EXAM REVIEWER EXAM 2 QUESTIONS WITH ANSWERS 100% CORRECTLY VERIFIED RATED A and more Exams Nursing in PDF only on Docsity! JURISPRUDENCE EXAM REVIEWER EXAM 2 QUESTIONS WITH ANSWERS 100% CORRECTLY VERIFIED RATED A+ 1. A nurse is advocating for a group of clients to obtain government subsidies for adequate nutrition. According to the CNO Practice Standard: Professional Standards, Revised 2002, which one of the following Standard Statements best describes the nurse’s actions? a. Relationships. b. Accountability. * c. Knowledge. d. Leadership. 2. A physician gives a nurse a telephone directive to catheterize the physician’s admitted clients. Why should the nurse refuse to follow this directive? a. Direct orders must be always written for any procedure and treatment. b. Nurses can initiate catheterization on in-patients without a directive. c. Directives must always be written and signed by the physician or NP. * d. Nurses must always have the act of catheterization delegated. 3. What is the purpose of ‘mandatory reporting’ to CNO? a. To update CNO regarding address changes. b. To protect nursing colleagues. c. To notify CNO of unsafe nursing practice. * d. To enforce limitations on nurses’ practices. 4. A client expresses a wish to die at home. The nurses’ discusses the client’s expectations and negotiates a plan of care involving all relevant parties. According to the CNO Practice Standard: Therapeutic Nurse-client relationship, Revised 2006, which Standard Statement does this demonstrate? a. Therapeutic Communication. b. Maintaining boundaries. c. Client-centered care. * d. Maintaining a Quality Practice setting. 5. Which of the following nursing practices demonstrates client choice? a. Providing the client with the necessary information for informed decision-making. * b. Exploring the wishes of the health care team regarding client care. c. Encouraging the client to choose a specific treatment option. d. Having a substitute decision-maker appointed for incapable clients. 6. A nurse disagrees with the client’s decision to terminate a pregnancy for genetic reasons and wishes to discontinue nursing care. What should the nurse do first? a. Discuss changing the client’s plan of care with the health care team. b. Attempt to convince the client’s family that there are other options. c. Consult with a nursing colleague to clarify the nurse’s own values. * d. Report the plan of care to the Ethics Review Committee. 7. Which one pf the following options is an example of an ‘authorizing mechanism’? a. Standing order. b. Delegation. * c. Practice guideline. d. Advance directive. 8. Which one of the following conditions must be met prior to a nurse ‘initiating’ a controlled act authorized to nurses? a. There is a directive for the nurse to perform the procedure. b. The nurse has determined the client’s condition warrants performance of the procedure. * c. A mechanism exists to support delegation of the procedure. d. There is a physician’s order for the procedure. 9. Which one of the following statements is true? a. The Regulated Health Professions Act, 1991 is applicable to all health care providers. b. The Nursing Act, 1991 regulates nursing practice; however, the Regulated health Professions Act, 1991 does not. c. The Regulated Health Professions Act, 1991 does not have provisions that are relevant to nursing students. d. The Regulated Health Professions Act, 1991 and the Nursing Act, 1991 both regulate the nursing profession. * 10. Which one of the following actions by a nurse demonstrates unequal power in the nurse-client relationship? a. Administering an antibiotic as ordered. b. Assisting the client with personal care. c. Informing a client of a toileting schedule. * d. Expressing empathy for a client. 11. The nurse has a client who does not speak or understand English or French. Family members, acting as interpreters, have stated that the client would not want to know his prognosis. What is the nurse’s responsibility in this situation? a. Respect the wishes of family and do not disclose this information. b. Encourage the family members to reconsider their situation. c. Involve a non family member as an interpreter to confirm the client’s wishes. * thing the nurse must do? a. Review the employer’s policies and procedures. b. Discuss the issue with the health care team. c. Determine the client’s wishes. * d. Consult the supervisor. 24. Which one of the following health care providers is appropriately using the authorizing mechanism of ‘initiation’? a. An RN who establishes peripheral venous access in an emergency situation. * b. An RPN who cleanses, soaks, probes and packs a wound below the dermis. c. A PSW who discontinues an intravenous site. d. An RN who performs an elective cardioversion. 25. A 7-year old boy is admitted to the emergency department with a compound fracture of the arm. His parents are not reachable. Is consent required to initiate treatment? a. No, because this is an emergency situation. * b. No, because the nurse must act as a client advocate. c. Yes, because the parents must provide consent. d. Yes, because the child is a minor. 26. A client returns from the operating room with a chest tube. The client’s nurse has recently been assigned to the unit from another department and does not feel competent to manage this client’s care needs. The nurse seeks assistance from another nurse immediately. Which one of the following statements from the CNO Practice Standard: Professional Standard, Revised 2002, has the nurse demonstrated? a. Continuing competence. b. Leadership. c. Ethics. d. Accountability. * 27. What is an example of abusive behaviour in the context of therapeutic nurse-client relationship? a. A male nurse has been assigned to a client who is uncomfortable with him. b. A client has accused a nurse of stealing some of her personal belongings. c. A confused client uses racial slurs when addressing the nurse. d. A nurse addresses a client in a demeaning manner. * 28. In which of the following situations can a nurse accept and perform a delegated task? a. When any emergency situation occurs. b. When an authorizing mechanism is in place. c. When the activity is not a controlled act. d. When the nurse has the necessary certification. * 29. According to the CNO Practice Standard: Documentation, Revised 2008, which one of the following statements best demonstrates appropriate documentation? a. “Client admitted via stretcher”. b. “Client states that his roommate had his ‘girlfriend in overnight’.” c. “Client states his pain is a ‘1 out of 10’.” * d. “Client is non-adherent to treatment.” 30. Which of the following examples represents sexual abuse as defined by the Health Professions Procedural Code? a. A 12-year old client with suspected vaginal trauma. b. Consensual sexual relations between a nurse and a client. * c. A female client who discloses unwanted sexual relations with a partner. d. Unwanted sexual relations between a nurse and a colleague. 31. What is included in the mandatory requirements for nurses who are randomly selected to participate in CNO’s Quality Assurance Program? a. Peer assessment. * b. Client assessment. c. Health assessment. d. Workplace assessment. 32. The Consent and capacity Board has found Mr. Silva incapable of making decisions. His nephew, who is his substitute decision-maker, has given consent to start the application for placement in long-term care. Mr. Silva wishes to stay in his home. According to the Health Care Consent Act, 1996, which one of the following statements is true? a. Mr. Silva’s nephew has the authority to make the placement decision. * b. Mr. Silva’s consent overrides that of his nephew because they are in disagreement. c. Mr. Silva can refuse to leave his home and arrange his own support system through the Community Care Access Centre. d. Mr. Silva’s physician has the ability to override the finding of incapacity. 33. What statement best articulates the overall responsibility for all nurses to practice in accordance with CNO’s standards of practice? a. Nurses must participate in CNO’s Quality Assurance Program including creating an annual Learning Plan and obtaining peer input. b. Nurses must remit their annual registration fee in a timely manner to maintain their registration. c. Nurses are responsible for reporting colleagues who are practicing nursing in a manner inconsistent with professional standards. d. Nurses will practice in accordance with the standards of the 39. A nurse is asked to perform debridement on a chronic wound. What is the first thing the nurse should do? a. Assess her or his related knowledge and skill. * b. Review the employer’s policy and the relevant legislation. c. Proceed with the debridement as requested and document. d. Decline to perform the procedure and inform the manager. 40. Sue, a nurse, has arrived home at the end of a long shift and realizes that she forgot to sign for a medication. Sue calls the unit and asks a colleague to “sign my name on the record”. The colleague refuses. What is the rationale for his refusal to sign? a. A colleague may be terminated if he complies and his actions are discovered. b. It is Sue’s responsibility to return to work immediately and sign the record. c. Failure to sign for a medication is an error that must be reported to the manager. d. Falsifying a record is an example of professional misconduct. * 41. According to the CNO Practice Standard: Therapeutic Nurse-Client relationship, Revised 2006, which one of the following standard Statements best describes the nurse’s accountability? a. Competence. * b. Maintaining boundaries. c. Security. d. Self Disclosure. 42. Are nurse administrators accountable to practice in accordance with all CNO standards of practice? a. Yes, because all nurses are accountable to the standards of practice regardless of role. * b. No, because the nurse is an administrator, therefore, only the CNO Practice Standard: Professional Standards, Revised 2002 applies. c. No, because the standards of practice only apply to nurses working in direct client care. d. Yes, because only nurse administrators are accountable to the CNO Practice Standard: Professional Standards, Revised 2002 in addition to the other Standards. 43. A nurse is asked by a client’s employer for information on the client’s prognosis. What information, if any, can the nurse disclose? a. The client’s diagnosis, but not the prognosis. b. All the information if the diagnosis is employer-related. c. No information without consent from the client. * d. The client’s prognosis, but not the diagnosis. 44. Who may determine capacity for the purpose of the Substitute Decisions Act, 1992? a. A trained capacity assessor. * b. Any physician or social worker. c. The client’s substitute decision-maker. d. The office of the Public Guardian and Trustee. 45. A nurse is providing care for a client in the client’s home. After the nurse provides treatment, the client invites the nurse out for a coffee. How should the nurse respond? a. Decline the offer and clarify the nurse’s role in the nurse-client relationship. * b. Accept the offer as it would be beneficial to further develop the nurse- client relationship. c. Decline the offer and promptly leave the client’s home. d. Agree to meet the client for coffee, but only to discuss the therapeutic care plan. 46. A nurse is overheard saying “Your breasts looks great in that shirt” to a client. The client smiles and walk away. Is this sexual abuse? a. No, because sexual contact is not made. b. No, because the client did not object. c. Yes, because the comment was of a sexual nature. * d. Yes, because any unwelcome remark is a form of sexual abuse. 47. Consistent with the Health care Consent Act, 1996, when is a nurse required to obtain consent for treatment? a. Providing nursing services to an ill 8-year-old in a community health centre. * b. Administering blood products to a hemorrhaging client in the operating room. c. Performing CPR on an individual who has been found unconscious on the street. d. Treating an unconscious client with a head injury in the emergency room. 48. What is the legislation related to the CNO Practice Standards; Restraints? a. Health care Consent Act, 1996. b. Patient Restraints Minimization Act, 2001. * c. Occupational Health and safety Act, 1990. d. Health Protection and Promotion Act, 1990. 49. Which one of the following circumstances is mandatory for nurses to self- report to CNO? a. Pardoned criminal offences. * b. Communicable diseases. c. Work-related discipline. d. Frequent medication errors. 50. What is one purpose of Nursing Documentation? a. To limit involvement to legal proceedings. b. To record every care event experienced by the client. c. To communicate interventions in care to the health care team. * d. To protect the practice of colleagues. 51. A nurse has recently relocated and changed employers. What is the nurse’s responsibility to CNO? a. Report address changes to CNO when renewing the nurse’s annual membership.* b. Advise the nurse’s new employer to fax all changes to CNO. c. Immediately update any changes to the nurse’s employer or home address with CNO. d. Re-register and submit the new information to CNO. 52. A 79-year-old mentally competent client is at high risk for falls. The nurse recommends the use of a cane or a walker, but the client refuses. What should the nurse do first? a. Explore other options with the client that may be acceptable. * b. Request that the physician speak to the client. c. Call the client’s substitute decision-maker to discuss the matter. d. Refer the client to a physiotherapist for assessment. 53. What is CNO’s mandate? a. To develop practice standards. b. To protect the public interest. * c. To provide a disciplinary body available to the public. d. To create entry-to-practice requirements in Ontario. 54. Which one of the following statements represents a component of therapeutic communication used by nurses? a. Using terms of endearment when addressing client. b. Speaking slowly and loudly to all clients to assure they hear and understand. c. Modifying their communication style for each client. * d. Sharing personal information with clients in order to establish trust and a feeling of intimacy. 55. What is the key piece of legislation that protects the client’s confidentiality? a. Personal Health Information Protection Act, 2004. * b. Quality of Care Information Protection Act. their self-regulation requirements. c. CNO is responsible for ensuring that nurses are working within their scope of practice and in collaboration with other health care professionals. d. Every member is responsible for practicing in accordance with the standards of the profession and keeping current and competent throughout their career. * 67. Which one of the following examples always reflects establishing and maintaining appropriate boundaries in the therapeutic nurse-client relationship? a. Providing care to the nurse’s relatives or friends. b. Disclosing the nurse’s personal information to clients. c. Engaging in financial transactions with the client or the client’s family. d. Documenting consultation with a colleague about a questionable client interaction. * 68. A nurse has relocated to Ontario from Florida, USA. Which one of the following facts is the nurse obligated to report to CNO? a. Contact information for the nurse’s most recent employer in Florida. b. The nurse’s score on the Florida state board licensing examination. c. The nurse has been disciplined by the Florida state nursing regulatory body. * d. The termination of the nurse’s employment by a previous Florida employer. 69. An RPN assesses that a client in the home requires routine urinary catheterization. We must be considered prior to initiation? a. Determining whether the family physician would approve the order. b. Identifying the risks and benefits of the procedure. * c. Reviewing the health record to determine the effectiveness of the previous treatment. d. Consulting with a colleague about the procedure. 70. A nurse is caring for a client on life support. The client’s estranged spouse, who is the client’s power of attorney for personal care, visits on a regular basis. The nurse has become attracted to the client’s spouse and has been invited to the spouse’s home for dinner. What demonstrates protecting the client from abuse? a. Requesting permission from the nurse’s manager before accepting the invitation. b. Declining the invitation to the spouse’s home. * c. Requesting to be reassigned to a different client before accepting the invitation. d. Agreeing to meet the spouse in public locations only. 71. A nurse may disclose personal health information without consent in which one of the following situations? a. The police request information about a client’s progress. b. An interpreter is being used to interview the client. c. An adult client has been sexually assaulted. d. The client poses a serious risk of injuring others. * 72. What controlled act is a nurse authorized to perform, when ordered, as found in the Nursing Act, 1991? a. Putting an instrument beyond the external ear canal. * b. Managing labour. c. Conducting an allergy challenge test. d. Supervising the dispensing of a drug in a pharmacy. 73. According to the CNO Standard Practice: Professional Standards, Revised 2002, what is one element of ‘Accountability’? a. Nurses are accountable for the decisions or actions of unregulated care providers. b. Nurses are accountable for explaining all treatments proposed by the health care team. c. Nurses are accountable for their actions and their consequences. * d. Nurses are accountable for reporting all errors to CNO. 74. After receiving the necessary information, a client makes an informed choice to stop all treatments. The client, his family and nurse understand that the client will not live without treatment. The client’s family wants the client to continue with his treatment and the nurse agrees. With respect to ‘Client Choice’, how should the nurse proceed? a. Respect the family’s wishes and continue treatment for the client. b. Arrange for another caregiver and then withdraw from the situation. c. Inform the client that the treatment will continue and in a few days he will have a capacity assessment. * d. Recognize that the client does not have the right to refuse treatment that has positive health outcomes. 75. When sharing health information, in which one of the following scenarios is a nurse best demonstrating confidentiality? a. Discussion with the client’s family in private, without informing the client. b. Discussion with the client’s employer, with the client’s permission. * c. Discussion with any health care provider, without informing the client. d. Discussion with the client in the public area, with the client’s permission. 76. A nurse witnesses another nurse taking a client’s personal items from the client’s room. What is the first action the nurse should take? a. Report it to CNO immediately. b. Discuss the matter with the health care team. c. Speak to the nurse regarding the matter. * d. Inform the client of what was observed. 77. A nurse witnesses another regulated health professional making a sexual comment to a client. To whom does the nurse have a ‘legal responsibility’ to report this individual? a. The holder of the client’s power of attorney for personal care. b. The other members of the health care team. c. The manager of the health care team member. * d. The regulatory college of the health care team member. 78. What is one activity that all nurses should engage in to provide quality care to clients in regard to the use of restraints? a. Advocating for medication therapy. b. Adjusting staffing levels. c. Isolating agitated clients in a private space. d. Collaborating with the health care team. * 79. What must nurses reflect upon when determining whether they are competent to provide safe nursing care to clients? a. Legislation, policies, and procedures. b. Environment, staffing levels, and equipment. c. Knowledge, skill, and judgment. * d. Education, experience, and specialization. 80. Which one of the following statements best describes the ‘client’ in the context of the therapeutic nurse-client relationship? a. An individual, family, group or community. * b. An individual who receives direct care. c. An individual requiring therapeutic nursing interventions. d. An individual or group, other than health care providers, who receive treatment. 81. What organization regulates nurses in Ontario? a. College of Nurses of Ontario. * b. Registered Nurses Association of Ontario. c. Ontario Nurse Association. d. Canadian Nurses Association. 82. Every time the nurse begins work on the afternoon shift, she finds that most of the clients’ incontinence briefs are saturated. After providing care for the clients, what should the nurse do? a. Advocate for superior incontinence products. b. Communicate her concerns to the day staff. * c. Ask the nursing educator to each the day staff how to meet clients’ basic needs. d. Intervene by reporting the incidents to the manager. 83. What are the components of the therapeutic nurse-client relationship? c. The CNO Practice Guideline: Guiding Decisions About End of Life Care, 2009. d. Regulated Health Professions Act, 1991. 95. In which one of the following situations can a nurse perform a controlled act? a. A pharmacist writes an order for a new injectable medication. b. A nurse performs wound packing below the mucous membrane for a client’s family member. c. A nurse disimpacts a client, knowing that the physician will write the order during daily rounds. d. A dentist writes an order for the nurse to start a pre-procedural IV. * 96. A nurse is obtaining consent from a client for treatment. The nurse describes the information about the treatment required to make a decision. What else must the nurse do to provide informed consent? a. Ensure that the client is of the minimum age to give consent. b. Provide the client with written information. c. Respond to the client’s questions regarding the treatment. * d. Obtain a signature from the client. 97. A RN case manager visits a client in the community whose needs are becoming more complex. According to the CNO Practice Guideline: RN and RPN Practice: The Client, the Nurse and the Environment, what is one factor that the case manager must consider when determining the appropriate category of care provider? a. Leadership. * b. Equipment. c. Cost. d. Environment. 98. A nurse document all the care provided during the workday at the end of the shift. Which documentation standard has the nurse breached? a. Care must be documented immediately after it occurs. * b. Documentation must be relevant to client care. c. Documentation must be comprehensive. d. Care must be documented in a timely manner. 99. Which of the following Standard Statements is from the CNO Practice Standard: Therapeutic Nurse-Client Relationship, Revised 2006? a. Maintaining Commitments to Clients. b. Potential for Harm. c. Client Well-Being. d. Client-Centered Care. * 100. According to the CNO Practice Standard: Ethics, which one of the following terms represents an Ethical Value related to client choice? a. Self-esteem. b. Self-worth. c. Self-respect. d. Self-determination. * 101. Why are nurses expected to collaborate or consult with each other? a. To benefit the client. * b. To ensure accountability. c. To increase the nurses’ autonomy. d. To increase collegiality. 102. What is the key element of informed consent? a. It is required before providing emergency care. b. A substitute decision-maker must provide consent if the client is under 16 years of age. c. It can only be obtained by the health care professional providing the care. d. The client receives responses to requests for additional information about treatment. * 103. A client complaint has been made in regard to a personal support worker (PSW). The employer contacts CNO to report the complaint. Was contacting CNO appropriate? a. Yes, because PSWs work under the supervision of nurses. b. Yes, because CNO regulates practice of health care providers. c. No, because the employer should have conducted an investigation first. d. No, because CNO is not responsible for regulating PSWs. * 104. A nurse working in a cancer care center encounters many competent clients who refuse further treatment. The nurse disagrees with the clients’ decision and believes she cannot continue to provide care. What should the nurse consider? a. Arranging for capacity assessments of the clients before discontinuing treatment. * b. Continuing to provide treatment until consulting with the clients’ families. c. Resigning from her place of employment to adhere to her personal values. d. Encouraging the clients to continue with their current treatment plans. 105. What is a condition associated with the appropriate delegation of controlled acts to unregulated care providers (UCPs)? a. Competence has been determined. * b. It is part of their scope of practice. c. It is an expectation of the employer. d. Client teaching is a part of the care. 106. According to the CNO Practice Standard: Professional Standards, Revised 2002, which actions by a nurse best describe the Standard Statement b. Malpractice insurance. c. Legal services to members. d. Funding for continuing education. 118. Under the Regulated Health Professions Act, 1991, which one of the following activities is prohibited is performed by an unauthorized person? a. Male circumcision performed outside of a religious tradition or ceremony. b. Tattooing at a public health inspected facility. c. Acupuncture performed in an alternative therapy clinic. * d. Body piercing to accommodate jewellery. 119. An RPN employed as an unregulated care provider (UCP) administers a medication and an error is identified. To what level of accountability will CNO hold this staff member? a. As a UCP. * b. As decided by the nurse’s employer. c. As decided by the physician. d. As an RPN. 120. Why is using the title RPN, RN or NP is considered misinterpretation if an individual is not registered with CNO? a. The titles are protected by provincial nursing labour associations. b. The titles are earned after passing a national nursing examination. c. The titles are earned upon graduation from an approved nursing program. d. The titles are protected under legislation. * 121. What is a difference between ‘initiating’ and ‘performing’ a controlled act? a. A nurse requires a physician’s order for initiating, but not for performing, a controlled act. b. When initiating, the nurse accepts accountability for determining that the client’s condition warrants performance of the controlled act. * c. When initiating, a nurse performs the controlled act and then obtains a physician’s order for the procedure. d. A nurse can only initiate a controlled act in an emergency situation. 122. Consistent with the Nursing Act, 1991, which one of the following examples involves a nurse correctly exercising the right to refuse assignments or discontinue nursing services? a. A nurse is called at home and asked to work an extra shift over the weekend. The nurse is very fatigued and refuses. b. A nurse from homecare plans to do a dressing change in a client’s home, but a delay causes the nurse to decide to change the dressing the next day. c. A homecare nurse is assigned a new client. Upon arrival at the home, the nurse discovers that the client smokes. The nurse refuses to visit the client because of the risks associated with second hand smoke. * d. A nurse working on a labour and delivery unit refuses to cross a picket line due to the belief that the administration is not bargaining in good faith. d. Appropriate care provider. * 129. What is warning sign that a nurse may not be effectively maintaining the boundaries of the therapeutic nurse-client relationship? a. Accepting a gift of food that was not solicited by the nurse. b. Counselling a client in a mental health setting while having coffee in the facility’s cafeteria. c. Frequently thinking about a client when away from work. * d. Engaging in a sexual relationship with a client after termination of the therapeutic nurse-client relationship. 130. According to the CNO Standard: Ethics, what is one of the ‘Ethical Values’? a. Competence. b. Health Promotion. c. Maintaining Commitments. * d. Substitute decision-making. 131. Which one of the following actions is an example of a controlled acts that all nurses are authorized to perform as per the Nursing Act, 1991? a. Performing a client’s digital rectal examination. * b. Communicating a diagnosis of diabetes to a client. c. Managing a client’s labour and delivery. d. Setting a client’s dislocated shoulder. 132. What federal legislation relates to narcotics? a. Controlled Drugs and Substances Act. * b. Regulated Health Professions Act, 1991. c. Drug and Pharmacies Regulation Act. d. Canada Health Act. 133. A visiting nurse is providing foot care to an 85-year-old client. Which one of the following behaviours may be considered abusive in the context of the therapeutic nurse-client relationship? a. Agreeing to have financial trusteeship with respect to the client. * b. Accepting a gift of flowers from the client upon discharge. c. Engaging in a romantic relationship with the client’s son following discharge. d. Providing the client with the nurse’s pager number. 134. What differentiate RPNs from RNs? a. RPNs do not study from the same body of nursing knowledge. b. RPNs achieve a greater breadth of knowledge in clinical practice. c. RPNs achieve a greater depth of knowledge in resource management. d. RPNs achieve a more focused or basic foundation of knowledge. * 135. Which one of the following actions can a nurse take involving personal health information? a. Sharing information from chart audits with the health care team for quality assurance purposes. * b. Discussing details about an assault victim with a police officer at the emergency department. c. Collecting health care data for a research project that has approved by CNO. d. Confirming that a client resides within a facility and the client’s diagnosis. 136. Chris, an RN is working on the same shift as a friend who is under investigation by CNO. Chris is concerned that she may be asked to participate as a witness in the investigation. What will Chris need to consider? a. Failure to cooperate in a College investigation may be considered to be an act of professional misconduct. b. Loyalty among colleagues is essential in maintaining a healthy work environment. c. The College does not allow personal friends to participate in investigations due to the potential for a conflict of interest. * d. Nurses are under no obligation to participate in investigations as witnesses. 137. An NP has written an order for an influenza immunization at a local clinic. What should the RPN do? a. Implement the order. * b. Request that the RN administer the medication. c. Refuse to administer the medication. d. Call the physician to confirm the order. 138. According to the CNO Practice Standard: Professional Standard, Revised 2002, which one of the following options best reflects the standard statement of ‘Knowledge Application’? a. Identifies ethical issues and communicates them effectively. b. Incorporates evidenced-informed practice into clinical performance. * c. Seeks appropriate assistance in a timely manner. d. Behaves professionally to meet the therapeutic needs of the client. 139. As part of his end of life care, a client decides he wants only palliative measures to maintain his quality of life. The nurse does not support the client’s decision and does not feel he can provide care to the client. How should the nurse proceed? a. Withdraw from the situation immediately. b. Advocate to the client’s family for full treatment. c. Inform the client that the nurse has a duty to preserve life. d. Arrange for another health care provider. *