BSNC 1020 "TMI" Exam Questions with Answers
What is not considered an "order"? - Answer-1: instruction recorded in a communication tool, such as a "Kardex"
2: consultation, referral or recommendation
What is NOT autonomous scope of practice? (4) - Answer-1: any activities listed under section ...
BSNC 1020 "TMI" Exam Questions
with Answers
What is not considered an "order"? - Answer-1: instruction recorded in a communication
tool, such as a "Kardex"
2: consultation, referral or recommendation
What is NOT autonomous scope of practice? (4) - Answer-1: any activities listed under
section 7
2: standards, limits or conditions established by BCCNM
3: applicable organizational policies or restrictions
4: individual competence
What are the standards for acting within autonomous scope of practice? (7.8) - Answer-
1: assume sole accountability and responsibility when the act within autonomous scope
of practice
2: clinical decision making process:
a) assess the client's status
b) nursing diagnosis of a client's condition
c) determine activity
d) carry out activity
e) change or cancel client-specific order
f) give client-specific order
g) manage intended and unintended consequences
h) manage and evaluate outcomes
3: clarify your role
4: collaborate and communicate
5: work within your individual competence
6: current evidence
7: client consent
Who are the listed health professionals? (2.15) - Answer-1: Regulated and authorized
by the RN regulation to give orders for section 7:
a) dentist
b) midwives
c) naturopaths
d) physicians
e) podiatrists
f) pharmacists
g) certified practice registered nurses
h) nurse practitioners
,2: need to be certified within BC
except if the patient is transferred from Alberta, Yukon or NWT for emerg. treatment in
BC
3: Non-listed professionals can give client specific orders but we can only act on them if
the fall under the autonomous scope of practice "not restricted activities" and "Section
6"
a) dieticians
b) physiotherapists
c) occupational therapists
d) wound care nurses
e) registered psychiatric nurses
f) registered nurses
g) psychologists
What are the standards for acting with client-specific orders? (5.6) - Answer-1: restricted
activity with order (section 7) = listed health professional
2: insure that the order is:
a) within your scope of practice
b) is consistent with BCCNM's standards, limits and conditions
c) is consistent with organizational policies
3: individual competence
4: client specific order for activity within autonomous scope
5: can act if client-specific order from a non-listed health professional only if:
a) it's autonomous scope of practice
b) within your individual competence
c) organizational supports, processes and resources including policies and procedures
exist
What are the three BCCNM Standards of Practice? How are they different? (3.3) -
Answer-1: Professional Standards
a) a guide on how to act/internal set of values to exhibit
2: Practice Standards
a) specific guidelines on what to do for certain activities
3: Scope of Practice
a) refers to the activities that registered nurses are educated and authorized to perform
Provide a brief definition of "Scope of Practice". How is nursing service defined? (3) -
Answer-1: Scope of practice refers to the activities that registered nurses are educated
and authorized to perform. 2: These activities are established through the legislated
definition of nursing practice
3: They are complemented by standards, limits and conditions set by BCCNM.
There are two exceptions to scope of practice. What are these and why do they exist?
(2) - Answer-1: In situations involving imminent risk of death or serious harm that arise
unexpectedly and require urgent action: registered nurses are ethically obligated to
, provide the best care they can, given the circumstances and their individual
competence.
2: Where a formal delegation process is in place. See Part 6.
What are the three titles that a BCCNM registrant can use? (3) - Answer-1: Registered
nurse
2: Licensed graduate nurse
3: Nurse
What is a "reserved title" and how does one become credentialed to use a reserved
title? (2) - Answer-1: The RN and NP regulation (Nurses (Registered) and Nurse
Practitioners Regulation) define a reserved title containing a statement of the scope of
practice and outline a set of restricted activities of what that profession is authorized to
do.
2: The Regulation states that registrants of BCCNM may practice nursing.
What is a "provisional" license? (3) - Answer-1: Provisional registration may be granted
to eligible applicants who want to work while meeting their outstanding registration
requirements.
2: If you are granted provisional registration you will be assigned specific conditions you
must meet to be eligible for practising registration. 3: When these conditions are met,
your provisional registration is automatically converted to practice.
What title does a new grad use in practice? (1) - Answer-1: RN (P)
What title does an employed student nurse use? (1) - Answer-1: ESN
What is the difference between a grandparented nurse and a retired nurse? (2) -
Answer-1: A grandparented nurse is a nurse who was a practicing nursing with a
diploma before BSN programs
2: Retired nurse is a nurse who is no longer practicing.
What are the four controls on practice? (4) - Answer-Top down:
4: Individual competency to carry out a particular activity
3: organizational policy (employer) which may restrict registered nurses' practice in a
particular agency or unit.
2: BCCNM standards, limits and conditions, which complement and further define and
limit the scope of practice set out in the Regulation
1: Legislation + Regulation -> HPA,
NR+NP regulation: which sets out the scope of practice in fairly broad strokes.
Who has the most control? Why? (2) - Answer-1: Legislation and regulation has the
most power because it gives powers to the other levels.
2: Government can can take the power away, especially the power of self-regulation.
Professionalism (3) - Answer-1: value driven concept
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