Professional Development Mohawk
College (Exam 2024)
What are SMART goals? - ANS The SMART in SMART goals stands for Specific,
Measurable, Achievable, Relevant, and Time-Bound.
What are the 7 Ethical Values? - ANS Client well-being, Client choice, Privacy and
confidentiality, Respect for life, Maintaining commitments, Truthfulness, and fairness
What is the #1 factor that contributes to conflict? - ANS Poor communication
Approximately _____% of nurses will experience violence during their career - ANS 80%
What are the 3 types of conflict? - ANS 1. Nurse-client
2. Nurse -Nurse
3. Nurse-Management
What is the purpose of the Regulated Health Professions Act (1991)? - ANS • Protect and
serve the public by making health professions open and accountable
• Describe scope of practice, controlled acts, and regulatory colleges for each health profession
- 22 regulated health professions in Ontario
• 14 controlled acts which regulated health professionals can perform - depending on scope,
can perform some or all
What is an ethical dilemma? - ANS When two or more ethical values apply to a situation,
but these values support diverging courses of action, an ethical conflict or dilemma exists.
What is the purpose of The Nursing Act (1991)? - ANS • Of the 14 controlled acts outlined
by the RHPA, the Nursing Act (1991) allows RNs and RPNs to perform 5 controlled acts when
ordered or permitted -An RN or RPN must also ensure they have the knowledge, skill, and
judgment to perform any of these acts
• The Nursing Act (1991) also outlines a Nurses "Scope of Practice"
Other purposes:
• Defines the various classes of nurses that can be registered
• Outlines the regulations for entry to practice for each class
• Provides title protection
• Defines professional misconduct for nurses
,What is the Nursing's Scope of Practice Statement? - ANS The practice of nursing is the
promotion of health and the assessment of, the provision of, care for, and the treatment of,
health conditions by supportive, preventive, therapeutic, palliative and rehabilitative means in
order to attain or maintain optimal function. (Nursing Act, 1991)
What are the 5 Controlled Acts? - ANS 1. Performing a prescribed procedure below the
dermis or a mucous membrane Ex. Packing a wound, cleaning a wound
2. Administering a substance by injection or inhalation
Ex. IM, SC injections
3. Putting an instrument, hand, or finger beyond the external ear canal; beyond the point in the
nasal passages where they normally narrow; beyond the larynx; beyond the opening of the
urethra; beyond the labia majora; beyond the anal verge; or into an artificial opening into the
body Ex. Inserting an NG tube, nasopharyngeal suctioning, inserting a urinary catheter
4. Dispensing a drug
Ex. Preparing medication for a LOA
5. Psychotherapy
Ex. Treating a client using specific psychotherapy techniques
What does client choice mean ? - ANS · Client choice means self-determination and
includes the right to information necessary to make choices and consent or refuse care
· Clients know the context in which they live and their values and beliefs As a result, when they
have the necessary information, they can decide what is best for themselves
· Clients who are not competent in all areas of their lives may still be capable of making sound
decisions in some areas and need the opportunity to do so
· When a client is incompetent, the nurse needs to work with the substitute decision maker
· In Ontario, legislation and common law require that the wishes of clients or substitute decision
makers be respected
· There are limits; clients do not have the right to choose to endanger the safety of others or
their choice may be restricted by policies
· There may be situations in which clients request nurses to perform an act that is illegal
· By exploring the implications of the request and providing education, nurses have a better
chance of preventing a practice that carries considerable risk of harm
· Consideration of clients wishes may be difficult when their beliefs and values differ from those
of the nurse
· Clients have the right to choose a risky course of action
· The nurse may have to leave a particular place of employment in order to adhere to their
beliefs
What does client well-being mean? - ANS · Promoting client well-being means facilitating
someone's good health or welfare and preventing or removing harm
· At times it is difficult to decide what is "good" or optimal in a particular situation
· In determining the best action, it is necessary to differentiate between the nurse's and the
client's views of what is beneficial
, · Sometimes it is also difficult to balance potential benefits with the potential harm of a given
choice
· Nurses must use the client's views as a starting point
• Nurses are _________ more likely to experience violence compared to other professions -
ANS 3 times
How does the CNO define Nursing ? - ANS The goal of nursing is to restore, maintain and
advance the health of individuals, groups or communities. It is a science and an art." (CNO,
2012)
What is the ART of Nursing ?• - ANS The art is the establishment of a caring relationship
through which nurses apply knowledge, skill, and judgment in a compassionate manner.
What is the SCIENCE of Nursing?• - ANS The science is the application of nursing
knowledge and the technical aspects of practice
What are the 4 components of the Nursing metaparadigm? - ANS 1. Person - the
client/family/community who is the recipient of care
2. Environment - both internal and external factors related to the recipient of care
3. Health - the quality and wellness of the recipient of care
◦ Also includes their access to health care
4. Nursing - the nurse and how they apply their knowledge and skills when caring for individuals,
families and communities
What is the CNO? - ANS • Regulatory body for RPNs, RNs, and NPs in Ontario
• Protects the PUBLIC interest by ensuring safe care
• Must have a Certificate of Registration/be a College Member in order to practice in Ontario
(pay annual fee)
• Mandate: all nurses provide safe, competent, ethical care
• Nurses have the privilege of self-regulation - the profession governs itself through the CNO
CNO: What does it do? - ANS • Establishes requirements for entry to practice
• Articulates and promotes practice standards
• Administers Quality Assurance Program
• Enforces standards of practice and conduct
• Participates in legislation/policy development
• Collects statistical information about Ontario nurses
• Communicate with Ontario nurses (The Standard)
What are the Regulatory functions of the CNO? - ANS 1. Articulate and promote Practice
Standards
2. Establish requirements for Entry-to-Practice
3. Administer a Quality Assurance Program
