Exam (elaborations)
JURISPRUDENCE EXAM
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- TAMU Business 101 Semester Final Exam
Exam of 56 pages for the course TAMU Business 101 Semester Final Exam at TAMU Business 101 Semester Final Exam (JURISPRUDENCE EXAM)
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JURISPRUDENCE EXAM________ ____________ is inherent in the type of care and services that nurses
provide. It may relate to the physical activities, such as bathing, that nurses perform for,
and with, the client that create closeness. - ANS-Professional intimacy
___________ _____________ means all possible alternative interventions are
exhausted before deciding to use a restraint. - ANS-Least restraint
___________ is critical in the nurse-client relationship because the client is in a
vulnerable position. - ANS-Trust
___________ is the recognition of the inherent dignity, worth and uniqueness of every
individual, regardless of socio-economic status, personal attributes and the nature of the
health problem - ANS-Respect
___________ restraints limit a client's movement. These restraints include a table fixed
to a chair
or a bed rail that cannot be opened by the client. - ANS-Physical
____________ is the expression of understanding, validating and resonating with the
meaning that the health care experience holds for the client. - ANS-Empathy
____________ restraints control a client's mobility. Examples include a secure unit or
garden, seclusion or a time-out room. - ANS-Environmental
_____________ can take many forms, including verbal and emotional, physical,
neglect, sexual and financial. - ANS-Abuse
_____________ restraints are any form of psychoactive medication used not to treat
illness, but to intentionally inhibit a particular behaviour or movement. - ANS-Chemical
________________ can be essential in situations in which a language barrier exists
between the nurse and
the client - ANS-Interpreters
________________ involves the monitoring and directing of specific activities of UCPs.
It does not include ongoing managerial responsibilities. Often, the person who assigns a
task also _______________ the performance of that task. This can be direct or indirect,
,depending on the circumstances. For direct, the supervisor is physically present during
the provision of care. For indirect, the supervisor is not physically present but monitors
activities by having the UCP report regularly to the supervisor, or by periodically
observing the UCP's activities. - ANS-Supervising
supervises
_________________ is demonstrated through one's decision-making processes,
competency and integrity. It is reflected in accurate documentation and in the nurse's
actions. - ANS-Accountability
2 documents that provide the legislative framework for regulating nursing in Ontario: -
ANS-1. Regulated Health Professions Act, 1991
2. Nursing Act, 1991
3 questions a nurse must ask herself when providing complementary therapy: - ANS-1.
Is it appropriate to provide the complementary therapy?
2. Do I have the required knowledge, skill and judgment to provide this therapy safely
and effectively?
3. Do I understand, and can I deal with, the possible outcomes of this therapy?
3 requirements of nursing documentation - ANS-1. documentation presents an
accurate, clear and comprehensive picture of the client's needs, the nurse's
interventions and the client's outcomes.
2. documentation of client care is accurate, timely and complete.
3. safeguard client health information by maintaining confidentiality and acting in
accordance with information retention and destruction policies and procedures that are
consistent with the standard(s) and legislation.
4 regulatory functions: - ANS-1. practice standards.
2. entry to practice.
3. quality Assurance Program.
4. enforcing standards
5 statutory committeess - ANS-1. Discipline
2. Fitness to Practice
3. Inquiries, Complaints, and Reports
4. Quality Assurance
5. Registration
5 Steps to obtaining consent - ANS-Step 1 Assess capacity.
,Step 2 Provide emergency treatment or crisis admission.
Step 3 Inform the client that a substitute decision-maker will make decision.
Step 4 Identify a substitute decision-maker.
Step 5 Obtain consent from the substitute decision-maker.
A _______________ ______________ conducts assessments of capacity on persons
who need decisions made on their behalf on a continuing basis. - ANS-CAPACITY
ASSESSOR
NPs, RNs and RPNs are eligible to become capacity assessors. Designation will require
the successful completion of a capacity assessor education or training course approved
or required by the attorney general.
A 35-year-old client is diagnosed with chronic renal failure and has started peritoneal
dialysis. Maintaining adequate protein intake is an essential part of the client's ongoing
treatment, and animal protein is the recommended source. The client is a Hindu by
religion and has been eating eggs, chicken and goat all his life. However, since the
commencement of dialysis, he has stopped eating these foods and has become a
vegetarian. He tells the health care team that he wants to become a good Hindu so that
God will help him with his ordeal. He says that even though many Hindus eat meat, not
eating meat is a more devout way of life and one he wishes to follow. -
ANS-Recognizing that, at times of crisis, clients may revert to more traditional beliefs,
the team needs to work with this client to determine the reason for his change in dietary
practices. The goal is not to change his beliefs, but to increase the client's choices
about how to achieve adequate protein intake. The team could involve a dietitian to
teach ways to increase protein intake from vegetarian sources, such as cheese, lentils,
nuts, beans and tofu. They also want to help the client explore his perceptions of what
caused his illness and the role religion plays in his care. Involving a Hindu priest may be
an effective way of addressing spiritual needs, and the priest may, in fact, be able to
assist the client in resuming some intake of animal protein, if he chooses to do so.
Regardless of approach, the ultimate decisions about diet remain with the client.
A client asks a nurse to perform an act that has an unknown risk, what two things
should the nurse do? - ANS-1. refuse to follow the client's wishes if she/he believes it
may cause harm.
2. share her/his reasons for this decision with the client.
A client from a First Nations community requests that a sweetgrass ceremony be
performed in the hospital as part of the treatment. The ceremony involves chanting and
burning some substances, which will result in small amounts of smoke (similar to that of
burning an incense stick). The nurse's initial reaction is that something like this has
, never been done, and that it is against hospital policy. However, she also understands
the significance of this ritual for the client. The nurse raises the issue with the unit
administration and, with the support of colleagues, explores the potential impact on
other clients. The nurse also reviews relevant fire policies and consults with appropriate
staff in other departments. It is determined that any risk to other clients can be removed
by transferring the client to a private room. This is done, and the ceremony is
performed. - ANS-The nurse's commitment to client-centred care prompts her to explore
ways of meeting the client's needs within the limits of the hospital setting. Lack of
experience and fear are two of the most common barriers to providing culturally
sensitive care. Through collaboration with other colleagues, the nurse is able to address
the assumption that it cannot be done and to determine ways of meeting client needs
without exposing other clients to discomfort or risk. The nurse succeeds in meeting the
needs of her client, not only because of her creativity, but because she takes
responsibility for influencing policies and procedures in the practice setting.
A couple comes to a walk-in clinic with a young child who is crying and tugging at his
ears. The couple has recently come to Canada, but understands English well enough
that the nurse feels language is not an issue. An assessment reveals that the child has
an infection in both ears, and the couple is given a prescription for an antibiotic and
Tylenol drops for fever and pain. The situation is fairly routine, and an interpreter is not
considered necessary. The parents are informed about the diagnosis and treatment,
and they nod in understanding. The next day the couple returns with the child whose
condition seems to have worsened. There is now pink discharge from both ears, and
the entire family is in distress. An interpreter is called to assist. Through the interpreter,
the nurse learns that the parents had the prescription filled promptly, and they
understood the child was to be given
the medicine every four hours. - ANS-This example illustrates the importance of
confirming that accurate communication has been achieved. To reduce the chance of
confusion, the nurse could have demonstrated how to measure, and then administer,
both medications. Culturally appropriate client education materials would also have
been helpful.
A home care client has lost sensation and mobility in her legs. On a home visit to
provide wound care for a severe burn on the sole of her left foot, the nurse discovers a
picture of St. Francis of Assisi covered in plastic and carefully placed between the
layers of bandage around the foot. The client describes the picture as a relic that can
prevent or positively influence life's problems, and that St. Francis is known for healing
animals and people. She believes that placing the picture in the dressings will help the
wound to heal. - ANS-In considering the client's preference, the nurse considers the risk
of harm. In this instance, the request may be unusual, but does not pose a threat to the
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