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Elsevier: Mosby's Comprehensive Review for the Canadian PN Exam Questions With Complete Solutions

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Chapter 3: Professional Practice and the Nurse-Client Partnership Case 1: A nurse educator has revised the hospital's orientation program in anticipation of the hospital orientating many new graduate practical nurses within the next 3 months. The nurse educator decides to use sample client he...

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  • September 27, 2023
  • 33
  • 2023/2024
  • Exam (elaborations)
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Elsevier: Mosby's Comprehensive Review for
the Canadian PN Exam Questions With
Complete Solutions
Chapter 3: Professional Practice and the Nurse-Client
Partnership

Case 1:
A nurse educator has revised the hospital's orientation program
in anticipation of the hospital orientating many new graduate
practical nurses within the next 3 months. The nurse educator
decides to use sample client health records to highlight areas of
professional practice. He conducts his first education session
with the new graduates.

Question 1: During the documentation session, one of the new
practical nurses asks what abbreviations can be used within the
client's health record. What abbreviations should the practical
nurse use?

1. Abbreviations learned in nursing school
2. Abbreviations that have been approved by the Canadian
Nurses Association
3. Abbreviations that have been approved by the hospital
4. Abbreviations that are in common use on specific units within
the hospital correct answer: 3. Abbreviations that have been
approved by the hospital

Case 1:

,A nurse educator has revised the hospital's orientation program
in anticipation of the hospital orientating many new graduate
practical nurses within the next 3 months. The nurse educator
decides to use sample client health records to highlight areas of
professional practice. He conducts his first education session
with the new graduates.

Question 2: Which of the following statements is the most
accurate information with regard to client consent?

1. Practical nurses are responsible for ensuring that clients sign
all consent forms on the health record.
2. The health care provider proposing the procedure requiring
written consent is the person who must ensure that written client
consent is obtained.
3. Verbal consent for an operative procedure is acceptable, and
signed consents are not always necessary.
4. When a client is admitted to the hospital, the client signs a
written consent that covers all treatments. correct answer: 2.
The health care provider proposing the procedure requiring
written consent is the person who must ensure that written client
consent is obtained.

Case 1:
A nurse educator has revised the hospital's orientation program
in anticipation of the hospital orientating many new graduate
practical nurses within the next 3 months. The nurse educator
decides to use sample client health records to highlight areas of
professional practice. He conducts his first education session
with the new graduates.
.

,Question 3: In the sample client's health record, the new
graduate practical nurses discover that a nurse has written
"Verbal Order, acetaminophen (Tylenol), 325 mg, PO, prn, for
pain." There is no evidence that this was an emergency situation.
Which of the following describes best practice in relation to
verbal medication orders?

1. Verbal orders are to be avoided, except in an emergency
situation.
2. Practical nurses should follow the same practice for verbal
orders as for telephone orders.
3. Verbal orders should never be accepted, including in
emergency situations.
4. Only registered nurses may receive verbal orders for
medications from a physician. correct answer: 1. Verbal orders
are to be avoided, except in an emergency situation.

Case 1:
A nurse educator has revised the hospital's orientation program
in anticipation of the hospital orientating many new graduate
practical nurses within the next 3 months. The nurse educator
decides to use sample client health records to highlight areas of
professional practice. He conducts his first education session
with the new graduates.


Question 4: The new graduate practical nurses review a variety
of orders on the sample health records. Which of the following
is a correct medication order?

1. Acetaminophen 325 mg PO for pain

, 2. Acetaminophen 325-650 mg PO for pain q4-6h prn
3. Acetaminophen 325-650 mg PO for pain as needed
4. Acetaminophen 325 or 650 mg q4-6h prn correct answer: 2.
Acetaminophen 325-650 mg PO for pain q4-6h prn

Case 1:
A nurse educator has revised the hospital's orientation program
in anticipation of the hospital orientating many new graduate
practical nurses within the next 3 months. The nurse educator
decides to use sample client health records to highlight areas of
professional practice. He conducts his first education session
with the new graduates.

Question 5: During the orientation, the nurse educator explains
that the hospital uses evidence-informed practice to guide
clinical decision making. Which of the following statements best
describes evidence-informed practice?

1. An opportunity to obtain funding from the government
2. An opportunity to transfer research findings into practice
3. A chance for professionals to trial untested research findings
4. A way to promote enhanced assessment skills correct answer:
2. An opportunity to transfer research findings into practice

Case 2:
A manager of home care nurses has noticed over the past 3
months a lack of clarity about the roles of the team members,
poor team morale, increasing negative communication, and team
conflict. The manager decides to support her staff by providing
an education session.

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