Chapter 05: Regulation of the Nursing Profession
Keatings: Ethical & Legal Issues in Canadian Nursing, 4th Edition
MULTIPLE CHOICE
1. Which of the following is an aspect of self-regulation?
a.
Setting standards of entry into a profession
b.
Representing coworkers during disciplinary meetings with an employer
c.
Self-evaluating practice
d.
Determining expectations regarding scheduling practices
ANS: A
Feedback
A Correct! Self-regulation is a privilege granted to a profession by a provincial or
territorial government. Setting standards of entry into the profession is one
aspect of self-regulation.
B Incorrect—This is usually the responsibility of a labour union.
C Incorrect—The “self” in “self-regulation” refers to the profession as a whole, not
the individual worker.
D Incorrect—Negotiating working conditions is the responsibility of a labour
union.
DIF: Cognitive level: Knowledge
2. Which of the following clarifies the nature and scope of nursing practice?
a.
A provincial regulatory body
b.
A national nursing association
c.
A nurse practitioner regulation
d.
The Criminal Code of Canada
ANS: A
Feedback
A Correct! A provincial regulatory body (or the legislation under which it falls)
will describe and define the nature and scope of nursing practice.
B Incorrect—A national nursing association has no direct regulatory role regarding
the nature and scope of nursing practice.
C Incorrect—A nurse practitioner regulation identifies the scope of a specific
category of nurse but does not clarify the nature and scope of nursing practice.
D Incorrect—The Criminal Code of Canada may deal with extreme violations of
nursing practice (indictable offenses, such as criminal negligence) but does not
clarify the nature and scope of nursing practice.
DIF: Cognitive level: Analysis
3. What is the main difference between a two-tier regulatory system for nurses and a single-tier
system?
a.
A two-tier system ensures due process in the complaint resolution process.
, b.
A single-tier system does not deal with complaints about a nurse’s practice.
c.
A single-tier system is not self-regulatory.
d.
A two-tier system has a regulatory branch underneath a higher level body.
ANS: D
Feedback
A Incorrect—Whether a system is two-tier or single-tier is irrelevant to due
process.
B Incorrect—Both single-tier and two-tier systems have mechanisms for managing
complaints about a registrant’s practice.
C Incorrect—Both single-tier and two-tier systems are based on self-regulation.
D Correct! A two-tier system has a regulatory branch underneath a higher level
body. The higher level body may be involved with complaints and appeal and
may have a broader scope than nursing alone. In a single-tier system, a
provincially created regulatory body has a complete legislative mandate.
DIF: Cognitive level: Comprehension
4. Which of the following is an objective of a nursing regulatory body?
a.
The regulation of nursing education
b.
The promotion and advancement of nursing regulation issues on a national level
c.
The day-to-day governance of the affairs of the regulatory body
d.
The support of a high-quality and publicly funded health system
ANS: A
Feedback
A Correct! Regulating education, nursing roles, scope of practice, entry into the
profession, standards of practice, complaints processes, and discipline of
members are all objectives of a nursing regulatory body.
B Incorrect—This is a national role of the Canadian Nurses Association.
C Incorrect—This is the role of the Board of Directors for the regulatory body.
D Incorrect—This is a national role of the Canadian Nurses Association.
DIF: Cognitive level: Analysis
5. A nurse who continues to practise while under suspension is guilty of which of the following?
a.
Professional negligence
b.
Professional incompetence
c.
Professional misrepresentation
d.
Professional misconduct
ANS: D
Feedback
A Incorrect—Professional negligence is an error or omission during care, resulting
in harm to the client; this does not describe what this nurse is doing.
B Incorrect—“Professional incompetence” is not a term used in nursing.
C Incorrect—A nurse under suspension is not allowed to practise as a nurse. The
person in this context is misrepresenting himself or herself, and this constitutes
Keatings: Ethical & Legal Issues in Canadian Nursing, 4th Edition
MULTIPLE CHOICE
1. Which of the following is an aspect of self-regulation?
a.
Setting standards of entry into a profession
b.
Representing coworkers during disciplinary meetings with an employer
c.
Self-evaluating practice
d.
Determining expectations regarding scheduling practices
ANS: A
Feedback
A Correct! Self-regulation is a privilege granted to a profession by a provincial or
territorial government. Setting standards of entry into the profession is one
aspect of self-regulation.
B Incorrect—This is usually the responsibility of a labour union.
C Incorrect—The “self” in “self-regulation” refers to the profession as a whole, not
the individual worker.
D Incorrect—Negotiating working conditions is the responsibility of a labour
union.
DIF: Cognitive level: Knowledge
2. Which of the following clarifies the nature and scope of nursing practice?
a.
A provincial regulatory body
b.
A national nursing association
c.
A nurse practitioner regulation
d.
The Criminal Code of Canada
ANS: A
Feedback
A Correct! A provincial regulatory body (or the legislation under which it falls)
will describe and define the nature and scope of nursing practice.
B Incorrect—A national nursing association has no direct regulatory role regarding
the nature and scope of nursing practice.
C Incorrect—A nurse practitioner regulation identifies the scope of a specific
category of nurse but does not clarify the nature and scope of nursing practice.
D Incorrect—The Criminal Code of Canada may deal with extreme violations of
nursing practice (indictable offenses, such as criminal negligence) but does not
clarify the nature and scope of nursing practice.
DIF: Cognitive level: Analysis
3. What is the main difference between a two-tier regulatory system for nurses and a single-tier
system?
a.
A two-tier system ensures due process in the complaint resolution process.
, b.
A single-tier system does not deal with complaints about a nurse’s practice.
c.
A single-tier system is not self-regulatory.
d.
A two-tier system has a regulatory branch underneath a higher level body.
ANS: D
Feedback
A Incorrect—Whether a system is two-tier or single-tier is irrelevant to due
process.
B Incorrect—Both single-tier and two-tier systems have mechanisms for managing
complaints about a registrant’s practice.
C Incorrect—Both single-tier and two-tier systems are based on self-regulation.
D Correct! A two-tier system has a regulatory branch underneath a higher level
body. The higher level body may be involved with complaints and appeal and
may have a broader scope than nursing alone. In a single-tier system, a
provincially created regulatory body has a complete legislative mandate.
DIF: Cognitive level: Comprehension
4. Which of the following is an objective of a nursing regulatory body?
a.
The regulation of nursing education
b.
The promotion and advancement of nursing regulation issues on a national level
c.
The day-to-day governance of the affairs of the regulatory body
d.
The support of a high-quality and publicly funded health system
ANS: A
Feedback
A Correct! Regulating education, nursing roles, scope of practice, entry into the
profession, standards of practice, complaints processes, and discipline of
members are all objectives of a nursing regulatory body.
B Incorrect—This is a national role of the Canadian Nurses Association.
C Incorrect—This is the role of the Board of Directors for the regulatory body.
D Incorrect—This is a national role of the Canadian Nurses Association.
DIF: Cognitive level: Analysis
5. A nurse who continues to practise while under suspension is guilty of which of the following?
a.
Professional negligence
b.
Professional incompetence
c.
Professional misrepresentation
d.
Professional misconduct
ANS: D
Feedback
A Incorrect—Professional negligence is an error or omission during care, resulting
in harm to the client; this does not describe what this nurse is doing.
B Incorrect—“Professional incompetence” is not a term used in nursing.
C Incorrect—A nurse under suspension is not allowed to practise as a nurse. The
person in this context is misrepresenting himself or herself, and this constitutes
