CNO: Professional Standards Clinical Practice Question Flashcards

1
Q

Jon enters Mr. T’s room who has recently had abdominal surgery. Jon takes T’s vital signs (temp, heart rate, respiratory rate, BP, oxygen saturation) without introducing himself to him. He is also not wearing his ID badge. Jon administers Advil (Ibuprofen) to Mr. T for pain. Mr. T, who is somewhat drowsy, asks Jon what he was given. When learning what he has just taken, Mr. T reports that he is allergic to Advil and that it gives him hives. Jon checks the chart and notices that this information is written there. Jon monitors Mr. T for hives but does not report his error to anyone and does not document it. Which standard(s) has Jon violated and in what way?

A

Accountability:

  • No introduction and did not wear id
  • Not explained his role
  • Not provide possible care for clients
  • Not taking actions for errors
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2
Q

Charlotte is a nurse on a post-partum floor (where mothers have recently given birth). She is caring for Jenny, a new mother who is breastfeeding her baby. Charlotte tells Jenny that she should only nurse her baby for 5 minutes at a time on each side to prevent sore nipples. Charlotte’s colleague, Jacqui, overhears this and informs Charlotte that the current research does not support this practice - proper positioning of the baby at the breast prevents sore nipples, not limiting the time at the breast. Furthermore, Jacqui says, limiting the time at the breast can interfere with successful breastfeeding because it can prevent adequate milk production. Which standard(s) has Charlotte not adhered to and in what way? Which standard(s) is Jacqui implementing?

A

Charlotte:
-lack of continuing competence: did not know the new information about breastfeeding

Jacqui:
Accountability
- Took the accountability to correct her

Continuing Competence
- Aware of new research

Leadership
- Corrected and shared new knowledge to co- worker

Professional Relationship
- Giving the best care for the patient by telling Charlotte the new information

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