Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Professional Nursing 1 > College of Nurses of Ontario (CNO) - Practice Standards for Scope of Practice > Flashcards

College of Nurses of Ontario (CNO) - Practice Standards for Scope of Practice Flashcards

1
Q

The College of Nurse of Ontario (CNO)’s ___ is to protect the public by promotingsafe nursing practice.

A

purpose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which practice standard outlines the legislated scope of nursing
practice and other key requirements for nurses
when deciding whether to perform an activity
for safe client care?

A

Scope of Practice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What refers to a range of activities
that nurses’ have the legislated authority to
perform?

A

Scope of Practice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is defined in legislation, namely the Nursing Act, 1991 and the Regulated Health Professions Act, 1991 (RHPA)?

A

Authroity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Employer policies and practice setting requirements, as
well as the individual nurse’s ___, also
impact nurses’ decisions and accountability
related to scope of practice.

A

competence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which standard outlines the expectations for all nurses when determining if they have the authority to
perform a specific activity, if it is appropriate
for them to perform, and if they are competent to perform the activity safely?

A

Scope of Practice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The ___ ___, 1991, defines the nursing
scope of practice as:

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 to attain or
maintain optimal function.

A

Nursing Act

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

This standard expands on the accountabilities
found in the ___ of ___, the
central practice standard for nurses.

A

Code of Conduct

The Code

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Contravening legislation or failing
to meet the standards of practice could be
professional ___.

A

misconduct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which three key concepts must a nurse consider to meet the expectations of the Scope of Practice?

A

Authority

Context

Competence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Nurses must know their legislated scope of practice, including controlled acts and ___ ___.

A

authorizing mechanisms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which key concept is a nurse determining if their practice environment or setting supports the performance of an activity and has the available
resources to support safe client care?

A

Context

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which key concept is a nurse ensuring they have the individual knowledge, skill and judgment to perform an activity?

A

Competence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What does each key concept include?

A

Accountabilities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Nurses must ensure they have the legal ___ prior to performing any activity.

A

authority

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is ensuring that practice complies with all relevant legislation, the appropriate authorizing mechanisms are in place, and assessment of the context of their practice and competence to ensures providing safe client care?

A

Authority

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Which regulatory body applies to all
regulated health professions?

A

Regulated Health Professionals Act (RHPA)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Which regulatory body is specific to
the nursing profession?

A

Nursing Act

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Which two acts give nurses the legal authority
to perform activities, including controlled acts?

A

Regulated Health Professional Act (RHPA)

Nursing Act

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Which acts are defined in the Regulated Health Professionals Act (RHPA) as acts which may be performed only by authorized regulated health professionals?

A

Controlled

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are specific acts that the Nursing Act, 1991 authorizes nurses to perform when providing health care services to an individual?

A

Controlled

22
Q

Which acts are considered potentially harmful if performed by someone who does not have the required knowledge, skill, and judgment?

A

Controlled

23
Q

Registered Nurses (RNs) and Registered Practical Nurses (RPNs) are authorized to perform
the ___ controlled acts, if ordered by a physician, dentist, chiropodist, ___, or Nurse Practitioner (NP), or if initiated in accordance with conditions set out in the regulation, and as authorized in their ___ setting.

A

five

midwife

practice

24
Q

The five controlled acts registered practical nurses are authorized to perform under certain conditions and permission:

  1. performing a prescribed procedure below the ___ or a mucous membrane
  2. administering a substance by ___ or inhalation
  3. putting an instrument, hand or finger

i) beyond the external ___ canal

ii) beyond the point in the nasal passages where they normally narrow

iii) beyond the larynx

iv) beyond the opening of the urethra

v) beyond the labia majora

vi) beyond the anal verge

vii) into an artificial opening into the body

  1. treating, by means of psychotherapy technique, delivered through a ___ relationship, an individual’s serious disorder of thought, cognition, mood, emotional regulation, perception or memory that may seriously impair the individual’s judgement, insight, behaviour, communication or social functioning
  2. dispensing a ___

Additionally, RNs and RPNs may dispense or administer by injection or inhalation certain
medications if ordered by RNs with prescribing authority, if permitted by the setting and in compliance with all relevant legislation, the standards of practice of the profession and applicable employer policies.

A

dermis

injection

ear

therapeutic

drug

25
Q

The Regulated Health Professional Act (RHPA) identifies some ___ that permit nurses, under some conditions, to perform specific controlled acts that do not require an order or delegation for the performance of the controlled acts.

Some settings or organizations may still require orders for these controlled acts for client safety.

The Regulated Health Professional Act (RHPA) also provides some ___ that allow persons who are not authorized as members of a regulated health profession, for example, unregulated care providers, to perform controlled acts in some situations, including emergency situations.

A

exemptions x 2

26
Q

What two ways registered nurses (RNs) and registered practical nurses (RPNs) obtain authority to perform a controlled act?

A

Orders

Delegation

27
Q

What is a prescription for a procedure, treatment, drug or activity?

A

Order

28
Q

Orders include ___ orders and ___.

A

direct

directives

29
Q

An order is required when an activity:

1) is a ___ act authorized to nursing, with the exception of those ___ acts that a nurse may initiate on their own authority.

2) is ___ and does not fall under a ___act authorized to nursing.

Additionally, an order may be required if:

3) an activity does not fall within a ___ act but is required as part of the client’s plan of care and/or practice-setting policies is a requirement of other legislation.

A

controlled x 2

delegated

controlled x 2

30
Q

Which order is client-specific regarding an activity?

A

Direct

31
Q

Which order may be written or verbal (oral)?

A

Direct

32
Q

Which direct orders must only be used in emergency situations or when the prescriber is unable to document the order, such as in the operating room?

A

Verbal

33
Q

What is an order for an activity or series of activities that may be implemented for a number of
clients when specific conditions are met and specific circumstances exist?

A

Directive

34
Q

Which order is always written by a regulated health professional who has the legislated authority to order the activity and for which they have the ultimate responsibility?

A

Directive

35
Q

What occurs when a regulated health professional who is legally authorized and competent to perform a controlled act, temporarily grants their authority to perform that act to another individual?

A

Delegation

36
Q

Nurses who are authorized to perform controlled acts can ___ them to certain individuals, including other regulated health professionals or unregulated care providers, for example, family members of clients.

A

delegate

37
Q

A nurse who delegates a controlled act is ___ for the decision to delegate and for ensuring the delegatee is competent to perform the controlled act.

A

responsible

38
Q

Nurses who perform controlled acts delegated to them are ___ for the decision to carry out the controlled act and for the performance of the act.

A

responsible

39
Q

What prohibited action occurs when a nurse delegates a controlled act that has been delegated to them?

A

Sub-Delegation

40
Q

Which two nurse classes are not permitted to delegate
or accept delegation?

A

Temporary

Emergency

41
Q

Which nursing class is not permitted to delegate to other health care professionals?

A

Special Assignment

42
Q

Registered Nurses and RPNs cannot delegate these controlled acts:

1) treating, by means of psychotherapy technique, delivered through a ___ relationship, an
individual’s serious disorder of thought, cognition, mood, emotional regulation, perception, or
memory that may seriously impair the individual’s judgement, insight, behaviour, communication
or social functioning

2) ___ a drug

A

therapeutic

dispensing

43
Q

Registered Nurses with prescribing authority cannot delegate these controlled acts:

1) ___ a medication

2) communicating to a client or a client’s representative a ___ made by the RN where the purpose of that communication is for ___ the medication

A

prescribing

diagnosis

prescribing

44
Q

What occurs when RNs or RPNs are permitted by regulation to independently assess and perform specific controlled acts without an order?

A

Initiation

45
Q

Not all nurses will be able to ___ specific
controlled acts, as this authority may not apply to certain practice settings because of legislation or facility policies.

As with all activities, nurses must ensure they have informed consent.

A

initiate

46
Q

Nurses are expected to demonstrate the following nursing accountabilities in relation to authority:

1) know and work in compliance with ___, including

  • performing controlled acts only in the context of a therapeutic nurse-client relationship
  • ensuring appropriate authority is in place in the form of ___ orders or ___
  • following orders that are clear, complete and appropriate
  • ensuring ___, in addition to an order, is permitted and in place before performing a controlled act that is not authorized under the Nursing Act, 1991
  • ensuring that the initiation of activities complies with the regulatory and practice-specific legislation and employer ___

2) ___ orders and activities performed or initiated as outlined in the ___ practice standard

3) obtain informed consent as outlined in the ___ practice guidelines

A

legislation

direct, directive

delegation

policies

document, documentation

consent

47
Q

A nurse who has the legal authority to perform an activity must also consider if it is appropriate to do so within the ___ of their practice setting.

A

context

48
Q

What may include the broader environment in which nurses work, the health care setting, and the available resources to support the nurse and client?

A

Context

49
Q

A quality ___ setting is a workplace that supports nursing practice, fosters professional development and promotes the delivery of quality care.

A

practice

50
Q

What includes where and how care is provided to ensure all safety precautions are taken?

A

Context

51
Q

Nurses must ensure their practice complies with all applicable ___, including practice specific legislation and employer policies.

A

legislation

52
Q

Nurses must recognize that employers can limit but cannot expand their legislated scope of practice. When employer policies conflict, nurses’ primary accountability is to meet the CNO standards of practice. Nurses must ensure compliance
with practice standards and advocate for policies that support safe client care

A

Professional Nursing 1 (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions