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What are the three types of authorizing mechanisms? a) Medical directives, MD orders, NP orders b) Standing orders, medical directives, delegation c) MD orders, NP orders, directives d) Order, initiation, delegation - D When initiating a controlled act, an RN or RPN must : (put the following into the correct order as per the CNO document Authorizing Mechanisms) 1) Assess the client and identify the problem 2) Anticipate the management of potential outcomes 3) Decide on a course of action 4) Accept accountability for deciding the particular procedure is required and for ensuring that any potential outcomes are managed appropriately 5) Weight the risks and benefits of each option, considering the clients condition 6) Consider all of the available options to address the problem - 1,6,5,3,2,4 The nurse provides immunizations to a primary school class of 40 patients - Medical directive The nurse provides her patient with 500 mg of Tylenol to treat the patients headache - Order The nurse goes through a formal process to allow a family member provide wound care to the client - Delegation The nurse in the community independently decides it is the patients best interest to have an I/O catheter to address the patients urinary retention -Initiation A patient needs to have emergent surgery. The patient will need intravenous access for the surgery. The RPN starts the patient's IV. What will she need to be able to do this?a) Nothing, she is able to initiate this procedure b) An order c) A medical directive d) Permission from the CNO - B Which Controlled Acts are authorized to nurses? 1) Performing allergy testing 2) Dispensing a drug 3) Treating by means of psychotherapy technique 4) Putting a hand, instrument or finger beyond a natural or artificial opening of the body 5) Managing labour, or conducting a delivery 6) Performing a prescribed procedure below the dermis or mucous membrane 7) Administering a substance by inhalation or injection - 2,3,4,6,7 An RPN orders an RPN colleague to insert a urinary catheter for a newly admitted patient. a) Confirm RPN order with MD before proceeding b) Accept the order and proceed with the intervention c) Consult with an RN before proceeding d) Decline to accept the order - D Shannon is an RN in an urban hospital and a preceptor for Mei, a nursing student on a clinical placement. Sharon has a client who requires urinary catheterization. Sharon introduces Mei to the client and asks for consent to allow Mei to perform the procedure. After the client agrees, Sharon supervises Mei as she inserts the catheter. It was appropriate for Sharon to allow to perform this controlled act. True or False? - True A professional standard is an authoritative statement that sets out the legal and professional basis of nursing practice. All nurses are held to the same standard throughout their careers a) True b) False - AWhich of the following are NOT entry to Practice requirements? a) Successful completion of the nursing education requirements b) Proof of citizenship, permanent residency or authorization under the immigration protection act c) Obtain a minimum average of 70% on your academic record d) Successful of the jurisprudence exam - C