According to the standards of care mandated by the Canadian Council on Health Services Accreditation (CCHSA), which of the following is an institution required to establish?
a. Limits of professional liability
b. Educational standards for nurses
c. A delineated scope of practice for health care professionals
d. Written nursing policies and procedures for care
D
The CCHSA requires that accredited health care institutions establish written nursing policies and procedures.
Standards of care help define the limits of professional liability. The CCHSA does not require an institution to establish the limits of professional liability.
Educational requirements for nurses are established by Nurse Practice Acts.
Nurse Practice Acts establish the scope of nursing practice. The rules and regulations enacted by the provincial board of nursing define the practice of nursing more specifically. The Canadian Nurses Association has developed standards for nursing practice that delineate the scope, func-tion, and role of the nurse and establish clinical practice standards.
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The nurse is serving on a committee charged with reviewing the roles and responsibilities of the nurses on the psychiatric unit. Which publication should the nurse bring to the first meeting?
1. Diagnostic and Statistical Manual of Mental Disorders 2. American Nurses Credentialing Center certification requirements 3. American Nurses Association, Code of Ethics 4. Psychiatric–Mental Health Nursing Standards of Practice
A 27-year-old patient admitted with diabetic ketoacidosis (DKA) has a serum glucose level of 732 mg/dL and serum potassium level of 3.1 mEq/L. Which action prescribed by the health care provider should the nurse take first?
a. Place the patient on a cardiac monitor. b. Administer IV potassium supplements. c. Obtain urine glucose and ketone levels. d. Start an insulin infusion at 0.1 units/kg/hr.
After two weeks of using latanoprost for open-angle glaucoma, the patient complains that he has irritation, stinging and redness in his eyes. Education the nurse would provide to the patient would include:
A. "The stinging is normal but the redness is not. Stop using the medicine. I'll call your doctor to let her know." B. "These symptoms are from a reaction to the medicine. Start weaning yourself down by reducing the drops by half each day, and then stop." C. "The symptoms will go away if medication administration is switched to mornings." D. "This is a normal response during the first month of therapy. Use the drops at bedtime so you are not feeling that irritation as much."
T.H. thinks a moment, then says, "How is the doctor even sure this is what I have?" What is
your response? What will be an ideal response?