The following questions are examples of the types of questions you can expect on the Jurisprudence Exam. Note that these specific questions will not be on the exam.

1. A father expresses concerns about his son's upcoming surgery and has several questions about the procedure. The nurse listens to the father's concerns, shares information about the procedure, and validates his feelings. Which components of the nurse-client relationship is the nurse demonstrating? (Select all that apply)

  1. Maintaining boundaries
  2. Client-centred care
  3. Protecting the client from abuse
  4. Therapeutic communication

Answer: B and D

Rationales:

  1. This is not the correct component.
  2. The nurse is demonstrating client-centred care by empathizing with the father and providing information about the surgery.
  3. This is not the correct component
  4. The nurse is demonstrating therapeutic communication by listening to the father’s concerns, empathizing with him and providing information about the surgery.

Reference: Therapeutic Nurse-Client Relationship

2. A nurse gives a double dose of acetaminophen (Tylenol) to a client who only requires a single dose. What, if anything, must the nurse do?

  1. Ask a colleague to help assess the client
  2. Withhold the client’s next dose of Tylenol
  3. Report the error as soon as possible
  4. Nothing, because this is an over-the-counter medication

Answer: C.

Rationales:

  1. Nurses should be accountable for all errors made.
  2. All errors should be reported so that appropriate action can be taken.
  3. This is according to the standard.
  4. Nurses should be accountable for all errors made.

Reference: Medication Practice Standard

3. An RPN orders an RPN colleague to insert a urethral catheter into a newly admitted client. What should the RPN colleague do?

  1. Confirm the order with a physician before proceeding with the intervention
  2. Accept the order and proceed with the intervention
  3. Consult with an RN before proceeding with the intervention
  4. Decline to accept the order

Answer: D.

Rationales:

  1. The original order was made by an RPN and a controlled act cannot be ordered by an RPN.
  2. A controlled act cannot be ordered by an RPN.
  3. A controlled act cannot be ordered by an RPN.
  4. An RPN cannot order another nurse to perform a controlled act.

Reference: Scope of Practice Standard

4. A client writes to the College of Nurses of Ontario (CNO) stating that a nurse assaulted him during care. What action may CNO take in this situation?

  1. Report the nurse to the employer
  2. Investigate the allegation
  3. Request that the nurse's employment be terminated
  4. Refer the complaint to local law enforcement

Answer: B

Rationales:

  1. The employer may investigate but the legislation requires the allegation be investigated by the College.
  2. The College is required under the RHPA to investigate all complaints.
  3. This might be an outcome of the complaint but not at this point.
  4. Not the obligation of the College.

Reference: Addressing Complaints at the College of Nurses of Ontario: Process Guide