CPNRE Legal Scope and Accountability 2

Question 1

A client requests access to their health record. Under which Canadian legislation is this right protected?

Accepted Answer

Provincial privacy legislation such as PHIPA (Ontario) or FOIPPA (British Columbia)

Answer

The Canadian Charter of Rights and Freedoms

Answer

The Canada Health Act

Answer

Provincial human rights codes

Question 2

A practical nurse realizes they made a medication error but the client experienced no harm. What is appropriate?

Accepted Answer

Complete an incident report, notify the charge nurse, assess the client, and notify the physician

Answer

Say nothing since there was no harm

Answer

Tell only the charge nurse verbally

Answer

Document in a way that minimizes the description

Question 3

Before witnessing a client's advance directive, what must the practical nurse ensure?

Accepted Answer

The client is competent, signing voluntarily, and understands the document

Answer

The document is typed and in proper legal format

Answer

The nurse has known the client for at least one year

Answer

The attending physician has reviewed and approved it

Question 4

A practical nurse recognizes a client as a famous Canadian public figure and sees their diagnosis in the chart. Which action is appropriate?

Accepted Answer

Review the chart only to the extent necessary for care and maintain confidentiality

Answer

Share the interesting clinical information with a trusted colleague

Answer

Access the chart more thoroughly out of curiosity

Answer

Share the diagnosis with staff who know the public figure

Question 5

Which principle underpins the practical nurse's obligation to obtain informed consent?

Accepted Answer

Autonomy

Answer

Beneficence

Answer

Justice

Answer

Non-maleficence

Question 6

A practical nurse discovers they have HIV and is concerned about disclosure obligations to their employer. What is their primary obligation?

Accepted Answer

Following provincial occupational health guidelines and regulatory college standards regarding fitness to practice

Answer

Immediate public disclosure to all clients and colleagues

Answer

No obligation to disclose to anyone

Answer

Ceasing all nursing practice immediately