CPNRE Professional and Ethical Practice 4

Question 1

A client refuses a blood transfusion based on religious beliefs despite risk of death. What is the PN's priority action?

Accepted Answer

Document the refusal and notify the physician

Answer

Competent adults have the right to refuse treatment; the PN must document the refusal, inform the physician, and respect client autonomy.

Question 2

A PN notices a colleague accessing a former client's health record without a current care relationship. This is best described as:

Accepted Answer

A breach of privacy and confidentiality

Answer

Accessing health records without a current therapeutic relationship violates PIPEDA and provincial privacy legislation.

Question 3

When delegating a task to an unregulated care provider (UCP), the PN must first confirm:

Accepted Answer

The task is within the UCP's competence and the situation is appropriate for delegation

Answer

Safe delegation requires the PN to assess both the UCP's competence and the specific client situation before delegating.

Question 4

A PN is asked by a physician to perform a procedure the PN has never done before. The most appropriate response is to:

Accepted Answer

Refuse the procedure and explain lack of competence

Answer

PNs must only perform procedures within their competence; practicing outside competence violates professional standards and endangers clients.

Question 5

A PN receives a gift of significant value from a grateful client upon discharge. The most professional response is to:

Accepted Answer

Decline politely and explain professional boundaries regarding gifts

Answer

Accepting gifts of significant value can compromise professional boundaries and create real or perceived conflicts of interest.

CPNRE - Canadian Practical Nurse Registration Examination Practice Test