CNO - Professional Standards

Question 1

Provides an overall framework for the practice of nursing and a link with other standards, guidelines, and competencies developed by the College of Nurses of Ontario (CNO).

Answer 1

Professional Standards

Question 2

It describes in broad terms the professional expectations of nurses and applies to all nurses, in every area of practice.

Answer 2

Professional standards

Question 3

Professional Standards includes ___ broad standard statements, a description of each statement, and indicators that illustrate how the standard may be demonstrated.

Answer 3

7

Question 4

How a nurse demonstrates a ___ is influenced by the nurse’s level of competence, role, practice setting and the situation. It is expected that all nurses will meet the expectations of these ___ ___ and be able to articulate how they demonstrate the standards in their practice.

Answer 4

standard / profesional / standards

Question 5

A ___ is an authoritative statement that sets out the legal and professional basis of nursing practice.

Answer 5

standard

Question 6

All ___ of ___ provide a guide to the knowledge, skills, judgment and attitudes that are needed to practice safely.

Answer 6

standards / practice

Question 7

They describe what each nurse is accountable and responsible for in practice.

Answer 7

Standards

Question 8

Represent performance criteria for nurses and can interpret nursing’s scope of practice to the public and other health care professionals.

Answer 8

Standards

Question 9

Can be used to stimulate peer feedback, encourage research to validate practice, and generate research questions that lead to improvement in healthcare delivery.

Answer 9

Standards

Question 10

Aid in developing a better understanding and respect for the various and complementary roles that nurses have.

Answer 10

Standards

Question 11

Each nurse is accountable to the public and responsible for ensuring that her/his practice and conduct meets legislative requirements and the standards of the profession.

Answer 11

Accountability

Question 12

Nurses are responsible for their actions and the consequences of those actions.

Answer 12

Accountability

Question 13

Nurses are ___ for conducting themselves in ways that promote respect for the profession.

Answer 13

accountable

Question 14

Nurses are ___ accountable for the decisions or actions of other care providers when there was no way of knowing about those actions.

Answer 14

not

Question 15

A nurse demonstrates this standard by:
■ identifying her/himself and explaining her/his role to clients
■ providing, facilitating, advocating and promoting the best possible care for clients
■ advocating on behalf of clients
■ seeking assistance appropriately and in a timely manner
■ sharing nursing knowledge and expertise with others to meet client needs
■ ensuring practice is consistent with CNO’s standards of practice and guidelines as well as legislation
■ taking action in situations in which client safety and well-being are compromised
■ maintaining competence and refraining from performing activities that she/he is not competent in
■ taking responsibility for errors when they occur and taking appropriate action to maintain client safety
■ reporting to the appropriate authority any healthcare team member or colleague whose actions or behaviours toward clients are unsafe or unprofessional, or indicate physical, verbal and
emotional abuse
■ reporting sexual abuse of a client by a regulated health professional to the appropriate regulatory college, as legislated in the Regulated Health Professions Act, 1991

Answer 15

Accountability

Question 16

Each nurse maintains and continually improves her/his competence by participating in the College of Nurses of Ontario’s Quality Assurance (QA) Program.

Answer 16

Continuing competence

Question 17

Each nurse maintains and continually improves her/his competence by participating in the ___.

Answer 17

College of Nurse’s Ontario Quality Assurance (QA) Program

Question 18

C___ is the nurse’s ability to use her/his knowledge, skill, judgment, attitudes, values, and beliefs to perform in a given role, situation, and practice setting.

Answer 18

C-ompetence

Question 19

Ensures that the nurse is able to perform in a changing healthcare environment.

Answer 19

Continuing competence

Question 20

Contributes to quality nursing practice and increases the public’s confidence in the nursing profession.

Answer 20

Continuing competence

Question 21

Participation in CNO’s ___ Program helps nurses engage in activities that promote or foster lifelong learning.

Answer 21

QA

Question 22

The program helps nurses maintain and improve their competence and is a professional requirement.

Answer 22

The College of Nurses Ontario’s Quality Assurance Program

Question 23

A nurse demonstrates this standard by:
■ assuming responsibility for her/his own professional development and for sharing
knowledge with others
■ investing time, effort, and other resources to improve knowledge, skills and judgment
■ engaging in a learning process to enhance her/his practice
■ participating in the College’s QA Program
Participation includes:
◗ performing a self-assessment
◗ seeking peer input
◗ developing a learning plan
◗ implementing the plan
◗ evaluating the outcomes of the plan
■ keeping records of participation in QA Program activities
■ providing colleagues with feedback that encourages professional growth
■ participating in Practice Assessment when selected
■ advocating for quality practice improvements in the workplace
■ working together to create quality practice settings that promote continuing competence

Answer 23

Continuing competence

Question 24

Each nurse understands, upholds and promotes the values and beliefs described in CNO’s Ethics practice standard.

Answer 24

Ethics

Question 25

E___ nursing care means promoting the values of client well-being, respecting client choice, assuring privacy and confidentiality, respecting the sanctity and quality of life, maintaining commitments,
respecting truthfulness and ensuring fairness in the use of resources.

Answer 25

E-thical

Question 26

Includes acting with integrity, honesty, and professionalism in all dealings with the client and other health care team members

Answer 26

Ethics

Question 27

A nurse demonstrates this standard by:
■ identifying ethical issues and communicating them to the health care team
■ identifying options to resolve ethical issues
■ evaluating the effectiveness of the actions taken to resolve ethical issues
■ identifying personal values and ensuring they do not conflict with professional practice

Answer 27

Ethics

Question 28

Each nurse possesses, through basic education and continuing learning, knowledge relevant to her/ his professional practice.

Answer 28

Knowledge

Question 29

True or false: all nurses add to their basic education and foundational knowledge by pursuing ongoing learning throughout their careers

Answer 29

True

Question 30

A nurse demonstrates this standard by:
■ providing a theoretical and/or evidence-based rationale for all decisions
■ being informed and objective about the various nursing roles and their relationship to one another
■ being informed about nursing and its relationships in the health care delivery system
■ understanding the legislation and standards relevant to nursing and the practice area
■ understanding the knowledge required to meet the needs of complex clients
■ having knowledge of how bio-psychosocial needs and cultural background relate to health care needs
■ knowing where/how to access learning resources, when necessary
■ seeking and reviewing research in nursing, the health sciences, and related disciplines
■ using research to inform practice/professional service
■ being aware of how practice environments affect professional practice

Answer 30

Knowledge

Question 31

Each nurse continually improves the application of professional knowledge.

Answer 31

Knowledge application

Question 32

The quality of professional nursing practice reflects nurses’ ___of knowledge.

Answer 32

application

Question 33

Nurses ___ knowledge to practice using nursing frameworks, theories and/or processes.

Answer 33

apply

Question 34

When a nurse employs knowledge in the performance of clinical skills since the
technical and cognitive aspects of care are closely related and cannot be separated.

Answer 34

Knowledge application

Question 35

A nurse demonstrates this standard by:
■ ensuring that practice is based on theory and evidence and meets all relevant standards/guidelines
■ assessing/describing the client’s situation using a theory, framework or evidence-based tool
■ identifying/recognizing abnormal or unexpected client responses and taking action appropriately
■ recognizing limits of practice and consulting appropriately
■ planning approaches to providing care/service with the client
■ creating plans of care that address client needs, preferences, wishes and hopes
■ using best-practice guidelines to address client concerns and needs
■ managing multiple nursing interventions simultaneously
■ evaluating/describing the outcomes of specific interventions and modifying the plan/approach
■ identifying and addressing practice-related issues
■ integrating research findings into professional service and practice

Answer 35

Knowledge application

Question 36

Each nurse demonstrates this by providing, facilitating, and promoting the best
possible care/service to the public.

Answer 36

Leadership

Question 37

Requires self-knowledge (understanding one’s beliefs and values and being aware of how one’s behaviour affects others), respect, trust, integrity, shared vision, learning, participation, good communication techniques and the ability to be a
change facilitator.

Answer 37

Leadership

Question 38

The ___ expectation is not limited to nurses in formal leadership positions. All nurses, regardless of their position, have opportunities for ___.

Answer 38

leadership x2

Question 39

A nurse demonstrates this standard by:
■ role-modelling professional values, beliefs, and attributes
■ collaborating with clients and the healthcare team to provide professional practice that respects the rights of clients
■ advocating for clients, the workplace, and the profession
■ providing direction to, collaborating with, and sharing knowledge and expertise with novices, students, and unregulated care providers
■ acting as a role model and mentor to less-experienced nurses and students
■ participating in nursing associations, committees, and interest groups
■ providing leadership through formal and informal roles (e.g., team leader, charge nurse)
■ taking action to resolve conflict
■ developing innovative solutions to practice issues

Answer 39

Leadership

Question 40

Each nurse establishes and maintains respectful, collaborative, therapeutic and professional ___.

Answer 40

relationships

Question 41

Include therapeutic nurse-client relationships and professional relationships with
colleagues, healthcare team members, and employers.

Answer 41

Relationships

Question 42

The client’s needs are the focus of the relationship, which is based on trust, respect, intimacy, and the appropriate use of power.

Answer 42

Therapeutic Nurse-Client Relationship

Question 43

Nurses demonstrate empathy and caring in all ___ with clients, families, and significant others.

Answer 43

relationships

Question 44

It is the responsibility of the ___ to establish and maintain the therapeutic relationship.

Answer 44

nurse

Question 45

A nurse demonstrates this standard by:
■ practising according to CNO’s Therapeutic Nurse-Client Relationship, Revised 2006 practice standard
■ demonstrating respect and empathy for, and interest in clients
■ maintaining boundaries between professional and therapeutic relationships when compared to non-professional and personal relationships
■ ensuring clients’ needs remain the focus of nurse-client relationships
■ ensuring that her/his personal needs are met outside of therapeutic nurse-client relationships
■ developing collaborative partnerships with clients and families that respect their needs, wishes, knowledge, experience, values and beliefs
■ recognizing the potential for client abuse
■ preventing abuse when possible
■ taking action to stop abuse and reporting it appropriately

Answer 45

Therapeutic nurse-client relationships

Question 46

Based on trust and respect and result in improved client care.

Answer 46

Professional relationships

Question 47

A nurse demonstrates this standard by:
■ role-modelling positive collegial relationships
■ using a wide range of communication and interpersonal skills to effectively establish and maintain collegial relationships
■ demonstrating knowledge of and respect for each other’s roles, knowledge, expertise, and unique contribution to the health care team
■ sharing knowledge with others to promote the best possible outcomes for clients
■ developing networks to share knowledge of best practices
■ demonstrating effective conflict-resolution skills

Answer 47

Professional relationships