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FNP 550 > Midterm > Flashcards

Midterm Flashcards

1
Q

we use ___ to specify the nature of assessment required within each assessment setting

A

Miller’s pyramid

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2
Q

what is the hierarchy of miller’s pyramid - a tool used to specify the nature of assessment required within each assessment setting

A

Does
Shows how
Knows how
Knows

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3
Q

What year was the Medical Care Act introduced?

A

1966

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4
Q

The Canada Health Act is a federal law that sets out principles for health care in Canada. What are the 5 principles/criteria and 2 conditions of the act:

A
  1. public administration (run by nonprofit)
  2. comprehensiveness
  3. universal (uniform coverage)
  4. acessibility
  5. portability

When are provinces and territories entitled to their full canada health transfer?
1. if they fulfill the canada health act
2. if they ensure there are no extra billings and user charges for insured health services

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5
Q

What are professional standards?

A
  1. they are based on VALUES, PRIORITIES, and PRACTICE of the profession
  2. they describe MINIMAL levels of performance against which actual performance can be compared
  3. they are intended to guide the daily practice of every professional
  4. dietitians should strive to exceed the minimum requirement
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6
Q

What are the 6 guiding principles/standards that underly the professional standards for RDs?

A
  1. use client-centred approach
  2. dietitians have unique body of knowledge
  3. dietitians competently apply their knowledge
  4. must do life-long / continued competence
  5. must practice ethically
  6. dietitians are accountable to the public
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7
Q

What is the harm clause in the RHPA (Ontario Regulated Health Professionals Act)

A

it says that nobody other than the someone within the scope of practice of his profession, can treat or advise someone in circumstances that can cause harm

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8
Q

who was tommy douglas

A

the father of medicare

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9
Q

What does the scope of practice statement in the dietitian act say?

A

dietetics is the assessment, treatment, and prevention of nutrition related disorders

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10
Q

how does the RHPA and CDO differ?

A

CDO regulates actions performed WITHIN the scope of practice

RDs are in breach of the harm clause of the RHPA when practicing outside of the practice scope

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11
Q

what are th 14 controlled acts under RHPA?

A
  1. communicating diagnosis
  2. procedure below the dermis
  3. casting
  4. moving the joints of spine
  5. administrating injection
  6. psychotherapy
  7. ordering application of energy
  8. prescribing, dispensing, selling drug
  9. vision
  10. dental
  11. hearing aid
  12. labour and delivery
  13. allergy challenge
  14. invasive procedure
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12
Q

what are the 4 circumstances in which RDs can do a skin prick?

A
  1. to test blood glucose self-management
  2. for random glucose checks
  3. for compliance with diet and insulin regimen
  4. for confirming hypo or hypreglycemia
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13
Q

What is not considered a drug?

A
  1. food and drink
  2. natural health products
  3. unscheduled items (low dose vitamins and minerals)
  4. exceptions listed in the provincial regulations of the Drug and pharmacies act (like castor oil)
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14
Q

risk of harm can stem from 3 places:

A
  1. the RD - self
  2. the RD work context
  3. the environment
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15
Q

what are 4 steps to managing risk at the workplace?

A
  1. find source of risk
  2. explore protective factors
  3. apply best protective solutions
  4. evaluate experiences and protective outcomes
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16
Q

ICDEP v 3.0 includes new content through the 7 new PCs, to ensure currency. Currency means?

A
  1. up to date content
  2. any update as required by the college of dietitians of ontario
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17
Q

a modified version of miller’s pyramid is used in ICDEP to

A

specify the nature of assessment required within each assessment setting

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18
Q

this is true about performance indicators:

A

they are used to express learning outcome expectations for pre-registereation education and assessment of candidates

they are outcome based abilities that are observable by others

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19
Q

what is the foundation of ICDEP?

A

domains of competence

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20
Q

the primary use of the ICDEP is the college of dietitians of ontario?

A

false

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21
Q

what are the 2 main purposes of ICDEP

A
  1. to define a minimum set of practice abilities expected of RDs, enabling their entry to practice
  2. practice competencies (PCs) assessed prior to registration through a candidate’s demonstration of PIs
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22
Q

when was the ICDEP v 3.0 updated?

A

2020

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23
Q

what does ICDEP stand for?

A

integrated competencies for dietetic education and practice

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24
Q

What does PIPEDA (2004, federal) stand for

A

Personal Information Protection and Electronics Document Act

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25
Q

What does PHIPA (2004, provinical) stand for?

A

Personal health Information Protection Act

26
Q

What is the difference between PIPEDA and PHIPA?

A

Pipeda applies to all orgs collecting info

Phipa applies to personal health info in ontario

27
Q

when would you use PIPEDA instead of PHIPA?

A
  1. for info outside of ontario
  2. if collecting non-health info
28
Q

Which of these would not be considered personal health information?

A
  1. health #
  2. identifying person’s sustitute decision maker
  3. donating body parts
  4. eligibility for health care coverage
  5. community / home care services
  6. providing health care to someone
  7. mental health
  8. family history
29
Q

What is the difference between confidentiality and privacy?

A

confidentiality = we must keep info safe as much as possible

Privacy = info belongs to the client. its broader

Dietitians are just health information custodians!

30
Q

What are the 10 principles for privacy of personal information, which applies both to PIPEDA and PIHPA regarding how dietitians collect use and disclose info

A
  1. accountability - someone in the org must be accountable for the personal info
  2. identifying purposes - must determine WHY we re collecting the info
  3. consent - we need consent before collecting, using, or disclosing info
  4. limiting collection - only collect info that is needed
  5. limiting use, disclosure, retention - can only use info for for the reason it was collected
  6. accuracy - personal info must be accurate, complete, and up to date
  7. safeguards - personal info must be protected using appropriate safeguards
  8. openness - org needs to be public about how they are handing personal info
  9. individual access - individuals must be informed of the existence, use, and disclosure of their personal info and be given access to it
  10. challenging compliance - an individual can challenge an org’s compliance with these principles
31
Q

Which 3 agencies enforce Canada anti-spam legislation?

A
  1. CRTC - canadian radio-television and television and telecommunications commission (can issue monetary penalties)
  2. Competition Bureau - administrative monetary penalities or criminal sanctions
  3. (OPCC) Office of Privacy Commission of Canada - focuses on 2 types of violations: 1. using spyware 3. harvesting electornic addresses
32
Q

What is the difference between a health information custodian, and an agent?

A

HIC = collects, uses, and discloses data for the client.
ex: institution, facility, practitioner

Agent = someone authorized BY the HIC to give services
Ex: if you are RD at the hospital, you are the agent

32
Q

what are 7 steps to develop policies to comply with PHIPA?

A
  1. designate a contact person in your org
  2. take inventory
  3. identify purpose for why we are collecting info
  4. develop safeguards
  5. develop practices regarding access
  6. establish privacy breach protocol
  7. implement privacy policy
33
Q

what are 3 safeguards we might use as a HIC?

A
  1. physical measures
  2. organizational measures (rules at the org)
  3. technological measures
34
Q

How long can you keep records for?

A

adults - 10 years after last client interaction
children - 10 years after the client turns 18 if the client was younger than 18 at last visit

35
Q

What are the 7 categories of data breaches?

A
  1. use or disclose info without permission
  2. a breach causes further use or disclosure without authority
  3. theft of personal info
  4. pattern of similar breaches
  5. disciplinary action against college member
  6. disciplinary action against non-college member
  7. significant breach
36
Q

What are the 4 levels of Dart and Mccall’s conceptual model for defining professionalism in nutrition and dietetics?

A
  1. commitment to lifelong learning
  2. personal qualities
  3. interpersonal communication
  4. approach to practice
36
Q

what are 3 key aspects of the decision making process?

A
  1. situation
  2. values
  3. policy and legislation
36
Q

what are the 4 healthcare ethical principles in the new code of ethics?

A
  1. do no harm (non-malifence)
  2. do good (beneficence) - act in best interest of clients and society
  3. respect for autonomy - treat clients or their substititude decision makers as self-governing decision-makers
  4. respect for persons / justice
37
Q

An ethical decision is choosing the best action given the competing interests, obligations, and values involved in making the decision

A
38
Q

what is cornwall’s model of reflection?

A
  1. experience
  2. observe
  3. reflect
  4. plan
39
Q

what are 4 key components of professional judgment?

A
  1. knowledge
  2. client input
  3. reflective practice
  4. experience
40
Q

thinking
speaking to yourself
journaling

are all forms of:

intrapersonal communication

A
41
Q

what are 7 key elements of communication?

A
  1. people
  2. messages
  3. channels
  4. noise
  5. feedback
  6. context
  7. effect
42
Q

what are the 4 steps to managing risk in the workplace?

A
  1. identify source of risk - RD / Self, RD work context, envrionement
  2. explore protective factors
  3. apply best protective solutions
  4. evaluate experiences
43
Q

risk management frameworkis based on the following 5 principles:

A
  1. safety
  2. client-centres services
  3. communication
  4. accountability
  5. compliance with regulation
44
Q

what are the 3 ways something can be delegated?

A

1.a medical directive - written orders to other prfessionals
2. direct order - relates to 1 client. can be oral, over the. phone

45
Q

what are the 5 standards around deligating?

A
  1. it must be in the best interest of the client
  2. must have the knowledge, skill, judgment to accept a delegation
  3. must know laws
  4. must meet a standard for informed consent and record keeping
  5. must be aware of accountability, quality assurance and delegation processes
46
Q

what is the difference between primary care, secondary care, tertiary care

A

secondary care - dietitians and specialists
tertiary care - most specialized, ICU

47
Q

according to the canada health act, canada must give healthcare to the following 4 groups:

A
  1. first nations
  2. veterans/military
  3. refugees
  4. inmates
48
Q

______ is a complex and interactive process by which the content of the professional rile is learned and the values, attitudes, and goals integral to the profession

A

professionalization

49
Q

professionalization is a social process by which someone transforms into a true professioinal. it includes:

A
  1. self regulation
  2. code of ethics
  3. ways to distinguish between qualified and unqualified members
  4. formalized education and training programs
50
Q

what are the 2 significan sites for professionalization?

A

formal academic education
clinical training

51
Q

what are the 3 stages of professional socialization?

A
  1. presocialization - influenced by friends, family, etc
  2. formal socialization
    - initial innocence
    - labelling recognition of incongruity
    - role simulaition
    - provision internalization
    - stable internalization
  3. post-socialization
    - assuming adequacy - belief that you know everything, task oriented
    - realizing practice
    developing a reputation
52
Q

what ar the 3 settings for ICDEP?

A

academic
practicum
CDRE

53
Q

what are the 7 domains of competency?

A
  1. food and nutrition expertise
  2. nutrition care
  3. food provision
  4. population health promotion
  5. management and leadership
  6. professionalism and ethics
  7. communication and collaboration
54
Q

7 DCs > 50 PCs > 210 PIs

A
55
Q

what are the 2 new domains for ICDEP?

A

food and nutrition expertise
food provision

56
Q

what are the 7 new PCs?

A
  1. canadian diversity
  2. cultural safety
  3. risk management
  4. use of electronic comunication
  5. knowledge translation
  6. food literacy
  7. food skills
57
Q

according to benner, what are the 5 levels of skill acquisition?

A

novice
advanced beginner
competent
proficient
expert

58
Q

According to blake, what are the 4 levels of learning

A

unconsciously incompetent
consciously incompetent
consciously competent
unconsciously competent

FNP 550 (2 decks)

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