Canadian Fundamentals of Nursing Questions With Correct Answers

Canadian Fundamentals of Nursing Purpose of Nursing Assessment is to 1. Make a diagnostic conclusion 2. Delegate nursing responsibility 3. Teach the client about his or her health 4. Establish a database concerning the client 4. Establish a database concerning the client The nurse gathers the following assessment data. Which of the following cues form a pattern? (select all that apply) 1. The client is restless. 2. Fluid intake for 8 hours is 800 mL. 3. The client complains of feeling short of breath. 4. The client has drainage from a surgical wound. 5. Respirations are 24 per minute and irregular. 6. Client reports loss of appetite for more than 2 weeks. 1. The client is restless. 3. the client complains of feeling short of breath 5. the respirations are 24 per minute and irregular. 6. Client reports loss of appetite for more than 2 weeks. The nurse completes a nursing health history with her client. In order to avoid incorrect inferences and ensure that the data are accurate, the nurse's next step is to: 1. Analyze and interpret the data 2. Document the data 3. Validate data with the client 4. Share the data with other health care providers 3. Validate data with the client During data clustering, a nurse: 1. Provides documentation of nursing care 2. Reviews data with other health care providers 3. Makes inferences about patterns of information 4. Organizes cues into patterns that enable the nurse to identify nursing diagnoses 4. Organizes cues into patterns that enable the nurse to identify nursing diagnoses A nursing diagnosis is: 1. The diagnosis and treatment of human responses to health and illness 2. The advancement of the development, testing, and refinement of a common nursing language 3. A clinical judgement about individual, family, or community responses to actual and potential health problems or life processes 4. The identification of a disease condition on the basis of a specific evaluation of physical signs, symptoms, the client's medical history, and the results of diagnostic tests 3. A clinical judgement about individual, family, or community responses to actual and potential health problems or life processes One of the purposes of the use of standard formal nursing diagnostic statements is to: 1. Evaluate nursing care 2. Gather information on client data 3. Help nurses to focus on the role of nursing in client care 4. Facilitate understanding of client problems among health care providers 4. Facilitate understanding of client problems among health care providers The nursing diagnosis readiness for enhanced communication is an example of: 1. A risk nursing diagnosis 2. An actual nursing diagnosis 3. A potential nursing diagnosis 4. A wellness nursing diagnosis 4. A wellness nursing diagnosis The nursing diagnosis hypothermia is an example of: 1. A risk nursing diagnosis 2. An actual nursing diagnosis 3. A potential nursing diagnosis 4. A wellness nursing diagnosis 2. An actual nursing diagnosis The word impaired in the diagnosis impaired physical mobility is an example of: 1. A descriptor 2. A risk factor 3. A related factor 4. A nursing diagnosis 1. A descriptor Nurses use a variety of assessment techniques for data collection. The nurse knows that the first appropriate assessment technique for data collection is to: 1. Review client's medical record 2. Interview client 3. Consult health care team 4. Review literature 2. Interview client Which of the following are defining characteristics for the nursing diagnosis impaired urinary elimination? (Select all that apply.) 1. Nocturia 2. Frequency 3. Urine retention 4. Inadequate urinary output 5. Treatment with intravenous fluids 6. Sensation of bladder fullness 1. Nocturia 2. Frequency You are scheduled to begin a clinical placement in an immunization clinic and are aware that some parents in the community are extremely concerned about the safety of childhood immunizations. Prior to your first day in the clinic, you conduct a comprehensive Internet search to learn more about the potential sources of their anxiety and the validity of the information available to them on the Internet. This is an example of: 1. Reflection 2. Truth-seeking 3. Problem solving 4. Evidence-informed decision making 2. Truth-seeking A nurse uses an institution's procedure manual to confirm how to change a patient's nasogastric tubing. The level of critical thinking the nurse is using is 1. Commitment 2. Scientific method 3. Basic critical thinking 4. Complex critical thinking 3. Basic critical thinking A patient had hip surgery 24 hours ago. The nurse refers to the written plan of care, noting that the patient has a device collecting wound drainage. The physician is to be notified when the accumulation in the device exceeds 100 mL for the day. When the nurse enters the room, the nurse looks at the device and carefully notes the amount of drainage currently in the device. This is an example of 1. Planning 2. Assessment 3. Intervention 4. Nursing diagnosis 2. Assessment The nurse asks a patient how she feels about her impending surgery for breast cancer. Before the discussion, the nurse reviewed the description in his textbook of loss and grief in addition to therapeutic communication principles. The critical thinking component involved in the nurse's review of the literature is: 1. Experience 2. Problem solving 3. Knowledge application 4. Clinical decision making 3. Knowledge application As the nurse enters a patient's room, she observes that the intravenous line is not infusing at the ordered rate. The nurse checks the flow regulator on the tubing, looks to see whether the patient is lying on the tubing, checks the connection between the tubing and the intravenous catheter, and then checks the condition of the site where the intravenous catheter enters the patient's skin. She readjusts the flow rate, and the infusion begins at the correct rate. This is an example of 1. Inference 2. Reflection 3. Problem solving 4. Evidence-informed decision making 3. Problem solving In observing a new mother breastfeeding her baby, the public health nurse observes that the baby is fussy and is not sucking effectively. The nurse reviews the baby's record and finds that he has lost a considerable amount of weight since birth. The nurse conducts an assessment and notes that the baby has poor skin turgor. The mother reports that he urinates infrequently and sleeps only for very short periods of time between feedings. The nurse concludes that the baby is dehydrated and is at risk of becoming malnourished. This is an example of 1. Inference 2. Problem solving 3. Diagnostic reasoning 4. Applying nursing practice standards 3. Diagnostic reasoning Paul participates in a standardized patient simulation exercise designed to enhance therapeutic communication skills when working with clients experiencing mental health challenges. Later he asks, “What did I learn about myself that could hinder my therapeutic engagement with mental health clients? And, how can I rephrase my responses so that they do not have an unintended, detrimental effect on my nurse–patient relationships?” This is an example of 1. Reflection 2. Problem solving 3. Knowing the patient 4. Evidence-informed practice 1. Reflection Your community is engaged in a contested debate about whether or not it should open a needle-exchange program and a safe injection site for intravenous drug users. Some citizens believe that doing so condones drug abuse; others believe that such actions will reduce harm and save lives. You can appreciate both arguments but have not yet formulated your own position. Which of the following should you do in thinking critically about this complex question? (Select all that apply) 1. Listen carefully to both points of view. 2. Challenge your own beliefs about drug addiction. 3. Examine the scientific arguments both for and against such initiatives. 4. Support the communities that are reluctant to have the clinic in their neighbourhood. 5. Assume that the people in authority who are speaking about the issue are well informed. 1. Listen carefully to both points of view. 2. Challenge your own beliefs about drug addiction. 3. Examine the scientific arguments both for and against such initiatives. The nurse sits down to talk with her patient, whose sister died 2 weeks ago. The patient reports that she is unable to sleep, feels very fatigued during the day, and is having trouble at work. The nurse asks her to clarify the type of trouble, and the patient explains that she cannot concentrate or even solve simple problems. The nurse records the results of her assessment, describing the patient's problem as ineffective coping. This conclusion reflects the nurse's use of 1. Inference 2. Nursing process 3. Evaluation criteria 4. General critical thinking competencies 1. Inference Transformation leadership most fundamentally involves (Select all that apply): 1. Developing charismatic and highly influential leaders 2. Envisioning new systems of care to get work done 3. Developing relationships and involving others in change 4. Introducing research and innovation All except for 1 Collaborative practice models most fundamentally aim to 1. Improve delegation between staff 2. Improve communication between staff 3. Place the patient at the centre of care delivery 4. Ensure that health care providers can cover for one another 3. Place the patient at the centre of care delivery Delegation by nurses involves the following (Select all that apply): 1. Communication of the plan of care to the LPN 2. Transferring accountability to another care provider 3. Ensuring that the delegate has the skills and knowledge to perform the function 4. Understanding team members' scopes of practice 3, 4 The type of management structure that has a potential for greater collaborative effort, increased competency of staff, and ultimately a greater sense of professional accomplishment and satisfaction is 1. Empowerment 2. Primary nursing 3. Total patient care 4. Decentralized 4. Decentralized While administering medications, the nurse realizes she has given the wrong dose of medication to a patient. The nurse acts by completing an incident report and notifying the patient's physician. The nurse is exercising 1. Authority 2. Responsibility 3. Accountability 4. Decision making 3. Accountability A manager who wishes to promote patient safety in the health care organization should focus on (Select all that apply): 1. Viewing mistakes as opportunities for learning 2. Staffing models and ratios 3. Systems for detecting mistakes 4. Ensuring shared vision and values of quality and safety in care All except for 3 A home care nurse is working with three UCPs who were recently hired and are new to their roles. For the first 2 weeks of their employment, the UCPs have been providing care for patients at home with complex wounds and caring for families in palliative care situations. The nurse believes in the principles of collaborative practice and wishes to support the UCPs in their development. An important first step would be to 1. Provide an opportunity for the UCPs to talk about their experiences, questions, and roles 2. Provide an educational session on palliative care 3. Set up a mentoring system among the UCPs 4. Discuss the role of the RN in home care 1. Provide an opportunity for the UCPs to talk about their experiences, questions, and roles Leadership for the promotion of primary health care involves (Select all that apply): 1. Political action and advocacy 2. Understanding how communities access care 3. Implementing collaborative practice models 4. Promoting the goal of health equity All apply The nurse checks on a patient who was admitted to the hospital with pneumonia. He has been coughing profusely and has required nasotracheal suctioning. He has an intravenous infusion of antibiotics. He is febrile. The patient asks the nurse whether he can have a bath because he has been perspiring profusely. The nurse may delegate to the UCP working with her today the task of 1. Assessing vital signs 2. Changing intravenous dressing 3. Nasotracheal suctioning 4. Administering a bed bath 4. Administering a bed bath An example of a nurse-sensitive outcome based on Best Practice Guidelines is (Select all that apply): 1. Rates of wound infection 2. Percentage of time it takes to count narcotics by nursing staff every shift 3. Number of falls among residents in a long-term care setting 4. Time it takes for a patient to be transported from the emergency department to an inpatient nursing unit 1. Rates of wound infection 3. Number of falls among residents in a long-term care setting