Canadian Fundamentals of Nursing

Canadian Fundamentals of Nursing

1. 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 concern-
ing the client
2. 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.
3. 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
4. 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

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, Canadian Fundamentals of Nursing

5. 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 com-
mon 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 evalua-
tion 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
6. 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
7. The nursing diagnosis readiness for enhanced communication is an ex-
ample 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
8. 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
9. The word impaired in the diagnosis impaired physical mobility is an exam-
ple of:

1. A descriptor
2. A risk factor

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