Test Bank For Ackley and Ladwig’s Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care 13th Edition (2024). Mary Beth Flynn Makic - All Chapters 1-30 PLUS Nursing Outcomes Classification (NOC), 6th edition Outcome Labels and Definitions

TestBank ForAckleyandLadwig'sNursing
f pp f f f f




Diagnosis Handbook 13th Edition: An
ff ff ff ff ff




Evidence-Based Guide to Planning Care
ff ff ff ff ff




by Mary Beth Flynn Makic
ff ff ff ff




@2024

,Section I: Nursing Diagnosis, theNursing Process, and Evidence-
f f f f f ff ff f



Based Nursing
ff ff




1. What is the primary goal of a nursing diagnosis?
ff ff ff ff ff ff ff ff




 a. To identify a medical diagnosis
ff ff ff ff ff



 b. To determine the effectiveness of medications
ff ff ff ff ff ff



 c. To identify patient problems that can be managed by nursing
ff ff ff ff ff ff ff ff ff ff



interventions
ff


 d. To prioritize physician orders
ff ff ff ff




ANS: C ff



Rationale: The primary goal of a nursing diagnosis is to identify patient problems
ff ff ff ff ff ff ff ff ff ff ff ff



that can be managed by nursing interventions, focusing on patient care rather
ff ff ff ff ff ff ff ff ff ff ff ff



than medical diagnoses.
f f ff ff



NCLEX Preference: Understanding the distinction between nursing and medical
ff ff ff ff ff ff ff ff


diagnoses is crucial for patient-centered care.
ff ff ff ff ff ff




2. Which component of the nursing diagnosis indicates the problem?
ff ff ff ff ff ff ff ff




 a. Defining characteristics
ff ff



 b. Related factors
ff ff



 c. The actual diagnosis
ff ff ff



 d. The patient’s history
ff ff ff




ANS: C ff



Rationale: The actual diagnosis represents the problemidentified in the nursing
ff ff ff ff ff f f ff ff f



assessment. It is essential for formulating a care plan.
ff ff ff ff ff ff ff ff ff



NCLEX Preference: Clear identification of nursing diagnoses is necessary for
ff ff f ff ff ff ff ff f



effective care planning.
ff ff ff




3. What does the "related to" (R/T) statement in a nursing diagnosis signify?
ff ff ff ff ff ff ff ff ff ff ff




 a. It identifies the patient's response to the problem
ff ff ff ff ff ff ff ff



 b. It indicates the underlying cause of the problem
ff ff ff ff ff ff ff ff



 c. It lists the symptoms observed
ff ff ff ff ff



 d. It describes the treatment plan
ff ff ff ff ff




ANS: B ff


Rationale: The "related to" (R/T) statement indicates the underlying cause or
ff ff ff ff ff ff ff ff ff ff



contributing factors of the patient’s problem, guiding intervention strategies.
ff ff ff ff ff ff ff ff ff

,NCLEX Preference: Understanding etiologyis vital for targeted nursing
f ff ff f ff ff ff ff



interventions.
ff




4. Which nursing diagnosis format is used to articulate the problem clearly?
ff ff ff ff ff ff ff ff ff ff




 a. Problem-focused diagnosis
ff ff



 b. Risk diagnosis
ff ff



 c. Health promotion diagnosis
ff ff ff



 d. All of the above
ff ff ff ff




ANS: D ff



Rationale: All formats—problem-focused, risk, and health promotion—articulate
ff ff f ff f ff



different aspects of patient care and are important in various clinical situations.
ff ff ff ff ff ff ff ff ff ff ff ff


NCLEX Preference: Familiarity with different nursing diagnosis formats
ff ff ff ff ff ff ff ff



enhances clinical reasoning.
ff ff ff




5. In which phase of the nursing process is the nursing diagnosis formulated?
f ff ff ff ff ff ff ff ff ff ff




 a. Assessment
ff



 b. Diagnosis
ff



 c. Planning
ff



 d. Implementation
ff




ANS: B ff



Rationale: The nursing diagnosis is formulated during the diagnosis phase, after
ff ff ff ff ff ff ff ff ff ff



collecting and analyzing assessment data.
ff ff ff ff ff



NCLEX Preference: Understanding the nursing process phases is crucial for
f ff ff f ff f ff ff ff



effective care delivery.
ff ff ff




6. What is a defining characteristic in a nursing diagnosis?
ff ff ff ff ff ff ff ff




 a. The cause of the problem
ff ff ff ff ff



 b. The observable signs and symptoms
ff ff ff ff ff



 c. The expected outcomes
ff ff ff



 d. The patient's medical history
ff ff ff ff




ANS: B ff



Rationale: Defining characteristics are the observable signs and symptoms that
ff ff ff f f f ff ff ff



validate the nursing diagnosis and provide evidence of the problem.
ff ff ff ff ff ff ff ff ff ff



NCLEX Preference: Identifying defining characteristics is essential for accurate
f ff f f ff ff ff ff



diagnosis and planning.
ff ff ff

, 7. How can a nurse validate a nursing diagnosis?
ff ff ff ff ff ff ff




 a. By relying solely on personal experience
ff ff ff ff ff ff



 b. By collecting data from various sources, including the patient
ff ff ff ff ff ff ff ff ff



 c. By discussing it only with physicians
ff ff ff ff ff ff



 d. By documenting the diagnosis without evidence
ff ff ff ff ff ff




ANS: B ff



Rationale: Validating a nursing diagnosis involves collecting data from multiple sources,
ff ff f ff ff ff f ff f ff



including the patient, to ensure accuracy and relevance.
ff ff ff ff ff ff ff ff



NCLEX Preference: Validation of nursing diagnoses is critical for patient safety
ff ff ff ff ff ff ff ff ff ff



and effective care.
ff ff ff




8. What role does evidence-based practice play in nursing diagnoses?
ff ff ff ff ff ff ff ff




 a. It complicates the diagnosis process
ff ff ff ff ff



 b. It provides a scientific basis for nursing decisions
ff ff ff ff ff ff ff ff



 c. It is optional for nursing practice
ff ff ff ff ff ff



 d. It focuses solely on traditional methods
ff ff ff ff ff ff




ANS: B ff



Rationale: Evidence-based practice provides a scientific basis for nursing
ff ff ff ff ff ff ff ff



decisions, improving patient outcomes and ensuring care is effective and relevant.
ff f f ff ff ff ff ff ff ff ff



NCLEX Preference: Knowledge of evidence-based practice is essential for
ff ff ff ff ff ff ff ff ff



modern nursing.
ff ff




9. What is the purpose of the planning phase in the nursing process?
ff ff ff ff ff ff ff ff ff ff ff




 a. To assess the patient’s condition
ff ff ff ff ff



 b. To develop a care plan with measurable goals
ff ff ff ff ff ff ff ff



 c. To implement interventions immediately
ff ff ff ff



 **d. To evaluate patient outcomes
f ff f f




ANS: B ff



Rationale: The planning phase involves developing a care plan with measurable
ff ff ff ff ff ff ff f ff ff



goals and outcomes tailored to the patient’s needs.
ff ff ff ff ff ff ff ff



NCLEX Preference: Effective planning is key to successful patient outcomes.
f ff f ff ff f ff ff ff




10. How should nursing diagnoses be prioritized?
ff ff ff ff ff




 a. Based on the nurse’s preference
ff ff ff ff ff