10/15/2016 Chapter 17: Nursing Diagnosis | Nursing Test Banks
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Chapter 17: Nursing Diagnosis
Chapter 17: Nursing Diagnosis
Potter et al.: Fundamentals of Nursing, 9th Edition
MULTIPLE CHOICE
1. After assessing a patient, a nurse develops a standard formal nursing diagnosis. What is the rationale for the
nurse’s actions?
a. To form a language that can be encoded only by nurses
b. To distinguish the nurse’s role from the physician’s role
c. To develop clinical judgment based on other’s intuition
d. To help nurses focus on the scope of medical practice
ANS: B
The standard formal nursing diagnosis serves several purposes. Nursing diagnoses distinguish the nurse’s role
from that of the physician/health care provider and help nurses focus on the scope of nursing practice (not
medical) while fostering the development of nursing knowledge. A nursing diagnosis provides the precise
deᴀ밄nition that gives all members of the health care team a common language for understanding the patient’s
needs. A diagnosis is a clinical judgment based on information.
DIF:Understand (comprehension)REF:225 | 227
OBJ: Discuss how a nursing diagnosis guides nursing practice. TOP: Diagnosis
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, 10/15/2016 Chapter 17: Nursing Diagnosis | Nursing Test Banks
MSC:Management of Care
2. Which diagnosis will the nurse document in a patient’s care plan that is NANDA-I approved?
a. Sore throat
b. Acute pain
c. Sleep apnea
d. Heart failure
ANS: B
Acute pain is the only NANDA-I approved diagnosis listed. Sleep apnea and heart failure are medical diagnoses,
and sore throat is subjective data.
DIF:Understand (comprehension)REF:227 | 233
OBJ: Discuss how a nursing diagnosis guides nursing practice. TOP: Diagnosis
MSC:Management of Care
3. A nurse develops a nursing diagnostic statement for a patient with a medical diagnosis of pneumonia with
chest x-ray results of lower lobe inᴀ밄ltrates. Which nursing diagnosis did the nurse write?
a. Ineᴀ洅ective breathing pattern related to pneumonia
b. Risk for infection related to chest x-ray procedure
c. Risk for deᴀ밄cient ᴀ밄uid volume related to dehydration
d. Impaired gas exchange related to alveolar-capillary membrane changes
ANS: D
http://boostgrade.info/chapter17nursingdiagnosis/ 2/15
Nursing Test Banks
One Account Get all Test Banks
Chapter 17: Nursing Diagnosis
Chapter 17: Nursing Diagnosis
Potter et al.: Fundamentals of Nursing, 9th Edition
MULTIPLE CHOICE
1. After assessing a patient, a nurse develops a standard formal nursing diagnosis. What is the rationale for the
nurse’s actions?
a. To form a language that can be encoded only by nurses
b. To distinguish the nurse’s role from the physician’s role
c. To develop clinical judgment based on other’s intuition
d. To help nurses focus on the scope of medical practice
ANS: B
The standard formal nursing diagnosis serves several purposes. Nursing diagnoses distinguish the nurse’s role
from that of the physician/health care provider and help nurses focus on the scope of nursing practice (not
medical) while fostering the development of nursing knowledge. A nursing diagnosis provides the precise
deᴀ밄nition that gives all members of the health care team a common language for understanding the patient’s
needs. A diagnosis is a clinical judgment based on information.
DIF:Understand (comprehension)REF:225 | 227
OBJ: Discuss how a nursing diagnosis guides nursing practice. TOP: Diagnosis
http://boostgrade.info/chapter17nursingdiagnosis/ 1/15
, 10/15/2016 Chapter 17: Nursing Diagnosis | Nursing Test Banks
MSC:Management of Care
2. Which diagnosis will the nurse document in a patient’s care plan that is NANDA-I approved?
a. Sore throat
b. Acute pain
c. Sleep apnea
d. Heart failure
ANS: B
Acute pain is the only NANDA-I approved diagnosis listed. Sleep apnea and heart failure are medical diagnoses,
and sore throat is subjective data.
DIF:Understand (comprehension)REF:227 | 233
OBJ: Discuss how a nursing diagnosis guides nursing practice. TOP: Diagnosis
MSC:Management of Care
3. A nurse develops a nursing diagnostic statement for a patient with a medical diagnosis of pneumonia with
chest x-ray results of lower lobe inᴀ밄ltrates. Which nursing diagnosis did the nurse write?
a. Ineᴀ洅ective breathing pattern related to pneumonia
b. Risk for infection related to chest x-ray procedure
c. Risk for deᴀ밄cient ᴀ밄uid volume related to dehydration
d. Impaired gas exchange related to alveolar-capillary membrane changes
ANS: D
http://boostgrade.info/chapter17nursingdiagnosis/ 2/15
