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 E

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Kratz
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1| P a g e
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, SectionI:NursingDiagnosis,theNursingProcess,andEvidence-BasedNursing
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1. Whatistheprimarygoal ofanursing diagnosis?
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a. Toidentifyamedical diagnosis
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b. Todeterminetheeffectivenessof medications
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c. Toidentifypatientproblemsthatcanbemanagedbynursinginterventions v v v v v v




d. Toprioritizephysician orders N




CORRECT ANSWER: C
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Rationale:Theprimarygoalofanursingdiagnosisistoidentifypatientproblemsthatcanbemanagedby nursing
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interventions, focusing on patient care rather than medical diagnoses.
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NCLEXPreference:Understandingthedistinctionbetweennursingandmedicaldiagnosesiscrucialfor
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patient-centeredcare.
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2. Which component ofthenursingdiagnosis indicatestheproblem?
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a. Definingcharacteristics

b. Relatedfactors v




c. Theactualdiagnosis
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d. Thepatient’shistory
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CORRECTANSWER:C
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Rationale:Theactualdiagnosisrepresentstheproblemidentifiedinthenursingassessment.Itisessentialfor
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formulating a care plan.
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NCLEXPreference:Clearidentificationofnursingdiagnosesisnecessaryforeffectivecareplanning.
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3. Whatdoesthe"relatedto"(R/T)statement ina nursingdiagnosissignify?
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a. Itidentifiesthepatient'sresponsetotheproblem
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b. It indicatestheunderlyingcauseoftheproblem
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c. Itliststhesymptomsobserved
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d. Itdescribesthetreatmentplan
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CORRECT ANSWER: B
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2| P a g e
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,Rationale:The"relatedto"(R/T)statementindicatestheunderlyingcauseorcontributing factorsofthe patient’s
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problem, guiding intervention strategies.
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NCLEXPreference: Understandingetiologyis vitalfortargetednursinginterventions. v v v v




4. Which nursingdiagnosisformat is usedtoarticulatetheproblemclearly?
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a. Problem-focuseddiagnosis

b. Riskdiagnosis v




c. Healthpromotiondiagnosis v v




d. All of the above
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v CORRECTANSWER:D

Rationale:Allformats—problem-focused,risk,andhealthpromotion—articulatedifferentaspectsofpatient
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care and are important in various clinical situations.
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NCLEXPreference:Familiaritywithdifferentnursingdiagnosisformatsenhancesclinicalreasoning. v v v v v




5. Inwhichphaseofthenursingprocessisthenursing diagnosisformulated?
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a. Assessment

b. Diagnosis

c. Planning

d. Implementation

CORRECTANSWER:B
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Rationale:Thenursingdiagnosisisformulatedduringthediagnosisphase,aftercollectingandanalyzing
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assessmentdata.
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NCLEXPreference:Understandingthenursingprocessphasesiscrucialforeffectivecaredelivery.
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6. Whatisadefiningcharacteristicinanursingdiagnosis?
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a. Thecauseoftheproblem
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b. Theobservablesigns andsymptoms v v




c. Theexpectedoutcomes
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3| P a g e
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, d. Thepatient'smedicalhistory

CORRECT ANSWER: B
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Rationale:Definingcharacteristicsaretheobservablesignsandsymptomsthatvalidatethenursingdiagnosis and
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provide evidence of the problem.
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NCLEXPreference:Identifying defining characteristics is essential foraccuratediagnosisandplanning.
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7. Howcananursevalidateanursingdiagnosis?
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a. Byrelyingsolelyonpersonalexperience
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b. Bycollectingdata from varioussources,includingthepatient
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c. Bydiscussing it onlywith physicians
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d. Bydocumentingthediagnosiswithoutevidence v




CORRECT ANSWER: B
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Rationale:Validating a nursing diagnosisinvolvescollecting datafrommultiplesources,includingthe
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patient, to ensure accuracy and relevance.
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NCLEXPreference:Validationofnursingdiagnosesiscriticalforpatientsafetyand effectivecare.
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8. What roledoesevidence-based practice playin nursing diagnoses?
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a. Itcomplicatesthediagnosisprocess
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b. It providesascientificbasisfornursing decisions
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c. Itisoptionalfornursingpractice
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d. Itfocusessolelyon traditionalmethods
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CORRECT ANSWER: B
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Rationale: Evidence-based practice provides a scientific basis for nursing decisions, improving patient
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outcomesand ensuring careiseffectiveandrelevant.NCLEXPreference:Knowledgeofevidence-based
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practice is essential for modern nursing.
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9. Whatisthepurposeoftheplanningphaseinthenursing process?
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a. Toassessthepatient’scondition
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4| P a g e
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