Test Bank For Ackley and Ladwig's Nursing
pc pc pc pc pc pc pc
Diagnosis Handbook 13th Edition: An Evide
pc pc pc pc pc
nce-Based Guide to Planning Care
pc pc pc pc
by Mary Beth Flynn Makic
pc pc pc pc
@2024
,Section I: Nursing Diagnosis, the Nursing Process, and Evidence-
pc pc pc pc pc pc pc pc
Based Nursing
pc pc
1. What is the primary goal of a nursing diagnosis?
pc pc pc pc pc pc pc pc
a. To identify a medical diagnosis
pc pc pc pc pc
b. To determine the effectiveness of medications
pc pc pc pc pc pc
c. To identify patient problems that can be managed by nursin
pc pc pc pc pc pc pc pc pc pc
g interventions
pc
d. To prioritize physician orders
pc pc pc pc
ANS: C pc
Rationale: The primary goal of a nursing diagnosis is to identify patient problems
pc pc pc pc pc pc pc pc pc pc pc pc
that can be managed by nursing interventions, focusing on patient care rather tha
pc pc pc pc pc pc pc pc pc pc pc pc pc
n medical diagnoses.
pc pc
NCLEX Preference: Understanding the distinction between nursing and medical
pc pc pc pc pc pc pc pc
diagnoses is crucial for patient-centered care.
pc pc pc pc pc pc
2. Which component of the nursing diagnosis indicates the problem?
pc pc pc pc pc pc pc pc
a. Defining characteristics
pc pc
b. Related factors
pc pc
c. The actual diagnosis
pc pc pc
d. The patient’s history
pc pc pc
ANS: C pc
Rationale: The actual diagnosis represents the problem identified in the nursing a
pc pc pc pc pc pc pc pc pc pc pc
ssessment. It is essential for formulating a care plan.
pc pc pc pc pc pc pc pc
NCLEX Preference: Clear identification of nursing diagnoses is necessary for effe
pc pc pc pc pc pc pc pc pc pc
ctive care planning.
pc pc
3. What does the "related to" (R/T) statement in a nursing diagnosis signify?
pc pc pc pc pc pc pc pc pc pc pc
a. It identifies the patient's response to the problem
pc pc pc pc pc pc pc pc
b. It indicates the underlying cause of the problem
pc pc pc pc pc pc pc pc
c. It lists the symptoms observed
pc pc pc pc pc
d. It describes the treatment plan
pc pc pc pc pc
ANS: B pc
Rationale: The "related to" (R/T) statement indicates the underlying cause or cont
pc pc pc pc pc pc pc pc pc pc pc
ributing factors of the patient’s problem, guiding intervention strategies.
pc pc pc pc pc pc pc pc
,NCLEX Preference: Understanding etiology is vital for targeted nursing interven
pc pc pc pc pc pc pc pc pc
tions.
4. Which nursing diagnosis format is used to articulate the problem clearly?
pc pc pc pc pc pc pc pc pc pc
a. Problem-focused diagnosis
pc pc
b. Risk diagnosis
pc pc
c. Health promotion diagnosis
pc pc pc
d. All of the above
pc pc pc pc
ANS: D pc
Rationale: All formats—problem-focused, risk, and health promotion—
pc pc pc pc pc pc
articulate different aspects of patient care and are important in various clinical sit
pc pc pc pc pc pc pc pc pc pc pc pc
uations.
NCLEX Preference: Familiarity with different nursing diagnosis formats enhanc
pc pc pc pc pc pc pc pc
es clinical reasoning.
pc pc
5. In which phase of the nursing process is the nursing diagnosis formulated?
pc pc pc pc pc pc pc pc pc pc pc
a. Assessment pc
b. Diagnosis pc
c. Planning
pc
d. Implementation
pc
ANS: B pc
Rationale: The nursing diagnosis is formulated during the diagnosis phase, after
pc pc pc pc pc pc pc pc pc pc pc
collecting and analyzing assessment data.
pc pc pc pc
NCLEX Preference: Understanding the nursing process phases is crucial for effe
pc pc pc pc pc pc pc pc pc pc
ctive care delivery.
pc pc
6. What is a defining characteristic in a nursing diagnosis?
pc pc pc pc pc pc pc pc
a. The cause of the problem
pc pc pc pc pc
b. The observable signs and symptoms
pc pc pc pc pc
c. The expected outcomes
pc pc pc
d. The patient's medical history
pc pc pc pc
ANS: B pc
Rationale: Defining characteristics are the observable signs and symptoms that v
pc pc pc pc pc pc pc pc pc pc
alidate the nursing diagnosis and provide evidence of the problem.
pc pc pc pc pc pc pc pc pc
NCLEX Preference: Identifying defining characteristics is essential for accurate di
pc pc pc pc pc pc pc pc pc
agnosis and planning. pc pc
, 7. How can a nurse validate a nursing diagnosis?
pc pc pc pc pc pc pc
a. By relying solely on personal experience
pc pc pc pc pc pc
b. By collecting data from various sources, including the patient
pc pc pc pc pc pc pc pc pc
c. By discussing it only with physicians
pc pc pc pc pc pc
d. By documenting the diagnosis without evidence
pc pc pc pc pc pc
ANS: B pc
Rationale: Validating a nursing diagnosis involves collecting data from multiple
pc pc pc pc pc pc pc pc pc pc
sources, including the patient, to ensure accuracy and relevance.
pc pc pc pc pc pc pc pc
NCLEX Preference: Validation of nursing diagnoses is critical for patient safety
pc pc pc pc pc pc pc pc pc pc pc
and effective care.
pc pc
8. What role does evidence-based practice play in nursing diagnoses?
pc pc pc pc pc pc pc pc
a. It complicates the diagnosis process
pc pc pc pc pc
b. It provides a scientific basis for nursing decisions
pc pc pc pc pc pc pc pc
c. It is optional for nursing practice
pc pc pc pc pc pc
d. It focuses solely on traditional methods
pc pc pc pc pc pc
ANS: B pc
Rationale: Evidence- pc
based practice provides a scientific basis for nursing decisions, improving patient
pc pc pc pc pc pc pc pc pc pc pc
outcomes and ensuring care is effective and relevant. NCLEX Preference: Know
pc pc pc pc pc pc pc pc pc pc
ledge of evidence-based practice is essential for modern nursing.
pc pc pc pc pc pc pc pc
9. What is the purpose of the planning phase in the nursing process?
pc pc pc pc pc pc pc pc pc pc pc
a. To assess the patient’s condition
pc pc pc pc pc
b. To develop a care plan with measurable goals
pc pc pc pc pc pc pc pc
c. To implement interventions immediately
pc pc pc pc
**d. To evaluate patient outcomes
pc pc pc pc
ANS: B pc
Rationale: The planning phase involves developing a care plan with measurable
pc pc pc pc pc pc pc pc pc pc pc
goals and outcomes tailored to the patient’s needs.
pc pc pc pc pc pc pc
NCLEX Preference: Effective planning is key to successful patient outcomes.
pc pc pc pc pc pc pc pc pc
10. How should nursing diagnoses be prioritized?
pc pc pc pc pc
a. Based on the nurse’s preference
pc pc pc pc pc
pc pc pc pc pc pc pc
Diagnosis Handbook 13th Edition: An Evide
pc pc pc pc pc
nce-Based Guide to Planning Care
pc pc pc pc
by Mary Beth Flynn Makic
pc pc pc pc
@2024
,Section I: Nursing Diagnosis, the Nursing Process, and Evidence-
pc pc pc pc pc pc pc pc
Based Nursing
pc pc
1. What is the primary goal of a nursing diagnosis?
pc pc pc pc pc pc pc pc
a. To identify a medical diagnosis
pc pc pc pc pc
b. To determine the effectiveness of medications
pc pc pc pc pc pc
c. To identify patient problems that can be managed by nursin
pc pc pc pc pc pc pc pc pc pc
g interventions
pc
d. To prioritize physician orders
pc pc pc pc
ANS: C pc
Rationale: The primary goal of a nursing diagnosis is to identify patient problems
pc pc pc pc pc pc pc pc pc pc pc pc
that can be managed by nursing interventions, focusing on patient care rather tha
pc pc pc pc pc pc pc pc pc pc pc pc pc
n medical diagnoses.
pc pc
NCLEX Preference: Understanding the distinction between nursing and medical
pc pc pc pc pc pc pc pc
diagnoses is crucial for patient-centered care.
pc pc pc pc pc pc
2. Which component of the nursing diagnosis indicates the problem?
pc pc pc pc pc pc pc pc
a. Defining characteristics
pc pc
b. Related factors
pc pc
c. The actual diagnosis
pc pc pc
d. The patient’s history
pc pc pc
ANS: C pc
Rationale: The actual diagnosis represents the problem identified in the nursing a
pc pc pc pc pc pc pc pc pc pc pc
ssessment. It is essential for formulating a care plan.
pc pc pc pc pc pc pc pc
NCLEX Preference: Clear identification of nursing diagnoses is necessary for effe
pc pc pc pc pc pc pc pc pc pc
ctive care planning.
pc pc
3. What does the "related to" (R/T) statement in a nursing diagnosis signify?
pc pc pc pc pc pc pc pc pc pc pc
a. It identifies the patient's response to the problem
pc pc pc pc pc pc pc pc
b. It indicates the underlying cause of the problem
pc pc pc pc pc pc pc pc
c. It lists the symptoms observed
pc pc pc pc pc
d. It describes the treatment plan
pc pc pc pc pc
ANS: B pc
Rationale: The "related to" (R/T) statement indicates the underlying cause or cont
pc pc pc pc pc pc pc pc pc pc pc
ributing factors of the patient’s problem, guiding intervention strategies.
pc pc pc pc pc pc pc pc
,NCLEX Preference: Understanding etiology is vital for targeted nursing interven
pc pc pc pc pc pc pc pc pc
tions.
4. Which nursing diagnosis format is used to articulate the problem clearly?
pc pc pc pc pc pc pc pc pc pc
a. Problem-focused diagnosis
pc pc
b. Risk diagnosis
pc pc
c. Health promotion diagnosis
pc pc pc
d. All of the above
pc pc pc pc
ANS: D pc
Rationale: All formats—problem-focused, risk, and health promotion—
pc pc pc pc pc pc
articulate different aspects of patient care and are important in various clinical sit
pc pc pc pc pc pc pc pc pc pc pc pc
uations.
NCLEX Preference: Familiarity with different nursing diagnosis formats enhanc
pc pc pc pc pc pc pc pc
es clinical reasoning.
pc pc
5. In which phase of the nursing process is the nursing diagnosis formulated?
pc pc pc pc pc pc pc pc pc pc pc
a. Assessment pc
b. Diagnosis pc
c. Planning
pc
d. Implementation
pc
ANS: B pc
Rationale: The nursing diagnosis is formulated during the diagnosis phase, after
pc pc pc pc pc pc pc pc pc pc pc
collecting and analyzing assessment data.
pc pc pc pc
NCLEX Preference: Understanding the nursing process phases is crucial for effe
pc pc pc pc pc pc pc pc pc pc
ctive care delivery.
pc pc
6. What is a defining characteristic in a nursing diagnosis?
pc pc pc pc pc pc pc pc
a. The cause of the problem
pc pc pc pc pc
b. The observable signs and symptoms
pc pc pc pc pc
c. The expected outcomes
pc pc pc
d. The patient's medical history
pc pc pc pc
ANS: B pc
Rationale: Defining characteristics are the observable signs and symptoms that v
pc pc pc pc pc pc pc pc pc pc
alidate the nursing diagnosis and provide evidence of the problem.
pc pc pc pc pc pc pc pc pc
NCLEX Preference: Identifying defining characteristics is essential for accurate di
pc pc pc pc pc pc pc pc pc
agnosis and planning. pc pc
, 7. How can a nurse validate a nursing diagnosis?
pc pc pc pc pc pc pc
a. By relying solely on personal experience
pc pc pc pc pc pc
b. By collecting data from various sources, including the patient
pc pc pc pc pc pc pc pc pc
c. By discussing it only with physicians
pc pc pc pc pc pc
d. By documenting the diagnosis without evidence
pc pc pc pc pc pc
ANS: B pc
Rationale: Validating a nursing diagnosis involves collecting data from multiple
pc pc pc pc pc pc pc pc pc pc
sources, including the patient, to ensure accuracy and relevance.
pc pc pc pc pc pc pc pc
NCLEX Preference: Validation of nursing diagnoses is critical for patient safety
pc pc pc pc pc pc pc pc pc pc pc
and effective care.
pc pc
8. What role does evidence-based practice play in nursing diagnoses?
pc pc pc pc pc pc pc pc
a. It complicates the diagnosis process
pc pc pc pc pc
b. It provides a scientific basis for nursing decisions
pc pc pc pc pc pc pc pc
c. It is optional for nursing practice
pc pc pc pc pc pc
d. It focuses solely on traditional methods
pc pc pc pc pc pc
ANS: B pc
Rationale: Evidence- pc
based practice provides a scientific basis for nursing decisions, improving patient
pc pc pc pc pc pc pc pc pc pc pc
outcomes and ensuring care is effective and relevant. NCLEX Preference: Know
pc pc pc pc pc pc pc pc pc pc
ledge of evidence-based practice is essential for modern nursing.
pc pc pc pc pc pc pc pc
9. What is the purpose of the planning phase in the nursing process?
pc pc pc pc pc pc pc pc pc pc pc
a. To assess the patient’s condition
pc pc pc pc pc
b. To develop a care plan with measurable goals
pc pc pc pc pc pc pc pc
c. To implement interventions immediately
pc pc pc pc
**d. To evaluate patient outcomes
pc pc pc pc
ANS: B pc
Rationale: The planning phase involves developing a care plan with measurable
pc pc pc pc pc pc pc pc pc pc pc
goals and outcomes tailored to the patient’s needs.
pc pc pc pc pc pc pc
NCLEX Preference: Effective planning is key to successful patient outcomes.
pc pc pc pc pc pc pc pc pc
10. How should nursing diagnoses be prioritized?
pc pc pc pc pc
a. Based on the nurse’s preference
pc pc pc pc pc
