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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
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Section I: Nursing Diagnosis, the Nursing Process, and Evidence-
Based Nursing
1. What is the primary goal of a nursing diagnosis?
• a. To identify a medical diagnosis
• b. To determine the effectiveness of medications
• c. To identify patient problems that can be managed by nursing
interventions
• d. To prioritize physician orders
ANS:C
Rationale: The primary goal of a nursing diagnosis is to identify patient problems
that can be managed by nursing interventions, focusing on patient care rather than
medical diagnoses.
NCLEX Preference: Understanding the distinction between nursing and medical
diagnoses is crucial for patient-centered care.
2. Which component of the nursing diagnosis indicates the problem?
• a. Defining characteristics
• b. Related factors
• c. The actual diagnosis
• d. The patient’s history
ANS:C
Rationale: The actual diagnosis represents the problem identified in the nursing
assessment. It is essential for formulating a care plan.
NCLEX Preference: Clear identification of nursing diagnoses is necessary for
effective care planning.
3. What does the "related to" (R/T) statement in a nursing diagnosis signify?
• a. It identifies the patient's response to the problem
• b. It indicates the underlying cause of the problem
• c. It lists the symptoms observed
• d. It describes the treatment plan
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ANS:B
Rationale: The "related to" (R/T) statement indicates the underlying cause or
contributing factors of the patient’s problem, guiding intervention strategies.
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NCLEX Preference: Understanding etiology is vital for targeted nursing
interventions.
4. Which nursing diagnosis format is used to articulate the problem clearly?
• a. Problem-focused diagnosis
• b. Risk diagnosis
• c. Health promotion diagnosis
• d. All of the above
ANS:D
Rationale: All formats—problem-focused, risk, and health promotion—articulate
different aspects of patient care and are important in various clinical situations.
NCLEX Preference: Familiarity with different nursing diagnosis formats
enhances clinical reasoning.
5. In which phase of the nursing process is the nursing diagnosis formulated?
• a. Assessment
• b. Diagnosis
• c. Planning
• d. Implementation
ANS:B
Rationale: The nursing diagnosis is formulated during the diagnosis phase, after
collecting and analyzing assessment data.
NCLEX Preference: Understanding the nursing process phases is crucial for
effective care delivery.
6. What is a defining characteristic in a nursing diagnosis?
• a. The cause of the problem
• b. The observable signs and symptoms
• c. The expected outcomes
• d. The patient's medical history
ANS:B
Rationale: Defining characteristics are the observable signs and symptoms that
https://www.stuvia.com/user/nursecare
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
NURSECARE STUVIA
https://www.stuvia.com/user/nursecare
,https://www.stuvia.com/user/nursecare
Section I: Nursing Diagnosis, the Nursing Process, and Evidence-
Based Nursing
1. What is the primary goal of a nursing diagnosis?
• a. To identify a medical diagnosis
• b. To determine the effectiveness of medications
• c. To identify patient problems that can be managed by nursing
interventions
• d. To prioritize physician orders
ANS:C
Rationale: The primary goal of a nursing diagnosis is to identify patient problems
that can be managed by nursing interventions, focusing on patient care rather than
medical diagnoses.
NCLEX Preference: Understanding the distinction between nursing and medical
diagnoses is crucial for patient-centered care.
2. Which component of the nursing diagnosis indicates the problem?
• a. Defining characteristics
• b. Related factors
• c. The actual diagnosis
• d. The patient’s history
ANS:C
Rationale: The actual diagnosis represents the problem identified in the nursing
assessment. It is essential for formulating a care plan.
NCLEX Preference: Clear identification of nursing diagnoses is necessary for
effective care planning.
3. What does the "related to" (R/T) statement in a nursing diagnosis signify?
• a. It identifies the patient's response to the problem
• b. It indicates the underlying cause of the problem
• c. It lists the symptoms observed
• d. It describes the treatment plan
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ANS:B
Rationale: The "related to" (R/T) statement indicates the underlying cause or
contributing factors of the patient’s problem, guiding intervention strategies.
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, https://www.stuvia.com/user/nursecare
NCLEX Preference: Understanding etiology is vital for targeted nursing
interventions.
4. Which nursing diagnosis format is used to articulate the problem clearly?
• a. Problem-focused diagnosis
• b. Risk diagnosis
• c. Health promotion diagnosis
• d. All of the above
ANS:D
Rationale: All formats—problem-focused, risk, and health promotion—articulate
different aspects of patient care and are important in various clinical situations.
NCLEX Preference: Familiarity with different nursing diagnosis formats
enhances clinical reasoning.
5. In which phase of the nursing process is the nursing diagnosis formulated?
• a. Assessment
• b. Diagnosis
• c. Planning
• d. Implementation
ANS:B
Rationale: The nursing diagnosis is formulated during the diagnosis phase, after
collecting and analyzing assessment data.
NCLEX Preference: Understanding the nursing process phases is crucial for
effective care delivery.
6. What is a defining characteristic in a nursing diagnosis?
• a. The cause of the problem
• b. The observable signs and symptoms
• c. The expected outcomes
• d. The patient's medical history
ANS:B
Rationale: Defining characteristics are the observable signs and symptoms that
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