Professional Nursing EAQ: Ch. 17- Nursing Diagnosis
UPDATED ACTUAL Questions and CORRECT Answers
What is the benefit of an accurate nursing diagnosis? 3
It decreases the side effects of medications. An accurate nursing diagnosis helps ensure effective and efficient nursing
interventions. Selecting the correct nursing diagnosis is based on proper
It reduces the cost of treatment to the patient. assessment of the patient and proper analysis of the health problem. It enhances
the nursing care provided to the patient. It does not decrease the side effects of
It helps ensure effective and efficient nursing the medicines or the cost of treatment. Further assessment after the nursing
interventions. diagnosis is essential to evaluate the effectiveness of the activities performed.
It prevents further assessment.
What could be the effect of an incorrect nursing 1
diagnosis?
An incorrect nursing diagnosis may affect the quality of patient care. Incorrect
It could affect the quality of patient care. nursing diagnoses are not corrected automatically in the system. The cost of the
patient's care is not dependent on the nursing diagnosis. An incorrect nursing
It would be corrected automatically in the system. diagnosis would not create a psychological disorder in the patient.
It could affect the patient's cost of treatment.
It could produce a psychological disorder in the patient.
,Following an assessment, the nurse is formulating a 2
nursing diagnosis using the PES format. What does the P
in the acronym PES stand for? The PES format is a nursing diagnosis in three parts. It includes diagnostic label,
etiological statement, and symptoms or defining characteristics. The P stands for
Period problem, the E stands for etiology or related factor, and the S stands for
symptoms or defining characteristics. The P does not stand for period, prevention,
Problem or predication.
Prevention
Predication
What is a clinical judgment that concerns motivation and 4
desire to increase well-being and actualize human health
potential? Health promotion nursing diagnosis is a clinical judgment concerning motivation
and the desire to increase well-being and actualize human health potential.
Medical diagnosis Medical diagnosis is the identification of a disease condition based on a specific
evaluation of physical signs and symptoms, a patient's medical history, and the
Risk nursing diagnosis results of diagnostic tests. Risk nursing diagnosis describes a clinical judgment
concerning the vulnerability of an individual, family, group, or community for
Problem-focused nursing diagnosis developing an undesirable human response to health conditions or life processes.
Problem-focused nursing diagnosis describes a clinical judgment concerning an
Health promotion nursing diagnosis undesirable human response to a health condition or life process that exists in an
individual, family, or community.
Following an assessment, the nurse is formulating a 2
nursing diagnosis using the PES format. What does the S
in PES stand for? PES is a three-part nursing diagnosis format. It includes the diagnostic label,
etiological statement, and symptoms or defining characteristics. The P stands for
Situation problem, the E stands for etiology or related factors, and the S stands for
symptoms or defining characteristics. The S does not stand for situation, sensitivity,
Symptoms or separation of data.
Sensitivity
Separation of data
A patient is diagnosed with urinary stress incontinence. 2
The nurse identifies it as which type of diagnosis?
Urinary stress incontinence is an actual diagnosis. An actual diagnosis describes
Risk diagnosis human responses to health conditions or life processes that exist in an individual,
family, or community. A nursing risk diagnosis describes human responses to
Actual diagnosis health conditions or life processes that may develop in a vulnerable individual,
family, or community. A nursing health promotion diagnosis is a clinical judgment
Chronic diagnosis of a person's, family's, or community's motivations, desires, and readiness to
increase well-being. A chronic diagnosis is not a type of nursing diagnosis.
Health promotion diagnosis
, Which errors may occur when the nurse makes the 1
nursing diagnosis prior to grouping all data?
Errors in data clustering occur when the nurse makes the diagnosis prior to
Errors in data clustering grouping all of the data. Errors in data collection occur when the nurse does not
have thorough knowledge of the subject or does not possess the proper skill/s
Errors in data collection related to the subject the nurse is working on. Errors in the diagnostic statement
result from inappropriate selection. Errors in the interpretation and analysis of
Errors in the diagnostic statement data occur when the nurse is unable to validate data, which can lead to a
mismatch between clinical cues and the nursing diagnosis.
Errors in interpretation and analysis of data
The nurse is teaching nursing students about medical 2, 4, 5
diagnoses. Which statements by the students indicate
effective learning? Select all that apply. A medical diagnosis is the identification of a disease condition based on a specific
evaluation of physical signs, symptoms, the patient's medical history, and the
"Acute pain is a medical diagnosis." results of diagnostic tests. Osteoarthritis and diabetes mellitus are medical
diagnoses, because these can be diagnosed by a healthcare provider through
"Osteoarthritis is a medical diagnosis." diagnostic tests and medical history. Medical diagnoses are based on the results
of diagnostic tests. A primary healthcare provider is licensed to describe medical
"A medical diagnosis includes the clinical judgment about diagnoses and treat diseases. Acute pain is a nursing diagnosis. It can be easily
an individual and his family." identified by observing a patient's signs and symptoms and does not require any
specific diagnostic test. A medical diagnosis does not include a clinical judgment
"Medical diagnoses are based on the results of about an individual and his or her family.
diagnostic tests."
"A primary healthcare provider is licensed to describe
medical diagnoses."
A patient complains of pain when swallowing solid food. 1
The nurse asks the patient if he or she has a history of
substance abuse that has caused this pain. What kind of The nurse is gathering the wrong information when asking the patient about
diagnostic error does the nurse make in this scenario? substance abuse and correlating it with pain when swallowing solid food. Errors in
data clustering occur when the nurse clusters prematurely, incorrectly or not at
Errors in data collection all. Errors in the diagnostic statement occur when the etiology portion of the
diagnostic statement goes the nurse's scope of practice. The inability of the nurse
Errors in data clustering to validate data may lead to a mismatch between clinical cues and the nursing
diagnosis. This inability to validate leads to errors in interpretation and analysis of
Errors in the diagnostic statement data.
Errors in interpretation and analysis of data
Which patient-related factors fall under health promotion 2, 4, 5
nursing diagnosis? Select all that apply.
Health promotion nursing diagnosis is a clinical judgment of a patient's motivation,
The patient follows poor hygiene measures. desire, and readiness to increase well-being. While performing health promotion
nursing diagnoses, the nurse should focus on the patient's readiness to eat
The patient is willing to eat nutritious foods. nutritious food and the patient's readiness to enhance coping skills and to
perform regular exercise. While performing a risk nursing diagnosis, the nurse
The patient shows decreased interaction with society. would focus on the poor hygiene measures of the patient. While performing the
actual nursing diagnosis, the nurse would focus on the patient's social interaction
The patient is ready to increase his or her coping skills. ability.
The patient is ready to perform regular exercises.
UPDATED ACTUAL Questions and CORRECT Answers
What is the benefit of an accurate nursing diagnosis? 3
It decreases the side effects of medications. An accurate nursing diagnosis helps ensure effective and efficient nursing
interventions. Selecting the correct nursing diagnosis is based on proper
It reduces the cost of treatment to the patient. assessment of the patient and proper analysis of the health problem. It enhances
the nursing care provided to the patient. It does not decrease the side effects of
It helps ensure effective and efficient nursing the medicines or the cost of treatment. Further assessment after the nursing
interventions. diagnosis is essential to evaluate the effectiveness of the activities performed.
It prevents further assessment.
What could be the effect of an incorrect nursing 1
diagnosis?
An incorrect nursing diagnosis may affect the quality of patient care. Incorrect
It could affect the quality of patient care. nursing diagnoses are not corrected automatically in the system. The cost of the
patient's care is not dependent on the nursing diagnosis. An incorrect nursing
It would be corrected automatically in the system. diagnosis would not create a psychological disorder in the patient.
It could affect the patient's cost of treatment.
It could produce a psychological disorder in the patient.
,Following an assessment, the nurse is formulating a 2
nursing diagnosis using the PES format. What does the P
in the acronym PES stand for? The PES format is a nursing diagnosis in three parts. It includes diagnostic label,
etiological statement, and symptoms or defining characteristics. The P stands for
Period problem, the E stands for etiology or related factor, and the S stands for
symptoms or defining characteristics. The P does not stand for period, prevention,
Problem or predication.
Prevention
Predication
What is a clinical judgment that concerns motivation and 4
desire to increase well-being and actualize human health
potential? Health promotion nursing diagnosis is a clinical judgment concerning motivation
and the desire to increase well-being and actualize human health potential.
Medical diagnosis Medical diagnosis is the identification of a disease condition based on a specific
evaluation of physical signs and symptoms, a patient's medical history, and the
Risk nursing diagnosis results of diagnostic tests. Risk nursing diagnosis describes a clinical judgment
concerning the vulnerability of an individual, family, group, or community for
Problem-focused nursing diagnosis developing an undesirable human response to health conditions or life processes.
Problem-focused nursing diagnosis describes a clinical judgment concerning an
Health promotion nursing diagnosis undesirable human response to a health condition or life process that exists in an
individual, family, or community.
Following an assessment, the nurse is formulating a 2
nursing diagnosis using the PES format. What does the S
in PES stand for? PES is a three-part nursing diagnosis format. It includes the diagnostic label,
etiological statement, and symptoms or defining characteristics. The P stands for
Situation problem, the E stands for etiology or related factors, and the S stands for
symptoms or defining characteristics. The S does not stand for situation, sensitivity,
Symptoms or separation of data.
Sensitivity
Separation of data
A patient is diagnosed with urinary stress incontinence. 2
The nurse identifies it as which type of diagnosis?
Urinary stress incontinence is an actual diagnosis. An actual diagnosis describes
Risk diagnosis human responses to health conditions or life processes that exist in an individual,
family, or community. A nursing risk diagnosis describes human responses to
Actual diagnosis health conditions or life processes that may develop in a vulnerable individual,
family, or community. A nursing health promotion diagnosis is a clinical judgment
Chronic diagnosis of a person's, family's, or community's motivations, desires, and readiness to
increase well-being. A chronic diagnosis is not a type of nursing diagnosis.
Health promotion diagnosis
, Which errors may occur when the nurse makes the 1
nursing diagnosis prior to grouping all data?
Errors in data clustering occur when the nurse makes the diagnosis prior to
Errors in data clustering grouping all of the data. Errors in data collection occur when the nurse does not
have thorough knowledge of the subject or does not possess the proper skill/s
Errors in data collection related to the subject the nurse is working on. Errors in the diagnostic statement
result from inappropriate selection. Errors in the interpretation and analysis of
Errors in the diagnostic statement data occur when the nurse is unable to validate data, which can lead to a
mismatch between clinical cues and the nursing diagnosis.
Errors in interpretation and analysis of data
The nurse is teaching nursing students about medical 2, 4, 5
diagnoses. Which statements by the students indicate
effective learning? Select all that apply. A medical diagnosis is the identification of a disease condition based on a specific
evaluation of physical signs, symptoms, the patient's medical history, and the
"Acute pain is a medical diagnosis." results of diagnostic tests. Osteoarthritis and diabetes mellitus are medical
diagnoses, because these can be diagnosed by a healthcare provider through
"Osteoarthritis is a medical diagnosis." diagnostic tests and medical history. Medical diagnoses are based on the results
of diagnostic tests. A primary healthcare provider is licensed to describe medical
"A medical diagnosis includes the clinical judgment about diagnoses and treat diseases. Acute pain is a nursing diagnosis. It can be easily
an individual and his family." identified by observing a patient's signs and symptoms and does not require any
specific diagnostic test. A medical diagnosis does not include a clinical judgment
"Medical diagnoses are based on the results of about an individual and his or her family.
diagnostic tests."
"A primary healthcare provider is licensed to describe
medical diagnoses."
A patient complains of pain when swallowing solid food. 1
The nurse asks the patient if he or she has a history of
substance abuse that has caused this pain. What kind of The nurse is gathering the wrong information when asking the patient about
diagnostic error does the nurse make in this scenario? substance abuse and correlating it with pain when swallowing solid food. Errors in
data clustering occur when the nurse clusters prematurely, incorrectly or not at
Errors in data collection all. Errors in the diagnostic statement occur when the etiology portion of the
diagnostic statement goes the nurse's scope of practice. The inability of the nurse
Errors in data clustering to validate data may lead to a mismatch between clinical cues and the nursing
diagnosis. This inability to validate leads to errors in interpretation and analysis of
Errors in the diagnostic statement data.
Errors in interpretation and analysis of data
Which patient-related factors fall under health promotion 2, 4, 5
nursing diagnosis? Select all that apply.
Health promotion nursing diagnosis is a clinical judgment of a patient's motivation,
The patient follows poor hygiene measures. desire, and readiness to increase well-being. While performing health promotion
nursing diagnoses, the nurse should focus on the patient's readiness to eat
The patient is willing to eat nutritious foods. nutritious food and the patient's readiness to enhance coping skills and to
perform regular exercise. While performing a risk nursing diagnosis, the nurse
The patient shows decreased interaction with society. would focus on the poor hygiene measures of the patient. While performing the
actual nursing diagnosis, the nurse would focus on the patient's social interaction
The patient is ready to increase his or her coping skills. ability.
The patient is ready to perform regular exercises.
