NURSING CARE PLANS
DIAGNOSES, INTERVENTIONS, AND
OUTCOMES
11TH EDITION
• AUTHOR(S)MEG GULANICK;
JUDITH L. MYERS
TEST BANK
1. Reference
Using Nursing Care Plans — Purpose and Structure
Question:
A nurse is admitting a patient with newly diagnosed
hypertension. The nurse reviews standardized care plans but
,adjusts interventions based on the patient’s low health literacy
and financial constraints. What is the primary purpose of this
action?
A. Ensure compliance with institutional protocols
B. Individualize the nursing care plan
C. Reduce time spent on documentation
D. Replace clinical judgment with standardized care
Correct Answer: B
Rationale:
B: Individualizing care ensures interventions are tailored to
the patient’s specific needs, preferences, and circumstances,
improving outcomes and adherence.
A: Protocols guide care but should not override patient-
specific modifications.
C: Individualization may increase time but improves care
quality.
D: Clinical judgment is essential and not replaced by
standard plans.
Teaching Point:
Individualization improves relevance and effectiveness of
nursing interventions.
Citation:
Gulanick & Myers (2026). Chapter 1.
,2. Reference
What is a Nursing Care Plan?
Question:
A nursing student asks about the purpose of a nursing care
plan. Which response by the nurse is most accurate?
A. “It replaces physician treatment orders.”
B. “It standardizes care without modification.”
C. “It guides individualized, goal-directed nursing care.”
D. “It documents only nursing diagnoses.”
Correct Answer: C
Rationale:
C: Care plans provide a structured, individualized approach
linking diagnoses, interventions, and outcomes.
A: It complements—not replaces—medical orders.
B: Care plans must be individualized.
D: It includes interventions and outcomes, not just
diagnoses.
Teaching Point:
Care plans integrate assessment, diagnosis, interventions, and
outcomes.
Citation:
Gulanick & Myers (2026). Chapter 1.
, 3. Reference
Prioritizing Nursing Diagnoses
Question:
A patient presents with shortness of breath, anxiety, and
fatigue. Which nursing diagnosis should the nurse prioritize?
A. Anxiety
B. Activity intolerance
C. Impaired gas exchange
D. Fatigue
Correct Answer: C
Rationale:
C: Airway and breathing take priority (ABCs). Impaired gas
exchange is life-threatening.
A: Anxiety is important but secondary to oxygenation.
B: Activity intolerance is less urgent.
D: Fatigue is non-priority.
Teaching Point:
Use ABCs when prioritizing nursing diagnoses.
Citation:
Gulanick & Myers (2026). Chapter 1.
4. Reference
Individualizing a Care Plan
DIAGNOSES, INTERVENTIONS, AND
OUTCOMES
11TH EDITION
• AUTHOR(S)MEG GULANICK;
JUDITH L. MYERS
TEST BANK
1. Reference
Using Nursing Care Plans — Purpose and Structure
Question:
A nurse is admitting a patient with newly diagnosed
hypertension. The nurse reviews standardized care plans but
,adjusts interventions based on the patient’s low health literacy
and financial constraints. What is the primary purpose of this
action?
A. Ensure compliance with institutional protocols
B. Individualize the nursing care plan
C. Reduce time spent on documentation
D. Replace clinical judgment with standardized care
Correct Answer: B
Rationale:
B: Individualizing care ensures interventions are tailored to
the patient’s specific needs, preferences, and circumstances,
improving outcomes and adherence.
A: Protocols guide care but should not override patient-
specific modifications.
C: Individualization may increase time but improves care
quality.
D: Clinical judgment is essential and not replaced by
standard plans.
Teaching Point:
Individualization improves relevance and effectiveness of
nursing interventions.
Citation:
Gulanick & Myers (2026). Chapter 1.
,2. Reference
What is a Nursing Care Plan?
Question:
A nursing student asks about the purpose of a nursing care
plan. Which response by the nurse is most accurate?
A. “It replaces physician treatment orders.”
B. “It standardizes care without modification.”
C. “It guides individualized, goal-directed nursing care.”
D. “It documents only nursing diagnoses.”
Correct Answer: C
Rationale:
C: Care plans provide a structured, individualized approach
linking diagnoses, interventions, and outcomes.
A: It complements—not replaces—medical orders.
B: Care plans must be individualized.
D: It includes interventions and outcomes, not just
diagnoses.
Teaching Point:
Care plans integrate assessment, diagnosis, interventions, and
outcomes.
Citation:
Gulanick & Myers (2026). Chapter 1.
, 3. Reference
Prioritizing Nursing Diagnoses
Question:
A patient presents with shortness of breath, anxiety, and
fatigue. Which nursing diagnosis should the nurse prioritize?
A. Anxiety
B. Activity intolerance
C. Impaired gas exchange
D. Fatigue
Correct Answer: C
Rationale:
C: Airway and breathing take priority (ABCs). Impaired gas
exchange is life-threatening.
A: Anxiety is important but secondary to oxygenation.
B: Activity intolerance is less urgent.
D: Fatigue is non-priority.
Teaching Point:
Use ABCs when prioritizing nursing diagnoses.
Citation:
Gulanick & Myers (2026). Chapter 1.
4. Reference
Individualizing a Care Plan
