Exam
Nur 204 Leadership And Management Hesi
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F
A+NEWEST 2025 COMPLETE 450+ VERIFIED
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ANSWERS WITH WEL – ELABORATED F
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Which is an example of an actual nursing diagnosis?
F F F
1 Risk for acute confusion
F F F
2 Impaired social interaction
F F
3 Readiness for enhanced nutrition
F F F
4 Readiness for increased family coping
F F F F
- Answer ✓✓2 Impaired social interaction
F F F F F
A+ TEST BANK 1
, Nur 204 Leadership And Management Hesi Final
Exam
Impaired social interaction is an example of an actual nursing diagnosis. Actual
F F F F F F F F F F F F
nursing diagnoses are the responses of a person to a health condition. "Risk for"
F F F F F F F F F F F F F F
nursing diagnoses define human responses to conditions that have not occurred
F F F F F F F F F F F
yet. Risk for acute confusion is an example of this kind of diagnosis. A health
F F F F F F F F F F F F F F F
promotion nursing diagnosis is the clinical judgment of an individual's or family's
F F F F F F F F F F F F
willingness to improve health. Readiness for enhanced nutrition and readiness for
F F F F F F F F F F F
enhanced family coping are examples of health promotion nursing diagnoses.
F F F F F F F F F
A nurse has made a nursing diagnosis without validating the data obtained from the
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client. Into what category does this error fall?
F F F F F F F
1 Labeling
2 Collecting
3 Clustering
4 Interpreting - Answer ✓✓1 Labeling F F F F
The nurse's error of failure to validate the data is categorized as labeling. Errors at
F F F F F F F F F F F F F F F
the collecting level include inaccurate data, missing data, and disorganization.
F F F F F F F F F F
Errors at the clustering level include insufficient clusters of cues, premature or
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early closure, and incorrect clustering. At the interpreting level, errors include
F F F F F F F F F F F
failure to consider conflicting cues and failure to consider cultural influences or
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developmental stage. F
Which step of the nursing process is directly affected if the nurse does not make a
F F F F F F F F F F F F F F F F
nursing diagnosis? F
1 Planning
2 Evaluation
3 Assessment
A+ TEST BANK 2
, Nur 204 Leadership And Management Hesi Final
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4 Implementation - Answer ✓✓1 Planning F F F F
The planning phase of the nursing process is directly affected if the nurse does not
F F F F F F F F F F F F F F F
make a nursing diagnosis. The nurse cannot plan or interpret correctly if the client's
F F F F F F F F F F F F F F
problems are not clear. The evaluation phase of the nursing process is not directly
F F F F F F F F F F F F F F
affected by the nursing diagnosis. A nursing diagnosis is based on an accurate
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assessment. The nurse must obtain and document a comprehensive assessment. In
F F F F F F F F F F F
the absence of nursing diagnosis, the nurse cannot implement appropriate nursing
F F F F F F F F F F F
interventions. The implementation phase is directly affected if there is no plan of
F F F F F F F F F F F F F
care.
Which client is likely to have a health promotion nursing diagnosis?
F F F F F F F F F F
1 The client with acute pain due to appendicitis.
F F F F F F F
2 The client who is willing to take a 30-minute walk daily.
F F F F F F F F F F
3 The elderly client with dementia admitted to the healthcare facility.
F F F F F F F F F
4 The client with reduced cognitive ability while recovering from surgery.
F F F F F F F F F
- Answer ✓✓2 The client who is willing to take a 30-minute walk daily.
F F F F F F F F F F F F
A health promotion nursing diagnosis is a clinical judgment of an individual's desire to
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increase well-being. A client who is willing to take a 30-minute walk daily is
F F F F F F F F F F F F F F
expressing a desire to improve health behavior. The nurse identifies a health
F F F F F F F F F F F F
promotion nursing diagnosis for this client. Acute pain due to appendicitis is an
F F F F F F F F F F F F F
actual nursing diagnosis. The nurse selects an actual nursing diagnosis when there is
F F F F F F F F F F F F F
sufficient assessment data to establish the nursing diagnosis. It describes the client's
F F F F F F F F F F F F
response to a particular health condition. A risk nursing diagnosis describes an
F F F F F F F F F F F F
individual's response to health conditions that may develop in a vulnerable
F F F F F F F F F F
A+ TEST BANK 3
, Nur 204 Leadership And Management Hesi Final
Exam
individual. The elderly client with dementia may have a risk nursing diagnosis for
F F F F F F F F F F F F F
confusion. The client recovering from surgery has reduced cognitive ability and
F F F F F F F F F F F
may have a risk nursing diagnosis for confusion or falls
F F F F F F F F F
Which feature is characteristic of a risk nursing diagnosis?
F F F F F F F F
1 The diagnosis does not have related factors.
F F F F F F
2 The diagnosis can be used in any health state.
F F F F F F F F
3 The defining characteristics support the diagnostic judgment.
F F F F F F
4 The defining characteristics are supported by a client's readiness.
F F F F F F F F
- Answer ✓✓1 The diagnosis does not have related factors.
F F F F F F F F
A risk nursing diagnosis describes human responses to health conditions that may
F F F F F F F F F F F F
develop in a vulnerable individual, family, or community. Risk diagnoses do not
F F F F F F F F F F F F
have related factors or defining characteristics because they have not occurred yet.
F F F F F F F F F F F F
A risk diagnosis has risk factors that help the nurse plan preventive measures. A
F F F F F F F F F F F F F F
health promotion nursing diagnosis can be applied to any individual with a desire to
F F F F F F F F F F F F F F
enhance health behaviors in any health state. An actual diagnosis is formed when
F F F F F F F F F F F F F
the defining characteristics support the diagnostic judgment. There must be
F F F F F F F F F F
sufficient nursing assessment data to establish an actual diagnosis. A health
F F F F F F F F F F F
promotion nursing diagnosis is a clinical judgment of an individual's readiness to
F F F F F F F F F F F F
increase well-being. F
Which related factor is appropriate for a nursing diagnosis?
F F F F F F F F
1 Prostectomy
2 Trauma of incision F F
A+ TEST BANK 4