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Exam (elaborations)

NSG 321 Practice Questions – Diagnosing Questions and Correct Answers

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What association meets every 2 years to further progress in defining, classifying, and describing nursing diagnoses? NANDA A client who has to undergo a parathyroidectomy is worried that he may have to wear a scarf around his neck after surgery. What nursing diagnosis should the nurse document in the care plan? disturbed body image related to the incision scar An example of a nursing diagnosis from the Perception/Cognition domain is: a) Readiness for Enhanced Sleep. b) Impaired Verbal Communication. c) Impaired Social Interaction. d) Health-Seeking Behaviors. B An experienced obstetrical nurse is collecting data on a patient in labor. What is the best approach for the development of nursing diagnoses for this patient? a) Develop each nursing diagnoses based upon a single cue. b) Develop nursing diagnoses from clusters of significant data. c) Collaborate with the multiple disciplinary team in the formation of nursing diagnoses. d) Collaborate with the physician in the formation of nursing diagnoses. B After assessing a client, a nurse identifies the nursing diagnosis, "Ineffective Airway Clearance related to thick tracheobronchial secretions." The nurse would classify this nursing diagnosis as which type? actual Which of the following reflects the diagnosis phase? a) The nurse performs wound care using sterile technique. b) The nurse documents the client's response to pain medication. c) The nurse sets a tolerable pain rating with the client. d) The nurse identifies that the client does not tolerate activity. D The purpose of _______ is to identify how an individual, group, or community responds to actual or potential health and life processes. diagnosing

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September 16, 2024
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2024/2025
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NSG 321 Practice Questions –
Diagnosing Questions and Correct
Answers
What association meets every 2 years to further progress in defining, classifying, and
describing nursing diagnoses? ✅NANDA

A client who has to undergo a parathyroidectomy is worried that he may have to wear a
scarf around his neck after surgery. What nursing diagnosis should the nurse document
in the care plan? ✅disturbed body image related to the incision scar

An example of a nursing diagnosis from the Perception/Cognition domain is:

a) Readiness for Enhanced Sleep.
b) Impaired Verbal Communication.
c) Impaired Social Interaction.
d) Health-Seeking Behaviors. ✅B

An experienced obstetrical nurse is collecting data on a patient in labor. What is the
best approach for the development of nursing diagnoses for this patient?

a) Develop each nursing diagnoses based upon a single cue.
b) Develop nursing diagnoses from clusters of significant data.
c) Collaborate with the multiple disciplinary team in the formation of nursing diagnoses.
d) Collaborate with the physician in the formation of nursing diagnoses. ✅B

After assessing a client, a nurse identifies the nursing diagnosis, "Ineffective Airway
Clearance related to thick tracheobronchial secretions." The nurse would classify this
nursing diagnosis as which type? ✅actual

Which of the following reflects the diagnosis phase?

a) The nurse performs wound care using sterile technique.
b) The nurse documents the client's response to pain medication.
c) The nurse sets a tolerable pain rating with the client.
d) The nurse identifies that the client does not tolerate activity. ✅D

The purpose of _______ is to identify how an individual, group, or community responds
to actual or potential health and life processes. ✅diagnosing

, The purpose of _______ is to identify factors that contribute to or cause health problems
(etiologies). ✅diagnosing

The purpose of _______ is to identify resources or strengths the individual, group, or
community can draw on to prevent or resolve problems. ✅diagnosing

According to Maslow's hierarchy of needs, which nursing diagnosis has the lowest
priority for a client admitted to the intensive care unit with a diagnosis of congestive
heart failure?

a) Impaired urinary elimination
b) Ineffective airway clearance
c) Ineffective coping
d) Risk for body image disturbance ✅D

The nurse is caring for an adolescent verbalizing a desire to seek counseling for grief
related to the death of a close friend. The nurse determines that an appropriate nursing
diagnosis for this patient is Readiness for Enhanced Coping. What type of nursing
diagnosis is Readiness for Enhanced Coping? ✅wellness

What is the purpose of establishing a nursing diagnosis?

a) To meet accreditation criteria
b) To identify medical problems
c) To collaborate with the physician
d) To describe a functional health problem ✅D

Which of the following is a correct guideline to follow when composing a nursing
diagnosis statement?

a) Place the etiology prior to the client problem and linked by the phrase "related to."
b) Incorporate subjective and judgmental terminology.
c) Phrase the nursing diagnosis as a client need.
d) Place defining characteristics after the etiology and link them by the phrase "as
evidenced by." ✅D

A nurse who is caring for a client admitted to the nursing unit with acute abdominal pain
formulates the care plan for the client. Which of the following nursing diagnoses is the
highest priority for this client?

a) Disturbed sleep pattern
b) Disturbed body image
c) Activity intolerance
d) Impaired comfort ✅D

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