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
, When the patient complains of nausea and dizziness, the nurse
recognizes these complaints as _______ data. - ANSWER-subjective
The major goal of the admission interview (usually performed by the RN)
is to - ANSWER-identify the patients major complaints.
An example of a structured format for gathering data that aids in
forming a database is - ANSWER-Gordons 11 Health Patterns.
During the assessment phase of the nursing process, the nurse -
ANSWER-gathers, organizes, and documents data in a logical database.
After the admission assessment is completed, on subsequent shifts or
days, the nurse - ANSWER-assesses the patient briefly in the first hour of
the shift.
The nurse performing an admission interview on an elderly person
should - ANSWER-allow more time for a response to questions.
A nursing diagnosis consists of - ANSWER-diagnostic labels formulated
by the North American Nursing Diagnosis Association International
(NANDA-I).
An elderly patient with a medical diagnosis of chronic lung disease has
developed pneumonia. She is coughing frequently and expectorating
thick, sticky secretions. She is very short of breath, even with oxygen
running, and she is exhausted and says she cant breathe. Based on this
information, an appropriately worded nursing diagnosis for this patient
is - ANSWER-Airway clearance, ineffective, related to lung secretions as
evidenced by cough and shortness of breath.
If a patient has several nursing diagnoses, the nurse will first - ANSWER-
prioritize the nursing problems according to Maslows hierarchy of needs.
A patient has a nursing diagnosis of Imbalanced nutrition: less than body
requirements, related to mental impairment and decreased intake, as
evidenced by increasing confusion and weight loss of more than 30-
pounds over the last 6 months. An appropriate short-term goal for this
patient is to - ANSWER-eat 50% of six small meals each day by the end of
1 week.
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
, When the patient complains of nausea and dizziness, the nurse
recognizes these complaints as _______ data. - ANSWER-subjective
The major goal of the admission interview (usually performed by the RN)
is to - ANSWER-identify the patients major complaints.
An example of a structured format for gathering data that aids in
forming a database is - ANSWER-Gordons 11 Health Patterns.
During the assessment phase of the nursing process, the nurse -
ANSWER-gathers, organizes, and documents data in a logical database.
After the admission assessment is completed, on subsequent shifts or
days, the nurse - ANSWER-assesses the patient briefly in the first hour of
the shift.
The nurse performing an admission interview on an elderly person
should - ANSWER-allow more time for a response to questions.
A nursing diagnosis consists of - ANSWER-diagnostic labels formulated
by the North American Nursing Diagnosis Association International
(NANDA-I).
An elderly patient with a medical diagnosis of chronic lung disease has
developed pneumonia. She is coughing frequently and expectorating
thick, sticky secretions. She is very short of breath, even with oxygen
running, and she is exhausted and says she cant breathe. Based on this
information, an appropriately worded nursing diagnosis for this patient
is - ANSWER-Airway clearance, ineffective, related to lung secretions as
evidenced by cough and shortness of breath.
If a patient has several nursing diagnoses, the nurse will first - ANSWER-
prioritize the nursing problems according to Maslows hierarchy of needs.
A patient has a nursing diagnosis of Imbalanced nutrition: less than body
requirements, related to mental impairment and decreased intake, as
evidenced by increasing confusion and weight loss of more than 30-
pounds over the last 6 months. An appropriate short-term goal for this
patient is to - ANSWER-eat 50% of six small meals each day by the end of
1 week.
