Test Bank For Ackley And Ladwig’s Nursing Diagnosis Handbook, 13th - 2025 All Chapters - 9780323776837

Test Bank For Ackley and Ladwig's Nursing
Diagnosis Handbook 13th Edition: An
Evidence-Based Guide to Planning Care
by Mary Beth Flynn Makic


@2024

,Section I: Nursing Diagnosis, the Nursing Process, and Evidence-
Based Nursing
1. What is the primary goal of a nursing diagnosis?

 a. To identify a medical diagnosis
 b. To determine the effectiveness of medications
 c. To identify patient problems that can be managed by nursing
interventions
 d. To prioritize physician orders

ANS: C
Rationale: The primary goal of a nursing diagnosis is to identify patient problems
that can be managed by nursing interventions, focusing on patient care rather than
medical diagnoses.
NCLEX Preference: Understanding the distinction between nursing and medical
diagnoses is crucial for patient-centered care.

2. Which component of the nursing diagnosis indicates the problem?

 a. Defining characteristics
 b. Related factors
 c. The actual diagnosis
 d. The patient’s history

ANS: C
Rationale: The actual diagnosis represents the problem identified in the nursing
assessment. It is essential for formulating a care plan.
NCLEX Preference: Clear identification of nursing diagnoses is necessary for
effective care planning.

3. What does the "related to" (R/T) statement in a nursing diagnosis signify?

 a. It identifies the patient's response to the problem
 b. It indicates the underlying cause of the problem
 c. It lists the symptoms observed
 d. It describes the treatment plan

ANS: B
Rationale: The "related to" (R/T) statement indicates the underlying cause or
contributing factors of the patient’s problem, guiding intervention strategies.

,NCLEX Preference: Understanding etiology is vital for targeted nursing
interventions.

4. Whichwinursingwidiagnosiswiformatwiiswiusedwitowiarticulatewithewiproblemwiclearl
y?

 a.wiProblem-focusedwidiagnosis
 b.wiRiskwidiagnosis
 c.wiHealthwipromotionwidiagnosis
 d.wiAllwiofwithewiabove

ANS:wiD
Rationale:wiAllwiformats—problem-focused,wirisk,wiandwihealthwipromotion—
articulatewidifferentwiaspectswiofwipatientwicarewiandwiarewiimportantwiinwivariouswicli
nicalwisituations.
NCLEXwiPreference:wiFamiliaritywiwithwidifferentwinursingwidiagnosiswiformatswie
nhanceswiclinicalwireasoning.

5. Inwiwhichwiphasewiofwithewinursingwiprocesswiiswithewinursingwidiagnosiswiformulat
ed?

 a.wiAssessment
 b.wiDiagnosis
 c.wiPlanning
 d.wiImplementation

ANS:wiB
Rationale:wiThewinursingwidiagnosiswiiswiformulatedwiduringwithewidiagnosiswiphase,
wiafterwicollectingwiandwianalyzingwiassessmentwidata.
NCLEXwiPreference:wiUnderstandingwithewinursingwiprocesswiphaseswiiswicrucialwif
orwieffectivewicarewidelivery.

6. Whatwiiswiawidefiningwicharacteristicwiinwiawinursingwidiagnosis?

 a.wiThewicausewiofwithewiproblem
 b.wiThewiobservablewisignswiandwisymptoms
 c.wiThewiexpectedwioutcomes
 d.wiThewipatient'swimedicalwihistory

ANS:wiB
Rationale:wiDefiningwicharacteristicswiarewithewiobservablewisignswiandwisymptomsw
ithatwivalidatewithewinursingwidiagnosiswiandwiprovidewievidencewiofwithewiproblem.

NCLEXwiPreference:wiIdentifyingwidefiningwicharacteristicswiiswiessentialwiforwiaccur
atewidiagnosiswiandwiplanning.

, 7. Howwicanwiawinursewivalidatewiawinursingwidiagnosis?

 a.wiBywirelyingwisolelywionwipersonalwiexperience
 b.wiBywicollectingwidatawifromwivariouswisources,wiincludingwithewipatient
 c.wiBywidiscussingwiitwionlywiwithwiphysicians
 d.wiBywidocumentingwithewidiagnosiswiwithoutwievidence

ANS:wiB
Rationale:wiValidatingwiawinursingwidiagnosiswiinvolveswicollectingwidatawifromwim
ultiplewisources,wiincludingwithewipatient,witowiensurewiaccuracywiandwirelevance.
NCLEXwiPreference:wiValidationwiofwinursingwidiagnoseswiiswicriticalwiforwipatient
wisafetywiandwieffectivewicare.


8. Whatwirolewidoeswievidence-basedwipracticewiplaywiinwinursingwidiagnoses?

 a.wiItwicomplicateswithewidiagnosiswiprocess
 b.wiItwiprovideswiawiscientificwibasiswiforwinursingwidecisions
 c.wiItwiiswioptionalwiforwinursingwipractice
 d.wiItwifocuseswisolelywionwitraditionalwimethods

ANS:wiB
Rationale:wiEvidence-
basedwipracticewiprovideswiawiscientificwibasiswiforwinursingwidecisions,wiimprovingw
ipatientwioutcomeswiandwiensuringwicarewiiswieffectivewiandwirelevant.wiNCLEXwiPre
ference:wiKnowledgewiofwievidence-
basedwipracticewiiswiessentialwiforwimodernwinursing.

9. Whatwiiswithewipurposewiofwithewiplanningwiphasewiinwithewinursingwiprocess?

 a.wiTowiassesswithewipatient’swicondition
 b.wiTowidevelopwiawicarewiplanwiwithwimeasurablewigoals
 c.wiTowiimplementwiinterventionswiimmediately
 **d.wiTowievaluatewipatientwioutcomes

ANS:wiB
Rationale:wiThewiplanningwiphasewiinvolveswidevelopingwiawicarewiplanwiwithwimeas
urablewigoalswiandwioutcomeswitailoredwitowithewipatient’swineeds.
NCLEXwiPreference:wiEffectivewiplanningwiiswikeywitowisuccessfulwipatientwioutcomes.

10. Howwishouldwinursingwidiagnoseswibewiprioritized?

 a.wiBasedwionwithewinurse’swipreference