, SectionI:NursingDiagnosis,theNursingProcess,andEvidence-BasedNursing v v
1. Whatistheprimarygoalofanursing diagnosis?
v v v v n
a. Toidentifyamedicaldiagnosis
v
b. Todeterminetheeffectivenessof medications v n
c. Toidentifypatientproblemsthatcanbemanagedbynursinginterventions v
d. Toprioritizephysicianorders N
CORRECTANSWER:C
n n n
Rationale:Theprimarygoalofanursingdiagnosisistoidentifypatientproblemsthatcanbemanagedbynursing
v v n
interventions,focusingonpatient careratherthanmedical diagnoses.
n n n n n
NCLEXPreference:Understandingthedistinctionbetweennursingandmedicaldiagnosesiscrucialfor
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patient-centeredcare.
n v
2. Whichcomponent ofthenursingdiagnosisindicatestheproblem?
n v v
a. Definingcharacteristics
b. Relatedfactors
c. Theactualdiagnosis
d. Thepatient’shistory
CORRECTANSWER:C
n
Rationale:Theactualdiagnosisrepresentstheproblemidentifiedinthenursingassessment.Itisessentialfor
v v v v
formulatingacareplan.
n n
NCLEXPreference:Clearidentificationofnursingdiagnosesisnecessaryforeffectivecareplanning.
v v v
3. Whatdoesthe"relatedto"(R/T)statement ina nursingdiagnosissignify?
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a. Itidentifiesthepatient'sresponsetotheproblem
v v v
b. It indicatestheunderlyingcauseoftheproblem
v v v v
c. Itliststhesymptomsobserved v
d. Itdescribesthetreatmentplan
v
CORRECTANSWER:B
n n n
2|P n
,Rationale:The"relatedto"(R/T)statementindicatestheunderlyingcauseorcontributingfactorsofthepatient’s
v v n v n
problem,guidinginterventionstrategies.
n n n
NCLEXPreference:Understandingetiologyisvitalfortargetednursinginterventions.
4. Which nursingdiagnosisformatisusedtoarticulatetheproblemclearly?
v v
a. Problem-focuseddiagnosis
b. Riskdiagnosis
c. Healthpromotiondiagnosis
d. Alloftheabove
n n
n CORRECTANSWER:D
Rationale:Allformats—problem-focused,risk,andhealthpromotion—articulatedifferentaspectsofpatient
v v
careand are important in various clinical situations.
n n n n n n n
NCLEXPreference:Familiaritywithdifferentnursingdiagnosisformatsenhancesclinicalreasoning.
v v
5. Inwhichphaseofthenursingprocessisthenursing diagnosisformulated? n
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
CORRECTANSWER:B
n
Rationale:Thenursingdiagnosisisformulatedduringthediagnosisphase,aftercollectingandanalyzing
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assessmentdata.
n
NCLEXPreference:Understandingthenursingprocessphasesiscrucialforeffectivecaredelivery.
v v
6. Whatisadefiningcharacteristicinanursingdiagnosis? v
a. Thecauseoftheproblem v
b. Theobservablesignsandsymptoms v
c. Theexpectedoutcomes
3|P n
, d. Thepatient'smedicalhistory
CORRECTANSWER:B
n n n
Rationale:Definingcharacteristicsaretheobservablesignsandsymptomsthatvalidatethenursingdiagnosisand
v v v v n
provideevidenceoftheproblem.
n n n
NCLEXPreference:Identifyingdefining characteristicsisessentialforaccuratediagnosisandplanning. N v
7. Howcananursevalidateanursingdiagnosis? v
a. Byrelyingsolelyonpersonalexperience
v v
b. Bycollectingdata fromvarioussources,includingthepatient
v n
c. Bydiscussing itonlywithphysicians N n
d. Bydocumentingthediagnosiswithoutevidence
CORRECTANSWER:B
n n n
Rationale:Validating anursing diagnosisinvolvescollecting datafrommultiplesources,includingthe
n v v
npatient,toensureaccuracyandrelevance.
n
NCLEXPreference:Validationofnursingdiagnosesiscriticalforpatientsafety andeffectivecare.
v v v n
8. Whatroledoesevidence-basedpracticeplayinnursing diagnoses? N
a. Itcomplicatesthediagnosisprocess v
b. Itprovidesascientificbasisfornursing decisions
v v v n
c. Itisoptionalfornursingpractice
v
d. Itfocusessolelyontraditionalmethods
v n
CORRECTANSWER:B
n n n
Rationale: Evidence-basedpracticeprovidesascientificbasisfornursingdecisions,improvingpatient
n
outcomesand ensuring careiseffectiveandrelevant.NCLEXPreference:Knowledgeofevidence-based
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practiceis essential for modernnursing.
n n n n n
9. Whatisthepurposeoftheplanningphaseinthenursing process?
v v v n
a. Toassessthepatient’scondition
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4|P n