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

Test Bank For Ackley and Ladwig's
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Nursing Diagnosis Handbook 13th
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Edition: An Evidence-Based Guide to
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Planning Care
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by wnMary wnBeth wnFlynn wnMakic


@2024

,Section I: Nursing Diagnosis, the Nursing Process, and Evidence-
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Based Nursing
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1. What is the primary goal of a nursing diagnosis?
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 a. To identify a medical diagnosis
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 b. To determine the effectiveness of medications
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 c. To identify patient problems that can be managed by
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nursing interventions
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 d. To prioritize physician orders
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ANS: C wn


Rationale: The primary goal of a nursing diagnosis is to identify patient
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problems that can be managed by nursing interventions, focusing on
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patient care rather than medical diagnoses.
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NCLEX Preference: Understanding the distinction between nursing and
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medical diagnoses is crucial for patient-centered care.
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2. Which component of the nursing diagnosis indicates the problem?
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 a. wn Defining characteristics wn


 b. wn Related factors wn


 c. wn The actual diagnosis
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 d. wn The patient’s history
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ANS: C wn


Rationale: The actual diagnosis represents the problem identified in the
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nursing assessment. It is essential for formulating a care plan.
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NCLEX Preference: Clear identification of nursing diagnoses is necessary for
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effective care planning.
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3. What does the "related to" (R/T) statement in a nursing diagnosis
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signify?
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 a. wn It wn identifies the patient's response to the problem
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 b. wn It wn indicates the underlying cause of the problem
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 c. wn It wn lists the symptoms observed
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 d. wn It wn describes the treatment plan wn wn wn




ANS: B wn


Rationale: The "related to" (R/T) statement indicates the underlying cause
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or contributing factors of the patient’s problem, guiding intervention
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strategies.
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,NCLEX Preference: Understanding etiology is vital for targeted nursing
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interventions.
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4. Which nursing diagnosis format is used to articulate the problem
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clearly?
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 a. Problem-focused diagnosis
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 b. Risk diagnosis
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 c. wnHealth promotion diagnosis wn wn


 d. All of the above
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ANS: D wn


Rationale: All formats—problem-focused, risk, and health promotion—
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articulate different aspects of patient care and are important in various
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clinical situations.
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NCLEX Preference: Familiarity with different nursing diagnosis formats
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enhances clinical reasoning.
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5. In which phase of the nursing process is the nursing diagnosis
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formulated?
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 a. wn Assessment
 b. wn Diagnosis
 c. wn Planning
 d. wn Implementation

ANS: B wn


Rationale: The nursing diagnosis is formulated during the diagnosis phase,
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after collecting and analyzing assessment data.
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NCLEX Preference: Understanding the nursing process phases is crucial
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for effective care delivery.
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6. What is a defining characteristic in a nursing diagnosis?
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 a. wn The wncause of the problem wn wn wn


 b. wn The wnobservable signs and symptoms wn wn wn


 c. wn The wnexpected outcomes wn


 d. wn The wnpatient's medical history wn wn




ANS: B wn


Rationale: Defining characteristics are the observable signs and symptoms
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that validate the nursing diagnosis and provide evidence of the problem.
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NCLEX Preference: Identifying defining characteristics is essential for
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accurate diagnosis and planning.
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, 7. How can a nurse validate a nursing diagnosis?
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 a. By
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 b. By
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 c. By
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 d. By
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ANS: B wn


Rationale: Validating a nursing diagnosis involves collecting data from
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multiple sources, including the patient, to ensure accuracy and relevance.
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NCLEX Preference: Validation of nursing diagnoses is critical for patient
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safety and effective care.
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8. What role does evidence-based practice play in nursing diagnoses?
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 a. It
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 b. It
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 c. It
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 d. It
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ANS: B wn


Rationale: Evidence-based practice provides a scientific basis for nursing
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decisions, improving patient outcomes and ensuring care is effective and
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relevant. NCLEX Preference: Knowledge of evidence-based practice is
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essential for modern nursing.
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9. What is the purpose of the planning phase in the nursing process?
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 a. To assess the patient’s condition
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 b. To develop a care plan with measurable goals
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 c. To implement interventions immediately
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 **d. To evaluate patient outcomes
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ANS: B wn


Rationale: The planning phase involves developing a care plan with
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measurable goals and outcomes tailored to the patient’s needs.
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NCLEX Preference: Effective planning is key to successful patient outcomes.
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10. How should nursing diagnoses be prioritized?
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 a. Based on the nurse’s preference
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