Test Bank Complete_
Ackley And Ladwig’s Nursing Diagnosis Handbook 13th Edition, (2022)
By Mary Beth Flynn Makic & Marina Reyna Martinez-Kratz
All Sections 1-33| Latest Version With Detailed Answers| Grade A+
From: [Bestmaxsolutions.stuvia
,Section I: Nursing Diagnosis, The Nursing Process, And Evidence- Based Nursing ----------------- 3
Section II: Guide To Nursing Diagnoses ---------------------------------------------------------------------- 43
Section III: Guide To Planning Care --------------------------------------------------------------------------- 78
,Section I: Nursing Diagnosis, The Nursing Process, And Evidence- Based Nursing
Mary Beth Flynn Makic: Ackley and Ladwig’s Nursing Diagnosis Handbook 13th Edition, (2022) Test Bank
An explanation of how to make a nursing diagnosis and plan care using the nursing process and
evidence-based nursing.
MULTIPLE CHOICE
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.
A. To Identify A Medical Diagnosis: A Nursing Diagnosis Focuses On Patient Problems
That Require Nursing Interventions, Not On Medical Diagnoses.
B. To Determine The Effectiveness Of Medications: Medication Effectiveness Is Part Of
The Implementation Phase But Not The Goal Of A Nursing Diagnosis.
D. To Prioritize Physician Orders: Prioritizing Orders Is Part Of Care Implementation,
Not The Goal Of A Nursing Diagnosis.
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.
A. Defining Characteristics: These Are The Signs And Symptoms That Support The
Diagnosis, Not The Problem Itself.
B. Related Factors: These Are The Contributing Factors Or Causes Of The Problem.
D. The Patient’s History: While Important, History Is Not The Component That Identifies
The Nursing Diagnosis.
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.
A. It Identifies The Patient's Response To The Problem: The Patient's Response Is
Typically Described In The "As Evidenced By" Part Of The Diagnosis.
C. It Lists The Symptoms Observed: Symptoms Are Part Of The Defining
Characteristics, Not The Related Factors.
D. It Describes The Treatment Plan: The Treatment Plan Is Not Part Of The Nursing
Diagnosis, But Rather Part Of The Planning Phase.
NCLEX Preference: Understanding Etiology Is Vital For Targeted Nursing Interventions.
,4. Which Nursing Diagnosis Format Is Used To Articulate The Problem Clearly?
• A. Problem-Focused Diagnosis
• B. Risk Diagnosis
• C. Health Promotion Diagnosis
• D. All Of The Above
ANS:D
Rationale: All Formats—Problem-Focused, Risk, And Health Promotion—Articulate
Different Aspects Of Patient Care And Are Important In Various Clinical Situations.
A. Problem-Focused Diagnosis: Focuses On Existing Problems But Does Not Encompass
The Full Range Of Possible Diagnoses.
B. Risk Diagnosis: Addresses Potential Problems, Not Current Ones.
C. Health Promotion Diagnosis: Focuses On Improving Health, But Is Not Limited To
Just This Aspect Of Care.
NCLEX Preference: Familiarity With Different Nursing Diagnosis Formats Enhances
Clinical Reasoning.
5. In Which Phase Of The Nursing Process Is The Nursing Diagnosis Formulated?
• A. Assessment
• B. Diagnosis
• C. Planning
• D. Implementation
ANS:B
Rationale: The Nursing Diagnosis Is Formulated During The Diagnosis Phase, After
Collecting And Analyzing Assessment Data.
A. Assessment: In This Phase, Data Is Gathered, But The Diagnosis Is Formulated Later.
C. Planning: The Care Plan Is Developed In This Phase, Not The Diagnosis Itself.
D. Implementation: This Is When Interventions Are Carried Out, Not When The
Diagnosis Is Formulated.
, NCLEX Preference: Understanding The Nursing Process Phases Is Crucial For Effective
Care Delivery.
6. What Is A Defining Characteristic In A Nursing Diagnosis?
• A. The Cause Of The Problem
• B. The Observable Signs And Symptoms
• C. The Expected Outcomes
• D. The Patient's Medical History
ANS:B
Rationale: Defining Characteristics Are The Observable Signs And Symptoms That
Validate The Nursing Diagnosis And Provide Evidence Of The Problem.
A. The Cause Of The Problem: The Cause Is Described In The "Related To" Part Of The
Diagnosis.
C. The Expected Outcomes: Expected Outcomes Are Part Of The Planning Phase, Not
The Nursing Diagnosis.
D. The Patient's Medical History: The Medical History Is Considered During Assessment
But Is Not A Defining Characteristic.
NCLEX Preference: Identifying Defining Characteristics Is Essential For Accurate
Diagnosis And Planning.
7. How Can A Nurse Validate A Nursing Diagnosis?
• A. By Relying Solely On Personal Experience
• B. By Collecting Data From Various Sources, Including The Patient
• C. By Discussing It Only With Physicians
• D. By Documenting The Diagnosis Without Evidence
ANS:B
Rationale: Validating A Nursing Diagnosis Involves Collecting Data From Multiple
Sources, Including The Patient, To Ensure Accuracy And Relevance.
Ackley And Ladwig’s Nursing Diagnosis Handbook 13th Edition, (2022)
By Mary Beth Flynn Makic & Marina Reyna Martinez-Kratz
All Sections 1-33| Latest Version With Detailed Answers| Grade A+
From: [Bestmaxsolutions.stuvia
,Section I: Nursing Diagnosis, The Nursing Process, And Evidence- Based Nursing ----------------- 3
Section II: Guide To Nursing Diagnoses ---------------------------------------------------------------------- 43
Section III: Guide To Planning Care --------------------------------------------------------------------------- 78
,Section I: Nursing Diagnosis, The Nursing Process, And Evidence- Based Nursing
Mary Beth Flynn Makic: Ackley and Ladwig’s Nursing Diagnosis Handbook 13th Edition, (2022) Test Bank
An explanation of how to make a nursing diagnosis and plan care using the nursing process and
evidence-based nursing.
MULTIPLE CHOICE
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.
A. To Identify A Medical Diagnosis: A Nursing Diagnosis Focuses On Patient Problems
That Require Nursing Interventions, Not On Medical Diagnoses.
B. To Determine The Effectiveness Of Medications: Medication Effectiveness Is Part Of
The Implementation Phase But Not The Goal Of A Nursing Diagnosis.
D. To Prioritize Physician Orders: Prioritizing Orders Is Part Of Care Implementation,
Not The Goal Of A Nursing Diagnosis.
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.
A. Defining Characteristics: These Are The Signs And Symptoms That Support The
Diagnosis, Not The Problem Itself.
B. Related Factors: These Are The Contributing Factors Or Causes Of The Problem.
D. The Patient’s History: While Important, History Is Not The Component That Identifies
The Nursing Diagnosis.
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.
A. It Identifies The Patient's Response To The Problem: The Patient's Response Is
Typically Described In The "As Evidenced By" Part Of The Diagnosis.
C. It Lists The Symptoms Observed: Symptoms Are Part Of The Defining
Characteristics, Not The Related Factors.
D. It Describes The Treatment Plan: The Treatment Plan Is Not Part Of The Nursing
Diagnosis, But Rather Part Of The Planning Phase.
NCLEX Preference: Understanding Etiology Is Vital For Targeted Nursing Interventions.
,4. Which Nursing Diagnosis Format Is Used To Articulate The Problem Clearly?
• A. Problem-Focused Diagnosis
• B. Risk Diagnosis
• C. Health Promotion Diagnosis
• D. All Of The Above
ANS:D
Rationale: All Formats—Problem-Focused, Risk, And Health Promotion—Articulate
Different Aspects Of Patient Care And Are Important In Various Clinical Situations.
A. Problem-Focused Diagnosis: Focuses On Existing Problems But Does Not Encompass
The Full Range Of Possible Diagnoses.
B. Risk Diagnosis: Addresses Potential Problems, Not Current Ones.
C. Health Promotion Diagnosis: Focuses On Improving Health, But Is Not Limited To
Just This Aspect Of Care.
NCLEX Preference: Familiarity With Different Nursing Diagnosis Formats Enhances
Clinical Reasoning.
5. In Which Phase Of The Nursing Process Is The Nursing Diagnosis Formulated?
• A. Assessment
• B. Diagnosis
• C. Planning
• D. Implementation
ANS:B
Rationale: The Nursing Diagnosis Is Formulated During The Diagnosis Phase, After
Collecting And Analyzing Assessment Data.
A. Assessment: In This Phase, Data Is Gathered, But The Diagnosis Is Formulated Later.
C. Planning: The Care Plan Is Developed In This Phase, Not The Diagnosis Itself.
D. Implementation: This Is When Interventions Are Carried Out, Not When The
Diagnosis Is Formulated.
, NCLEX Preference: Understanding The Nursing Process Phases Is Crucial For Effective
Care Delivery.
6. What Is A Defining Characteristic In A Nursing Diagnosis?
• A. The Cause Of The Problem
• B. The Observable Signs And Symptoms
• C. The Expected Outcomes
• D. The Patient's Medical History
ANS:B
Rationale: Defining Characteristics Are The Observable Signs And Symptoms That
Validate The Nursing Diagnosis And Provide Evidence Of The Problem.
A. The Cause Of The Problem: The Cause Is Described In The "Related To" Part Of The
Diagnosis.
C. The Expected Outcomes: Expected Outcomes Are Part Of The Planning Phase, Not
The Nursing Diagnosis.
D. The Patient's Medical History: The Medical History Is Considered During Assessment
But Is Not A Defining Characteristic.
NCLEX Preference: Identifying Defining Characteristics Is Essential For Accurate
Diagnosis And Planning.
7. How Can A Nurse Validate A Nursing Diagnosis?
• A. By Relying Solely On Personal Experience
• B. By Collecting Data From Various Sources, Including The Patient
• C. By Discussing It Only With Physicians
• D. By Documenting The Diagnosis Without Evidence
ANS:B
Rationale: Validating A Nursing Diagnosis Involves Collecting Data From Multiple
Sources, Including The Patient, To Ensure Accuracy And Relevance.
