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

Test Bank For Ackley and Ladwig's Nursing
u u u u u u




Diagnosis Handbook 13th Edition: An
u u u u u




Evidence-Based Guide to Planning Care
u u u u u




by Mary Beth Flynn Makic
u u u u




@2024

,Section I: Nursing Diagnosis, the Nursing Process, and Evidence-
u u u u u u u u



Based Nursing
u u




1. What is the primary goal of a nursing diagnosis?
u u u u u u u u




• a. To identify a medical diagnosis
u u u u u



• b. To determine the effectiveness of medications
u u u u u u



• c. To identify patient problems that can be managed by nursing
u u u u u u u u u u



interventions
u


• d. To prioritize physician orders
u u u u




ANS: C u



Rationale: The primary goal of a nursing diagnosis is to identify patient problems
u u u u u u u u u u u u



that can be managed by nursing interventions, focusing on patient care rather than
u u u u u u u u u u u u u



medical diagnoses.
u u



NCLEX Preference: Understanding the distinction between nursing and medical
u u u u u u u u


diagnoses is crucial for patient-centered care.
u u u u u u




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




• a. Defining characteristics
u u


• b. Related factors
u u



• c. The actual diagnosis
u u u



• d. The patient’s history
u u u




ANS: C u



Rationale: The actual diagnosis represents the problem identified in the nursing
u u u u u u u u u u



assessment. It is essential for formulating a care plan.
u u u u u u u u u



NCLEX Preference: Clear identification of nursing diagnoses is necessary for
u u u u u u u u u


effective care planning.
u u u




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




• a. It identifies the patient's response to the problem
u u u u u u u u



• b. It indicates the underlying cause of the problem
u u u u u u u u



• c. It lists the symptoms observed
u u u u u



• d. It describes the treatment plan
u u u u u




ANS: B u



Rationale: The "related to" (R/T) statement indicates the underlying cause or
u u u u u u u u u u



contributing factors of the patient’s problem, guiding intervention strategies.
u u u u u u u u u

,NCLEX Preference: Understanding etiology is vital for targeted nursing
u u u u u u u u



interventions.
u




4. Which nursing diagnosis format is used to articulate the problem clearly?
u u u u u u u u u u




• a. Problem-focused diagnosis
u u



• b. Risk diagnosis
u u



• c. Health promotion diagnosis
u u u



• d. All of the above
u u u u




ANS: D u



Rationale: All formats—problem-focused, risk, and health promotion—articulate
u u u u u u



different aspects of patient care and are important in various clinical situations.
u u u u u u u u u u u u



NCLEX Preference: Familiarity with different nursing diagnosis formats
u u u u u u u



enhances clinical reasoning.
u u u




5. In which phase of the nursing process is the nursing diagnosis formulated?
u u u u u u u u u u u




• a. Assessment
u



• b. Diagnosis
u



• c. Planning
u



• d. Implementation
u




ANS: B u



Rationale: The nursing diagnosis is formulated during the diagnosis phase, after
u u u u u u u u u u



collecting and analyzing assessment data.
u u u u u



NCLEX Preference: Understanding the nursing process phases is crucial for
u u u u u u u u u



effective care delivery.
u u u




6. What is a defining characteristic in a nursing diagnosis?
u u u u u u u u




• a. The cause of the problem
u u u u u



• b. The observable signs and symptoms
u u u u u



• c. The expected outcomes
u u u



• d. The patient's medical history
u u u u




ANS: B u



Rationale: Defining characteristics are the observable signs and symptoms that
u u u u u u u u u



validate the nursing diagnosis and provide evidence of the problem.
u u u u u u u u u u



NCLEX Preference: Identifying defining characteristics is essential for accurate
u u u u u u u u



diagnosis and planning.
u u u

, 7. How can a nurse validate a nursing diagnosis?
u u u u u u u




• a. By relying solely on personal experience
u u u u u u



• b. By collecting data from various sources, including the patient
u u u u u u u u u



• c. By discussing it only with physicians
u u u u u u



• d. By documenting the diagnosis without evidence
u u u u u u




ANS: B u



Rationale: Validating a nursing diagnosis involves collecting data from multiple
u u u u u u u u u



sources, including the patient, to ensure accuracy and relevance.
u u u u u u u u u



NCLEX Preference: Validation of nursing diagnoses is critical for patient safety
u u u u u u u u u u



and effective care.
u u u




8. What role does evidence-based practice play in nursing diagnoses?
u u u u u u u u




• a. It complicates the diagnosis process
u u u u u



• b. It provides a scientific basis for nursing decisions
u u u u u u u u



• c. It is optional for nursing practice
u u u u u u



• d. It focuses solely on traditional methods
u u u u u u




ANS: B u



Rationale: Evidence-based practice provides a scientific basis for nursing
u u u u u u u u



decisions, improving patient outcomes and ensuring care is effective and relevant.
u u u u u u u u u u u



NCLEX Preference: Knowledge of evidence-based practice is essential for
u u u u u u u u u



modern nursing.
u u




9. What is the purpose of the planning phase in the nursing process?
u u u u u u u u u u u




• a. To assess the patient’s condition
u u u u u



• b. To develop a care plan with measurable goals
u u u u u u u u



• c. To implement interventions immediately
u u u u



• **d. To evaluate patient outcomes
u u u u




ANS: B u



Rationale: The planning phase involves developing a care plan with measurable
u u u u u u u u u u



goals and outcomes tailored to the patient’s needs.
u u u u u u u u



NCLEX Preference: Effective planning is key to successful patient outcomes.
u u u u u u u u u




10. How should nursing diagnoses be prioritized?
u u u u u




• a. Based on the nurse’s preference
u u u u u