Nursing Diagnosis Practice
Questions and correct verified
answers
The nurse uses nursing diagnoses after completion of the client assessment, because they:
1.Are required for accreditation purposes
2.Identify the domain and focus of nursing
3.Assist the nurse to distinguish medical from nursing problems
4.Make all client problems become more quickly and easily resolved - correct answer <<<✨✨✨2
After completing the client assessment, the nurse develops nursing diagnoses based on the data
obtained. Nursing diagnoses distinguish the nurse's role from that of the physician, and nursing
diagnoses help nurses to focus on the role of nursing in client care. Although most state nurse practice
acts include nursing diagnosis as part of the domain of nursing practice, nursing diagnoses are not
required for accreditation purposes. Medical problems are identified with medical diagnostic statements
to treat a disease condition. Nursing diagnoses describe the client's actual or potential response to a
health problem that the nurse is licensed and competent to treat. Nursing diagnoses distinguish the
nurse's role from that of the physician. Nursing diagnoses may facilitate communication among health
professionals, but they do not necessarily allow all client problems to become more quickly and easily
resolved.
A 53-year-old client is seen at the clinic for a yearly physical examination. In evaluating the client's
weight, the nurse also considers the age and height. This is an example of:
1.Defining the client problem
,2.Recognizing gaps in data assessment
3.Comparing data with normal health patterns
4.Drawing conclusions about the client's response - correct answer <<<✨✨✨3
The nurse uses scientific knowledge and experience to analyze and interpret data collected about the
client. This includes comparing the data with norms. The nurse is comparing data to determine if there is
a problem. A problem has not yet been identified. The nurse is not recognizing gaps in data assessment.
An example of a gap in data assessment would be if the client's weight had not been measured. The
nurse has not drawn a conclusion about the client's response. The nurse must first compare the data
with normal health problems to be able to arrive at a conclusion.
Of the following statements, which one is an example of an appropriately written nursing diagnosis?
1.Acute pain related to left mastectomy
2.impaired gas exchange related to altered blood gases
3.Deficient knowledge related to need for cardiac catheterization
4.Need for high protein diet related to alteration in client nutrition - correct answer <<<✨✨✨3
This nursing diagnosis is written correctly. It defines a problem and its etiology. In this case the problem
is the client's response to a diagnostic test. A medical diagnosis should not be recorded as the etiology
because nursing interventions cannot change the medical diagnosis. It would be appropriate to state
acute pain related to impaired skin integrity secondary to mastectomy incision. This nursing diagnosis is
written incorrectly because it uses supportive data of the problem as the etiology. This nursing diagnosis
does not identify the problem and etiology. It identifies the client's goal rather than the problem. It
could be reworded as imbalanced nutrition: less than body requirements related to inadequate protein
intake.
Of the following statements, which one is an example of an appropriately written nursing diagnosis?
1.Risk for change in body image related to cancer
, 2.Cardiac output decreased related to motor vehicle accident
3.Ineffective airway clearance related to increased secretions
4.Potential for injury related to improper teaching in the use of crutches - correct answer
<<<✨✨✨3
Ineffective airway clearance related to increased secretions is written appropriately. It identifies a
problem using a NANDA International diagnostic statement and connects it to its etiology. Risk for
change in body image related to cancer is written incorrectly. It uses a medical diagnosis for the
etiology. Cardiac output decreased related to motor vehicle accident is written incorrectly. The etiology
is not treatable. Potential for injury related to improper teaching in the use of crutches is written
incorrectly. It identifies the nurse's problem, not the client's
The nurse has diagnosed the client's problem as altered elimination. From the database the nurse
identifies all the following as appropriate etiologies for this diagnosis except:
1.Poor fiber intake
2.Limited fluid intake
3.Total hip replacement
4.Lower abdominal discomfort - correct answer <<<✨✨✨3
Total hip replacement because the medical diagnosis requires medical interventions, it is legally
inadvisable to use it in the nursing diagnosis. Rather, the nurse should identify the client's response,
such as decreased mobility. The nurse should be able to provide nursing interventions that will treat the
etiology. Poor fiber intake would be an appropriate etiology for the problem of altered elimination.
Limited fluid intake would be an appropriate etiology for the nursing diagnosis of altered elimination.
Lower abdominal discomfort is an appropriate etiology for the nursing diagnosis of altered elimination.
he nurse is concerned that atelectasis may develop as a postoperative complication. Which of the
following is an appropriate diagnostic label for this problem, should it occur?
Questions and correct verified
answers
The nurse uses nursing diagnoses after completion of the client assessment, because they:
1.Are required for accreditation purposes
2.Identify the domain and focus of nursing
3.Assist the nurse to distinguish medical from nursing problems
4.Make all client problems become more quickly and easily resolved - correct answer <<<✨✨✨2
After completing the client assessment, the nurse develops nursing diagnoses based on the data
obtained. Nursing diagnoses distinguish the nurse's role from that of the physician, and nursing
diagnoses help nurses to focus on the role of nursing in client care. Although most state nurse practice
acts include nursing diagnosis as part of the domain of nursing practice, nursing diagnoses are not
required for accreditation purposes. Medical problems are identified with medical diagnostic statements
to treat a disease condition. Nursing diagnoses describe the client's actual or potential response to a
health problem that the nurse is licensed and competent to treat. Nursing diagnoses distinguish the
nurse's role from that of the physician. Nursing diagnoses may facilitate communication among health
professionals, but they do not necessarily allow all client problems to become more quickly and easily
resolved.
A 53-year-old client is seen at the clinic for a yearly physical examination. In evaluating the client's
weight, the nurse also considers the age and height. This is an example of:
1.Defining the client problem
,2.Recognizing gaps in data assessment
3.Comparing data with normal health patterns
4.Drawing conclusions about the client's response - correct answer <<<✨✨✨3
The nurse uses scientific knowledge and experience to analyze and interpret data collected about the
client. This includes comparing the data with norms. The nurse is comparing data to determine if there is
a problem. A problem has not yet been identified. The nurse is not recognizing gaps in data assessment.
An example of a gap in data assessment would be if the client's weight had not been measured. The
nurse has not drawn a conclusion about the client's response. The nurse must first compare the data
with normal health problems to be able to arrive at a conclusion.
Of the following statements, which one is an example of an appropriately written nursing diagnosis?
1.Acute pain related to left mastectomy
2.impaired gas exchange related to altered blood gases
3.Deficient knowledge related to need for cardiac catheterization
4.Need for high protein diet related to alteration in client nutrition - correct answer <<<✨✨✨3
This nursing diagnosis is written correctly. It defines a problem and its etiology. In this case the problem
is the client's response to a diagnostic test. A medical diagnosis should not be recorded as the etiology
because nursing interventions cannot change the medical diagnosis. It would be appropriate to state
acute pain related to impaired skin integrity secondary to mastectomy incision. This nursing diagnosis is
written incorrectly because it uses supportive data of the problem as the etiology. This nursing diagnosis
does not identify the problem and etiology. It identifies the client's goal rather than the problem. It
could be reworded as imbalanced nutrition: less than body requirements related to inadequate protein
intake.
Of the following statements, which one is an example of an appropriately written nursing diagnosis?
1.Risk for change in body image related to cancer
, 2.Cardiac output decreased related to motor vehicle accident
3.Ineffective airway clearance related to increased secretions
4.Potential for injury related to improper teaching in the use of crutches - correct answer
<<<✨✨✨3
Ineffective airway clearance related to increased secretions is written appropriately. It identifies a
problem using a NANDA International diagnostic statement and connects it to its etiology. Risk for
change in body image related to cancer is written incorrectly. It uses a medical diagnosis for the
etiology. Cardiac output decreased related to motor vehicle accident is written incorrectly. The etiology
is not treatable. Potential for injury related to improper teaching in the use of crutches is written
incorrectly. It identifies the nurse's problem, not the client's
The nurse has diagnosed the client's problem as altered elimination. From the database the nurse
identifies all the following as appropriate etiologies for this diagnosis except:
1.Poor fiber intake
2.Limited fluid intake
3.Total hip replacement
4.Lower abdominal discomfort - correct answer <<<✨✨✨3
Total hip replacement because the medical diagnosis requires medical interventions, it is legally
inadvisable to use it in the nursing diagnosis. Rather, the nurse should identify the client's response,
such as decreased mobility. The nurse should be able to provide nursing interventions that will treat the
etiology. Poor fiber intake would be an appropriate etiology for the problem of altered elimination.
Limited fluid intake would be an appropriate etiology for the nursing diagnosis of altered elimination.
Lower abdominal discomfort is an appropriate etiology for the nursing diagnosis of altered elimination.
he nurse is concerned that atelectasis may develop as a postoperative complication. Which of the
following is an appropriate diagnostic label for this problem, should it occur?
