Test Bank For Ackley and Ladwig’s Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care 13th Edition| 9780323776837| All Chapters|LATEST

Test Bank For Ackley and Ladwig's Nursing
Diagnosis Handbook 13th Edition: An
Evidence-Based Guide to Planning Care
by Mary Beth Flynn Makic


@2024

,Section I: Nursing Diagnosis, The Nursing Process, And Evidence-
Based Nursing
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.
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.
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.

,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.
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.
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.
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.
NCLEX Preference: Validation Of Nursing Diagnoses Is Critical For Patient
Safety And Effective Care.

8. What Role Does Evidence-Based Practice Play In Nursing Diagnoses?

 A. It Complicates The Diagnosis Process
 B. It Provides A Scientific Basis For Nursing Decisions
 C. It Is Optional For Nursing Practice
 D. It Focuses Solely On Traditional Methods

ANS: B
Rationale: Evidence-Based Practice Provides A Scientific Basis For Nursing
Decisions, Improving Patient Outcomes And Ensuring Care Is Effective And
Relevant. NCLEX Preference: Knowledge Of Evidence-Based Practice Is
Essential For Modern Nursing.

9. What Is The Purpose Of The Planning Phase In The Nursing Process?

 A. To Assess The Patient’s Condition
 B. To Develop A Care Plan With Measurable Goals
 C. To Implement Interventions Immediately
 **D. To Evaluate Patient Outcomes

ANS: B
Rationale: The Planning Phase Involves Developing A Care Plan With
Measurable Goals And Outcomes Tailored To The Patient’s Needs.
NCLEX Preference: Effective Planning Is Key To Successful Patient Outcomes.

10. How Should Nursing Diagnoses Be Prioritized?

 A. Based On The Nurse’s Preference

,  B. According To The Order Of Documentation
 C. By Assessing The Urgency And Potential For Harm
 D. Randomly, As They Are All Equally Important

ANS: C
Rationale: Nursing Diagnoses Should Be Prioritized Based On Urgency And
Potential For Harm, Ensuring That Critical Patient Issues Are Addressed First.
NCLEX Preference: Prioritization Is Fundamental For Safe Nursing Practice.

11. Which Term Describes A Nursing Diagnosis That Indicates A
Potential Problem?

 A. Actual Diagnosis
 B. Risk Diagnosis
 C. Health Promotion Diagnosis
 D. Syndrome Diagnosis

ANS: B
Rationale: A Risk Diagnosis Indicates A Potential Problem That May Arise Due
To Certain Risk Factors, Allowing For Preventative Interventions.
NCLEX Preference: Understanding Risk Diagnoses Is Crucial For Patient Safety
And Prevention.

12. What Is The Main Goal Of Implementing Nursing Interventions?

 A. To Provide Care Regardless Of Patient Feedback
 B. To Improve Patient Outcomes Based On The Nursing Diagnosis
 C. To Follow Physician Orders Strictly
 D. To Limit Patient Autonomy

ANS: B
Rationale: The Main Goal Of Implementing Nursing Interventions Is To Improve
Patient Outcomes Based On The Nursing Diagnosis And Established Care Plan.
NCLEX Preference: Patient-Centered Care Is A Priority In Nursing Practice.

13. What Is A Common Challenge In Nursing Diagnoses?

 A. Access To Patient Data
 B. Conflicting Information From Sources
 C. Standardization Of Terminology
 D. Availability Of Clinical Guidelines

, ANS: B
Rationale: Conflicting Information Can Pose Challenges In Accurately
Identifying Nursing Diagnoses, Requiring Critical Thinking And Validation.
NCLEX Preference: Nurses Must Navigate Conflicting Information Effectively
For Accurate Diagnosis.

14. In What Way Can Patient Education Influence Nursing Diagnoses?

 A. It Is Unrelated To Nursing Practice
 B. It Can Empower Patients To Manage Their Health Effectively
 C. It Increases Patient Anxiety
 D. It Complicates Care Delivery

ANS: B
Rationale: Patient Education Empowers Patients To Manage Their Health, Which
Can Directly Influence Their Adherence To Nursing Diagnoses And Care Plans.
NCLEX Preference: Patient Education Is A Critical Component Of Nursing Care.

15. What Is The Primary Focus Of A Wellness Nursing Diagnosis?

 A. Identifying Existing Health Problems
 B. Promoting Optimal Health And Well-Being
 C. Preventing Future Health Issues
 D. Treating Acute Conditions

ANS: B
Rationale: A Wellness Nursing Diagnosis Focuses On Promoting Optimal Health
And Well-Being, Supporting Patients In Achieving Their Health Goals.
NCLEX Preference: Wellness Diagnoses Are Essential For Holistic Nursing Care.

16. How Can Nurses Demonstrate Accountability In Their Nursing Diagnoses?

 A. By Following Orders Without Question
 B. By Evaluating Their Care Effectiveness And Outcomes
 C. By Documenting Only Positive Results
 D. By Relying Solely On Team Decisions

ANS: B
Rationale: Nurses Demonstrate Accountability By Evaluating The Effectiveness Of
Their Care And Outcomes, Making Necessary Adjustments To The Care Plan.