Test bank for ackley and ladwig s nursing diagnosis handbook 13th edition an evidence based guide to planning

Test Bank For Ackley and Ladwig's NursingD
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iagnosis Handbook 13th Edition: An Evidenc
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e-Based Guide to Planning Care
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byrMaryrBethrFlynnrMakic


@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 nursingin
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terventions
 d. To prioritize physician orders
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ANS: C r


Rationale: The primary goal of a nursing diagnosis is to identify patient problemsthat
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can be managed by nursing interventions, focusing on patient care rather thanmedical
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diagnoses.
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NCLEX Preference: Understanding the distinction between nursing and medicaldi
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agnoses 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. Defining characteristics
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 b. Related factors
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 c. The actual diagnosis
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 d. The patient’s history
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ANS: C r


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


Rationale: The "related to" (R/T) statement indicates the underlying cause orcontrib
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uting factors of the patient’s problem, guiding intervention strategies.
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,NCLEX Preference: Understanding etiology is vital for targeted nursinginterventio
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ns.

4. Which nursing diagnosis format is used to articulate the problem clearly?
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 a. Problem-focused diagnosis
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 b. Risk diagnosis
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 c. Health promotion diagnosis
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 d. All of the above
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ANS: D r


Rationale: All formats—problem-focused, risk, and health promotion—
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articulatedifferent aspects of patient care and are important in various clinical situatio
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ns.
NCLEX Preference: Familiarity with different nursing diagnosis formatsenhances
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clinical reasoning. r




5. In which phase of the nursing process is the nursing diagnosis formulated?
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 a. Assessment
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 b. Diagnosis
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 c. Planning
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 d. Implementation
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ANS: B r


Rationale: The nursing diagnosis is formulated during the diagnosis phase, aftercolle
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cting and analyzing assessment data.
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NCLEX Preference: Understanding the nursing process phases is crucial foreffectiv
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e care delivery.
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6. What is a defining characteristic in a nursing diagnosis?
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 a. The cause of the problem
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 b. The observable signs and symptoms
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 c. The expected outcomes
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 d. The patient's medical history
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ANS: B r


Rationale: Defining characteristics are the observable signs and symptoms thatvalid
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ate the nursing diagnosis and provide evidence of the problem.
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NCLEX Preference: Identifying defining characteristics is essential for accuratedia
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gnosis and planning.
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, 7. How can a nurse validate a nursing diagnosis?
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 a. By relying solely on personal experience
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 b. By collecting data from various sources, including the patient
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 c. By discussing it only with physicians
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 d. By documenting the diagnosis without evidence
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ANS: B r


Rationale: Validating a nursing diagnosis involves collecting data from multiplesour
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ces, including the patient, to ensure accuracy and relevance.
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NCLEX Preference: Validation of nursing diagnoses is critical for patient safetyand
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effective care. r




8. What role does evidence-based practice play in nursing diagnoses?
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 a. It complicates the diagnosis process
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 b. It provides a scientific basis for nursing decisions
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 c. It is optional for nursing practice
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 d. It focuses solely on traditional methods
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ANS: B r


Rationale: Evidence- r


based practice provides a scientific basis for nursing decisions, improving patient out
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comes and ensuring care is effective and relevant.NCLEX Preference: Knowledge
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of evidence-based practice is 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 r


Rationale: The planning phase involves developing a care plan with measurablego
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als 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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