BESTLEC
Test Bank
Ackley and Ladwig's Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning
Care. 13th Edition
by Mary Beth Flynn Makic
2025|| All Chapters|| ISBN-13 978-0323776837
TEST BANK
C
LE
ST
BE
1
,BESTLEC
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
C
Rationale: The primary goal of a nursing diagnosis is to identify patient problems that can be
LE
managed by nursing interventions, focusing on patient care rather than medical diagnoses.
NCLEX Preference: Understanding the distinction between nursing and medical diagnoses is
ST
crucial for patient-centered care.
2. Which component of the nursing diagnosis indicates the problem?
BE
• 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.
2
,BESTLEC
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
C
ANS: B
LE
Rationale: The "related to" (R/T) statement indicates the underlying cause or contributing factors
of the patient’s problem, guiding intervention strategies.
ST
NCLEX Preference: Understanding etiology is vital for targeted nursing interventions.
BE
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
3
, BESTLEC
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
• c. Planning
• d. Implementation
LE
ANS: B
ST
Rationale: The nursing diagnosis is formulated during the diagnosis phase, after collecting and
analyzing assessment data.
BE
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
4
Test Bank
Ackley and Ladwig's Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning
Care. 13th Edition
by Mary Beth Flynn Makic
2025|| All Chapters|| ISBN-13 978-0323776837
TEST BANK
C
LE
ST
BE
1
,BESTLEC
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
C
Rationale: The primary goal of a nursing diagnosis is to identify patient problems that can be
LE
managed by nursing interventions, focusing on patient care rather than medical diagnoses.
NCLEX Preference: Understanding the distinction between nursing and medical diagnoses is
ST
crucial for patient-centered care.
2. Which component of the nursing diagnosis indicates the problem?
BE
• 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.
2
,BESTLEC
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
C
ANS: B
LE
Rationale: The "related to" (R/T) statement indicates the underlying cause or contributing factors
of the patient’s problem, guiding intervention strategies.
ST
NCLEX Preference: Understanding etiology is vital for targeted nursing interventions.
BE
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
3
, BESTLEC
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
• c. Planning
• d. Implementation
LE
ANS: B
ST
Rationale: The nursing diagnosis is formulated during the diagnosis phase, after collecting and
analyzing assessment data.
BE
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
4
