,TEST BANK FOR ACKLEY AND
LADWIG'S NURSING DIAGNOSIS
HANDBOOK 13TH EDITION: AN
EVIDENCE-BASED GUIDE TO
PLANNING CARE
,Section cI: cNursing cDiagnosis, cthe cNursing cProcess, cand cEvidence-
cBased cNursing
1. What cis cthe cprimary cgoal cof ca cnursing cdiagnosis?
• a. cTo cidentify ca cmedical cdiagnosis
• b. cTo cdetermine cthe ceffectiveness cof cmedications
• c. cTo cidentify cpatient cproblems cthat ccan cbe cmanaged cby
cnursing cinterventions
• d. cTo cprioritize cphysician corders
ANS: cC
Rationale: cThe cprimary cgoal cof ca cnursing cdiagnosis cis cto cidentify cpatient
cproblems cthat ccan cbe cmanaged cby cnursing cinterventions, cfocusing con cpatient
ccare crather cthan cmedical cdiagnoses.
NCLEX cPreference: cUnderstanding cthe cdistinction cbetween cnursing cand
cmedical cdiagnoses cis ccrucial cfor cpatient-centered ccare.
2. Which ccomponent cof cthe cnursing cdiagnosis cindicates cthe cproblem?
• a. cDefining ccharacteristics
• b. cRelated cfactors
• c. cThe cactual cdiagnosis
• d. cThe cpatient’s chistory
ANS: cC
Rationale: cThe cactual cdiagnosis crepresents cthe cproblem cidentified cin cthe
cnursing cassessment. cIt cis cessential cfor cformulating ca ccare cplan.
NCLEX cPreference: cClear cidentification cof cnursing cdiagnoses cis cnecessary cfor
ceffective ccare cplanning.
3. What cdoes cthe c"related cto" c(R/T) cstatement cin ca cnursing cdiagnosis csignify?
• a. cIt cidentifies cthe cpatient's cresponse cto cthe cproblem
• b. cIt cindicates cthe cunderlying ccause cof cthe cproblem
• c. cIt clists cthe csymptoms cobserved
• d. cIt cdescribes cthe ctreatment cplan
ANS: cB
Rationale: cThe c"related cto" c(R/T) cstatement cindicates cthe cunderlying ccause cor
ccontributing cfactors cof cthe cpatient’s cproblem, cguiding cintervention cstrategies.
, NCLEX cPreference: cUnderstanding cetiology cis cvital cfor ctargeted cnursing
cinterventions.
4. Which cnursing cdiagnosis cformat cis cused cto carticulate cthe cproblem cclearly?
• a. cProblem-focused cdiagnosis
• b. cRisk cdiagnosis
• c. cHealth cpromotion cdiagnosis
• d. cAll cof cthe cabove
ANS: cD
Rationale: cAll cformats—problem-focused, crisk, cand chealth cpromotion—
articulate cdifferent caspects cof cpatient ccare cand care cimportant cin cvarious cclinical
csituations.
NCLEX cPreference: cFamiliarity cwith cdifferent cnursing cdiagnosis cformats
cenhances cclinical creasoning.
5. In cwhich cphase cof cthe cnursing cprocess cis cthe cnursing cdiagnosis cformulated?
• a. cAssessment
• b. cDiagnosis
• c. cPlanning
• d. cImplementation
ANS: cB
Rationale: cThe cnursing cdiagnosis cis cformulated cduring cthe cdiagnosis cphase,
cafter ccollecting cand canalyzing cassessment cdata.
NCLEX cPreference: cUnderstanding cthe cnursing cprocess cphases cis ccrucial cfor
ceffective ccare cdelivery.
6. What cis ca cdefining ccharacteristic cin ca cnursing cdiagnosis?
• a. cThe ccause cof cthe cproblem
• b. cThe cobservable csigns cand csymptoms
• c. cThe cexpected coutcomes
• d. cThe cpatient's cmedical chistory
ANS: cB
Rationale: cDefining ccharacteristics care cthe cobservable csigns cand csymptoms cthat
cvalidate cthe cnursing cdiagnosis cand cprovide cevidence cof cthe cproblem.
NCLEX cPreference: cIdentifying cdefining ccharacteristics cis cessential cfor caccurate
cdiagnosis cand cplanning.
LADWIG'S NURSING DIAGNOSIS
HANDBOOK 13TH EDITION: AN
EVIDENCE-BASED GUIDE TO
PLANNING CARE
,Section cI: cNursing cDiagnosis, cthe cNursing cProcess, cand cEvidence-
cBased cNursing
1. What cis cthe cprimary cgoal cof ca cnursing cdiagnosis?
• a. cTo cidentify ca cmedical cdiagnosis
• b. cTo cdetermine cthe ceffectiveness cof cmedications
• c. cTo cidentify cpatient cproblems cthat ccan cbe cmanaged cby
cnursing cinterventions
• d. cTo cprioritize cphysician corders
ANS: cC
Rationale: cThe cprimary cgoal cof ca cnursing cdiagnosis cis cto cidentify cpatient
cproblems cthat ccan cbe cmanaged cby cnursing cinterventions, cfocusing con cpatient
ccare crather cthan cmedical cdiagnoses.
NCLEX cPreference: cUnderstanding cthe cdistinction cbetween cnursing cand
cmedical cdiagnoses cis ccrucial cfor cpatient-centered ccare.
2. Which ccomponent cof cthe cnursing cdiagnosis cindicates cthe cproblem?
• a. cDefining ccharacteristics
• b. cRelated cfactors
• c. cThe cactual cdiagnosis
• d. cThe cpatient’s chistory
ANS: cC
Rationale: cThe cactual cdiagnosis crepresents cthe cproblem cidentified cin cthe
cnursing cassessment. cIt cis cessential cfor cformulating ca ccare cplan.
NCLEX cPreference: cClear cidentification cof cnursing cdiagnoses cis cnecessary cfor
ceffective ccare cplanning.
3. What cdoes cthe c"related cto" c(R/T) cstatement cin ca cnursing cdiagnosis csignify?
• a. cIt cidentifies cthe cpatient's cresponse cto cthe cproblem
• b. cIt cindicates cthe cunderlying ccause cof cthe cproblem
• c. cIt clists cthe csymptoms cobserved
• d. cIt cdescribes cthe ctreatment cplan
ANS: cB
Rationale: cThe c"related cto" c(R/T) cstatement cindicates cthe cunderlying ccause cor
ccontributing cfactors cof cthe cpatient’s cproblem, cguiding cintervention cstrategies.
, NCLEX cPreference: cUnderstanding cetiology cis cvital cfor ctargeted cnursing
cinterventions.
4. Which cnursing cdiagnosis cformat cis cused cto carticulate cthe cproblem cclearly?
• a. cProblem-focused cdiagnosis
• b. cRisk cdiagnosis
• c. cHealth cpromotion cdiagnosis
• d. cAll cof cthe cabove
ANS: cD
Rationale: cAll cformats—problem-focused, crisk, cand chealth cpromotion—
articulate cdifferent caspects cof cpatient ccare cand care cimportant cin cvarious cclinical
csituations.
NCLEX cPreference: cFamiliarity cwith cdifferent cnursing cdiagnosis cformats
cenhances cclinical creasoning.
5. In cwhich cphase cof cthe cnursing cprocess cis cthe cnursing cdiagnosis cformulated?
• a. cAssessment
• b. cDiagnosis
• c. cPlanning
• d. cImplementation
ANS: cB
Rationale: cThe cnursing cdiagnosis cis cformulated cduring cthe cdiagnosis cphase,
cafter ccollecting cand canalyzing cassessment cdata.
NCLEX cPreference: cUnderstanding cthe cnursing cprocess cphases cis ccrucial cfor
ceffective ccare cdelivery.
6. What cis ca cdefining ccharacteristic cin ca cnursing cdiagnosis?
• a. cThe ccause cof cthe cproblem
• b. cThe cobservable csigns cand csymptoms
• c. cThe cexpected coutcomes
• d. cThe cpatient's cmedical chistory
ANS: cB
Rationale: cDefining ccharacteristics care cthe cobservable csigns cand csymptoms cthat
cvalidate cthe cnursing cdiagnosis cand cprovide cevidence cof cthe cproblem.
NCLEX cPreference: cIdentifying cdefining ccharacteristics cis cessential cfor caccurate
cdiagnosis cand cplanning.