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
,SectionioI:ioNursingioDiagnosis,iotheioNursingioProcess,ioandioEvidence-
ioBasedioNursing
1. Whatioisiotheioprimaryiogoalioofioaionursingiodiagnosis?
a.ioToioidentifyioaiomedicaliodiagnosis
b.ioToiodetermineiotheioeffectivenessioofiomedications
c.ioToioidentifyiopatientioproblemsiothatiocaniobeiomanagediobyionur
singiointerventions
d.ioToioprioritizeiophysicianioorders
ANS:ioC
Rationale:ioTheioprimaryiogoalioofioaionursingiodiagnosisioisiotoioidentifyiopatientiopro
blemsiothatiocaniobeiomanagediobyionursingiointerventions,iofocusingiooniopatientiocare
ioratheriothaniomedicaliodiagnoses.
NCLEXioPreference:ioUnderstandingiotheiodistinctioniobetweenionursingioandiomed
icaliodiagnosesioisiocrucialioforiopatient-centerediocare.
2. Whichiocomponentioofiotheionursingiodiagnosisioindicatesiotheioproblem?
a.ioDefiningiocharacteristics
b.ioRelatediofactors
c.ioTheioactualiodiagnosis
d.ioTheiopatient’siohistory
ANS:ioC
Rationale:ioTheioactualiodiagnosisiorepresentsiotheioproblemioidentifiedioiniotheionursi
ngioassessment.ioItioisioessentialioforioformulatingioaiocareioplan.
NCLEXioPreference:ioClearioidentificationioofionursingiodiagnosesioisionecessaryioforio
effectiveiocareioplanning.
3. Whatiodoesiotheio"relatedioto"io(R/T)iostatementioinioaionursingiodiagnosisiosignify?
a.ioItioidentifiesiotheiopatient'sioresponseiotoiotheioproblem
b.ioItioindicatesiotheiounderlyingiocauseioofiotheioproblem
c.ioItiolistsiotheiosymptomsioobserved
d.ioItiodescribesiotheiotreatmentioplan
ANS:ioB
Rationale:ioTheio"relatedioto"io(R/T)iostatementioindicatesiotheiounderlyingiocauseioori
ocontributingiofactorsioofiotheiopatient’sioproblem,ioguidingiointerventioniostrategies.
,NCLEXioPreference:ioUnderstandingioetiologyioisiovitalioforiotargetedionursingiointe
rventions.
4. Whichionursingiodiagnosisioformatioisiousediotoioarticulateiotheioproblemioclearly?
a.ioProblem-focusediodiagnosis
b.ioRiskiodiagnosis
c.ioHealthiopromotioniodiagnosis
d.ioAllioofiotheioabove
ANS:ioD
Rationale:ioAllioformats—problem-focused,iorisk,ioandiohealthiopromotion—
articulateiodifferentioaspectsioofiopatientiocareioandioareioimportantioiniovariousioclinic
aliosituations.
NCLEXioPreference:ioFamiliarityiowithiodifferentionursingiodiagnosisioformatsioenh
ancesioclinicalioreasoning.
5. Iniowhichiophaseioofiotheionursingioprocessioisiotheionursingiodiagnosisioformulated?
a.ioAssessment
b.ioDiagnosis
c.ioPlanning
d.ioImplementation
ANS:ioB
Rationale:ioTheionursingiodiagnosisioisioformulatedioduringiotheiodiagnosisiophase,ioaf
teriocollectingioandioanalyzingioassessmentiodata.
NCLEXioPreference:ioUnderstandingiotheionursingioprocessiophasesioisiocrucialioforio
effectiveiocareiodelivery.
6. Whatioisioaiodefiningiocharacteristicioinioaionursingiodiagnosis?
a.ioTheiocauseioofiotheioproblem
b.ioTheioobservableiosignsioandiosymptoms
c.ioTheioexpectediooutcomes
d.ioTheiopatient'siomedicaliohistory
ANS:ioB
Rationale:ioDefiningiocharacteristicsioareiotheioobservableiosignsioandiosymptomsioth
atiovalidateiotheionursingiodiagnosisioandioprovideioevidenceioofiotheioproblem.
NCLEXioPreference:ioIdentifyingiodefiningiocharacteristicsioisioessentialioforioaccurate
iodiagnosisioandioplanning.
, 7. Howiocanioaionurseiovalidateioaionursingiodiagnosis?
a.ioByiorelyingiosolelyiooniopersonalioexperience
b.ioByiocollectingiodataiofromiovariousiosources,ioincludingiotheiopatient
c.ioByiodiscussingioitioonlyiowithiophysicians
d.ioByiodocumentingiotheiodiagnosisiowithoutioevidence
ANS:ioB
Rationale:ioValidatingioaionursingiodiagnosisioinvolvesiocollectingiodataiofromiomulti
pleiosources,ioincludingiotheiopatient,iotoioensureioaccuracyioandiorelevance.
NCLEXioPreference:ioValidationioofionursingiodiagnosesioisiocriticalioforiopatientiosa
fetyioandioeffectiveiocare.
8. Whatioroleiodoesioevidence-basediopracticeioplayioinionursingiodiagnoses?
a.ioItiocomplicatesiotheiodiagnosisioprocess
b.ioItioprovidesioaioscientificiobasisioforionursingiodecisions
c.ioItioisiooptionalioforionursingiopractice
d.ioItiofocusesiosolelyiooniotraditionaliomethods
ANS:ioB
Rationale:ioEvidence-
basediopracticeioprovidesioaioscientificiobasisioforionursingiodecisions,ioimprovingiopat
ientiooutcomesioandioensuringiocareioisioeffectiveioandiorelevant.ioNCLEXioPreferenc
e:ioKnowledgeioofioevidence-basediopracticeioisioessentialioforiomodernionursing.
9. Whatioisiotheiopurposeioofiotheioplanningiophaseioiniotheionursingioprocess?
a.ioToioassessiotheiopatient’siocondition
b.ioToiodevelopioaiocareioplaniowithiomeasurableiogoals
c.ioToioimplementiointerventionsioimmediately
**d.ioToioevaluateiopatientiooutcomes
ANS:ioB
Rationale:ioTheioplanningiophaseioinvolvesiodevelopingioaiocareioplaniowithiomeasura
bleiogoalsioandiooutcomesiotailorediotoiotheiopatient’sioneeds.
NCLEXioPreference:ioEffectiveioplanningioisiokeyiotoiosuccessfuliopatientiooutcomes.
10. Howioshouldionursingiodiagnosesiobeioprioritized?
a.ioBasediooniotheionurse’siopreference
Diagnosis Handbook 13th Edition: An
Evidence-Based Guide to Planning Care
by Mary Beth Flynn Makic
@2024
,SectionioI:ioNursingioDiagnosis,iotheioNursingioProcess,ioandioEvidence-
ioBasedioNursing
1. Whatioisiotheioprimaryiogoalioofioaionursingiodiagnosis?
a.ioToioidentifyioaiomedicaliodiagnosis
b.ioToiodetermineiotheioeffectivenessioofiomedications
c.ioToioidentifyiopatientioproblemsiothatiocaniobeiomanagediobyionur
singiointerventions
d.ioToioprioritizeiophysicianioorders
ANS:ioC
Rationale:ioTheioprimaryiogoalioofioaionursingiodiagnosisioisiotoioidentifyiopatientiopro
blemsiothatiocaniobeiomanagediobyionursingiointerventions,iofocusingiooniopatientiocare
ioratheriothaniomedicaliodiagnoses.
NCLEXioPreference:ioUnderstandingiotheiodistinctioniobetweenionursingioandiomed
icaliodiagnosesioisiocrucialioforiopatient-centerediocare.
2. Whichiocomponentioofiotheionursingiodiagnosisioindicatesiotheioproblem?
a.ioDefiningiocharacteristics
b.ioRelatediofactors
c.ioTheioactualiodiagnosis
d.ioTheiopatient’siohistory
ANS:ioC
Rationale:ioTheioactualiodiagnosisiorepresentsiotheioproblemioidentifiedioiniotheionursi
ngioassessment.ioItioisioessentialioforioformulatingioaiocareioplan.
NCLEXioPreference:ioClearioidentificationioofionursingiodiagnosesioisionecessaryioforio
effectiveiocareioplanning.
3. Whatiodoesiotheio"relatedioto"io(R/T)iostatementioinioaionursingiodiagnosisiosignify?
a.ioItioidentifiesiotheiopatient'sioresponseiotoiotheioproblem
b.ioItioindicatesiotheiounderlyingiocauseioofiotheioproblem
c.ioItiolistsiotheiosymptomsioobserved
d.ioItiodescribesiotheiotreatmentioplan
ANS:ioB
Rationale:ioTheio"relatedioto"io(R/T)iostatementioindicatesiotheiounderlyingiocauseioori
ocontributingiofactorsioofiotheiopatient’sioproblem,ioguidingiointerventioniostrategies.
,NCLEXioPreference:ioUnderstandingioetiologyioisiovitalioforiotargetedionursingiointe
rventions.
4. Whichionursingiodiagnosisioformatioisiousediotoioarticulateiotheioproblemioclearly?
a.ioProblem-focusediodiagnosis
b.ioRiskiodiagnosis
c.ioHealthiopromotioniodiagnosis
d.ioAllioofiotheioabove
ANS:ioD
Rationale:ioAllioformats—problem-focused,iorisk,ioandiohealthiopromotion—
articulateiodifferentioaspectsioofiopatientiocareioandioareioimportantioiniovariousioclinic
aliosituations.
NCLEXioPreference:ioFamiliarityiowithiodifferentionursingiodiagnosisioformatsioenh
ancesioclinicalioreasoning.
5. Iniowhichiophaseioofiotheionursingioprocessioisiotheionursingiodiagnosisioformulated?
a.ioAssessment
b.ioDiagnosis
c.ioPlanning
d.ioImplementation
ANS:ioB
Rationale:ioTheionursingiodiagnosisioisioformulatedioduringiotheiodiagnosisiophase,ioaf
teriocollectingioandioanalyzingioassessmentiodata.
NCLEXioPreference:ioUnderstandingiotheionursingioprocessiophasesioisiocrucialioforio
effectiveiocareiodelivery.
6. Whatioisioaiodefiningiocharacteristicioinioaionursingiodiagnosis?
a.ioTheiocauseioofiotheioproblem
b.ioTheioobservableiosignsioandiosymptoms
c.ioTheioexpectediooutcomes
d.ioTheiopatient'siomedicaliohistory
ANS:ioB
Rationale:ioDefiningiocharacteristicsioareiotheioobservableiosignsioandiosymptomsioth
atiovalidateiotheionursingiodiagnosisioandioprovideioevidenceioofiotheioproblem.
NCLEXioPreference:ioIdentifyingiodefiningiocharacteristicsioisioessentialioforioaccurate
iodiagnosisioandioplanning.
, 7. Howiocanioaionurseiovalidateioaionursingiodiagnosis?
a.ioByiorelyingiosolelyiooniopersonalioexperience
b.ioByiocollectingiodataiofromiovariousiosources,ioincludingiotheiopatient
c.ioByiodiscussingioitioonlyiowithiophysicians
d.ioByiodocumentingiotheiodiagnosisiowithoutioevidence
ANS:ioB
Rationale:ioValidatingioaionursingiodiagnosisioinvolvesiocollectingiodataiofromiomulti
pleiosources,ioincludingiotheiopatient,iotoioensureioaccuracyioandiorelevance.
NCLEXioPreference:ioValidationioofionursingiodiagnosesioisiocriticalioforiopatientiosa
fetyioandioeffectiveiocare.
8. Whatioroleiodoesioevidence-basediopracticeioplayioinionursingiodiagnoses?
a.ioItiocomplicatesiotheiodiagnosisioprocess
b.ioItioprovidesioaioscientificiobasisioforionursingiodecisions
c.ioItioisiooptionalioforionursingiopractice
d.ioItiofocusesiosolelyiooniotraditionaliomethods
ANS:ioB
Rationale:ioEvidence-
basediopracticeioprovidesioaioscientificiobasisioforionursingiodecisions,ioimprovingiopat
ientiooutcomesioandioensuringiocareioisioeffectiveioandiorelevant.ioNCLEXioPreferenc
e:ioKnowledgeioofioevidence-basediopracticeioisioessentialioforiomodernionursing.
9. Whatioisiotheiopurposeioofiotheioplanningiophaseioiniotheionursingioprocess?
a.ioToioassessiotheiopatient’siocondition
b.ioToiodevelopioaiocareioplaniowithiomeasurableiogoals
c.ioToioimplementiointerventionsioimmediately
**d.ioToioevaluateiopatientiooutcomes
ANS:ioB
Rationale:ioTheioplanningiophaseioinvolvesiodevelopingioaiocareioplaniowithiomeasura
bleiogoalsioandiooutcomesiotailorediotoiotheiopatient’sioneeds.
NCLEXioPreference:ioEffectiveioplanningioisiokeyiotoiosuccessfuliopatientiooutcomes.
10. Howioshouldionursingiodiagnosesiobeioprioritized?
a.ioBasediooniotheionurse’siopreference