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

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

,Section23I:23Nursing23Diagnosis,23the23Nursing23Process,23and23Evidence-
23Based23Nursing


1. What23is23the23primary23goal23of23a23nursing23diagnosis?

 a.23To23identify23a23medical23diagnosis
 b.23To23determine23the23effectiveness23of23medications
 c.23To23identify23patient23problems23that23can23be23managed23by23
nursing23interventions
 d.23To23prioritize23physician23orders

ANS:23C
Rationale:23The23primary23goal23of23a23nursing23diagnosis23is23to23identify23patient23
problems23that23can23be23managed23by23nursing23interventions,23focusing23on23patie
nt23care23rather23than23medical23diagnoses.
NCLEX23Preference:23Understanding23the23distinction23between23nursing23and23m
edical23diagnoses23is23crucial23for23patient-centered23care.

2. Which23component23of23the23nursing23diagnosis23indicates23the23problem?

 a.23Defining23characteristics
 b.23Related23factors
 c.23The23actual23diagnosis
 d.23The23patient’s23history

ANS:23C
Rationale:23The23actual23diagnosis23represents23the23problem23identified23in23the23n
ursing23assessment.23It23is23essential23for23formulating23a23care23plan.
NCLEX23Preference:23Clear23identification23of23nursing23diagnoses23is23necessary23f
or23effective23care23planning.

3. What23does23the23"related23to"23(R/T)23statement23in23a23nursing23diagnosis23signi
fy?

 a.23It23identifies23the23patient's23response23to23the23problem
 b.23It23indicates23the23underlying23cause23of23the23problem
 c.23It23lists23the23symptoms23observed
 d.23It23describes23the23treatment23plan

ANS:23B
Rationale:23The23"related23to"23(R/T)23statement23indicates23the23underlying23cause2
3or23contributing23factors23of23the23patient’s23problem,23guiding23intervention23strat
egies.

,NCLEX23Preference:23Understanding23etiology23is23vital23for23targeted23nursing23i
nterventions.

4. Which23nursing23diagnosis23format23is23used23to23articulate23the23problem23clearl
y?

 a.23Problem-focused23diagnosis
 b.23Risk23diagnosis
 c.23Health23promotion23diagnosis
 d.23All23of23the23above

ANS:23D
Rationale:23All23formats—problem-focused,23risk,23and23health23promotion—
articulate23different23aspects23of23patient23care23and23are23important23in23various23cli
nical23situations.
NCLEX23Preference:23Familiarity23with23different23nursing23diagnosis23formats23e
nhances23clinical23reasoning.

5. In23which23phase23of23the23nursing23process23is23the23nursing23diagnosis23formulat
ed?

 a.23Assessment
 b.23Diagnosis
 c.23Planning
 d.23Implementation

ANS:23B
Rationale:23The23nursing23diagnosis23is23formulated23during23the23diagnosis23phase,
23after23collecting23and23analyzing23assessment23data.
NCLEX23Preference:23Understanding23the23nursing23process23phases23is23crucial23f
or23effective23care23delivery.

6. What23is23a23defining23characteristic23in23a23nursing23diagnosis?

 a.23The23cause23of23the23problem
 b.23The23observable23signs23and23symptoms
 c.23The23expected23outcomes
 d.23The23patient's23medical23history

ANS:23B
Rationale:23Defining23characteristics23are23the23observable23signs23and23symptoms2
3that23validate23the23nursing23diagnosis23and23provide23evidence23of23the23problem.

NCLEX23Preference:23Identifying23defining23characteristics23is23essential23for23accur
ate23diagnosis23and23planning.

, 7. How23can23a23nurse23validate23a23nursing23diagnosis?

 a.23By23relying23solely23on23personal23experience
 b.23By23collecting23data23from23various23sources,23including23the23patient
 c.23By23discussing23it23only23with23physicians
 d.23By23documenting23the23diagnosis23without23evidence

ANS:23B
Rationale:23Validating23a23nursing23diagnosis23involves23collecting23data23from23m
ultiple23sources,23including23the23patient,23to23ensure23accuracy23and23relevance.
NCLEX23Preference:23Validation23of23nursing23diagnoses23is23critical23for23patient
23safety23and23effective23care.


8. What23role23does23evidence-based23practice23play23in23nursing23diagnoses?

 a.23It23complicates23the23diagnosis23process
 b.23It23provides23a23scientific23basis23for23nursing23decisions
 c.23It23is23optional23for23nursing23practice
 d.23It23focuses23solely23on23traditional23methods

ANS:23B
Rationale:23Evidence-
based23practice23provides23a23scientific23basis23for23nursing23decisions,23improving2
3patient23outcomes23and23ensuring23care23is23effective23and23relevant.23NCLEX23Pr
eference:23Knowledge23of23evidence-
based23practice23is23essential23for23modern23nursing.

9. What23is23the23purpose23of23the23planning23phase23in23the23nursing23process?

 a.23To23assess23the23patient’s23condition
 b.23To23develop23a23care23plan23with23measurable23goals
 c.23To23implement23interventions23immediately
 **d.23To23evaluate23patient23outcomes

ANS:23B
Rationale:23The23planning23phase23involves23developing23a23care23plan23with23meas
urable23goals23and23outcomes23tailored23to23the23patient’s23needs.
NCLEX23Preference:23Effective23planning23is23key23to23successful23patient23outcomes.

10. How23should23nursing23diagnoses23be23prioritized?

 a.23Based23on23the23nurse’s23preference