Test Bank For Ackley and Ladwig’s Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care 13th Edition (2024). Mary Beth Flynn Makic - All Chapters 1-30 PLUS Nursing Outcomes Classification (NOC), 6th edition Outcome Labels and Definitions

TestBank ForAckleyandLadwig'sNursing
s pp s s s s




Diagnosis Handbook 13th Edition: An
ss ss ss ss ss




Evidence-Based Guide to Planning Care
ss ss ss ss ss




by ssMary ssBeth s s Flynn s s Makic


@2024

,Section I: Nursing Diagnosis, the Nursing Process, and Evidence-
ss ss ss ss ss ss ss ss


Based Nursing
ss ss




1. What is the primary goal of a nursing diagnosis?
ss ss ss ss ss ss ss ss




 a. To identify a medical diagnosis
ss ss ss ss ss


 b. To determine the effectiveness of medications
ss ss ss ss ss ss


 c. To identify patient problems that can be managed by
ss ss ss ss ss ss ss ss ss


nursing interventions
ss ss


 d. To prioritize physician orders
ss ss ss ss




ANS: C ss


Rationale: The primary goal of a nursing diagnosis is to identify patient
ss ss ss ss ss ss ss ss ss ss ss


problems that can be managed by nursing interventions, focusing on patient
ss ss ss ss ss ss ss ss ss ss ss


care rather than medical diagnoses.
ss ss ss ss ss


NCLEX Preference: Understanding the distinction between nursing and
ss ss ss ss ss ss ss


medical diagnoses is crucial for patient-centered care.
ss ss ss ss ss ss ss




2. Which component of the nursing diagnosis indicates the problem?
ss ss ss ss ss ss ss ss




 a. Defining characteristics
ss ss


 b. Related factors
ss ss


 c. The actual diagnosis
ss ss ss


 d. The patient’s history
ss ss ss




ANS: C ss


Rationale: The actual diagnosis represents the problem identified in the nursing
ss ss ss ss ss ss ss ss ss ss


assessment. It is essential for formulating a care plan.
ss ss ss ss ss ss ss ss ss


NCLEX Preference: Clear identification of nursing diagnoses is necessary for
ss ss ss ss ss ss ss ss ss


effective care planning.
ss ss ss




3. What does the "related to" (R/T) statement in a nursing diagnosis signify?
ss ss ss ss ss ss ss ss ss ss ss




 a. It identifies the patient's response to the problem
ss ss ss ss ss ss ss ss


 b. It indicates the underlying cause of the problem
ss ss ss ss ss ss ss ss


 c. It lists the symptoms observed
ss ss ss ss ss


 d. It describes the treatment plan
ss ss ss ss ss




ANS: B ss


Rationale: The "related to" (R/T) statement indicates the underlying cause or
ss ss ss ss ss ss ss ss ss ss


contributing factors of the patient’s problem, guiding intervention
ss ss ss ss ss ss ss ss


strategies.
ss

,NCLEX Preference: Understanding etiology is vital for targeted nursing
ss ss ss ss ss ss ss ss


interventions.
ss




4. Which nursing diagnosis format is used to articulate the problem clearly?
ss ss ss ss ss ss ss ss ss ss




 a. Problem-focused diagnosis
ss ss


 b. Risk diagnosis
ss ss


 c. Health promotion diagnosis
ss ss ss


 d. All of the above
ss ss ss ss




ANS: D ss


Rationale: All formats—problem-focused, risk, and health promotion—articulate
ss ss ss ss ss ss


different aspects of patient care and are important in various clinical situations.
ss ss ss ss ss ss ss ss ss ss ss ss


NCLEX Preference: Familiarity with different nursing diagnosis formats
ss ss ss ss ss ss ss ss


enhances clinical reasoning.
ss ss ss




5. In which phase of the nursing process is the nursing diagnosis formulated?
ss ss ss ss ss ss ss ss ss ss ss




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

ANS: B ss


Rationale: The nursing diagnosis is formulated during the diagnosis phase, after
ss ss ss ss ss ss ss ss ss ss


collecting and analyzing assessment data.
ss ss ss ss ss


NCLEX Preference: Understanding the nursing process phases is crucial for
ss ss ss ss ss ss ss ss ss


effective care delivery.
ss ss ss




6. What is a defining characteristic in a nursing diagnosis?
ss ss ss ss ss ss ss ss




 a. The cause of the problem
ss ss ss ss ss


 b. The observable signs and symptoms
ss ss ss ss ss


 c. The expected outcomes
ss ss ss


 d. The patient's medical history
ss ss ss ss




ANS: B ss


Rationale: Defining characteristics are the observable signs and symptoms that
ss ss ss ss ss ss ss ss ss


validate the nursing diagnosis and provide evidence of the problem.
ss ss ss ss ss ss ss ss ss ss


NCLEX Preference: Identifying defining characteristics is essential for accurate
ss ss ss ss ss ss ss ss


diagnosis and planning.
ss ss ss

, 7. How can a nurse validate a nursing diagnosis?
ss ss ss ss ss ss ss




 a. By ss ss relying solely on personal experience
ss ss ss ss


 b. By ss ss collecting data from various sources, including the patient
ss ss ss ss ss ss ss


 c. By ss ss discussing it only with physicians ss ss ss ss


 d. By ss ss documenting the diagnosis without evidence ss ss ss ss




ANS: B ss


Rationale: Validating a nursing diagnosis involves collecting data from multiple
ss ss ss ss ss ss ss ss ss


sources, including the patient, to ensure accuracy and relevance.
ss ss ss ss ss ss ss ss ss


NCLEX Preference: Validation of nursing diagnoses is critical for patient safety
ss ss ss ss ss ss ss ss ss ss


and effective care.
ss ss ss




8. What role does evidence-based practice play in nursing diagnoses?
ss ss ss ss ss ss ss ss




 a. It complicates the diagnosis process
ss ss ss ss ss


 b. It provides a scientific basis for nursing decisions
ss ss ss ss ss ss ss ss


 c. It is optional for nursing practice
ss ss ss ss ss ss


 d. It focuses solely on traditional methods
ss ss ss ss ss ss




ANS: B ss


Rationale: Evidence-based practice provides a scientific basis for nursing
ss ss ss ss ss ss ss ss


decisions, improving patient outcomes and ensuring care is effective and relevant.
ss ss ss ss ss ss ss ss ss ss ss


NCLEX Preference: Knowledge of evidence-based practice is essential for
ss ss ss ss ss ss ss ss ss


modern nursing.
ss ss




9. What is the purpose of the planning phase in the nursing process?
ss ss ss ss ss ss ss ss ss ss ss




 a. To assess the patient’s condition
ss ss ss ss ss


 b. To develop a care plan with measurable goals
ss ss ss ss ss ss ss ss


 c. To implement interventions immediately
ss ss ss ss


 **d. To evaluate patient outcomes
ss ss ss ss




ANS: B ss


Rationale: The planning phase involves developing a care plan with measurable
ss ss ss ss ss ss ss ss ss ss


goals and outcomes tailored to the patient’s needs.
ss ss ss ss ss ss ss ss


NCLEX Preference: Effective planning is key to successful patient outcomes.
ss ss ss ss ss ss ss ss ss




10. How should nursing diagnoses be prioritized?
ss ss ss ss ss




 a. Based on the nurse’s preference
ss ss ss ss ss