NURS 3320 EXAMINATION SET 2025 QUESTIONS WITH
SOLUTIONS RATED A+
✔✔check for defining characteristics for the data clusters and hypothesized diagnoses
in order to choose the most accurate diagnoses and delete those diagnoses that are not
valid or accurate for the client - ✔✔What happens in the "check for presence of defining
characteristics" step?
✔✔If the cue cluster data do not meet the defining characteristics, you can rule out that
particular diagnosis. If the cue cluster data do meet the defining characteristics, the
diagnosis should be verified with the client and other health care professionals who are
caring for the client. Tell the client what you perceive the diagnosis to be. - ✔✔What
happens in the "confirm or rule out nursing diagnoses" step?
✔✔document all of your professional observations and the data that support the
diagnoses, collaborative problems, and referrals - ✔✔What happens in the "document
conclusions" step?
✔✔1. Actual
2. Risk
3. Health Promotion
4. Collaboration
5. Referral - ✔✔What are the 5 types of diagnoses?
✔✔-collaborative
-referral - ✔✔What types of diagnoses can a provider (other than nurse) identify?
✔✔-actual
-risk
-health promotion
-collaboration
NOT REFERRAL - ✔✔In which diagnoses does the nurse deal with the problem?
✔✔Nursing science
Sciences
Basic studies - ✔✔What content knowledge is necessary for actual, risk, and health
promotion diagnoses?
✔✔Domain of other providers - ✔✔What extra content knowledge is necessary for
collaborative and referral diagnoses?
,✔✔Readiness for enhanced ...
Example: Readiness for enhanced sleep pattern r/t ... - ✔✔What does first part of
conclusion statement look like in a health promotion diagnosis?
✔✔Taxonomy label or other descriptive label
Example: Fatigue r/t .... - ✔✔What does first part of conclusion statement look like in a
actual diagnosis?
✔✔"Risk for taxonomy label..."
Example: Risk for Infection r/t... - ✔✔What does first part of conclusion statement look
like in a risk diagnosis?
✔✔Risk for complication (RC) - ✔✔What does first part of conclusion statement look
like in a collaborative diagnosis?
✔✔Yes (but not mandatory) - ✔✔Are related factors included in a health promotion
diagnosis?
✔✔Yes, unless unknown - ✔✔Are related factors included in an actual diagnosis?
✔✔Yes (mandatory) - ✔✔Are related factors included in a risk diagnosis?
✔✔Sometimes - ✔✔Are related factors included in a collaborative diagnosis?
✔✔Health Promotion - ✔✔What type of diagnosis is this?
Readiness for enhanced health management r/t expressed desire to establish exercise
routine
✔✔Actual - ✔✔What type of diagnosis is this?
Ineffective family coping r/t lack of knowledge, new baby in family, and husband's loss
of job
✔✔Risk - ✔✔What type of diagnosis is this?
Risk for impaired skin integrity r/t immobility, incontinence, and fragile skin
✔✔Collaborative - ✔✔What type of diagnosis is this?
RC: Blood product side effects
, ✔✔Referral - ✔✔What type of diagnosis is this?
Unsafe housing (referral is necessary)
✔✔Reference texts such as North American Nursing Diagnosis Association (NANDA)
Nursing Diagnoses: Definitions and Classifications 2015-2017 can assist the nurse in
determining when and when not to use each nursing diagnostic category (NANDA,
2014). It assists with ruling out invalid diagnoses and selecting valid diagnoses. Thus
both the definitions of the diagnoses and defining characteristics should be compared
with the client's data (cues) to make sure the correct diagnoses are chosen. - ✔✔How
can one determine which of two nursing diagnoses most accurately reflects a patient's
problem?
✔✔Verify with the client and other health care professionals who are caring for the
client. - ✔✔How can a proposed nursing diagnosis be verified?
✔✔-too many or too few data
-unreliable or invalid data
-insufficient number of cues available to support the diagnoses
-Cues may be clustered yet unrelated to each other
-quickly diagnosing a client without hypothesizing several diagnoses
-incorrectly wording the diagnostic statement - ✔✔What are the pitfalls in the diagnostic
reasoning process?
✔✔1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation - ✔✔What are the steps of the nursing process?
✔✔Collecting subjective and objective data - ✔✔What happens in the assessment step
of the nursing process?
✔✔Analyzing subjective and objective data to make a professional nursing judgment
(nursing diagnosis, collaborative problem, or referral) - ✔✔What happens in the
diagnosis step of the nursing process?
✔✔Determining outcome criteria and developing a plan - ✔✔What happens in the
planning step of the nursing process?
✔✔Carrying out the plan - ✔✔What happens in the implementation step of the nursing
process?
SOLUTIONS RATED A+
✔✔check for defining characteristics for the data clusters and hypothesized diagnoses
in order to choose the most accurate diagnoses and delete those diagnoses that are not
valid or accurate for the client - ✔✔What happens in the "check for presence of defining
characteristics" step?
✔✔If the cue cluster data do not meet the defining characteristics, you can rule out that
particular diagnosis. If the cue cluster data do meet the defining characteristics, the
diagnosis should be verified with the client and other health care professionals who are
caring for the client. Tell the client what you perceive the diagnosis to be. - ✔✔What
happens in the "confirm or rule out nursing diagnoses" step?
✔✔document all of your professional observations and the data that support the
diagnoses, collaborative problems, and referrals - ✔✔What happens in the "document
conclusions" step?
✔✔1. Actual
2. Risk
3. Health Promotion
4. Collaboration
5. Referral - ✔✔What are the 5 types of diagnoses?
✔✔-collaborative
-referral - ✔✔What types of diagnoses can a provider (other than nurse) identify?
✔✔-actual
-risk
-health promotion
-collaboration
NOT REFERRAL - ✔✔In which diagnoses does the nurse deal with the problem?
✔✔Nursing science
Sciences
Basic studies - ✔✔What content knowledge is necessary for actual, risk, and health
promotion diagnoses?
✔✔Domain of other providers - ✔✔What extra content knowledge is necessary for
collaborative and referral diagnoses?
,✔✔Readiness for enhanced ...
Example: Readiness for enhanced sleep pattern r/t ... - ✔✔What does first part of
conclusion statement look like in a health promotion diagnosis?
✔✔Taxonomy label or other descriptive label
Example: Fatigue r/t .... - ✔✔What does first part of conclusion statement look like in a
actual diagnosis?
✔✔"Risk for taxonomy label..."
Example: Risk for Infection r/t... - ✔✔What does first part of conclusion statement look
like in a risk diagnosis?
✔✔Risk for complication (RC) - ✔✔What does first part of conclusion statement look
like in a collaborative diagnosis?
✔✔Yes (but not mandatory) - ✔✔Are related factors included in a health promotion
diagnosis?
✔✔Yes, unless unknown - ✔✔Are related factors included in an actual diagnosis?
✔✔Yes (mandatory) - ✔✔Are related factors included in a risk diagnosis?
✔✔Sometimes - ✔✔Are related factors included in a collaborative diagnosis?
✔✔Health Promotion - ✔✔What type of diagnosis is this?
Readiness for enhanced health management r/t expressed desire to establish exercise
routine
✔✔Actual - ✔✔What type of diagnosis is this?
Ineffective family coping r/t lack of knowledge, new baby in family, and husband's loss
of job
✔✔Risk - ✔✔What type of diagnosis is this?
Risk for impaired skin integrity r/t immobility, incontinence, and fragile skin
✔✔Collaborative - ✔✔What type of diagnosis is this?
RC: Blood product side effects
, ✔✔Referral - ✔✔What type of diagnosis is this?
Unsafe housing (referral is necessary)
✔✔Reference texts such as North American Nursing Diagnosis Association (NANDA)
Nursing Diagnoses: Definitions and Classifications 2015-2017 can assist the nurse in
determining when and when not to use each nursing diagnostic category (NANDA,
2014). It assists with ruling out invalid diagnoses and selecting valid diagnoses. Thus
both the definitions of the diagnoses and defining characteristics should be compared
with the client's data (cues) to make sure the correct diagnoses are chosen. - ✔✔How
can one determine which of two nursing diagnoses most accurately reflects a patient's
problem?
✔✔Verify with the client and other health care professionals who are caring for the
client. - ✔✔How can a proposed nursing diagnosis be verified?
✔✔-too many or too few data
-unreliable or invalid data
-insufficient number of cues available to support the diagnoses
-Cues may be clustered yet unrelated to each other
-quickly diagnosing a client without hypothesizing several diagnoses
-incorrectly wording the diagnostic statement - ✔✔What are the pitfalls in the diagnostic
reasoning process?
✔✔1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation - ✔✔What are the steps of the nursing process?
✔✔Collecting subjective and objective data - ✔✔What happens in the assessment step
of the nursing process?
✔✔Analyzing subjective and objective data to make a professional nursing judgment
(nursing diagnosis, collaborative problem, or referral) - ✔✔What happens in the
diagnosis step of the nursing process?
✔✔Determining outcome criteria and developing a plan - ✔✔What happens in the
planning step of the nursing process?
✔✔Carrying out the plan - ✔✔What happens in the implementation step of the nursing
process?
