Test Bank For Ackley and Ladwig's Nursing
km km km km km km k
Diagnosis Handbook 13th Edition: An Evid
m km km km km km
ence-Based Guide to Planning Care
km km km km
by Mary Beth Flynn Makic
km km km km
@2024
,Section I: Nursing Diagnosis, the Nursing Process, and Evidence-
km km km km km km km km
Based Nursing
km km
1. What is the primary goal of a nursing diagnosis?
km km km km km km km km
a. To identify a medical diagnosis
km km km km km
b. To determine the effectiveness of medications
km km km km km km
c. To identify patient problems that can be managed by nurs
km km km km km km km km km km
ing interventions
km
d. To prioritize physician orders
km km km km
ANS: C km
Rationale: The primary goal of a nursing diagnosis is to identify patient proble
km km km km km km km km km km km km
ms that can be managed by nursing interventions, focusing on patient care rath
km km km km km km km km km km km km
er than medical diagnoses.
km km km
NCLEX Preference: Understanding the distinction between nursing and medic
km km km km km km km km
al diagnoses is crucial for patient-centered care.
km km km km km km
2. Which component of the nursing diagnosis indicates the problem?
km km km km km km km km
a. Defining characteristics
km km
b. Related factors
km km
c. The actual diagnosis
km km km
d. The patient’s history
km km km
ANS: C km
Rationale: The actual diagnosis represents the problem identified in the nursin
km km km km km km km km km km
g assessment. It is essential for formulating a care plan.
km km km km km km km km km
NCLEX Preference: Clear identification of nursing diagnoses is necessary for ef
km km km km km km km km km km
fective care planning.
km km
3. What does the "related to" (R/T) statement in a nursing diagnosis signify?
km km km km km km km km km km km
a. It identifies the patient's response to the problem
km km km km km km km km
b. It indicates the underlying cause of the problem
km km km km km km km km
c. It lists the symptoms observed
km km km km km
d. It describes the treatment plan
km km km km km
ANS: B km
Rationale: The "related to" (R/T) statement indicates the underlying cause or c
km km km km km km km km km km km
ontributing factors of the patient’s problem, guiding intervention strategies.
km km km km km km km km
,NCLEX Preference: Understanding etiology is vital for targeted nursing interv
km km km km km km km km km
entions.
4. Which nursing diagnosis format is used to articulate the problem clearly?
km km km km km km km km km km
a. Problem-focused diagnosis
km km
b. Risk diagnosis
km km
c. Health promotion diagnosis
km km km
d. All of the above
km km km km
ANS: D km
Rationale: All formats—problem-focused, risk, and health promotion—
km km km km km km
articulate different aspects of patient care and are important in various clinical
km km km km km km km km km km km km
situations.
NCLEX Preference: Familiarity with different nursing diagnosis formats enha
km km km km km km km km
nces clinical reasoning.
km km
5. In which phase of the nursing process is the nursing diagnosis formulated?
km km km km km km km km km km km
a. Assessment
km
b. Diagnosis
km
c. Planning
km
d. Implementation
km
ANS: B km
Rationale: The nursing diagnosis is formulated during the diagnosis phase, afte
km km km km km km km km km km
r collecting and analyzing assessment data.
km km km km km
NCLEX Preference: Understanding the nursing process phases is crucial for e
km km km km km km km km km km
ffective care delivery.km km
6. What is a defining characteristic in a nursing diagnosis?
km km km km km km km km
a. The cause of the problem
km km km km km
b. The observable signs and symptoms
km km km km km
c. The expected outcomes
km km km
d. The patient's medical history
km km km km
ANS: B km
Rationale: Defining characteristics are the observable signs and symptoms that
km km km km km km km km km k
validate the nursing diagnosis and provide evidence of the problem.
m km km km km km km km km km
NCLEX Preference: Identifying defining characteristics is essential for accurate
km km km km km km km km km
diagnosis and planning. km km
, 7. How can a nurse validate a nursing diagnosis?
km km km km km km km
a. By relying solely on personal experience
km km km km km km
b. By collecting data from various sources, including the patient
km km km km km km km km km
c. By discussing it only with physicians
km km km km km km
d. By documenting the diagnosis without evidence
km km km km km km
ANS: B km
Rationale: Validating a nursing diagnosis involves collecting data from multipl
km km km km km km km km km
e sources, including the patient, to ensure accuracy and relevance.
km km km km km km km km km
NCLEX Preference: Validation of nursing diagnoses is critical for patient safe
km km km km km km km km km km
ty and effective care.
km km km
8. What role does evidence-based practice play in nursing diagnoses?
km km km km km km km km
a. It complicates the diagnosis process
km km km km km
b. It provides a scientific basis for nursing decisions
km km km km km km km km
c. It is optional for nursing practice
km km km km km km
d. It focuses solely on traditional methods
km km km km km km
ANS: B km
Rationale: Evidence- km
based practice provides a scientific basis for nursing decisions, improving patie
km km km km km km km km km km
nt outcomes and ensuring care is effective and relevant. NCLEX Preference:
km km km km km km km km km km km
Knowledge of evidence-based practice is essential for modern nursing.
km km km km km km km km
9. What is the purpose of the planning phase in the nursing process?
km km km km km km km km km km km
a. To assess the patient’s condition
km km km km km
b. To develop a care plan with measurable goals
km km km km km km km km
c. To implement interventions immediately
km km km km
**d. To evaluate patient outcomes
km km km km
ANS: B km
Rationale: The planning phase involves developing a care plan with measurabl
km km km km km km km km km km
e goals and outcomes tailored to the patient’s needs.
km km km km km km km km
NCLEX Preference: Effective planning is key to successful patient outcomes.
km km km km km km km km km
10. How should nursing diagnoses be prioritized?
km km km km km
a. Based on the nurse’s preference
km km km km km
km km km km km km k
Diagnosis Handbook 13th Edition: An Evid
m km km km km km
ence-Based Guide to Planning Care
km km km km
by Mary Beth Flynn Makic
km km km km
@2024
,Section I: Nursing Diagnosis, the Nursing Process, and Evidence-
km km km km km km km km
Based Nursing
km km
1. What is the primary goal of a nursing diagnosis?
km km km km km km km km
a. To identify a medical diagnosis
km km km km km
b. To determine the effectiveness of medications
km km km km km km
c. To identify patient problems that can be managed by nurs
km km km km km km km km km km
ing interventions
km
d. To prioritize physician orders
km km km km
ANS: C km
Rationale: The primary goal of a nursing diagnosis is to identify patient proble
km km km km km km km km km km km km
ms that can be managed by nursing interventions, focusing on patient care rath
km km km km km km km km km km km km
er than medical diagnoses.
km km km
NCLEX Preference: Understanding the distinction between nursing and medic
km km km km km km km km
al diagnoses is crucial for patient-centered care.
km km km km km km
2. Which component of the nursing diagnosis indicates the problem?
km km km km km km km km
a. Defining characteristics
km km
b. Related factors
km km
c. The actual diagnosis
km km km
d. The patient’s history
km km km
ANS: C km
Rationale: The actual diagnosis represents the problem identified in the nursin
km km km km km km km km km km
g assessment. It is essential for formulating a care plan.
km km km km km km km km km
NCLEX Preference: Clear identification of nursing diagnoses is necessary for ef
km km km km km km km km km km
fective care planning.
km km
3. What does the "related to" (R/T) statement in a nursing diagnosis signify?
km km km km km km km km km km km
a. It identifies the patient's response to the problem
km km km km km km km km
b. It indicates the underlying cause of the problem
km km km km km km km km
c. It lists the symptoms observed
km km km km km
d. It describes the treatment plan
km km km km km
ANS: B km
Rationale: The "related to" (R/T) statement indicates the underlying cause or c
km km km km km km km km km km km
ontributing factors of the patient’s problem, guiding intervention strategies.
km km km km km km km km
,NCLEX Preference: Understanding etiology is vital for targeted nursing interv
km km km km km km km km km
entions.
4. Which nursing diagnosis format is used to articulate the problem clearly?
km km km km km km km km km km
a. Problem-focused diagnosis
km km
b. Risk diagnosis
km km
c. Health promotion diagnosis
km km km
d. All of the above
km km km km
ANS: D km
Rationale: All formats—problem-focused, risk, and health promotion—
km km km km km km
articulate different aspects of patient care and are important in various clinical
km km km km km km km km km km km km
situations.
NCLEX Preference: Familiarity with different nursing diagnosis formats enha
km km km km km km km km
nces clinical reasoning.
km km
5. In which phase of the nursing process is the nursing diagnosis formulated?
km km km km km km km km km km km
a. Assessment
km
b. Diagnosis
km
c. Planning
km
d. Implementation
km
ANS: B km
Rationale: The nursing diagnosis is formulated during the diagnosis phase, afte
km km km km km km km km km km
r collecting and analyzing assessment data.
km km km km km
NCLEX Preference: Understanding the nursing process phases is crucial for e
km km km km km km km km km km
ffective care delivery.km km
6. What is a defining characteristic in a nursing diagnosis?
km km km km km km km km
a. The cause of the problem
km km km km km
b. The observable signs and symptoms
km km km km km
c. The expected outcomes
km km km
d. The patient's medical history
km km km km
ANS: B km
Rationale: Defining characteristics are the observable signs and symptoms that
km km km km km km km km km k
validate the nursing diagnosis and provide evidence of the problem.
m km km km km km km km km km
NCLEX Preference: Identifying defining characteristics is essential for accurate
km km km km km km km km km
diagnosis and planning. km km
, 7. How can a nurse validate a nursing diagnosis?
km km km km km km km
a. By relying solely on personal experience
km km km km km km
b. By collecting data from various sources, including the patient
km km km km km km km km km
c. By discussing it only with physicians
km km km km km km
d. By documenting the diagnosis without evidence
km km km km km km
ANS: B km
Rationale: Validating a nursing diagnosis involves collecting data from multipl
km km km km km km km km km
e sources, including the patient, to ensure accuracy and relevance.
km km km km km km km km km
NCLEX Preference: Validation of nursing diagnoses is critical for patient safe
km km km km km km km km km km
ty and effective care.
km km km
8. What role does evidence-based practice play in nursing diagnoses?
km km km km km km km km
a. It complicates the diagnosis process
km km km km km
b. It provides a scientific basis for nursing decisions
km km km km km km km km
c. It is optional for nursing practice
km km km km km km
d. It focuses solely on traditional methods
km km km km km km
ANS: B km
Rationale: Evidence- km
based practice provides a scientific basis for nursing decisions, improving patie
km km km km km km km km km km
nt outcomes and ensuring care is effective and relevant. NCLEX Preference:
km km km km km km km km km km km
Knowledge of evidence-based practice is essential for modern nursing.
km km km km km km km km
9. What is the purpose of the planning phase in the nursing process?
km km km km km km km km km km km
a. To assess the patient’s condition
km km km km km
b. To develop a care plan with measurable goals
km km km km km km km km
c. To implement interventions immediately
km km km km
**d. To evaluate patient outcomes
km km km km
ANS: B km
Rationale: The planning phase involves developing a care plan with measurabl
km km km km km km km km km km
e goals and outcomes tailored to the patient’s needs.
km km km km km km km km
NCLEX Preference: Effective planning is key to successful patient outcomes.
km km km km km km km km km
10. How should nursing diagnoses be prioritized?
km km km km km
a. Based on the nurse’s preference
km km km km km
