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