Questions And 100% Correct Answers
2025-2026 Latest Edition.
Medical Diagnosis - Answer Is a concept that defines a disease process or injury
Nursing Diagnosis - Answer Describe human responses to potential or actual health problems
and life processes; is a clinical judgment about actual or potential individual, family, or
community experiences/responses to health problems/life processes; provides the basis for
selection of nursing interventions to achieve outcomes for which the nurse has accountability
Why do we have nursing diagnosis? - Answer It is used to determine the appropriate plan of
care for the patient. The nursing diagnosis drives interventions and patient outcomes, enabling
the nurse to develop the patient care plan. Nursing diagnoses also provide a standard
nomenclature for use in the Electronic Health Record, enabling clear communication among
care team members and the collection of data for continuous improvement in patient care -
drives the nursing care plan for the patient
How to write a nursing diagnosis? - Answer -Rules
-Must use from the NANDA list
-Cannot add/remove "risk for" for any diagnosis- must use as written
Components of Nursing Diagnosis - Answer -NANDA
-PATHO
-As evidenced by statement - evidence you see supporting your diagnosis
Variations (Actual vs. Risk) - Answer -Risk for nursing Dx. has a r/t (related to) statement
followed by risk factors
-Actual risk nursing Dx has a r/t (related to) statement followed by evidence statement
-To differentiate between evidence and risk factors you may use "risk factors"
Care Plan Building - Answer -Nursing diagnoses are the foundation of care plans
-Review your nursing diagnosis book for details to assist you in building a solid plan
, 4. Evaluation
Assessment - Answer Subjective/Objective information - complete head to toe and collect all
assessment and chart data needed. How do you know these things? Did you get the information
with your 5 senses (objective)? Or did the patient tell you about is (subjective)?
Planning - Answer Short-term and long-term goals
Think of these as during shift or less and those things which go beyond your 12 hour day
Interventions - Answer What will you DO to achieve these goals?
Evaluation - Answer Why will you do these things? Did the things you did help your patient
meet the goals?
Care Plan Steps - Answer 1. Collect Information
2. Analyze
3. Think About How
4. Translate
5. Transcribe
Collect Information - Answer -Get information from all sources together
-Your head to toe assessment
-Conversations with patient and loved ones
-Observations (lab values, vital signs)
-Report (or your report sheet)
-Chart review and notes
-Discussions with healthcare team members
Analyze - Answer -Look at all information
-What are areas in which this patient has trouble and therefore needs to progress in?
-Think about the ways you could see the patient improving and how you would know they were
improving