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Test Bank for Ackley and Ladwig’s Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care, 13th Edition (2024) Mary Beth Flynn Makic Comprehensive Test Bank for Chapters 1-15 Plus Nursing Outcomes Classification (NOC), 6th Edition: Outcome L $25.99   Add to cart

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Test Bank for Ackley and Ladwig’s Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care, 13th Edition (2024) Mary Beth Flynn Makic Comprehensive Test Bank for Chapters 1-15 Plus Nursing Outcomes Classification (NOC), 6th Edition: Outcome L

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This test bank provides a collection of questions designed to assess understanding and application of key concepts covered in Ackley and Ladwig’s Nursing Diagnosis Handbook, along with relevant outcomes from the Nursing Outcomes Classification (NOC). Each chapter includes a variety of question ty...

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  • September 22, 2024
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  • 2024/2025
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Chapter 1: An Overview of Nursing Diagnosis

Main Concepts:

 Nursing Diagnosis Definition: A clinical judgment about individual, family, or
community responses to actual or potential health problems/life processes.
 History and Evolution: Introduction of nursing diagnoses to distinguish the role of
nurses in patient care and decision-making.
 Importance of Evidence-Based Practice: Emphasizes the need for nursing care to be
supported by the best available scientific evidence.
 NANDA-I Framework: A globally recognized system for categorizing nursing
diagnoses, ensuring a standardized language for nursing care.
 Key Components of Nursing Diagnosis:
o Problem (the issue to be addressed)
o Etiology (causes or contributing factors)
o Symptoms (evidence supporting the diagnosis)

Key Evidence-Based Practices:

 Use of standardized care plans based on validated nursing diagnoses to streamline care
across different settings.
 Critical thinking in nursing diagnosis to ensure accuracy in identifying problems and
selecting the appropriate interventions.
 Ongoing assessment and evaluation: Nurses must continually reassess patients’
conditions and modify care plans accordingly.

Patient Outcomes:

 Accurate diagnoses should lead to improved patient outcomes, including better
management of symptoms, reduced complications, and enhanced recovery.
 Measurable patient outcomes include changes in patient status such as symptom relief,
improved mobility, or patient-reported satisfaction.

Case Studies/Patient Scenarios:

 Example Scenario 1: A 70-year-old patient presents with signs of confusion and
weakness. The nurse assesses the patient and suspects a nursing diagnosis of "Impaired
cognition related to electrolyte imbalance." Develop a care plan focusing on
interventions, expected outcomes, and necessary evaluations.
 Example Scenario 2: A new mother is having difficulty breastfeeding her newborn. The
nurse identifies a diagnosis of "Ineffective breastfeeding related to lack of knowledge."
Create a care plan to assist the mother with successful breastfeeding techniques and
follow-up evaluations.

,Sample Test Bank for Chapter 1:

Multiple-Choice Questions:

1. Which of the following best describes a nursing diagnosis? a) A medical condition b) A
clinical judgment about individual, family, or community responses to health problems c)
A prescription for treatment by a physician d) A plan of care

Answer: b

2. The NANDA-I framework for nursing diagnoses is important because: a) It provides
physicians with treatment plans b) It standardizes medical diagnoses c) It ensures a
standardized language for nursing diagnoses and interventions d) It offers an educational
tool for medical students

Answer: c

3. Which component of a nursing diagnosis identifies the underlying cause of a problem? a)
Symptoms b) Etiology c) Assessment d) Outcome

Answer: b

Short Answer/Essay Questions:

1. Explain how evidence-based practice is integrated into nursing diagnosis and care
planning. Provide an example.
2. Discuss the importance of reassessment in nursing care plans. Why is ongoing evaluation
essential for patient outcomes?

Matching Exercise:

Match the following terms with their definitions:

1. Nursing diagnosis
2. Etiology
3. Symptom

a) The underlying cause of a health problem
b) A clinical judgment regarding health conditions
c) Evidence that supports the diagnosis

Answer:
1-b

,2-a
3-c

Case-Based Question:

Case Study: A nurse assesses a patient who reports chronic pain due to arthritis. Based on this
assessment, the nurse identifies a nursing diagnosis of "Chronic pain related to joint
inflammation as evidenced by patient reports of pain, reduced mobility, and facial grimacing."

 Develop a care plan based on this diagnosis. Include specific interventions, measurable
outcomes, and how the nurse will evaluate the effectiveness of the interventions.




Multiple-Choice Questions with Rationale:



1. Which of the following is a defining characteristic of a nursing diagnosis? a)
Identifies a medical condition
b) Focuses on potential or actual health problems nurses can address
c) Always requires a physician’s intervention
d) Centers on disease pathology

Answer: b
Rationale: A nursing diagnosis focuses on how patients respond to potential or actual
health problems that nurses can address, unlike medical diagnoses that are concerned
with disease pathology.



2. The etiology component of a nursing diagnosis refers to: a) The nursing interventions
needed
b) The underlying cause or contributing factors of the problem
c) The signs and symptoms experienced by the patient
d) The patient’s emotional response to their illness

Answer: b
Rationale: Etiology describes the cause or contributing factors of a patient’s health
problem, providing the basis for selecting nursing interventions.



3. Which of the following is NOT a component of a nursing diagnosis? a) Problem
b) Symptoms

, c) Etiology
d) Medical treatment plan

Answer: d
Rationale: Nursing diagnoses focus on problems that nurses address independently. The
medical treatment plan is part of the broader healthcare plan but not a component of the
nursing diagnosis.



4. NANDA-I is important for nursing because: a) It allows nurses to diagnose medical
conditions
b) It standardizes nursing diagnoses, ensuring clarity and consistency
c) It provides legal protection for nurses
d) It eliminates the need for patient assessment

Answer: b
Rationale: NANDA-I standardizes nursing diagnoses, creating a unified language that
ensures consistency across nursing practice worldwide.



5. Which of the following best describes the purpose of nursing diagnoses? a) To
prescribe medications for patient care
b) To identify and treat medical conditions
c) To assist in recognizing and managing patient responses to health issues
d) To focus on the disease process exclusively

Answer: c
Rationale: Nursing diagnoses help identify and manage patient responses to health
conditions, emphasizing the role of nurses in patient care and holistic management.



6. Which of the following is an example of a well-formulated nursing diagnosis? a)
Diabetes mellitus
b) Acute pain related to tissue injury as evidenced by verbal reports of pain
c) Appendicitis
d) Congestive heart failure

Answer: b
Rationale: The correct nursing diagnosis identifies the patient’s issue (acute pain), the
cause (tissue injury), and evidence (verbal reports of pain).

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