Chapter 7 Nursing Diagnosis

Chapter 7  Nursing Diagnosis

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse is identifying a wellness diagnosis for a client. Which of the following is an example of this type of diagnosis?
a.
Fluid volume deficit related to frequent, loose stools
b.
Risk for fluid volume overload due to IV infusion
c.
Potential for enhanced spiritual well-being
d.
Rape trauma syndrome

ANS: C
Well diagnoses identify the condition or state of being healthy that may be enhanced by deliberate health-promoting activities. An example of this type of diagnosis is “Potential for enhanced spiritual well-being.” The other choices are not examples of wellness diagnoses and are incorrect.

PTS: 1 DIF: Analysis REF: Categories of Nursing Diagnoses

2. The nurse is planning nursing diagnoses for a client. Which statement is true regarding nursing diagnoses?
a.
Nursing diagnoses are very similar to medical diagnoses.
b.
A nursing diagnosis identifies a specific disease or condition.
c.
A nursing diagnosis focuses on the client’s responses to health problems.
d.
Nursing diagnoses are used as a mechanism for direct financial reimbursement.

ANS: C
Nursing diagnosis is unique in that it focuses on a client’s response to a health problem rather than on the problem itself, and it provides the structure through which nursing care can be delivered. Nursing diagnoses are not similar to medical diagnoses nor do they identify a specific disease or condition. Nursing diagnoses are not used as a mechanism for direct financial reimbursement.

PTS: 1 DIF: Analysis REF: Purposes of Nursing Diagnoses

3. The nurse is writing a two-part nursing diagnosis statement. The second component of a two-part nursing diagnosis is the:
a.
problem statement.
c.
defining characteristics.
b.
etiology.
d.
signs and symptoms.

ANS: B
The components of a two-part nursing diagnosis statement are the problem statement, or diagnostic label, and etiology. The problem statement is the first part. Defining characteristics or signs and symptoms are provided in a three-part nursing diagnosis statement.

PTS: 1 DIF: Application
REF: The Two-Part Statement| The Three-Part Statement

4. Which of the following is a correctly stated nursing diagnosis?
a.
Strep throat related to bacteria
b.
Skin breakdown due to wet bed
c.
Myocardial infarction related to ischemia of the muscle
d.
Altered nutrition, less than body requirements, related to difficulty swallowing

ANS: D
“Altered nutrition, less than body requirements, related to difficulty swallowing” is the correctly written nursing diagnosis. “Strep throat related to bacteria” and “Myocardial infarction related to ischemia of the muscle” both contain medical diagnoses and are incorrect. “Skin breakdown due to wet bed” is inappropriate and incorrect.

PTS: 1 DIF: Analysis REF: The Two-Part Statement

5. The nurse has written nursing diagnoses for a client’s care. Which of the following is a correctly stated nursing diagnosis?
a.
Impaired bowel elimination related to long-term laxative use
b.
Infectious mononucleosis caused by Epstein-Barr virus
c.
Ineffective airway clearance related to pneumonia
d.
Impaired skin integrity related to nurse aide not turning client

ANS: A
Impaired bowel elimination related to long-term laxative use is the correctly written nursing diagnoses. Infectious mononucleosis and Ineffective airway clearance both include a medical diagnosis in the statement. Impaired skin integrity has an inappropriate etiology.

PTS: 1 DIF: Analysis
REF: The Two-Part Statement| Incorrect Writing of the Nursing Diagnosis Statement