Nokea
Of all the benefits of using nursing diagnoses, which one is probably the most important to nurses?
- A. defining the domain of nursing practice
- B. informing patients of their care
- C. improving communication among nurses
- D. structuring curricular content
Correct Answer: C
Rationale: Improved communication among nurses is a key benefit, as nursing diagnoses provide a standardized language for care.
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Which of the following statements accurately describe the legal responsibility of the nurse making a diagnosis for a patient?
- A. The nurse may make a diagnosis, but the physician is responsible for making sure it is appropriate for the patient.
- B. The nurse practitioner is responsible for making all nursing diagnoses and determining if they are appropriate for the patient.
- C. The nurse must decide if he or she is qualified to make a nursing diagnosis and will accept responsibility for treating it.
- D. The healthcare facility directs the nursing diagnosis in order to receive payment for services performed.
Correct Answer: C
Rationale: Nurses are legally responsible for ensuring they are qualified to make a nursing diagnosis and for the treatment that follows, as it falls within their scope of practice.
A nurse is formulating a nursing diagnosis for a patient with a respiratory disease. Which of the following would be correct?
- A. needs nasal oxygen to improve breathing
- B. cough related to ineffective airway clearance
- C. ineffective airway clearance related to thick mucus
- D. refuses to cough and expectorate thick mucus
Correct Answer: C
Rationale: A correct nursing diagnosis includes the problem, etiology, and evidence, such as 'ineffective airway clearance related to thick mucus.'
A student is reviewing a patients chart before giving care. She notes the following diagnoses in the contents of the chart: appendicitis and acute pain. Which of the diagnoses is a medical diagnosis?
- A. neither appendicitis nor acute pain
- B. both appendicitis and acute pain
- C. appendicitis
- D. acute pain
Correct Answer: C
Rationale: Appendicitis is a medical diagnosis made by a physician, while acute pain is a nursing diagnosis based on patient symptoms.
A nurse is reviewing the health history and physical assessment findings for a patient who is having respiratory problems. Of the following data collected, what data from the health history would be a cue to a nursing diagnosis for this problem?
- A. I often have diarrhea after I eat spicy foods.
- B. My skin is so dry I just cant keep from scratching.
- C. I get out of breath when I walk a few steps.
- D. I just feel so bad about myself these days.
Correct Answer: C
Rationale: Shortness of breath is a direct cue to a respiratory-related nursing diagnosis, as it indicates impaired respiratory function.
In the nursing diagnosis Disturbed Self-Esteem related to presence of large scar over left side of face, what part of the nursing diagnosis is presence of large scar over left side of face?
- A. etiology
- B. problem
- C. defining characteristics
- D. patient need
Correct Answer: A
Rationale: The 'presence of large scar' is the etiology, as it describes the cause of the disturbed self-esteem.