Question 1

A client has this nursing diagnosis: Ineffective therapeutic regimen management related to lack of transportation and residing in rural area as evidenced by four missed appointments in April and May for monitoring heart failure. Select the BEST outcome.

Accepted Answer

A)   The client will attend all clinic appointments on time.
B)   The client will move to a new residence where bus service is available.
C)   The client will correctly state the time and place of the next appointment.
D)   By June 1, the client will have reliable transportation to and from clinic appointments. D

Question 2

When formulating desired nursing goals and outcomes for a client's plan of care, the nurse should FIRST

Accepted Answer

A)   seek the client's input.
B)   consult a nursing diagnosis book.
C)   determine the planned discharge date.
D)   educate the client about the health problem. B

Question 3

Select the correctly stated actual nursing diagnosis for a client experiencing an acute exacerbation of paranoid schizophrenia.

Accepted Answer

A)   Risk for disturbed thought processes related to changes in neurotransmission secondary to chronic mental illness as evidenced by reports of auditory hallucinations.
B)   Disturbed thought processes related to altered neurotransmission secondary to paranoid schizophrenia as evidenced by auditory hallucinations of demon voices.
C)   Disturbed thought processes as evidenced by reports of auditory hallucinations of demon voices related to paranoid schizophrenia.
D)   Chronic confusion related to auditory hallucinations as evidenced by reports of demon voices. B

Question 4

Bluebird : Mosquito :: Owl : Mouse is an example of a/an

Accepted Answer

A)   etiology.
B)   analogy.
C)   taxonomy.
D)   metaparadigm.

Question 5

Risk nursing diagnoses have which elements? You may select more than one answer.

Accepted Answer

A)   Diagnostic label from NANDA list
B)   Functional health pattern
C)   Defining characteristics
D)   Begin with Risk for
E)   Etiology

Question 6

Select the best etiology to complete this nursing diagnosis:
Urinary retention related to _________________________ as evidenced by voiding more than 6 times per day and less than 50 ml at each visit to the restroom.

Accepted Answer

A)   bladder problems
B)   multiple sclerosis
C)   urinary incontinence
D)   side effects of antihistamines

Question 7

An analogy shows which type of relationship?

Accepted Answer

A)   Holistic
B)   Conceptual
C)   Comparative
D)   Unpredictable

Exam 7: Diagnosis and Planning