ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 16 : Diagnosis/Problem Identification Questions
Question 1 of 5
A nurse completes a health history and physical assessment for an adolescent before he begins football practice. Based on findings, the nurse recommends reinforcing health habits. What conclusion did the nurse reach after interpreting and analyzing the data?
Correct Answer: A
Rationale: Recommending reinforcement of health habits suggests no immediate problem was identified, indicating a 'no problem' conclusion.
Question 2 of 5
A nurse caring for an elderly patient in a long-term care facility notices that the bedding is wet when the patient gets up in the morning. The nurse collects more data to form a conclusion. What type of problem is involved in this scenario?
Correct Answer: B
Rationale: Wet bedding suggests a possible problem, such as incontinence, but further data collection is needed to confirm.
Question 3 of 5
A nurse is formulating a nursing diagnosis for a patient with a respiratory disease. Which of the following would be correct?
Correct Answer: C
Rationale: A correct nursing diagnosis includes the problem, etiology, and evidence, such as 'ineffective airway clearance related to thick mucus.'
Question 4 of 5
A nurse writes the following nursing diagnosis for a patient with Alzheimers: Disturbed Thought Processes related to Alzheimers disease as evidenced by incoherent language. Which part of this diagnosis is considered the problem statement?
Correct Answer: A
Rationale: The problem statement in a nursing diagnosis is the identified health issue, which is 'disturbed thought processes' in this case.
Question 5 of 5
A nurse is formulating a diagnosis for a patient who is reliving a brutal mugging that took place several months ago. The patient is crying uncontrollably and states that he cant live with this fear. Which of the following diagnoses for this patient is correctly written?
Correct Answer: A
Rationale: Post-trauma syndrome related to being attacked' is a correctly formatted nursing diagnosis, identifying the problem and its cause.