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
Which of the following statements accurately describe the legal responsibility of the nurse making a diagnosis for a patient?
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.
Question 2 of 5
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?
Correct Answer: C
Rationale: Appendicitis is a medical diagnosis made by a physician, while acute pain is a nursing diagnosis based on patient symptoms.
Question 3 of 5
A nurse develops a plan of care to meet the needs of a patient who has had a large loss of blood after a snowmobile crash. The interventions include administering and monitoring the patients physiologic response to intravenous fluids and blood. What has the nurse focused care on?
Correct Answer: C
Rationale: This scenario describes a collaborative problem, as it involves joint interventions between nursing and medical care, such as administering fluids and blood.
Question 4 of 5
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?
Correct Answer: C
Rationale: Shortness of breath is a direct cue to a respiratory-related nursing diagnosis, as it indicates impaired respiratory function.
Question 5 of 5
What is the focus of a diagnostic statement for a collaborative problem?
Correct Answer: B
Rationale: Collaborative problems focus on potential complications that require both nursing and medical interventions to manage.