Question 1

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

Accepted Answer

Antihistamines can cause urinary retention as a side effect, leading to frequent but small volume voiding.

Question 2

Bluebird : Mosquito :: Owl : Mouse is an example of a/an
A) etiology.
B) analogy.
C) taxonomy.
D) metaparadigm.

Accepted Answer

This is an analogy, which is a comparison between two things, typically for the purpose of explanation or clarification. In this case, it compares the predator-prey relationship between a bluebird and a mosquito to that of an owl and a mouse.

Question 3

An analogy shows which type of relationship?
A) Holistic
B) Conceptual
C) Comparative
D) Unpredictable

Accepted Answer

An analogy shows a comparative relationship by highlighting similarities between two different things.

Question 4

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

Accepted Answer

CB) This choice correctly identifies the nursing diagnosis (Disturbed thought processes), the related factor (altered neurotransmission secondary to paranoid schizophrenia), and the evidence (auditory hallucinations of demon voices), following the NANDA-I format for writing nursing diagnoses.C) This choice also correctly identifies the nursing diagnosis (Disturbed thought processes) and presents the evidence (reports of auditory hallucinations of demon voices) and the related factor (paranoid schizophrenia), although it slightly rearranges the typical NANDA-I format, it still conveys the necessary components for a correct nursing diagnosis.

Question 5

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

Accepted Answer

The answer of When formulating desired nursing goals and outcomes...

Question 6

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.
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.

Accepted Answer

The best outcome focuses on addressing the root cause of the problem (lack of transportation) without requiring unrealistic changes from the client (like moving to a new residence). It directly targets the issue affecting the client's ability to manage their therapeutic regimen effectively.

Question 7

Risk nursing diagnoses have which elements? You may select more than one answer.
A) Diagnostic label from NANDA list
B) Functional health pattern
C) Defining characteristics
D) Begin with Risk for
E) Etiology

Accepted Answer

Risk nursing diagnoses include a diagnostic label from the NANDA list, begin with "Risk for," and include etiology (related factors), but they do not have defining characteristics or functional health patterns.

Quiz 7: Diagnosis and Planning

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.

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

An analogy shows which type of relationship?

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

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

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.

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