Chapter 12 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 12 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

After an assessment, the nurse reviews the list of client problems. For which problems should the nurse create nursing diagnoses?

1. The ones that the nurse is licensed to treat
2. The ones that address other health professionals’ interventions
3. The ones that focus on the client’s primary illness
4. The ones that have standardized care available

Correct Answer: 1

Rationale 1: The domain of nursing diagnoses includes only those health states that nurses are educated on and licensed to treat. A nursing diagnosis is a judgment made only after data collection. Nursing diagnoses describe a continuum of health states: deviations from health, presence of risk factors, and areas of enhanced personal growth.

Rationale 2: A nursing diagnosis, although familiar to other health care professionals, is nursing focused.

Rationale 3: The nursing diagnosis statement is specific to nursing and nurses and does not include the medical diagnosis.

Rationale 4: The nursing diagnosis, like the plan of care, is specific to each individual client and the client’s situation.

Global Rationale:

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.B. 4. Function competently within own scope of practice as a member of the health care team

AACN Essentials Competencies: III. 6. Integrate evidence, clinical judgment, interprofessional perspectives and patient preferences in planning, implementing, and evaluating outcomes of care

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 3. Compare nursing diagnoses, medical diagnoses, and collaborative problems.

MNL Learning Outcome: 1.4.2. Implement the diagnostic and planning phases of the nursing process.

Page Number: 177

Question 2

Type: MCSA

A client comes to the clinic seeking information and education regarding healthy lifestyles and eating habits. Which type of diagnosis should the nurse select for this client?

1. Risk nursing diagnosis
2. Syndrome diagnosis
3. Wellness diagnosis
4. Actual diagnosis

Correct Answer: 3

Rationale 1: A risk diagnosis is a clinical judgment that a problem does not exist, but the presence of risk factors indicates that a problem is likely to develop unless nurses intervene—that is not what is described in this scenario.

Rationale 2: A syndrome diagnosis is associated with a cluster of other diagnoses—that is not what is described in this scenario.

Rationale 3: A wellness diagnosis describes the human response to levels of wellness in an individual. This client is seeking information about behavior changes and improvement to assist him in making choices and changes to enhance his life.

Rationale 4: An actual diagnosis is a client problem that is present at the time of the nursing assessment.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: II.B. 4. Function competently within own scope of practice as a member of the health care team

AACN Essentials Competencies: III. 6. Integrate evidence, clinical judgment, interprofessional perspectives and patient preferences in planning, implementing, and evaluating outcomes of care

NLN Competencies: Context and Environment; Practice; apply health promotion/disease prevention strategies; apply health policy

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: 1. Differentiate nursing diagnoses according to status.

MNL Learning Outcome: 1.4.2. Implement the diagnostic and planning phases of the nursing process.

Page Number: 183

Question 3

Type: MCSA

A client who has been in a wheelchair for several years is currently experiencing problems with skin breakdown and urinary retention in addition to depression. Which diagnosis should the nurse select for this client?

1. Syndrome diagnosis
2. Risk nursing diagnosis
3. Actual diagnosis
4. Wellness diagnosis

Correct Answer: 1

Rationale 1: A syndrome diagnosis is a diagnosis that is associated with a cluster of other diagnoses (in this situation, Urinary elimination alteration, Impaired skin integrity, and Powerlessness).

Rationale 2: A risk nursing diagnosis is a clinical judgment that a problem does not exist, but the presence of risk factors indicates that a problem is likely to develop unless the nurse intervenes.

Rationale 3: An actual diagnosis is a client problem that is present at the time of the nursing assessment.

Rationale 4: A wellness diagnosis describes human responses to levels of wellness in an individual, family, or community that has a readiness for enhancement.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Reduction of Risk Potential

QSEN Competencies: II.B. 4. Function competently within own scope of practice as a member of the health care team

AACN Essentials Competencies: III. 6. Integrate evidence, clinical judgment, interprofessional perspectives and patient preferences in planning, implementing, and evaluating outcomes of care

NLN Competencies: Context and Environment; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: 1. Differentiate nursing diagnoses according to status.

MNL Learning Outcome: 1.4.2. Implement the diagnostic and planning phases of the nursing process.

Page Number: 176