Kozier & Erb’s Fundamentals of Nursing, 10/E
Chapter 12
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
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
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
Question 4
Type: MCSA
The nurse is preparing to write nursing diagnoses for a client. What should the nurse recall about the NANDA
label?
1. Must contain three components
2. Describes the health problem for which nursing therapy is given
3. Helps define medical diagnoses for nursing
4. Promotes a taxonomy of nursing
Question 5
Type: MCSA
An experienced nurse has just walked into the room of a newly assigned client. Which observation should the
nurse use to include a new nursing diagnosis in this client’s plan of care?
1. The client’s eyes are closed.
2. The client’s skin is pale and mottled.
3. The client’s spouse is asleep in the chair next to the bed.
4. The television is on and the volume is turned up.
Question 6
Type: MCSA
The nurse selects the nursing diagnosis of Enhanced readiness for spiritual well-being for a family. Which data
cluster did the nurse use to support this diagnosis?
1. The family visits different congregations, the parents have been reflecting on their own spiritual upbringings,
and the children are questioning rituals of their friends and friends’ families.
2. The children attend Sunday school classes, one parent always attends services with the children, and the parents
attempt interaction with congregational activities.
3. The grandparents go to weekly services and have formal interaction with clergy.
4. The children have attended private, religious schools, and the parents are involved in the school’s activities.
Question 7
Type: MCSA
The graduate nurse is struggling with identifying cues from clustered data. What should the nurse use to recognize
data patterns and cues?
1. Depend on knowledge gained from peers’ experiences.
2. Work with seasoned and experienced nurses and learn from them.
3. Take assessment notes and utilize information from textbooks for comparison.
4. Know that this will take time, and experience is the best teacher.
Question 8
Type: MCSA
The nurse has formulated a diagnosis of Activity intolerance related to decreased airway capacity for a client with
chronic asthma. In looking at the client’s coping skills, the nurse realizes that the client has a vast knowledge
about the disease and what exacerbates symptoms in particular situations. Why should the nurse utilize this
information?
1. Strengths can be an aid to mobilizing health and the healing process.
2. The client will be more active in the plan.
3. It will be easier for the nurse to educate the client about other interventions.
4. The nurse won’t have to spend time going over the pathology of the client’s disease.
Question 9
Type: MCSA
A client has been having pain without any clear pathology for cause. Which nursing diagnosis should the nurse
identify as being the most appropriate for this client?
1. Pain due to unknown factors
2. Pain related to unknown etiology
3. Pain caused by psychosomatic condition
4. Pain manifested by client’s report
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Question 10
Type: MCSA
A client is diagnosed with pneumonia and has been hospitalized for several days. Which nursing diagnosis should
the nurse identify as a priority for this client?
1. Altered oral mucous membranes, related to dry mouth
2. Activity intolerance, related to oxygen supply imbalance
3. Knowledge deficit, related to medication regimen
4. Ineffective airway clearance, related to increased secretions
Question 11
Type: MCSA
The nurse is caring for a client recovering from a long and difficult childbirth experience. Which nursing
diagnosis did the nurse write appropriately for this client?
1. Constipation, due to tissue trauma, manifested by no bowel movement for 2 days
2. Risk for infection, because of new incision, related to episiotomy
3. Ineffective breast-feeding, related to lack of motivation, secondary to exhaustion
4. Altered urinary elimination, secondary to childbirth
Question 12
Type: MCSA
The nurse is formulating a nursing diagnosis for a client with a long, extensive history of psychiatric problems,
beginning in childhood, who is being placed in a long-term, structured institutional environment. Which diagnosis
indicates the client’s problem is adequately described?
1. Chronic low self-esteem, related to factors too numerous to mention
2. Risk for self-harm, related to many psychiatric problems
3. Impaired social interaction, due to long history of institutionalization
4. Alteration in thought processes, related to complex factors
Question 13
Type: MCSA
After communicating with the client and family, the nurse compares a client’s problem list with identified nursing
diagnoses. What action is the nurse performing to minimize diagnostic errors?
1. Understanding what is normal vs. what is not normal
2. Verifying
3. Consulting resources
4. Basing diagnoses on patterns
Question 14
Type: MCSA
After formulating several diagnoses, the nurse does not understand the reason for some of the discrepancies in the
client’s lab values and diagnostic tests, when comparing to norms and standards. Which action should the nurse
take?
1. Verify the information with the client.
2. Compare all findings to the national norms and standards.
3. Consult other professionals and colleagues.
4. Improve critical thinking skills so answers come more easily.
Question 15
Type: MCSA