Question

Select one answer in the given questions. No need to give rationale.

Q2: An advantage to using a three-part diagnostic statement in the PES format is that such as statement:

Choices:

A. applies to risk and wellness diagnosis

B. documents the indicators of the problem

C. is shorter

D. is always more accurate

Q6: Impaired skin integrity related to not being repositioned for every two hours is an incorrect nursing diagnosis due to which of the following best reason?

Choices:

A. Problem needs more specific descriptor.

B. Etiology is legally questionable.

C. Too lengthy.

D. No risk factors present.

Q14: Which of the following is an incorrectly stated nursing diagnosis

Choices:

A. Impaired skin integrity related to prescribed bed-rest.

B. Risk for infection related to portal of entry for pathogens secondary to surgical incision.

C. Risk for infection transmission related to lack of knowledge about communicable nature of the disease.

D. Constipation related to inadequate fiber intake and prolonged bed-rest.

Q17: “Unhappy and worried about health” is not a scientifically based diagnosis, and it can lead to error in:

Choices:

A. Diagnosis statement.

B. Data collection.

C. Data clustering.

D. Medical diagnosis.

Answer 1

Ans. 2. The correct answer is D. Is always more accurate.

The PES format assists with comprehensive and accurate organization of client data.

Ans. 6. The correct answer is A . Problem needs more specific descriptor.

More information is requried specify the nursing diagnosis.

Ans. 14. The incorrect statement is A . Imparied skin integrity related to prescribed bed rest.

Chemical skin irritants (e.g., formaldehyde, hair dyes, epoxy, soaps, adhesives)

Dermatitis, pruritus or itching (e.g., dry skin, allergic reactions)

Extremes of age

Edema

Fecal or urinary incontinence

History of radiation

Hyperthermia or hypothermia

Imbalanced nutritional state

Immobility

Immunological deficit

Impaired circulation

Impaired sensation

Long-term steroid use

Mechanical factors (e.g., pressure, shear, friction)

Mechanical trauma (e.g., scratches, skin tear, surgical incision)

Moisture

Obesity

Ans. 17. The correct answer is A diagnosis statement.

The diagnostic statement is the name of the nursing diagnosis as approved by the North American Nursing Diagnosis Association (NANDA) International. The question does not discuss data collection, medical diagnosis, or data clustering.