BUKIDNON STATE UNIVERSITY

COLLEGE OF NURSING
Malaybalay city, Bukidnon
Diagnosing Worksheet
Test I: MULTIPLE CHOICE QUESTIONS: Circle the letter that corresponds to the best answer for each
question.
1. Which of the following statements regardingnursing diagnoses is accurate?
a. Nursing diagnoses remain the same for as long as the disease is present.
b. Nursing diagnoses are written to identify diseases.
c. Nursing diagnoses are written to describe patient problems that nurses can treat.
d. Nursing diagnoses focus on identifying healthy responses to health and illness.
2. Which of the following is an actual or potential health problem that can be prevented or resolved by
an independent nursing intervention?
a. Nursing diagnoses
b. Nursing assessments
c. Medical diagnoses
d. Collaborative problems
3. Which of the following would be an appropriate nursing diagnosis for a toddler who has been treated
on two different occasions for lacerations and contusions due to the parents negligence in providing a safe
environment?
a. High Risk for Injury related to abusive parents
b. High Risk for Injury related to impaired home management
c. Child Abuse related to unsafe home environment
d. High Risk for Injury related to unsafe home environment
4. Which of the following nursing diagnoses would be written when the nurse suspects that a health
problem exists but needs to gather more data to confirm the diagnosis?
a. Actual
b. Risk
c. Possible
d. Syndrome
5. Which of the following nursing concerns is clearly the responsibility of the nurse?
a. Monitoring for changes in health status
b. Promoting safety and preventing harm; detecting and controlling risks
c. Tailoring treatment and medication regimens for each individual
d. All of the above
6. The nurse is conducting the diagnosing phases (nursing diagnosis) of the nursing process for a client
with a seizure disorder. Which step exists between data analysis and formulating the diagnostic
statement?
a. Assess the clients needs.
b. Delineate the clients problems and strengths.
c. Determine which interventions are most likely to succeed.
d. Estimate the cost of several different approaches.
7. In the diagnostic statement Excess fluid volume related to decreased venous return as manifested
by lower extremity edema (swelling), the etiology of the problem is which of the following?
a. Excess fluid volume
c. Edema
b. Decreased venous return
d. Unknown
8. Which of the following nursing diagnoses contains the proper components?
a. Risk for caregiver role strain related to unpredictable illness course
b. Risk for falls related to tendency to collapse when having difficulty breathing
c. Impaired communication related to stroke
d. Sleep deprivation secondary to fatigue and a noisy environment
9. One of the primary advantages of using a three-part diagnostic statement such as the problemetiology-signs/symptoms (PES) format includes which of the following?
a. Decreases the cost of health care
b. Improves communication between nurse and client
c. Helps the nurse focus on health and wellness elements
d. Standardizes organization of client data
10. Which of the following are parts of a nursing diagnosis? (Select all that apply.)
a. Problem
b. Etiology
c. Patient needs
d. Defining characteristics
e. Medical diagnosis
f. Legal parameters for nursing actions
Test II: DEVELOPING YOUR KNOWLEDGE BASE: CORRECT THE FALSE STATEMENTS
Circle the word true or false that follows the statement. If you circled false, change the underlined word or
words to make the statement true. Place your answers in the space provided.
1. The term diagnosis is a statement or conclusion regarding the nature of a phenomenon.
TRUE
False _________________________________________________________________

2. Qualifiers are words that have been added to some NANDA labels to give additional meaning to the
diagnostic statement
TRUE
False _________________________________________________________________
3. Nursing diagnoses relate to the nurses dependent functions, that is, the areas of health care that are
unique to-nursing.
TRUE
False _________________________________________________________________
4. Taking an inventory of weakness, the client can develop a more well-rounded self-concept and selfimage.
TRUE
False _________________________________________________________________
5. The PE format is especially recommended for beginning diagnosticians because the signs and
symptoms validate why the diagnosis was chosen and make the problem statement more descriptive.
TRUE
False _________________________________________________________________
6. The nurse must always validate the diagnostic statements with the client and compare the clients signs
and symptoms to the book defining characteristics.
TRUE
False _________________________________________________________________
7. Diagnosing can occur at any point in the diagnostic process: data collection, data interpretation, and
data clustering.
TRUE
False _________________________________________________________________
8. The phrase related to implies that one part causes or is responsible for the other part.
TRUE
False _________________________________________________________________
9. Inconsistencies are conflicting data.
TRUE
False _________________________________________________________________
10. Collaborative diagnoses are more individualized to a specific client and emphasize human responses
to which the nurse can independently take action.
TRUE
False _________________________________________________________________
Test III: Place a check next to the nursing diagnoses that are written correctly, and identify the errors in the
incorrect diagnoses on the lines that follow.
1. ______ Alteration in Bowel Elimination: Constipation related to cancer of bowel
__________________________________________________________________________________
2. ______ Impaired Skin Integrity related to mobility deficit
___________________________________________________________________________________
3. Powerlessness, Risk for related to poor family support
___________________________________________________________________________________
4. ______ Alteration in Nutrition: Less Than Body Requirements related to loss of appetite
___________________________________________________________________________________
5. ______ High Risk for Injury related to absence of restraints and side rails
___________________________________________________________________________________
6. ______ Sleep Pattern Disturbance related to insomnia
___________________________________________________________________________________
7. ______ Needs assistance walking to bathroom: related to immobility
___________________________________________________________________________________
8. ______ Pain related to discomfort in abdomen
___________________________________________________________________________________
9. ______ Alteration in Nutrition: More Than Body Requirements related to obesity
__________________________________________________________________________________
10. _______Altered Nutrition: Less than body requirements related to noxious agent
___________________________________________________________________________________
Test IV: Read the mini-case below. Underline the cues that form a data cluster indicating a nursing diagnosis,
and write the appropriate nursing diagnosis as a three part statement.

Case study: Mr. Klinetob, age 86, has been seriously depressed since the death 6 months
ago of his wife of 52 years. Although he suffers from degenerative joint disease and has
talked for years about having just a touch of arthritis, this never kept him from being up
and about. Recently, however, he spends all day sitting in a chair and seems to have no
desire to engage in self-care activities. He tells the visiting nurse that he doesnt get washed
up anymore because hes too stiff in the morning to bathe and I just dont seem to have
the energy. The visiting nurse notices that his hair is matted and uncombed, his face has
traces of previous meals, and he has a strong body odor. His children have complained that
their normally fastidious father seems not to care about personal hygiene any longer.
Nursing
Diagnosis:
_________________________________________________________________________________
__________________________________________________________________________________________________
________________________________________________________________________________________________