Difficulty: Medium
Average Score: 91%
Simulated
Which nursing diagnosis is written in the correct format when using NANDA-I taxonomy?
Correct answer
C
Rationale
The correct nursing diagnosis format consists of three components: the problem (diagnostic label), the related factor (etiology), and the defining characteristics (signs and symptoms). Choice C, "Impaired Skin Integrity, related to physical immobility, as evidenced by a skin tear over the sacral area," follows this format correctly. The problem is "Impaired Skin Integrity," the related factor is "physical immobility," and the defining characteristic is "skin tear over sacral area." This format aligns with the NANDA-I taxonomy guidelines.
Choices A, B, and D do not follow the correct format. Choice A combines the problem and etiology into one statement and lacks defining characteristics. Choice B does not have a clear related factor and lists only one defining characteristic. Choice D does not clearly separate the related factor from the defining characteristics. Therefore, Choice C is the correct answer as it adheres to the correct NANDA-I taxonomy format.
Choices A, B, and D do not follow the correct format. Choice A combines the problem and etiology into one statement and lacks defining characteristics. Choice B does not have a clear related factor and lists only one defining characteristic. Choice D does not clearly separate the related factor from the defining characteristics. Therefore, Choice C is the correct answer as it adheres to the correct NANDA-I taxonomy format.