TEST BANK
Concepts for Nursing Practice, 4th Edition by Jean Foret Giddens
TEST BANK
,Table of Content
SECTION I: Health Care Recipient Concepts
1. Development
2. Functional Ability
3. Family Dynamics
4. Culture
5. Self-Management
SECTION II: Health and Illness Concepts
6. Fluid and Electrolytes
7. Acid-Base Balance
8. Thermoregulation
9. Sleep
10. Cellular Regulation
11. Intracranial Regulation
12. Hormonal Regulation
13. Glucose Regulation
14. Nutrition
15. Elimination
16. Perfusion
17. Clotting — NEW!
18. Gas Exchange
Theme: Sexuality and Reproduction
19. Reproduction
20. Sexuality
Theme: Protection and Movement
21. Immunity
22. Inflammation
23. Infection
24. Mobility
25. Tissue Integrity
26. Sensory Perception
27. Pain
28. Fatigue
Theme: Mood, Cognition, Behavior
29. Stress and Coping
30. Mood and Affect
31. Anxiety
32. Cognition
33. Psychosis
34. Substance Misuse and Addiction
35. Interpersonal Violence
,SECTION III: Professional Nursing and Health Care Concepts
36. Professional Identity
37. Well-Being and Resilience — NEW!
38. Leadership
39. Evidence
40. Clinical Judgment
Theme: Holistic Care
41. Person-Centered Care — NEW!
42. Ethics
43. Diversity, Equity, and Inclusion — NEW!
Theme: Care Competencies
44. Communication
45. Collaboration
46. Safety
47. Health Care Quality
48. Technology and Informatics
49. Health Disparities and Health Equity
50. Care Coordination
51. Health Promotion
52. Patient Education
53. Palliative Care
54. Population Health
55. Public Health Emergencies — NEW!
Theme: Health Care Infrastructure
56. Spheres of Practice — NEW!
57. Health Systems
58. Health Care Economics
59. Health Policy
60. Health Care Law
,Concept 01: Development
Giddens: Concepts for Nursing Practice, 4th Edition
MULTIPLE CHOICE
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized
the purpose of the HEADSS Adolescent Risk Profile when the new nurse
responds that it is used to review for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
ANS: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment
screening tool which reviews home, education, activities, drugs, sex, and suicide for the
purpose of identifying high-risk adolescents and the need for anticipatory guidance. It is
used to identify high-risk, not low-risk, adolescents. Physical development is reviewed with
anthropometric data.
Sexual development is reviewed using physical examination.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the
expected stage of development for a preschooler is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
ANS: C
The expected stage of development for a preschooler (3–4 years old) is pre-operational.
Concrete operational describes the thinking of a school-age child (7–11 years old). Formal
operational describes the thinking of an individual after about 11 years of age. Sensorimotor
describes the earliest pattern of thinking from birth to 2 years old.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
3. The school nurse talking with a high school class about the difference between growth and
development would best describe growth as
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight.
ANS: D
, Growth is a quantitative change in which an increase in cell number and size results in an
increase in overall size or weight of the body or any of its parts. The processes by which
early cells specialize are referred to as differentiation. Psychosocial and cognitive changes
are referred to as development. Qualitative changes associated with aging are referred to as
maturation.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
4. The most appropriate response of the nurse when a mother asks what the Denver II does is
that it
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy.
c. is a developmental screening tool.
d. provides a framework for health teaching.
ANS: C
The Denver II is the most commonly used measure of developmental status used by
healthcare professionals; it is a screening tool. Screening tools do not provide a diagnosis.
Diagnosis requires a thorough neurodevelopment history and physical examination.
Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. The
need for any therapy would be identified with a comprehensive evaluation, not a screening
tool. Some providers use the Denver II as a framework for teaching about expected
development, but this is not the primary purpose of the tool.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
5. To plan early intervention a n Nd U
caRreSfIoN
r aGnTinBf.
anCt OwMith Down syndrome, the nurse considers
knowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
ANS: D
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
developmental delay. Fetal alcohol syndrome is an exemplar of cognitive developmental
delay.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
6. To plan early intervention and care for a child with a developmental delay, the nurse would
consider knowledge of the concepts most significantly impacted by development, including
a. culture.
b. environment.
c. functional status.
d. nutrition.
ANS: C
Concepts for Nursing Practice, 4th Edition by Jean Foret Giddens
TEST BANK
,Table of Content
SECTION I: Health Care Recipient Concepts
1. Development
2. Functional Ability
3. Family Dynamics
4. Culture
5. Self-Management
SECTION II: Health and Illness Concepts
6. Fluid and Electrolytes
7. Acid-Base Balance
8. Thermoregulation
9. Sleep
10. Cellular Regulation
11. Intracranial Regulation
12. Hormonal Regulation
13. Glucose Regulation
14. Nutrition
15. Elimination
16. Perfusion
17. Clotting — NEW!
18. Gas Exchange
Theme: Sexuality and Reproduction
19. Reproduction
20. Sexuality
Theme: Protection and Movement
21. Immunity
22. Inflammation
23. Infection
24. Mobility
25. Tissue Integrity
26. Sensory Perception
27. Pain
28. Fatigue
Theme: Mood, Cognition, Behavior
29. Stress and Coping
30. Mood and Affect
31. Anxiety
32. Cognition
33. Psychosis
34. Substance Misuse and Addiction
35. Interpersonal Violence
,SECTION III: Professional Nursing and Health Care Concepts
36. Professional Identity
37. Well-Being and Resilience — NEW!
38. Leadership
39. Evidence
40. Clinical Judgment
Theme: Holistic Care
41. Person-Centered Care — NEW!
42. Ethics
43. Diversity, Equity, and Inclusion — NEW!
Theme: Care Competencies
44. Communication
45. Collaboration
46. Safety
47. Health Care Quality
48. Technology and Informatics
49. Health Disparities and Health Equity
50. Care Coordination
51. Health Promotion
52. Patient Education
53. Palliative Care
54. Population Health
55. Public Health Emergencies — NEW!
Theme: Health Care Infrastructure
56. Spheres of Practice — NEW!
57. Health Systems
58. Health Care Economics
59. Health Policy
60. Health Care Law
,Concept 01: Development
Giddens: Concepts for Nursing Practice, 4th Edition
MULTIPLE CHOICE
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized
the purpose of the HEADSS Adolescent Risk Profile when the new nurse
responds that it is used to review for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
ANS: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment
screening tool which reviews home, education, activities, drugs, sex, and suicide for the
purpose of identifying high-risk adolescents and the need for anticipatory guidance. It is
used to identify high-risk, not low-risk, adolescents. Physical development is reviewed with
anthropometric data.
Sexual development is reviewed using physical examination.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the
expected stage of development for a preschooler is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
ANS: C
The expected stage of development for a preschooler (3–4 years old) is pre-operational.
Concrete operational describes the thinking of a school-age child (7–11 years old). Formal
operational describes the thinking of an individual after about 11 years of age. Sensorimotor
describes the earliest pattern of thinking from birth to 2 years old.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
3. The school nurse talking with a high school class about the difference between growth and
development would best describe growth as
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight.
ANS: D
, Growth is a quantitative change in which an increase in cell number and size results in an
increase in overall size or weight of the body or any of its parts. The processes by which
early cells specialize are referred to as differentiation. Psychosocial and cognitive changes
are referred to as development. Qualitative changes associated with aging are referred to as
maturation.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
4. The most appropriate response of the nurse when a mother asks what the Denver II does is
that it
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy.
c. is a developmental screening tool.
d. provides a framework for health teaching.
ANS: C
The Denver II is the most commonly used measure of developmental status used by
healthcare professionals; it is a screening tool. Screening tools do not provide a diagnosis.
Diagnosis requires a thorough neurodevelopment history and physical examination.
Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. The
need for any therapy would be identified with a comprehensive evaluation, not a screening
tool. Some providers use the Denver II as a framework for teaching about expected
development, but this is not the primary purpose of the tool.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
5. To plan early intervention a n Nd U
caRreSfIoN
r aGnTinBf.
anCt OwMith Down syndrome, the nurse considers
knowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
ANS: D
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
developmental delay. Fetal alcohol syndrome is an exemplar of cognitive developmental
delay.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
6. To plan early intervention and care for a child with a developmental delay, the nurse would
consider knowledge of the concepts most significantly impacted by development, including
a. culture.
b. environment.
c. functional status.
d. nutrition.
ANS: C
