TEST BANK
yt y t
FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
yt yt yt yt yt yt yt yt
,Concept 01: Development
yt yt
Giddens: Concepts for Nursing Practice, 3rd Edition
yt yt yt yt yt yt
MULTIPLE CHOICE yt
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
used to review for needs related to
yt yt yt yt yt yt yt
a. anticipatory guidance. yt
b. low-risk adolescents. yt
c. physical development. yt
d. sexual development. yt
ANS: A yt
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
yt yt yt yt yt yt yt yt yt yt yt
reviews home, education, activities, drugs, sex, and suicide for the purpose of identifying
yt yt yt yt yt yt yt yt yt yt yt yt yt
high-risk adolescents and the need for anticipatory guidance. It is used to identify high-risk,
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
not low-risk, adolescents. Physical development is reviewed with anthropometric data.
yt yt yt yt yt yt yt yt yt yt
Sexual development is reviewed using physical examination.
yt yt yt yt yt yt
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
yt yt yt yt yt yt yt
2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
expected stage of development for a preschooler is
yt yt yt yt yt yt yt yt
a. concrete operational. yt
b. formal operational. yt
c. preoperational.
d. sensorimotor.
ANS: C yt
The expected stage of development for a preschooler (3–4 years old) is pre-operational.
yt yt yt yt yt yt yt yt yt yt yt yt
Concrete operational describes the thinking of a school-age child (7–11 years old). Formal
yt yt yt yt yt yt yt yt yt yt yt yt yt
operational describes the thinking of an individual after about 11 years of age. Sensorimotor
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
describes the earliest pattern of thinking from birth to 2 years old.
yt yt yt yt yt yt yt yt yt yt yt yt
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
yt yt yt yt yt yt yt
3. The school nurse talking with a high school class about the difference between growth and
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
development would best describe growth as
yt yt yt yt yt yt
a. processes by which early cells specialize. yt yt yt yt yt
b. psychosocial and cognitive changes. yt yt yt
c. qualitative changes associated with aging. yt yt yt yt
d. quantitative changes in size or weight. yt yt yt yt yt
ANS: D
yt yt
, Growth is a quantitative change in which an increase in cell number and size results in an
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
increase in overall size or weight of the body or any of its parts. The processes by which
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
early cells specialize are referred to as differentiation. Psychosocial and cognitive changes
yt yt yt yt yt yt yt yt yt yt yt yt
are referred to as development. Qualitative changes associated with aging are referred to as
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
maturation.
yt
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
yt yt yt yt yt yt yt
4. The most appropriate response of the nurse when a mother asks what the Denver II does is
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
that it
yt yt
a. can diagnose developmental disabilities.
yt yt yt
b. identifies a need for physical therapy. yt yt yt yt yt
c. is a developmental screening tool.
yt yt yt yt
d. provides a framework for health teaching. yt yt yt yt yt
ANS: C yt
The Denver II is the most commonly used measure of developmental status used by
yt yt yt yt yt yt yt yt yt yt yt yt yt
healthcare professionals; it is a screening tool. Screening tools do not provide adiagnosis.
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
Diagnosis requires a thorough neurodevelopment history and physical examination.
yt yt yt yt yt yt yt yt yt
Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. Theyt yt yt yt yt yt yt yt yt yt yt yt yt
need for any therapy would be identified with a comprehensive evaluation, not a screening
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
tool. Some providers use the Denver II as a framework for teaching about expected
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
development, but this is not the primary purpose of the tool.
yt yt yt yt yt yt yt yt yt yt yt
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
yt yt yt yt yt yt yt
5. To plan early intervention a n Nd U
yt ytcaRreSfIoN
r aGnTinBf.
anCt OwMith Down syndrome, the nurse considers
yt yt ty yt yt yt yt yt yt
knowledge of other physical development exemplars such as
yt yt yt yt yt yt yt yt
a. cerebral palsy. yt
b. failure to thrive. yt yt
c. fetal alcohol syndrome. yt yt
d. hydrocephaly.
ANS: D yt
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
yt yt yt yt yt yt yt yt yt yt yt yt
adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
yt yt yt yt yt yt yt yt yt yt yt
developmental delay. Fetal alcohol syndrome is an exemplar of cognitive developmental
yt yt yt yt yt yt yt yt yt yt yt
delay.
yt
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
yt yt yt yt yt yt yt
6. To plan early intervention and care for a child with a developmental delay, the nurse would
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
consider knowledge of the concepts most significantly impacted by development, including
yt yt yt yt yt yt yt yt yt yt yt
a. culture.
b. environment.
c. functional status. yt
d. nutrition.
ANS: C yt
, Function is one of the concepts most significantly impacted by development. Others include
yt yt yt yt yt yt yt yt yt yt yt yt
sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
yt yt yt yt yt yt yt yt yt
concepts can help the nurse anticipate areas that need to be addressed. Culture is a concept
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
that is considered to significantly affect development; the difference is the concepts that
yt yt yt yt yt yt yt yt yt yt yt yt yt
affect development are those that represent major influencing factors (causes); hence
yt yt yt yt yt yt yt yt yt yt yt
determination of development would be the focus of preventive interventions. Environment
yt yt yt yt yt yt yt yt yt yt yt
is considered to significantly affect development. Nutrition is considered to significantly
yt yt yt yt yt yt yt yt yt yt yt
affect development.
yt yt
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
yt yt yt yt yt yt yt
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
to her toys and makes up stories. The mother wants her child to have a psychological
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
evaluation. The nurse’s best initial response is to
yt yt yt yt yt yt yt yt
a. refer the child to a psychologist immediately.
yt yt yt yt yt yt
b. explain that playing make believe is normal at this age. yt yt yt yt yt yt yt yt yt
c. complete a developmental screening using a validated tool. yt yt yt yt yt yt yt
d. separate the child from the mother to get more information. yt yt yt yt yt yt yt yt yt
ANS: B yt
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
normal at this age. A referral to a psychologist would be premature based only on the
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
complaint of the mother. Completing a developmental screening would be very appropriate
yt yt yt yt yt yt yt yt yt yt yt yt
but not the initial response. The nurse would certainly want to get more information, but
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
separating the child from the mother is not necessary at this time.
yt yt yt yt yt yt yt yt yt yt yt yt
OBJ: NCLEX Client NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotion and Maintenance
y t y t y t y t
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
so needy and acting like a child. The best response of the nurse is that in the hospital,
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
adolescents
yt
a. have separation anxiety. yt yt
b. rebel against rules. yt yt
c. regress because of stress. yt yt yt
d. want to know everything. yt yt yt
ANS: C yt
Regression to an earlier stage of development is a common response to stress. Separation
yt yt yt yt yt yt yt yt yt yt yt yt yt
anxiety is most common in infants and toddlers. Rebellion against hospital rules is usually
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
not an issue if the adolescent understands the rules and would not create childlike behaviors.
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
An adolescent may want to “know everything” with their logical thinking and deductive
yt yt yt yt yt yt yt yt yt yt yt yt yt
reasoning, but that would not explain why they would act like a child.
yt yt yt yt yt yt yt yt yt yt yt yt yt
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
yt yt yt yt yt yt yt
yt y t
FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
yt yt yt yt yt yt yt yt
,Concept 01: Development
yt yt
Giddens: Concepts for Nursing Practice, 3rd Edition
yt yt yt yt yt yt
MULTIPLE CHOICE yt
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
used to review for needs related to
yt yt yt yt yt yt yt
a. anticipatory guidance. yt
b. low-risk adolescents. yt
c. physical development. yt
d. sexual development. yt
ANS: A yt
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
yt yt yt yt yt yt yt yt yt yt yt
reviews home, education, activities, drugs, sex, and suicide for the purpose of identifying
yt yt yt yt yt yt yt yt yt yt yt yt yt
high-risk adolescents and the need for anticipatory guidance. It is used to identify high-risk,
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
not low-risk, adolescents. Physical development is reviewed with anthropometric data.
yt yt yt yt yt yt yt yt yt yt
Sexual development is reviewed using physical examination.
yt yt yt yt yt yt
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
yt yt yt yt yt yt yt
2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
expected stage of development for a preschooler is
yt yt yt yt yt yt yt yt
a. concrete operational. yt
b. formal operational. yt
c. preoperational.
d. sensorimotor.
ANS: C yt
The expected stage of development for a preschooler (3–4 years old) is pre-operational.
yt yt yt yt yt yt yt yt yt yt yt yt
Concrete operational describes the thinking of a school-age child (7–11 years old). Formal
yt yt yt yt yt yt yt yt yt yt yt yt yt
operational describes the thinking of an individual after about 11 years of age. Sensorimotor
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
describes the earliest pattern of thinking from birth to 2 years old.
yt yt yt yt yt yt yt yt yt yt yt yt
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
yt yt yt yt yt yt yt
3. The school nurse talking with a high school class about the difference between growth and
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
development would best describe growth as
yt yt yt yt yt yt
a. processes by which early cells specialize. yt yt yt yt yt
b. psychosocial and cognitive changes. yt yt yt
c. qualitative changes associated with aging. yt yt yt yt
d. quantitative changes in size or weight. yt yt yt yt yt
ANS: D
yt yt
, Growth is a quantitative change in which an increase in cell number and size results in an
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
increase in overall size or weight of the body or any of its parts. The processes by which
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
early cells specialize are referred to as differentiation. Psychosocial and cognitive changes
yt yt yt yt yt yt yt yt yt yt yt yt
are referred to as development. Qualitative changes associated with aging are referred to as
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
maturation.
yt
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
yt yt yt yt yt yt yt
4. The most appropriate response of the nurse when a mother asks what the Denver II does is
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
that it
yt yt
a. can diagnose developmental disabilities.
yt yt yt
b. identifies a need for physical therapy. yt yt yt yt yt
c. is a developmental screening tool.
yt yt yt yt
d. provides a framework for health teaching. yt yt yt yt yt
ANS: C yt
The Denver II is the most commonly used measure of developmental status used by
yt yt yt yt yt yt yt yt yt yt yt yt yt
healthcare professionals; it is a screening tool. Screening tools do not provide adiagnosis.
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
Diagnosis requires a thorough neurodevelopment history and physical examination.
yt yt yt yt yt yt yt yt yt
Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. Theyt yt yt yt yt yt yt yt yt yt yt yt yt
need for any therapy would be identified with a comprehensive evaluation, not a screening
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
tool. Some providers use the Denver II as a framework for teaching about expected
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
development, but this is not the primary purpose of the tool.
yt yt yt yt yt yt yt yt yt yt yt
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
yt yt yt yt yt yt yt
5. To plan early intervention a n Nd U
yt ytcaRreSfIoN
r aGnTinBf.
anCt OwMith Down syndrome, the nurse considers
yt yt ty yt yt yt yt yt yt
knowledge of other physical development exemplars such as
yt yt yt yt yt yt yt yt
a. cerebral palsy. yt
b. failure to thrive. yt yt
c. fetal alcohol syndrome. yt yt
d. hydrocephaly.
ANS: D yt
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
yt yt yt yt yt yt yt yt yt yt yt yt
adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
yt yt yt yt yt yt yt yt yt yt yt
developmental delay. Fetal alcohol syndrome is an exemplar of cognitive developmental
yt yt yt yt yt yt yt yt yt yt yt
delay.
yt
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
yt yt yt yt yt yt yt
6. To plan early intervention and care for a child with a developmental delay, the nurse would
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
consider knowledge of the concepts most significantly impacted by development, including
yt yt yt yt yt yt yt yt yt yt yt
a. culture.
b. environment.
c. functional status. yt
d. nutrition.
ANS: C yt
, Function is one of the concepts most significantly impacted by development. Others include
yt yt yt yt yt yt yt yt yt yt yt yt
sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
yt yt yt yt yt yt yt yt yt
concepts can help the nurse anticipate areas that need to be addressed. Culture is a concept
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
that is considered to significantly affect development; the difference is the concepts that
yt yt yt yt yt yt yt yt yt yt yt yt yt
affect development are those that represent major influencing factors (causes); hence
yt yt yt yt yt yt yt yt yt yt yt
determination of development would be the focus of preventive interventions. Environment
yt yt yt yt yt yt yt yt yt yt yt
is considered to significantly affect development. Nutrition is considered to significantly
yt yt yt yt yt yt yt yt yt yt yt
affect development.
yt yt
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
yt yt yt yt yt yt yt
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
to her toys and makes up stories. The mother wants her child to have a psychological
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
evaluation. The nurse’s best initial response is to
yt yt yt yt yt yt yt yt
a. refer the child to a psychologist immediately.
yt yt yt yt yt yt
b. explain that playing make believe is normal at this age. yt yt yt yt yt yt yt yt yt
c. complete a developmental screening using a validated tool. yt yt yt yt yt yt yt
d. separate the child from the mother to get more information. yt yt yt yt yt yt yt yt yt
ANS: B yt
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
normal at this age. A referral to a psychologist would be premature based only on the
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
complaint of the mother. Completing a developmental screening would be very appropriate
yt yt yt yt yt yt yt yt yt yt yt yt
but not the initial response. The nurse would certainly want to get more information, but
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
separating the child from the mother is not necessary at this time.
yt yt yt yt yt yt yt yt yt yt yt yt
OBJ: NCLEX Client NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotion and Maintenance
y t y t y t y t
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
so needy and acting like a child. The best response of the nurse is that in the hospital,
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
adolescents
yt
a. have separation anxiety. yt yt
b. rebel against rules. yt yt
c. regress because of stress. yt yt yt
d. want to know everything. yt yt yt
ANS: C yt
Regression to an earlier stage of development is a common response to stress. Separation
yt yt yt yt yt yt yt yt yt yt yt yt yt
anxiety is most common in infants and toddlers. Rebellion against hospital rules is usually
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
not an issue if the adolescent understands the rules and would not create childlike behaviors.
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
An adolescent may want to “know everything” with their logical thinking and deductive
yt yt yt yt yt yt yt yt yt yt yt yt yt
reasoning, but that would not explain why they would act like a child.
yt yt yt yt yt yt yt yt yt yt yt yt yt
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
yt yt yt yt yt yt yt
