m m m m m
ractice, 3rd Edition by Giddens:
m m m m
, lOMoARcPSD| 180 m 4
TESTmBANKmFORmCONCEPTSmFORmNURSINGmPRACTICE
m
m3RDmEDITIONmBYmGIDDENS
17 96
Concept 01: Development
m m
Giddens: Concepts for Nursing Practice, 3rd Edition
m m m m m m
MULTIPLEmCHOICE
1. Themnursemmanagermofmampediatricmclinicmcouldmconfirmmthatmthemnewmnursemrecognizedmt
hempurposemofmthemHEADSSmAdolescentmRiskmProfilemwhenmthemnewmnursemrespondsmtha
tmitmismusedmtomassessmformneedsmrelatedmto
a. anticipatorymguidance.
b. low-riskmadolescents.
c. physicalmdevelopment.
d. sexualmdevelopment.
ANS:mA
ThemHEADSSmAdolescentmRiskmProfilemismampsychosocialmassessmentmscreeningmtoolmwhich
massessesmhome,meducation,mactivities,mdrugs,msex,mandmsuicidemformthempurposemofmidentifyin
gmhigh-riskmadolescentsmandmthemneedmformanticipatorymguidance.mItmismusedmtomidentifymhigh-
risk,mnotmlow-
risk,madolescents.mPhysicalmdevelopmentm ismassessedmwithmanthropometricmdata.
Sexualmdevelopmentmismassessedmusingmphysicalmexamination.
OBJ: NCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
2. Themnursempreparingmamteachingmplanmformampreschoolermknowsmthat,maccordingmtomPiaget,mt
hemexpectedmstagemofmdevelopmentm formampreschoolerm is
a. concretemoperational.
b. formalmoperational. N
c. preoperational.
d. sensorimotor.
ANS:m C
Themexpectedmstagemofmdevelopmentmformampreschoolerm(3–4myearsmold)mismpre-
operational.mConcretemoperationalmdescribesmthemthinkingmofmamschool-agemchildm(7–
11myearsmold).mFormalmoperationalmdescribesmthemthinkingmofmanmindividualmaftermaboutm11myear
smofmage.mSensorimotormdescribesmthemearliestm patternmofmthinkingm frommbirthmtom 2myearsmold.
OBJ: NCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
3. Themschoolmnursemtalkingmwithmamhighmschoolmclassmaboutmthemdifferencembetweenmgrowthma
ndmdevelopmentm wouldmbestm describemgrowthmas
a. processesmbymwhichmearlymcellsmspecialize.
b. psychosocialmandmcognitivemchanges.
c. qualitativemchangesmassociatedmwithmaging.
d. quantitativemchangesminmsizemormweigh
t.mANS:mD
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TESTmBANKmFORmCONCEPTSmFORmNURSINGmPRACTICE
m
m3RDmEDITIONmBYmGIDDENS
17 96
Growthmismamquantitativemchangeminmwhichmanmincreaseminmcellmnumbermandmsizemresultsminma
nmincreaseminmoverallmsizemormweightmofmthembodymormanymofmitsmparts.mThemprocessesmbymwhic
hmearlymcellsmspecializemaremreferredmtomasmdifferentiation.mPsychosocialmandmcognitivemchang
esmaremreferredmtomasmdevelopment.mQualitativemchangesmassociatedmwithmagingmaremreferredmto
masmmaturation.
OBJ: NCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
4. ThemmostmappropriatemresponsemofmthemnursemwhenmammothermasksmwhatmthemDenvermIImdoe
smismthatmit
a. canmdiagnosemdevelopmentalmdisabilities.
b. identifiesmamneedmformphysicalmtherapy.
c. ismamdevelopmentalmscreeningmtool.
d. providesmamframeworkmformhealthmteaching.
ANS:m C
ThemDenvermIImismthemmostmcommonlymusedmmeasuremofmdevelopmentalmstatusmusedmbymheal
thcaremprofessionals;mitmismamscreeningmtool.mScreeningmtoolsmdomnotmprovidemamdiagnosis.mDia
gnosismrequiresmamthoroughmneurodevelopmentmhistorymandmphysicalmexamination.
Developmentalmdelay,mwhichmismsuggestedmbymscreening,mismamsymptom,mnotmamdiagnosis.mThemn
eedmformanymtherapymwouldmbemidentifiedmwithmamcomprehensivemevaluation,mnotmamscreeningmto
ol.mSomemprovidersmusemthemDenvermIImasmamframeworkmformteachingmaboutmexpectedmdevelop
ment,mbutmthismismnotmthemprimarympurposemofmthemtool.
OBJ: NCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
5. TomplanmearlyminterventionmanNdmcaremformanminfantmwithmDownmsyndrome,mthemnursemconsid
ersmknowledgemofmothermphysicalmdevelopmentm exemplarsmsuchmas
a. cerebralmpalsy.
b. autism.
c. attention-deficit/hyperactivitymdisorderm(ADHD).
d. failuremtomthrive.
ANS:m D
Failuremtomthrivemismalsomamphysicalmdevelopmentmexemplar.mCerebralmpalsymismanmexemplarm
ofmmotor/developmentalmdelay.mAutismmismanmexemplarmofmsocial/emotionalmdevelopmentalm
delay.mADHDmismanmexemplarmofmamcognitivemdisorder.
OBJ: NCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
6. Tomplanmearlyminterventionmandmcaremformamchildmwithmamdevelopmentalmdelay,mthemnursemwo
uldmconsidermknowledgemofmthemconceptsmmostmsignificantlymimpactedmbymdevelopment,mincl
uding
a. culture.
b. environment.
c. functionalmstatus.
d. nutrition.
ANS:m C
m
TESTBANKWORLD.ORG
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TESTmBANKmFORmCONCEPTSmFORmNURSINGmPRACTICE
m
m3RDmEDITIONmBYmGIDDENS
17 96
Functionmismonemofmthemconceptsmmostmsignificantlymimpactedmbymdevelopment.mOthersminclu
demsensory-
perceptual,mcognition,mmobility,mreproduction,mandmsexuality.mKnowledgemofmthesemconcepts
mcanmhelpmthemnursemanticipatemareasmthatmneedmtombemaddressed.mCulturemismamconceptmthatmis
mconsideredmtomsignificantlymaffectmdevelopment;mthemdifferencemismthemconceptsmthatmaffectm
developmentmaremthosemthatmrepresentmmajorminfluencingmfactorsm(causes);mhencemdeterminat
ionmofmdevelopmentmwouldmbemthemfocusmofmpreventiveminterventions.mEnvironmentmismconsid
eredmtomsignificantlymaffectmdevelopment.mNutritionmismconsideredmtomsignificantlymaffectm de
velopment.
OBJ: NCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
7. Ammothermcomplainsmtomthemnursematmthempediatricmclinicmthatmherm4-year-
oldmchildmalwaysmtalksmtomhermtoysmandmmakesmupmstories.mThemmothermwantsmhermchildmtomha
vemampsychologicalmevaluation.mThemnurse’smbestminitialmresponsemismto
a. refermthemchildmtomampsychologistmimmediately.
b. explainmthatmplayingmmakembelievemismnormalmatmthismage.
c. completemamdevelopmentalmscreeningmusingmamvalidatedmtool.
d. separatemthemchildmfrommthemmothermtomgetmmoreminformation.
ANS:m B
Bymthemendmofmthemfourthmyear,mitmismexpectedmthatmamchildmwillmengageminmfantasy,msomthismis
mnormalmatmthismage.mAmreferralmtomampsychologistmwouldmbemprematurembasedmonlymonmthemc
omplaintmofmthemmother.mCompletingmamdevelopmentalmscreeningmwouldmbemverymappropriat
embutmnotmtheminitialmresponse.mThemnursemwouldmcertainlymwantmtomgetmmoreminformation,mbu
tmseparatingmthemchildm frommthemmothermismnotm necessarymatmthismtime.
OBJ: NCLEXmClientmNeedsNCategory:mHealthmPromotionmandmMaintenance
8. Am17-year-
oldmgirlmismhospitalizedmformappendicitis,mandmhermmothermasksmthemnursemwhymshemismsomneed
ymandmactingmlikemamchild.mThembestmresponsemofmthemnursemismthatminmthemhospital,madolescen
ts
a. havemseparationmanxiety.
b. rebelmagainstmrules.
c. regressmbecausemofmstress.
d. wantmtomknowmeverything.
ANS:m C
Regressionmtomanmearliermstagemofmdevelopmentmismamcommonmresponsemtomstress.mSeparationm
anxietymismmostmcommonminminfantsmandmtoddlers.mRebellionmagainstmhospitalmrulesmismusuall
ymnotmanmissuemifmthemadolescentmunderstandsmthemrulesmandmwouldmnotmcreatemchildlikembehav
iors.mAnmadolescentmmaymwantmtom<knowmeverything=mwithmtheirmlogicalmthinkingmandmdeduc
tivemreasoning,mbutmthatmwouldm notmexplainmwhymtheymwouldmactm likemamchild.
OBJ: NCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
TESTBANKWORLD.ORG
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