Test Bank for Concepts for Nursing Practice 3rd Edition Jean FORET Giddens(HIGHLY GRADED)(PANEL REVIEWED)

TESTvBANKvFORvCONCEPTSvFORvNURSINGvPRACTICEv3RDvEDITIONvBYvGIDDENS

Concept 01: Development
v v

Giddens: Concepts for Nursing Practice, 3rd Edition
v v v v v v




MULTIPLEvCHOICE

1. Thevnursevmanagervofvavpediatricvclinicvcouldvconfirmvthatvthevnewvnursevrecognizedvthevp
urposevofvthevHEADSSvAdolescentvRiskvProfilevwhenvthevnewvnursevrespondsvthatvitvisvus
edvtovreviewvforvneedsvrelatedvto
a. anticipatoryvguidance.
b. low-riskvadolescents.
c. physicalvdevelopment.
d. sexualvdevelopment.
ANS:v A
ThevHEADSSvAdolescentvRiskvProfilevisvavpsychosocialvassessmentvscreeningvtoolvwhichvre
viewsvhome,veducation,vactivities,vdrugs,vsex,vandvsuicidevforvthevpurposevofvidentifyingvhigh
-riskvadolescentsvandvthevneedvforvanticipatoryvguidance.vItvisvusedvtovidentifyvhigh-
risk,vnotvlow-risk,vadolescents.vPhysicalvdevelopmentvisvreviewedvwithvanthropometricvdata.
Sexualvdevelopmentvisvreviewedvusingvphysicalvexamination.

OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance

2. Thevnursevpreparingvavteachingvplanvforvavpreschoolervknowsvthat,vaccordingvtovPiaget,vtheve
xpectedvstagevofvdevelopmentvforvavpreschoolervis
a. concretevoperational.
b. formalvoperational.
c. preoperational.
d. sensorimotor.
ANS:v C
Thevexpectedvstagevofvdevelopmentvforvavpreschoolerv(3–4vyearsvold)visvpre-
operational.vConcretevoperationalvdescribesvthevthinkingvofvavschool-agevchildv(7–
11vyearsvold).vFormalvoperationalvdescribesvthevthinkingvofvanvindividualvaftervaboutv11vyearsv
ofvage.vSensorimotorvdescribesvthevearliestvpatternvofvthinkingvfromvbirthvtov2vyearsvold.

OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance

3. Thevschoolvnursevtalkingvwithvavhighvschoolvclassvaboutvthevdifferencevbetweenvgrowthvandvd
evelopmentvwouldvbestvdescribevgrowthvas
a. processesvbyvwhichvearlyvcellsvspecialize.
b. psychosocialvandvcognitivevchanges.
c. qualitativevchangesvassociatedvwithvaging.
d. quantitativevchangesvinvsizevorvweight.v
ANS:v D

,TESTvBANKvFORvCONCEPTSvFORvNURSINGvPRACTICEv3RDvEDITIONvBYvGIDDENS

Growthvisvavquantitativevchangevinvwhichvanvincreasevinvcellvnumbervandvsizevresultsvinvanvin
creasevinvoverallvsizevorvweightvofvthevbodyvorvanyvofvitsvparts.vThevprocessesvbyvwhichvearlyv
cellsvspecializevarevreferredvtovasvdifferentiation.vPsychosocialvandvcognitivevchangesvarevref
erredvtovasvdevelopment.vQualitativevchangesvassociatedvwithvagingvarevreferredvtovasvmatura
tion.

OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance

4. ThevmostvappropriatevresponsevofvthevnursevwhenvavmothervasksvwhatvthevDenvervIIvdoesvisvt
hatvit
a. canvdiagnosevdevelopmentalvdisabilities.
b. identifiesvavneedvforvphysicalvtherapy.
c. isvavdevelopmentalvscreeningvtool.
d. providesvavframeworkvforvhealthvteaching.
ANS:v C
ThevDenvervIIvisvthevmostvcommonlyvusedvmeasurevofvdevelopmentalvstatusvusedvbyvhealth
carevprofessionals;vitvisvavscreeningvtool.vScreeningvtoolsvdovnotvprovidevavdiagnosis.vDiagno
sisvrequiresvavthoroughvneurodevelopmentvhistoryvandvphysicalvexamination.
Developmentalvdelay,vwhichvisvsuggestedvbyvscreening,visvavsymptom,vnotvavdiagnosis.vThevn
eedvforvanyvtherapyvwouldvbevidentifiedvwithvavcomprehensivevevaluation,vnotvavscreeningvto
ol.vSomevprovidersvusevthevDenvervIIvasvavframeworkvforvteachingvaboutvexpectedvdevelopm
ent,vbutvthisvisvnotvthevprimaryvpurposevofvthevtool.

OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance

5. TovplanvearlyvinterventionvanN
dvU
caRreSfIoN
rvaGnTiB
nf.
anCt OwMithvDownvsyndrome,vthevnursevconsidersv
knowledgevofvothervphysicalvdevelopmentvexemplarsvsuchvas
a. cerebralvpalsy.
b. failurevtovthrive.
c. fetalvalcoholvsyndrome.
d. hydrocephaly.
ANS:v D
Hydrocephalyvisvalsovavphysicalvdevelopmentvexemplar.vCerebralvpalsyvisvanvexemplarvofva
daptivevdevelopmentalvdelay.vFailurevtovthrivevisvanvexemplarvofvsocial/emotionalvdevelop
mentalvdelay.vFetalvalcoholvsyndromevisvanvexemplarvofvcognitivevdevelopmentalvdelay.

OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance

6. Tovplanvearlyvinterventionvandvcarevforvavchildvwithvavdevelopmentalvdelay,vthevnursevwouldvc
onsidervknowledgevofvthevconceptsvmostvsignificantlyvimpactedvbyvdevelopment,vincluding
a. culture.
b. environment.
c. functionalvstatus.
d. nutrition.v
ANS:v C

,TESTvBANKvFORvCONCEPTSvFORvNURSINGvPRACTICEv3RDvEDITIONvBYvGIDDENS

Functionvisvonevofvthevconceptsvmostvsignificantlyvimpactedvbyvdevelopment.vOthersvincludevs
ensory-
perceptual,vcognition,vmobility,vreproduction,vandvsexuality.vKnowledgevofvthesevconceptsvca
nvhelpvthevnursevanticipatevareasvthatvneedvtovbevaddressed.vCulturevisvavconceptvthatvisvconsid
eredvtovsignificantlyvaffectvdevelopment;vthevdifferencevisvthevconceptsvthatvaffectvdevelopme
ntvarevthosevthatvrepresentvmajorvinfluencingvfactorsv(causes);vhencevdeterminationvofvdevelo
pmentvwouldvbevthevfocusvofvpreventivevinterventions.vEnvironmentvisvconsideredvtovsignifica
ntlyvaffectvdevelopment.vNutritionvisvconsideredvtovsignificantlyvaffectvdevelopment.

OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance

7. Avmothervcomplainsvtovthevnursevatvthevpediatricvclinicvthatvherv4-year-
oldvchildvalwaysvtalksvtovhervtoysvandvmakesvupvstories.vThevmothervwantsvhervchildvtovhavevav
psychologicalvevaluation.vThevnurse’svbestvinitialvresponsevisvto
a. refervthevchildvtovavpsychologistvimmediately.
b. explainvthatvplayingvmakevbelievevisvnormalvatvthisvage.
c. completevavdevelopmentalvscreeningvusingvavvalidatedvtool.
d. separatevthevchildvfromvthevmothervtovgetvmorevinformation.
ANS:v B
Byvthevendvofvthevfourthvyear,vitvisvexpectedvthatvavchildvwillvengagevinvfantasy,vsovthisvisvnor
malvatvthisvage.vAvreferralvtovavpsychologistvwouldvbevprematurevbasedvonlyvonvthevcomplaint
vofvthevmother.vCompletingvavdevelopmentalvscreeningvwouldvbevveryvappropriatevbutvnotvthev

initialvresponse.vThevnursevwouldvcertainlyvwantvtovgetvmorevinformation,vbutvseparatingvthev
childvfromvthevmothervisvnotvnecessaryvatvthisvtime.

OBJ: NCLEXvClientvNeedsNCUaRteSgI
orN
y:GH
TeBal.thCPOrM
omotionvandvMaintenance

8. Av17-year-
oldvgirlvisvhospitalizedvforvappendicitis,vandvhervmothervasksvthevnursevwhyvshevisvsovneedyvan
dvactingvlikevavchild.vThevbestvresponsevofvthevnursevisvthatvinvthevhospital,vadolescents
a. havevseparationvanxiety.
b. rebelvagainstvrules.
c. regressvbecausevofvstress.
d. wantvtovknowveverything.
ANS:v C
Regressionvtovanvearliervstagevofvdevelopmentvisvavcommonvresponsevtovstress.vSeparationvanx
ietyvisvmostvcommonvinvinfantsvandvtoddlers.vRebellionvagainstvhospitalvrulesvisvusuallyvnotvan
vissuevifvthevadolescentvunderstandsvthevrulesvandvwouldvnotvcreatevchildlikevbehaviors.vAnvado

lescentvmayvwantvtov“knowveverything”vwithvtheirvlogicalvthinkingvandvdeductivevreasoning,vb
utvthatvwouldvnotvexplainvwhyvtheyvwouldvactvlikevavchild.

OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance

, TESTvBANKvFORvCONCEPTSvFORvNURSINGvPRACTICEv3RDvEDITIONvBYvGIDDENS

Concept 02: Functional Ability
v v v

Giddens: Concepts for Nursing Practice, 3rd Edition
v v v v v v




MULTIPLEvCHOICE

1. Thevnursevisvreviewingvavpatient’svfunctionalvability.vWhichvpatientvbestvdemonstratesvthevd
efinitionvofvfunctionalvability?
a. Considersvselfvasvavhealthyvindividual;vusesvcanevforvstability
b. Collegeveducated;vtravelsvfrequently;vcanvbalancevavcheckbook
c. Worksvoutvdaily,vreadsvwell,vcooks,vandvcleansvhousevonvthevweekends
d. Healthyvindividual,vvolunteersvatvchurch,vworksvpartvtime,vtakesvcarevofvfamilyvandvh
ouse
ANS:v D
Functionalvabilityvrefersvtovthevindividual’svabilityvtovperformvthevnormalvdailyvactivitiesvreq
uiredvtovmeetvbasicvneeds;vfulfillvusualvrolesvinvthevfamily,vworkplace,vandvcommunity;vandv
maintainvhealthvandvwell-
being.vThevothervoptionsvarevgood;vhowever,vhealthyvindividual,vchurchvvolunteer,vpartvtimev
worker,vandvthevpatientvwhovtakesvcarevofvthevfamilyvandvhousevfullyvmeetsvthevcriteriavforvfun
ctionalvability.

OBJ: NCLEXvClientvNeedsvCategory:vPhysiologicalvIntegrity:vBasicvCarevandvComfort

2. Thevnursevisvreviewingvavpatient’svfunctionalvperformance.vWhatvassessmentvparametersvwillvb
evmostvimportantvinvthisvassessment?
a. Continencevassessment,vgaitvassessment,vfeedingvassessment,vdressingvassessment,
transfervassessment
b. Height,vweight,vbodyvmassvindexv(BMI),vvitalvsignsvassessment
c. Sleepvassessment,venergyvassessment,vmemoryvassessment,vconcentrationv
assessment
d. Healthvandvwell-
being,vamountvofvcommunityvvolunteervtime,vworkingvoutsidevthevhome,vandvability
vtovcarev forvfamilyvandvhouse



ANS:v A
Functionalvimpairment,vdisability,vorvhandicapvrefersvtovvaryingvdegreesvofvanvindividual’svin
abilityvtovperformvthevtasksvrequiredvtovcompletevnormalvlifevactivitiesvwithoutvassistance.vHei
ght,vweight,vBMI,vandvvitalvsignsvarevpartvofvavphysicalvassessment.vSleep,venergy,vmemory,va
ndvconcentrationvarevpartvofvavdepressionvscreening.vHealthy,vvolunteering,vworking,vandvcari
ngvforvfamilyvandvhousevarevfunctionalvabilities,vnotvperformance.

OBJ: NCLEXvClientvNeedsvCategory:vPhysiologicalvIntegrity:vReductionvofvRiskvPotential

3. Thevnursevisvreviewingvavpatientvwithvavmobilityvdysfunctionvandvwantsvtovgainvinsightvintovt
hevpatient’svfunctionalvability.vWhatvquestionvwouldvbevthevmostvappropriate?
a. “Arevyouvablevtovshopvforvyourself?”
b. “Dovyouvusevavcane,vwalker,vorvwheelchairvtovambulate?”
c. “Dovyouvknowvwhatvtoday’svdatevis?”
d. “Werevyouvsadvorvdepressedvmorevthanvoncevinvthevlastv3vdays?”v
ANS:v B