Test Bank For Concepts for Nursing Practice 3rd Edition By Jean Foret Giddens | | 9780323581936 | Chapter 1-57 | Complete Questions And Answers A+

TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS

, TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS

Concept 01: Development
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Giddens: Concepts for Nursing Practice, 3rd Edition
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MULTIPLE CHOICE u




1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
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purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is
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used to review for needs related to
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a. anticipatory guidance. u


b. low-risk adolescents. u


c. physical development. u


d. sexual development. u




ANS: A u


The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
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reviews home, education, activities, drugs, sex, and suicide for the purpose of identifying
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high-risk adolescents and the need for anticipatory guidance. It is used to identify high-risk,
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not low-risk, adolescents. Physical development is reviewed with anthropometric data.
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Sexual development is reviewed using physical examination.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the
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expected stage of development for a preschooler is
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a. concrete operational. u


b. formal operational. u


c. preoperational.
d. sensorimotor.
ANS: C u


The expected stage of development for a preschooler (3–4 years old) is pre-operational.
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Concrete operational describes the thinking of a school-age child (7–11 years old). Formal
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operational describes the thinking of an individual after about 11 years of age. Sensorimotor
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describes the earliest pattern of thinking from birth to 2 years old.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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3. The school nurse talking with a high school class about the difference between growth and
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development would best describe growth as
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a. processes by which early cells specialize. u u u u u


b. psychosocial and cognitive changes. u u u


c. qualitative changes associated with aging. u u u u


d. quantitative changes in size or weight. u u u u u




u ANS: D u

,TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS

Growth is a quantitative change in which an increase in cell number and size results in an
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increase in overall size or weight of the body or any of its parts. The processes by which
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early cells specialize are referred to as differentiation. Psychosocial and cognitive changes
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are referred to as development. Qualitative changes associated with aging are referred to as
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maturation.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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4. The most appropriate response of the nurse when a mother asks what the Denver II does is
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that it
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a. can diagnose developmental disabilities.
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b. identifies a need for physical therapy. u u u u u


c. is a developmental screening tool.
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d. provides a framework for health teaching. u u u u u




ANS: C u


The Denver II is the most commonly used measure of developmental status used by
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healthcare professionals; it is a screening tool. Screening tools do not provide a diagnosis.
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Diagnosis requires a thorough neurodevelopment history and physical examination.
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Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. The
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need for any therapy would be identified with a comprehensive evaluation, not a screening
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tool. Some providers use the Denver II as a framework for teaching about expected
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development, but this is not the primary purpose of the tool.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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5. To plan early intervention a n Nd U
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r aGnTinBf.
anCt OwMith Down syndrome, the nurse considers
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knowledge of other physical development exemplars such as
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a. cerebral palsy. u


b. failure to thrive. u u


c. fetal alcohol syndrome. u u


d. hydrocephaly.
ANS: D u


Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
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adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
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developmental delay. Fetal alcohol syndrome is an exemplar of cognitive developmental
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delay.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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6. To plan early intervention and care for a child with a developmental delay, the nurse would
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consider knowledge of the concepts most significantly impacted by development, including
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a. culture.
b. environment.
c. functional status. u


d. nutrition.
ANS: C
u u

, TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS

Function is one of the concepts most significantly impacted by development. Others include
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sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
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concepts can help the nurse anticipate areas that need to be addressed. Culture is a concept
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that is considered to significantly affect development; the difference is the concepts that
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affect development are those that represent major influencing factors (causes); hence
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determination of development would be the focus of preventive interventions. Environment
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is considered to significantly affect development. Nutrition is considered to significantly
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affect development.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks
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to her toys and makes up stories. The mother wants her child to have a psychological
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evaluation. The nurse‘s best initial response is to
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a. refer the child to a psychologist immediately.
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b. explain that playing make believe is normal at this age.
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c. complete a developmental screening using a validated tool. u u u u u u u


d. separate the child from the mother to get more information. u u u u u u u u u




ANS: B u


By the end of the fourth year, it is expected that a child will engage in fantasy, so this is
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normal at this age. A referral to a psychologist would be premature based only on the
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complaint of the mother. Completing a developmental screening would be very appropriate
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but not the initial response. The nurse would certainly want to get more information, but
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separating the child from the mother is not necessary at this time.
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OBJ: NCLEX Client NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotion and Maintenance
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8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is
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so needy and acting like a child. The best response of the nurse is that in the hospital,
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adolescents
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a. have separation anxiety. u u


b. rebel against rules. u u


c. regress because of stress. u u u


d. want to know everything. u u u




ANS: C u


Regression to an earlier stage of development is a common response to stress. Separation
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anxiety is most common in infants and toddlers. Rebellion against hospital rules is usually
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not an issue if the adolescent understands the rules and would not create childlike behaviors.
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An adolescent may want to ―know everything‖ with their logical thinking and deductive
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reasoning, but that would not explain why they would act like a child.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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