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Test Bank Concepts for Nursing Practice (4TH Ed) by Jean Giddens

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Test Bank Concepts for Nursing Practice (4TH Ed) by Jean GiddensTest Bank Concepts for Nursing Practice (4TH Ed) by Jean GiddensTest Bank Concepts for Nursing Practice (4TH Ed) by Jean GiddensTest Bank Concepts for Nursing Practice (4TH Ed) by Jean Giddens

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,Concept01:Development
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Giddens: ConceptsforNursing Practice, 3rdEdition
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MULTIPLE CHOICE kyky




1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
kyky kyky kyky kyky kyky kyky ky ky kyky kyky kyky kyky kyky kyky kyky




purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is
ky ky kyky kyky kyky kyky kyky kyk y k yk y kyky kyky kyk y kyky kyky kyky kyky




used to assess for needs related to
ky ky kyky kyky kyky ky ky kyky k yk y




a. anticipatory guidance. kyky




b. low-risk adolescents. kyky




c. physical development. kyky




d. sexual development. kyky




ANS: A k y k y




The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
kyky kyky kyky k yk y ky ky ky ky ky ky ky ky ky ky ky ky k yk y




assesses 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,
ky ky kyky kyky kyky kyky kyky kyky ky ky kyk y kyky kyky kyky kyky kyky




not low-risk, adolescents. Physical development is assessed with anthropometric data.
ky ky kyky kyky kyky k yk y ky ky ky ky k yky k yk y k yk y




Sexual development is assessed using physical examination.
kyky kyky kyky kyky kyky ky ky




OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance kyky kyky kyky kyky kyky kyky kyky




2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the
kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky k yky kyky kyky




expected stage of development for a preschooler is
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a. concrete operational. kyky




b. formal operational. N kyky




c. preoperational.
d. sensorimotor.
ANS: C k y k y




The expected stage of development for a preschooler (3–4 years old) is pre-operational.
kyky kyky kyky kyky k yk y ky ky k yk y ky ky ky ky ky ky ky ky ky ky




Concrete operational describes the thinking of a school-age child (7–11 years old). Formal
ky ky kyky kyky ky ky k yk y k yky ky ky ky ky k yk y k yk y k yk y k yk y k yk y




operational describes the thinking of an individual after about 11 years of age. Sensorimotor
ky ky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky




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 kyky kyky kyky kyky kyky kyky kyky




3. The school nurse talking with a high school class about the difference between growth and
kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky




development would best describe growth as
ky ky kyky ky ky kyky ky ky k yk y




a. processes by which early cells specialize. kyky kyky kyky kyky kyky




b. psychosocial and cognitive changes. kyky kyky kyky




c. qualitative changes associated with aging. kyky kyky kyky kyky




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




ky ky ANS: k y k y D




WWW.NURSYLAB.COM

, Growth is a quantitative change in which an increase in cell number and size results in an
kyky kyky kyky kyky ky ky ky ky ky ky k yky ky ky k yk y k yk y ky ky ky ky k yk y k yk y k yk y




increase in overall size or weight of the body or any of its parts. The processes by which early
ky ky kyky kyky kyky kyky kyky k yk y ky ky k yk y k y ky ky ky ky ky k yk y k yk y ky ky k yk y k yky ky ky k yk y




cells specialize are referred to as differentiation. Psychosocial and cognitive changes are
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referred to as development. Qualitative changes associated with aging are referred to as
kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky




maturation.
ky ky




OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance kyky kyky kyky kyky kyky kyky kyky




4. The most appropriate response of the nurse when a mother asks what the Denver II does is that
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it
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a. can diagnose developmental disabilities. kyky kyky k yk y




b. identifies a need for physical therapy. kyky kyky kyky kyky k yk y




c. is a developmental screening tool.
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d. provides a framework for health teaching. kyky kyky kyky kyky kyk y




ANS: C k y k y




The Denver II is the most commonly used measure of developmental status used by healthcare
kyky kyky kyky kyky ky ky ky ky ky ky ky ky ky ky ky ky k yk y k yk y k yk y ky ky




professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis
kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky k yk y




requires a thorough neurodevelopment history and physical examination.
ky ky kyky kyky kyky ky ky k yk y k yk y k yk y




Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. The need kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky k yk y




for any therapy would be identified with a comprehensive evaluation, not a screening tool.
kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky ky ky kyky kyky ky ky




Some providers use the Denver II as a framework for teaching about expected development,
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but this is not the primary purpose of the tool.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance kyky kyky kyky kyky kyky kyky kyky




5. Toplanearlyinterventiona n Nd careforaninfantwithDownsyndrome,thenurseconsiders
ky ky ky ky ky ky ky ky ky ky ky ky ky ky




knowledge of other physical development exemplars such as
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a. cerebral palsy. kyky




b. autism.
c. attention-deficit/hyperactivity disorder (ADHD). kyky kyky




d. failureto thrive. kyky kyky




ANS: D k y k y




Failure to thrive is also a physical development exemplar. Cerebral palsy is an exemplar of
kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyk y kyky kyky




motor/developmental delay. Autism is an exemplar of social/emotional developmental
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delay. ADHD is an exemplar of a cognitive disorder.
ky ky kyky ky ky kyky kyky ky ky k yk y ky ky k yk y




OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance kyky kyky kyky kyky kyky kyky kyky




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. kyky




d. nutrition.
kyky ANS: k y k y C

, Function is one of the concepts most significantly impacted by development. Others include kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky




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
ky ky kyky kyky ky ky kyky k yk y k yky ky ky k yk y ky ky k yk y




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
ky ky kyky kyky kyky kyky ky ky ky ky ky ky k yk y k yk y k yk y




affect development.
ky ky kyky




OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance kyky kyky kyky kyky kyky kyky kyky




7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks to
kyky kyky kyky kyky kyky kyky kyky kyky ky ky kyky kyky kyky k yk y kyky kyky k y ky




her toys and makes up stories. The mother wants her child to have a psychological evaluation.
ky ky kyky kyky kyky kyky kyky k yk y ky ky ky ky k yky ky ky ky ky ky ky k yk y k yk y ky ky




The nurse’s best initial response is to
ky ky kyky kyky kyky kyky ky ky k yk y




a. refer the child to a psychologist immediately. kyky kyky kyky kyky kyky k yky




b. explain that playing make believe is normal at this age. kyky kyky kyky kyky kyky k yky kyky kyky ky ky




c. complete a developmental screening using a validated tool. kyky kyky kyky ky ky ky ky kyky kyky




d. separate the child from the mother to get more information. kyky kyky kyky kyky kyky k yky kyky kyky kyky




ANS: B k y k y




By the end of the fourth year, it is expected that a child will engage in fantasy, so this is normal
ky ky kyky kyky kyky kyky kyky kyky ky ky k yk y ky ky ky ky ky ky ky ky k yk y ky ky k yk y ky ky k yky k yky kyk y




at this age. A referral to a psychologist would be premature based only on the complaint of the
ky ky kyky kyky kyky kyky kyky kyky kyky k yk y k yk y k yk y ky ky ky ky ky ky ky ky k yk y kyky kyky




mother. Completing a developmental screening would be very appropriate but not the initial
kyky kyky kyky kyky kyky kyky kyky kyky k yk y ky ky ky ky ky ky kyk y




response. The nurse would certainly want to get more information, but separating the child
ky ky kyky kyky kyky ky ky ky ky ky ky k yky k yk y ky ky k yk y k yk y k yk y ky ky




from the mother is not necessary at this time.
ky ky kyky kyky kyky kyky kyky ky ky k yk y k yk y




OBJ: NCLEXClient NeedsNCategory: Health Promotion and Maintenance ky kyky kyky kyky kyky kyky




8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so
kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky k yky kyky kyky kyky ky ky




needy and acting like a child. The best response of the nurse is that in the hospital,
ky ky kyky kyky kyky kyky kyky kyky ky ky kyky k yky ky ky ky ky ky ky ky ky k yk y k yk y ky ky




adolescents
ky ky




a. have separation anxiety. kyky kyky




b. rebel against rules. kyky kyky




c. regress because of stress. kyky kyky kyky




d. want to know everything. kyky kyky kyky




ANS: C k y k y




Regression to an earlier stage of development is a common response to stress. Separation kyky kyky kyky kyky kyky k yk y k yk y k yk y k yk y k yk y ky ky ky ky k yk y




anxiety is most common in infants and toddlers. Rebellion against hospital rules is usually not
ky ky kyky kyky kyky kyky kyky k yk y k yk y k yk y ky ky k yk y k yk y k yk y k yky ky ky




an issue if the adolescent understands the rules and would not create childlike behaviors. An
kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky kyky k yky




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.
ky ky kyky kyky kyky kyky kyky k yk y ky ky k yk y k yk y k yk y ky ky ky ky




OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance kyky kyky kyky kyky kyky kyky kyky




WWW.NURSYLAB.COM

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Publisher: 2024 ISBN: 9780323809825 Edition: Unknown

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