lOMoARcPSD|3013804
Concepts for nursing practice 3rd edition booster newly updated 2024/2025.
lOMoARcPSD|3013804
Concept 01: Development
Giddens: Concepts for Nursing Practice, 3rd Edition
MULTIPLE CHOICE
1. The nurse manager of a pediatric clinic could confirm that the new nurse
recognized the purpose of the HEADSS Adolescent Risk Profile when the new
nurse responds that it is used to assess for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
ANS: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool
which assesses home, education, activities, drugs, sex, and suicide for the
purpose of identifying high-risk adolescents and the need for anticipatory guidance.
It is used to identify high-risk, not low-risk, adolescents. Physical development is
assessed with anthropometric data.
Sexual development is assessed using physical examination.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
2. The nurse preparing a teaching plan for a preschooler knows that, according to
Piaget, the expected stage of development for a preschooler is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
ANS: C
The expected stage of development for a preschooler (3–4 years old) is pre-
operational. Concrete operational describes the thinking of a school-age child (7–
11 years old). Formal operational describes the thinking of an individual after about
11 years of age. Sensorimotor describes the earliest pattern of thinking from birth to
2 years old.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
3. The school nurse talking with a high school class about the difference between
growth and development would best describe growth as
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight.
ANS: D
1
, lOMoARcPSD|3013804
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 increase in overall size or weight of the body or any of its parts. The
processes by which early cells specialize are referred to as differentiation.
Psychosocial and cognitive changes are referred to as development. Qualitative
changes associated with aging are referred to as maturation.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
4. The most appropriate response of the nurse when a mother asks what the
Denver II does is that it
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy.
c. is a developmental screening tool.
d. provides a framework for health teaching.
ANS: C
The Denver II is the most commonly used measure of developmental status used
by healthcare professionals; it is a screening tool. Screening tools do not provide a
diagnosis. Diagnosis requires a thorough neurodevelopment history and physical
examination.
Developmental delay, which is suggested by screening, is a symptom, not a
diagnosis. The need for any therapy would be identified with a comprehensive
evaluation, not a screening tool. Some providers use the Denver II as a
framework for teaching about expected development, but this is not the primary
purpose of the tool.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
5. To plan early intervention and care for an infant with Down syndrome, the nurse
considers knowledge of other physical development exemplars such as
a. cerebral palsy.
b. autism.
c. attention-deficit/hyperactivity disorder (ADHD).
d. failure to thrive.
ANS: D
Failure to thrive is also a physical development exemplar. Cerebral palsy is an
exemplar of motor/developmental delay. Autism is an exemplar of social/emotional
developmental delay. ADHD is an exemplar of a cognitive disorder.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
6. To plan early intervention and care for a child with a developmental delay, the
nurse would consider knowledge of the concepts most significantly impacted by
development, including
a. culture.
b. environment.
c. functional status.
d. nutrition.
ANS: C
2
, lOMoARcPSD|3013804
Concepts for nursing practice 3rd edition booster newly updated 2024/2025.
Function is one of the concepts most significantly impacted by development. Others
include sensory-perceptual, cognition, mobility, reproduction, and sexuality.
Knowledge of these concepts can help the nurse anticipate areas that need to be
addressed. Culture is a concept that is considered to significantly affect
development; the difference is the concepts that affect development are those that
represent major influencing factors (causes); hence determination of development
would be the focus of preventive interventions. Environment is considered to
significantly affect development. Nutrition is considered to significantly affect
development.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child
always talks to her toys and makes up stories. The mother wants her child to have
a psychological evaluation. The nurse’s best initial response is to
a. refer the child to a psychologist immediately.
b. explain that playing make believe is normal at this age.
c. complete a developmental screening using a validated tool.
d. separate the child from the mother to get more information.
ANS: B
By the end of the fourth year, it is expected that a child will engage in fantasy, so this
is normal at this age. A referral to a psychologist would be premature based only on
the complaint of the mother. Completing a developmental screening would be very
appropriate but not the initial response. The nurse would certainly want to get more
information, but separating the child from the mother is not necessary at this time.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse
why she is so needy and acting like a child. The best response of the nurse is that
in the hospital, adolescents
a. have separation anxiety.
b. rebel against rules.
c. regress because of stress.
d. want to know everything.
ANS: C
Regression to an earlier stage of development is a common response to stress.
Separation anxiety is most common in infants and toddlers. Rebellion against
hospital rules is usually not an issue if the adolescent understands the rules and
would not create childlike behaviors. An adolescent may want to <know everything=
with their logical thinking and deductive reasoning, but that would not explain why
they would act like a child.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
3
, lOMoARcPSD|3013804
TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
Concept 02: Functional Ability
Giddens: Concepts for Nursing Practice, 3rd Edition
MULTIPLE CHOICE
1. The nurse is assessing a patient’s functional ability. Which patient best
demonstrates the definition of functional ability?
a. Considers self as a healthy individual; uses cane for stability
b. College educated; travels frequently; can balance a checkbook
c. Works out daily, reads well, cooks, and cleans house on the weekends
d. Healthy individual, volunteers at church, works part time, takes care of
family and house
ANS: D
Functional ability refers to the individual’s ability to perform the normal daily
activities required to meet basic needs; fulfill usual roles in the family, workplace,
and community; and maintain health and well-being. The other options are good;
however, healthy individual, church volunteer, part time worker, and the patient
who takes care of the family and house fully meets the criteria for functional ability.
OBJ: NCLEX Client Needs Category: Physiological Integrity: Basic Care and
Comfort
2. The nurse is assessing a patient’s functional performance. What assessment
parameters will
be most important in this assessment?
a. Continence assessment, gait assessment, feeding assessment, dressing
assessment,
transfer assessment
b. Height, weight, body mass index (BMI), vital signs assessment
c. Sleep assessment, energy assessment, memory assessment,
concentration assessment
d. Health and well-being, amount of community volunteer time, working
outside the home, and ability to care for family and house
ANS: A
Functional impairment, disability, or handicap refers to varying degrees of an
individual’s inability to perform the tasks required to complete normal life activities
without assistance. Height, weight, BMI, and vital signs are part of a physical
assessment. Sleep, energy, memory, and concentration are part of a depression
screening. Healthy, volunteering, working, and caring for family and house are
functional abilities, not performance.
OBJ: NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk
Potential
3. The nurse is assessing a patient with a mobility dysfunction and wants to gain insight
into
the patient’s functional ability. What question would be the most appropriate?
a. <Are you able to shop for yourself?=
b. <Do you use a cane, walker, or wheelchair to ambulate?=
c. <Do you know what today’s date is?=
d. <Were you sad or depressed more than once in the last 3 days?=
ANS: B
4
Concepts for nursing practice 3rd edition booster newly updated 2024/2025.
lOMoARcPSD|3013804
Concept 01: Development
Giddens: Concepts for Nursing Practice, 3rd Edition
MULTIPLE CHOICE
1. The nurse manager of a pediatric clinic could confirm that the new nurse
recognized the purpose of the HEADSS Adolescent Risk Profile when the new
nurse responds that it is used to assess for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
ANS: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool
which assesses home, education, activities, drugs, sex, and suicide for the
purpose of identifying high-risk adolescents and the need for anticipatory guidance.
It is used to identify high-risk, not low-risk, adolescents. Physical development is
assessed with anthropometric data.
Sexual development is assessed using physical examination.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
2. The nurse preparing a teaching plan for a preschooler knows that, according to
Piaget, the expected stage of development for a preschooler is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
ANS: C
The expected stage of development for a preschooler (3–4 years old) is pre-
operational. Concrete operational describes the thinking of a school-age child (7–
11 years old). Formal operational describes the thinking of an individual after about
11 years of age. Sensorimotor describes the earliest pattern of thinking from birth to
2 years old.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
3. The school nurse talking with a high school class about the difference between
growth and development would best describe growth as
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight.
ANS: D
1
, lOMoARcPSD|3013804
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 increase in overall size or weight of the body or any of its parts. The
processes by which early cells specialize are referred to as differentiation.
Psychosocial and cognitive changes are referred to as development. Qualitative
changes associated with aging are referred to as maturation.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
4. The most appropriate response of the nurse when a mother asks what the
Denver II does is that it
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy.
c. is a developmental screening tool.
d. provides a framework for health teaching.
ANS: C
The Denver II is the most commonly used measure of developmental status used
by healthcare professionals; it is a screening tool. Screening tools do not provide a
diagnosis. Diagnosis requires a thorough neurodevelopment history and physical
examination.
Developmental delay, which is suggested by screening, is a symptom, not a
diagnosis. The need for any therapy would be identified with a comprehensive
evaluation, not a screening tool. Some providers use the Denver II as a
framework for teaching about expected development, but this is not the primary
purpose of the tool.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
5. To plan early intervention and care for an infant with Down syndrome, the nurse
considers knowledge of other physical development exemplars such as
a. cerebral palsy.
b. autism.
c. attention-deficit/hyperactivity disorder (ADHD).
d. failure to thrive.
ANS: D
Failure to thrive is also a physical development exemplar. Cerebral palsy is an
exemplar of motor/developmental delay. Autism is an exemplar of social/emotional
developmental delay. ADHD is an exemplar of a cognitive disorder.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
6. To plan early intervention and care for a child with a developmental delay, the
nurse would consider knowledge of the concepts most significantly impacted by
development, including
a. culture.
b. environment.
c. functional status.
d. nutrition.
ANS: C
2
, lOMoARcPSD|3013804
Concepts for nursing practice 3rd edition booster newly updated 2024/2025.
Function is one of the concepts most significantly impacted by development. Others
include sensory-perceptual, cognition, mobility, reproduction, and sexuality.
Knowledge of these concepts can help the nurse anticipate areas that need to be
addressed. Culture is a concept that is considered to significantly affect
development; the difference is the concepts that affect development are those that
represent major influencing factors (causes); hence determination of development
would be the focus of preventive interventions. Environment is considered to
significantly affect development. Nutrition is considered to significantly affect
development.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child
always talks to her toys and makes up stories. The mother wants her child to have
a psychological evaluation. The nurse’s best initial response is to
a. refer the child to a psychologist immediately.
b. explain that playing make believe is normal at this age.
c. complete a developmental screening using a validated tool.
d. separate the child from the mother to get more information.
ANS: B
By the end of the fourth year, it is expected that a child will engage in fantasy, so this
is normal at this age. A referral to a psychologist would be premature based only on
the complaint of the mother. Completing a developmental screening would be very
appropriate but not the initial response. The nurse would certainly want to get more
information, but separating the child from the mother is not necessary at this time.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse
why she is so needy and acting like a child. The best response of the nurse is that
in the hospital, adolescents
a. have separation anxiety.
b. rebel against rules.
c. regress because of stress.
d. want to know everything.
ANS: C
Regression to an earlier stage of development is a common response to stress.
Separation anxiety is most common in infants and toddlers. Rebellion against
hospital rules is usually not an issue if the adolescent understands the rules and
would not create childlike behaviors. An adolescent may want to <know everything=
with their logical thinking and deductive reasoning, but that would not explain why
they would act like a child.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
3
, lOMoARcPSD|3013804
TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
Concept 02: Functional Ability
Giddens: Concepts for Nursing Practice, 3rd Edition
MULTIPLE CHOICE
1. The nurse is assessing a patient’s functional ability. Which patient best
demonstrates the definition of functional ability?
a. Considers self as a healthy individual; uses cane for stability
b. College educated; travels frequently; can balance a checkbook
c. Works out daily, reads well, cooks, and cleans house on the weekends
d. Healthy individual, volunteers at church, works part time, takes care of
family and house
ANS: D
Functional ability refers to the individual’s ability to perform the normal daily
activities required to meet basic needs; fulfill usual roles in the family, workplace,
and community; and maintain health and well-being. The other options are good;
however, healthy individual, church volunteer, part time worker, and the patient
who takes care of the family and house fully meets the criteria for functional ability.
OBJ: NCLEX Client Needs Category: Physiological Integrity: Basic Care and
Comfort
2. The nurse is assessing a patient’s functional performance. What assessment
parameters will
be most important in this assessment?
a. Continence assessment, gait assessment, feeding assessment, dressing
assessment,
transfer assessment
b. Height, weight, body mass index (BMI), vital signs assessment
c. Sleep assessment, energy assessment, memory assessment,
concentration assessment
d. Health and well-being, amount of community volunteer time, working
outside the home, and ability to care for family and house
ANS: A
Functional impairment, disability, or handicap refers to varying degrees of an
individual’s inability to perform the tasks required to complete normal life activities
without assistance. Height, weight, BMI, and vital signs are part of a physical
assessment. Sleep, energy, memory, and concentration are part of a depression
screening. Healthy, volunteering, working, and caring for family and house are
functional abilities, not performance.
OBJ: NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk
Potential
3. The nurse is assessing a patient with a mobility dysfunction and wants to gain insight
into
the patient’s functional ability. What question would be the most appropriate?
a. <Are you able to shop for yourself?=
b. <Do you use a cane, walker, or wheelchair to ambulate?=
c. <Do you know what today’s date is?=
d. <Were you sad or depressed more than once in the last 3 days?=
ANS: B
4
