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
yu yu


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




MULTIPLE CHOICE yu




1. The nurse manager of a pediatric clinic could confirm that the new nurse
yu yu yu yu yu yu yu y u yu yu yu yu


recognized the purpose of the HEADSS Adolescent Risk Profile when the new
yu y u y u yu yu yu yu yu yu yu yu yu


nurse responds that it is used to review for needs related to
yu yu y u yu yu yu yu yu yu yu y u yu


a. anticipatory guidance. yu


b. low-risk adolescents. yu


c. physical development. yu


d. sexual development. yu




ANS: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool
yu yu yu yu yu yu yu yu yu yu


which reviews home, education, activities, drugs, sex, and suicide for the purpose
yu yu yu yu yu yu yu yu yu yu yu yu


of identifying high-risk adolescents and the need for anticipatory guidance. It is
yu y u yu yu yu yu yu yu yu yu yu yu


used to identify high-risk, not low-risk, adolescents. Physical development is
yu yu yu yu yu yu yu yu yu yu


reviewed with anthropometric data.
yu yu yu yu


Sexual development is reviewed using physical examination.
yu yu yu yu yu yu




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




2. The nurse preparing a teaching plan for a preschooler knows that, according to
yu yu yu yu yu yu yu yu yu yu yu yu


Piaget, the expected stage of development for a preschooler is
yu yu yu yu yu yu yu yu yu yu


a. concrete operational. yu


b. formal operational. yu


c. preoperational.
d. sensorimotor.
ANS: C
The expected stage of development for a preschooler (3–4 years old) is pre-
yu yu yu yu yu yu yu yu yu yu yu yu


operational. Concrete operational describes the thinking of a school-age
y u y u y u y u y u y u y u y u


child (7–11 years old).
y u y u y u y u


Formal operational describes the thinking of an individual after about 11 years of
yu yu yu yu yu yu yu yu yu yu yu yu


age. Sensorimotor describes the earliest pattern of thinking from birth to
yu yu y u y u y u y u y u y u y u y u y u


2 years old.
y u y u y u




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




3. The school nurse talking with a high school class about the difference between
yu yu yu yu yu yu yu yu yu yu yu yu


growth and development would best describe growth as
yu yu yu yu yu yu yu yu


a. processes by which early cells specialize. yu yu y u yu yu


b. psychosocial and cognitive changes. yu yu yu


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


d. quantitative changes in size or yu yu yu yu




weight. ANS:
yu yu D

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

Growth is a quantitative change in which an increase in cell number and
y u y u y u y u y u y u y u y u y u y u y u y u


size results in an increase in overall size or weight of the body or any of
y u y u y u yu y u y u y u y u y u y u y u y u y u yu y u yu


its parts. The processes by which early cells specialize are referred to as
y u y u y u y u y u yu yu yu yu yu yu yu yu


differentiation. Psychosocial and cognitive changes are referred to as development.
yu yu yu yu yu yu yu yu yu yu


Qualitative changes associated with aging are referred to as maturation.
yu yu yu yu yu yu yu yu yu yu




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




4. The most appropriate response of the nurse when a mother asks what the Denver II
yu yu yu yu yu yu yu yu yu yu yu yu yu yu


does is that it
yu yu yu yu


a. can diagnose developmental disabilities.
yu yu yu


b. identifies a need for physical therapy. yu yu y u yu yu


c. is a developmental screening tool.
yu yu yu yu


d. provides a framework for health teaching. yu yu yu yu yu




ANS: C
The Denver II is the most commonly used measure of developmental status used
yu yu yu yu yu yu yu yu yu yu yu yu


by healthcare professionals; it is a screening tool. Screening tools do not
yu y u yu yu yu yu yu yu yu yu yu yu


provide a diagnosis. Diagnosis requires a thorough neurodevelopment history and
yu yu yu yu yu yu yu yu yu yu


physical examination.
yu yu


Developmental delay, which is suggested by screening, is a symptom, not a
yu yu yu yu yu yu yu yu yu yu yu


diagnosis. The need for any therapy would be identified with a comprehensive
yu yu yu yu yu yu yu yu yu yu yu yu


evaluation, not a screening tool. Some providers use the Denver II as a
yu yu yu yu yu yu yu yu yu yu yu yu yu


framework for teaching about expected development, but this is not the
yu yu yu yu yu y u y u y u y u y u y u


primary purpose of the tool.
y u y u y u y u y u




OBJ: y u y u NCLEX Client Needs Category: Health Promotion and Maintenance
yu yu yu yu yu yu yu




5. To plan early intervention a nNd U
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r aGnTinBf.
anCt OwMith Down syndrome, the nurse
yu yu yu yu yu lp yu yu yu yu


considers knowledge of other physical development exemplars such as
yu yu yu yu yu yu yu yu yu


a. cerebral palsy. yu


b. failure to thrive. yu yu


c. fetal alcohol syndrome. yu yu


d. hydrocephaly.
ANS: D y u y u


Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar
yu yu yu yu yu yu yu yu yu yu yu


of adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
yu yu yu yu yu yu yu yu yu yu yu yu


developmental delay. Fetal alcohol syndrome is an exemplar of cognitive
yu yu yu yu yu yu yu yu yu yu


developmental delay.
yu yu




OBJ: y u y u NCLEX Client Needs Category: Health Promotion and Maintenance
yu yu yu yu yu yu yu




6. To plan early intervention and care for a child with a developmental delay, the
yu yu yu yu yu yu yu yu yu yu yu yu yu


nurse would consider knowledge of the concepts most significantly impacted by
yu yu yu yu yu yu yu yu yu yu yu


development, including
yu yu


a. culture.
b. environment.
c. functional status. yu


d. nutrition.
yu ANS: C

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

Function is one of the concepts most significantly impacted by development. Others
yu yu yu yu yu yu yu yu yu yu yu


include sensory-perceptual, cognition, mobility, reproduction, and sexuality.
yu yu yu yu yu yu yu


Knowledge of these concepts can help the nurse anticipate areas that need to
yu yu yu yu y u yu yu yu yu y u yu yu yu


be addressed. Culture is a concept that is considered to significantly affect
yu y u yu yu yu yu yu yu yu yu yu yu


development; the difference is the concepts that affect development are those that
yu yu yu yu yu y u yu yu yu yu yu yu


represent major influencing factors (causes); hence determination of development
yu yu yu yu yu yu yu yu yu


would be the focus of preventive interventions. Environment is considered to
yu yu yu yu yu yu yu y u y u y u y u


significantly affect development. Nutrition is considered to significantly affect
y u y u y u y u yu yu yu yu yu


development.
yu




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




7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child
yu yu yu yu yu yu yu yu yu yu yu yu yu


always talks to her toys and makes up stories. The mother wants her child
yu yu yu yu y u y u yu y u yu yu yu yu y u y u


to have a psychological evaluation. The nurse‘s best initial response is to
yu y u yu yu yu yu yu yu yu yu yu yu


a. refer the child to a psychologist immediately.
yu yu yu yu yu y u


b. explain that playing make believe is normal at this age.
yu yu yu yu yu yu yu yu y u


c. complete a developmental screening using a validated tool.
yu yu yu yu yu yu yu


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




ANS: B
By the end of the fourth year, it is expected that a child will engage in
yu yu yu yu yu y u yu yu yu yu yu yu yu yu yu


fantasy, so this is normal at this age. A referral to a psychologist would
yu yu yu yu y u y u y u y u y u y u y u y u y u y u


be premature based only on the complaint of the mother. Completing a
y u y u y u y u y u yu yu yu yu yu yu yu


developmental screening would be very appropriate but not the initial response.
yu yu yu yu yu yu yu yu yu yu yu


The nurse would certainly want to get more information, but separating the
yu yu yu yu yu yu yu yu y u y u y u y u


child from the mother is not necessary at this time.
y u y u y u y u y u y u y u y u y u y u




OBJ: NCLEX Client NeedsNCUaRteSgI
orNy:GHTeBal.thCPOrM
omotion and Maintenance

8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why
yu yu yu yu yu yu yu yu yu yu yu yu yu


she is so needy and acting like a child. The best response of the nurse
yu yu y u y u y u y u y u y u y u y u y u y u y u y u y u


is that in the hospital, adolescents
y u y u y u y u yu yu


a. have separation anxiety. yu y u


b. rebel against rules. yu yu


c. regress because of stress. yu yu yu


d. want to know everything. yu yu yu




ANS: C
Regression to an earlier stage of development is a common response to stress.
yu yu yu yu yu yu yu yu yu yu yu yu


Separation anxiety is most common in infants and toddlers. Rebellion
yu y u y u y u y u y u y u y u y u y u


against hospital rules is usually not an issue if the adolescent understands the
y u y u y u y u yu yu yu yu yu yu yu yu yu


rules and would not create childlike behaviors. An adolescent may want to ―know
yu yu yu yu yu yu yu yu yu yu yu yu yu


everything‖ with their logical thinking and deductive reasoning, but that would
yu yu yu yu yu yu yu y u y u y u y u


not explain why they would act like a child.
y u y u y u y u y u y u y u y u y u




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