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,TABLE OF CONTENTS
1. Professional Nursing Practice
2. Clinical Judgment
3. Leadership
4. Health Care Quality
5. Communication
6. Collaboration
7. Caregiving
8. Evidence-Based Practice
9. Health Promotion
10. Patient Education
11. Technology and Informatics
12. Ethics
13. Legal Issues
14. Safety
15. Health Care Economics
16. Health Policy
17. Culture
18. Spirituality
19. Self-Management
20. Development
21. Family Dynamics
22. Grief and Loss
23. Stress and Coping
24. Mood and Affect
25. Cognition
26. Psychosis
27. Addiction
28. Sleep
29. Fatigue
30. Pain
31. Mobility
32. Functional Ability
33. Sensory Perception
34. Gas Exchange
35. Perfusion
36. Immunity
37. Infection
38. Inflammation
39. Thermoregulation
40. Fluid and Electrolytes
41. Acid–Base Balance
42. Hormonal Regulation
43. Nutrition
44. Tissue Integrity
45. Reproduction
46. Sexuality
,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. N
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
WWW.NURSYLAB.COM
, 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
(Continuation of chapter 1)
1.
Which of the following best defines professional nursing practice?
A. Performing technical skills under physician direction
B. Providing holistic, evidence-based care that promotes health and healing
C. Delivering medical treatments without patient involvement
D. Completing assigned tasks according to hospital policy
Answer: B. Providing holistic, evidence-based care that promotes health and healing
Rationale: Professional nursing goes beyond task completion; it integrates evidence-based knowledge, critical thinking,
patient advocacy, and holistic care to improve health outcomes.
2.
The concept of autonomy in nursing practice refers to:
A. The nurse’s ability to follow physician orders
B. The patient’s right to make decisions about their own care
C. The legal protection of the nursing profession
D. The avoidance of liability in clinical settings
Answer: B. The patient’s right to make decisions about their own care
Rationale: Autonomy is a core ethical principle in nursing, emphasizing respect for patients’ rights to self-determination
and informed decision-making.
,TABLE OF CONTENTS
1. Professional Nursing Practice
2. Clinical Judgment
3. Leadership
4. Health Care Quality
5. Communication
6. Collaboration
7. Caregiving
8. Evidence-Based Practice
9. Health Promotion
10. Patient Education
11. Technology and Informatics
12. Ethics
13. Legal Issues
14. Safety
15. Health Care Economics
16. Health Policy
17. Culture
18. Spirituality
19. Self-Management
20. Development
21. Family Dynamics
22. Grief and Loss
23. Stress and Coping
24. Mood and Affect
25. Cognition
26. Psychosis
27. Addiction
28. Sleep
29. Fatigue
30. Pain
31. Mobility
32. Functional Ability
33. Sensory Perception
34. Gas Exchange
35. Perfusion
36. Immunity
37. Infection
38. Inflammation
39. Thermoregulation
40. Fluid and Electrolytes
41. Acid–Base Balance
42. Hormonal Regulation
43. Nutrition
44. Tissue Integrity
45. Reproduction
46. Sexuality
,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. N
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
WWW.NURSYLAB.COM
, 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
(Continuation of chapter 1)
1.
Which of the following best defines professional nursing practice?
A. Performing technical skills under physician direction
B. Providing holistic, evidence-based care that promotes health and healing
C. Delivering medical treatments without patient involvement
D. Completing assigned tasks according to hospital policy
Answer: B. Providing holistic, evidence-based care that promotes health and healing
Rationale: Professional nursing goes beyond task completion; it integrates evidence-based knowledge, critical thinking,
patient advocacy, and holistic care to improve health outcomes.
2.
The concept of autonomy in nursing practice refers to:
A. The nurse’s ability to follow physician orders
B. The patient’s right to make decisions about their own care
C. The legal protection of the nursing profession
D. The avoidance of liability in clinical settings
Answer: B. The patient’s right to make decisions about their own care
Rationale: Autonomy is a core ethical principle in nursing, emphasizing respect for patients’ rights to self-determination
and informed decision-making.
