TEST BANK FOR CONCEPTS FOR
NURSING PRACTICE 3RD EDITION
BY GIDDENS ISBN-10; 0323581935
/ISBN-13; 978-0323581936
TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
Page 2
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
Rationale: 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
,Rationale: The expected stage of development for a preschooler (3-4 years old) is preoperational.
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
Rationale: 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
Rationale: 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
Rationale: 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
Rationale: 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
Rationale: 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
Rationale: 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
Page 5
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
NURSING PRACTICE 3RD EDITION
BY GIDDENS ISBN-10; 0323581935
/ISBN-13; 978-0323581936
TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
Page 2
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
Rationale: 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
,Rationale: The expected stage of development for a preschooler (3-4 years old) is preoperational.
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
Rationale: 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
Rationale: 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
Rationale: 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
Rationale: 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
Rationale: 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
Rationale: 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
Page 5
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
