Test bank for concepts for nursing practice 3rd edition

TESTbBANKbFORbCONCEPTSbFORbNURSINGbPRACTICEb3RDbEDITIONbBYbGIDDENS

Concept 01: Development
b b

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




MULTIPLEbCHOICE

1. Thebnursebmanagerbofbabpediatricbclinicbcouldbconfirmbthatbthebnewbnursebrecognizedbthebp
urposebofbthebHEADSSbAdolescentbRiskbProfilebwhenbthebnewbnursebrespondsbthatbitbisbus
edbtobreviewbforbneedsbrelatedbto
a. anticipatorybguidance.
b. low-riskbadolescents.
c. physicalbdevelopment.
d. sexualbdevelopment.
ANS:b A
ThebHEADSSbAdolescentbRiskbProfilebisbabpsychosocialbassessmentbscreeningbtoolbwhichbre
viewsbhome,beducation,bactivities,bdrugs,bsex,bandbsuicidebforbthebpurposebofbidentifyingbhigh
-riskbadolescentsbandbthebneedbforbanticipatorybguidance.bItbisbusedbtobidentifybhigh-
risk,bnotblow-risk,badolescents.bPhysicalbdevelopmentbisbreviewedbwithbanthropometricbdata.
Sexualbdevelopmentbisbreviewedbusingbphysicalbexamination.

OBJ: NCLEXbClientbNeedsbCategory:bHealthbPromotionbandbMaintenance

2. Thebnursebpreparingbabteachingbplanbforbabpreschoolerbknowsbthat,baccordingbtobPiaget,bthebe
xpectedbstagebofbdevelopmentbforbabpreschoolerbis
a. concreteboperational.
b. formalboperational.
c. preoperational.
d. sensorimotor.
ANS:b C
Thebexpectedbstagebofbdevelopmentbforbabpreschoolerb(3–4byearsbold)bisbpre-
operational.bConcreteboperationalbdescribesbthebthinkingbofbabschool-agebchildb(7–
11byearsbold).bFormalboperationalbdescribesbthebthinkingbofbanbindividualbafterbaboutb11byearsb
ofbage.bSensorimotorbdescribesbthebearliestbpatternbofbthinkingbfrombbirthbtob2byearsbold.

OBJ: NCLEXbClientbNeedsbCategory:bHealthbPromotionbandbMaintenance

3. Thebschoolbnursebtalkingbwithbabhighbschoolbclassbaboutbthebdifferencebbetweenbgrowthbandbd
evelopmentbwouldbbestbdescribebgrowthbas
a. processesbbybwhichbearlybcellsbspecialize.
b. psychosocialbandbcognitivebchanges.
c. qualitativebchangesbassociatedbwithbaging.
d. quantitativebchangesbinbsizeborbweight.b
ANS:b D

,TESTbBANKbFORbCONCEPTSbFORbNURSINGbPRACTICEb3RDbEDITIONbBYbGIDDENS

Growthbisbabquantitativebchangebinbwhichbanbincreasebinbcellbnumberbandbsizebresultsbinbanbin
creasebinboverallbsizeborbweightbofbthebbodyborbanybofbitsbparts.bThebprocessesbbybwhichbearlyb
cellsbspecializebarebreferredbtobasbdifferentiation.bPsychosocialbandbcognitivebchangesbarebref
erredbtobasbdevelopment.bQualitativebchangesbassociatedbwithbagingbarebreferredbtobasbmatura
tion.

OBJ: NCLEXbClientbNeedsbCategory:bHealthbPromotionbandbMaintenance

4. ThebmostbappropriatebresponsebofbthebnursebwhenbabmotherbasksbwhatbthebDenverbIIbdoesbisbt
hatbit
a. canbdiagnosebdevelopmentalbdisabilities.
b. identifiesbabneedbforbphysicalbtherapy.
c. isbabdevelopmentalbscreeningbtool.
d. providesbabframeworkbforbhealthbteaching.
ANS:b C
ThebDenverbIIbisbthebmostbcommonlybusedbmeasurebofbdevelopmentalbstatusbusedbbybhealth
carebprofessionals;bitbisbabscreeningbtool.bScreeningbtoolsbdobnotbprovidebabdiagnosis.bDiagno
sisbrequiresbabthoroughbneurodevelopmentbhistorybandbphysicalbexamination.
Developmentalbdelay,bwhichbisbsuggestedbbybscreening,bisbabsymptom,bnotbabdiagnosis.bThebn
eedbforbanybtherapybwouldbbebidentifiedbwithbabcomprehensivebevaluation,bnotbabscreeningbto
ol.bSomebprovidersbusebthebDenverbIIbasbabframeworkbforbteachingbaboutbexpectedbdevelopm
ent,bbutbthisbisbnotbthebprimarybpurposebofbthebtool.

OBJ: NCLEXbClientbNeedsbCategory:bHealthbPromotionbandbMaintenance

5. TobplanbearlybinterventionbanN
dbU
caRreSfIoN
rbaGnTiB
nf.
anCt OwMithbDownbsyndrome,bthebnursebconsidersb
knowledgebofbotherbphysicalbdevelopmentbexemplarsbsuchbas
a. cerebralbpalsy.
b. failurebtobthrive.
c. fetalbalcoholbsyndrome.
d. hydrocephaly.
ANS:b D
Hydrocephalybisbalsobabphysicalbdevelopmentbexemplar.bCerebralbpalsybisbanbexemplarbofba
daptivebdevelopmentalbdelay.bFailurebtobthrivebisbanbexemplarbofbsocial/emotionalbdevelop
mentalbdelay.bFetalbalcoholbsyndromebisbanbexemplarbofbcognitivebdevelopmentalbdelay.

OBJ: NCLEXbClientbNeedsbCategory:bHealthbPromotionbandbMaintenance

6. Tobplanbearlybinterventionbandbcarebforbabchildbwithbabdevelopmentalbdelay,bthebnursebwouldbc
onsiderbknowledgebofbthebconceptsbmostbsignificantlybimpactedbbybdevelopment,bincluding
a. culture.
b. environment.
c. functionalbstatus.
d. nutrition.b
ANS:b C

,TESTbBANKbFORbCONCEPTSbFORbNURSINGbPRACTICEb3RDbEDITIONbBYbGIDDENS

Functionbisbonebofbthebconceptsbmostbsignificantlybimpactedbbybdevelopment.bOthersbincludebs
ensory-
perceptual,bcognition,bmobility,breproduction,bandbsexuality.bKnowledgebofbthesebconceptsbca
nbhelpbthebnursebanticipatebareasbthatbneedbtobbebaddressed.bCulturebisbabconceptbthatbisbconsid
eredbtobsignificantlybaffectbdevelopment;bthebdifferencebisbthebconceptsbthatbaffectbdevelopme
ntbarebthosebthatbrepresentbmajorbinfluencingbfactorsb(causes);bhencebdeterminationbofbdevelo
pmentbwouldbbebthebfocusbofbpreventivebinterventions.bEnvironmentbisbconsideredbtobsignifica
ntlybaffectbdevelopment.bNutritionbisbconsideredbtobsignificantlybaffectbdevelopment.

OBJ: NCLEXbClientbNeedsbCategory:bHealthbPromotionbandbMaintenance

7. Abmotherbcomplainsbtobthebnursebatbthebpediatricbclinicbthatbherb4-year-
oldbchildbalwaysbtalksbtobherbtoysbandbmakesbupbstories.bThebmotherbwantsbherbchildbtobhavebab
psychologicalbevaluation.bThebnurse’sbbestbinitialbresponsebisbto
a. referbthebchildbtobabpsychologistbimmediately.
b. explainbthatbplayingbmakebbelievebisbnormalbatbthisbage.
c. completebabdevelopmentalbscreeningbusingbabvalidatedbtool.
d. separatebthebchildbfrombthebmotherbtobgetbmorebinformation.
ANS:b B
Bybthebendbofbthebfourthbyear,bitbisbexpectedbthatbabchildbwillbengagebinbfantasy,bsobthisbisbnor
malbatbthisbage.bAbreferralbtobabpsychologistbwouldbbebprematurebbasedbonlybonbthebcomplaint
bofbthebmother.bCompletingbabdevelopmentalbscreeningbwouldbbebverybappropriatebbutbnotbtheb

initialbresponse.bThebnursebwouldbcertainlybwantbtobgetbmorebinformation,bbutbseparatingbtheb
childbfrombthebmotherbisbnotbnecessarybatbthisbtime.

OBJ: NCLEXbClientbNeedsNCUaRteSgI
orN
y:GH
TeBal.thCPOrM
omotionbandbMaintenance

8. Ab17-year-
oldbgirlbisbhospitalizedbforbappendicitis,bandbherbmotherbasksbthebnursebwhybshebisbsobneedyban
dbactingblikebabchild.bThebbestbresponsebofbthebnursebisbthatbinbthebhospital,badolescents
a. havebseparationbanxiety.
b. rebelbagainstbrules.
c. regressbbecausebofbstress.
d. wantbtobknowbeverything.
ANS:b C
Regressionbtobanbearlierbstagebofbdevelopmentbisbabcommonbresponsebtobstress.bSeparationbanx
ietybisbmostbcommonbinbinfantsbandbtoddlers.bRebellionbagainstbhospitalbrulesbisbusuallybnotban
bissuebifbthebadolescentbunderstandsbthebrulesbandbwouldbnotbcreatebchildlikebbehaviors.bAnbado

lescentbmaybwantbtob“knowbeverything”bwithbtheirblogicalbthinkingbandbdeductivebreasoning,bb
utbthatbwouldbnotbexplainbwhybtheybwouldbactblikebabchild.

OBJ: NCLEXbClientbNeedsbCategory:bHealthbPromotionbandbMaintenance

, TESTbBANKbFORbCONCEPTSbFORbNURSINGbPRACTICEb3RDbEDITIONbBYbGIDDENS

Concept 02: Functional Ability
b b b

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




MULTIPLEbCHOICE

1. Thebnursebisbreviewingbabpatient’sbfunctionalbability.bWhichbpatientbbestbdemonstratesbthebd
efinitionbofbfunctionalbability?
a. Considersbselfbasbabhealthybindividual;busesbcanebforbstability
b. Collegebeducated;btravelsbfrequently;bcanbbalancebabcheckbook
c. Worksboutbdaily,breadsbwell,bcooks,bandbcleansbhousebonbthebweekends
d. Healthybindividual,bvolunteersbatbchurch,bworksbpartbtime,btakesbcarebofbfamilybandbh
ouse
ANS:b D
Functionalbabilitybrefersbtobthebindividual’sbabilitybtobperformbthebnormalbdailybactivitiesbreq
uiredbtobmeetbbasicbneeds;bfulfillbusualbrolesbinbthebfamily,bworkplace,bandbcommunity;bandb
maintainbhealthbandbwell-
being.bThebotherboptionsbarebgood;bhowever,bhealthybindividual,bchurchbvolunteer,bpartbtimeb
worker,bandbthebpatientbwhobtakesbcarebofbthebfamilybandbhousebfullybmeetsbthebcriteriabforbfun
ctionalbability.

OBJ: NCLEXbClientbNeedsbCategory:bPhysiologicalbIntegrity:bBasicbCarebandbComfort

2. Thebnursebisbreviewingbabpatient’sbfunctionalbperformance.bWhatbassessmentbparametersbwillbb
ebmostbimportantbinbthisbassessment?
a. Continencebassessment,bgaitbassessment,bfeedingbassessment,bdressingbassessment,
transferbassessment
b. Height,bweight,bbodybmassbindexb(BMI),bvitalbsignsbassessment
c. Sleepbassessment,benergybassessment,bmemorybassessment,bconcentrationb
assessment
d. Healthbandbwell-
being,bamountbofbcommunitybvolunteerbtime,bworkingboutsidebthebhome,bandbability
btobcareb forbfamilybandbhouse



ANS:b A
Functionalbimpairment,bdisability,borbhandicapbrefersbtobvaryingbdegreesbofbanbindividual’sbin
abilitybtobperformbthebtasksbrequiredbtobcompletebnormalblifebactivitiesbwithoutbassistance.bHei
ght,bweight,bBMI,bandbvitalbsignsbarebpartbofbabphysicalbassessment.bSleep,benergy,bmemory,ba
ndbconcentrationbarebpartbofbabdepressionbscreening.bHealthy,bvolunteering,bworking,bandbcari
ngbforbfamilybandbhousebarebfunctionalbabilities,bnotbperformance.

OBJ: NCLEXbClientbNeedsbCategory:bPhysiologicalbIntegrity:bReductionbofbRiskbPotential

3. Thebnursebisbreviewingbabpatientbwithbabmobilitybdysfunctionbandbwantsbtobgainbinsightbintobt
hebpatient’sbfunctionalbability.bWhatbquestionbwouldbbebthebmostbappropriate?
a. “Arebyoubablebtobshopbforbyourself?”
b. “Dobyoubusebabcane,bwalker,borbwheelchairbtobambulate?”
c. “Dobyoubknowbwhatbtoday’sbdatebis?”
d. “Werebyoubsadborbdepressedbmorebthanboncebinbtheblastb3bdays?”b
ANS:b B