1. The vmost vappropriate vinitial vnursing vintervention vwhen vthe vnurse vnotes
vdysfunctional vinteractions vand vlack vof vfamily vsupport vfor va vpatient vwould vbe vto
a. enforce vhospital vvisiting vpolicies.
b. monitor vthe vdysfunctional vinteractions.
c. notify vthe vprimary vcare vprovider.
d. role vmodel vappropriate vsupport.
ANS: v D
Nurses vcan, vat vtimes, vrole vmodel vmore vappropriate vinteractions vor vprovide
vsuggestions vfor vimproving vcommunication vand vinteractions vamong vfamily vmembers.
vIf vthe vnurse vdetermines vthat vthe vnumber vof vvisitors vhas va vnegative vimpact von vthe
vpatient, vhospital vpolicy vmay vbe vto vlimit vvisitors, vbut vthat vwould vnot vbe vthe vinitial
vaction. vMonitoring vthe vdysfunctional vinteractions vwould vnot vbe van vadequate
vresponse. vThe vprimary vcare vprovider vshould vcertainly vbe vnotified, vbut vthat vwould
vnot vbe vthe vinitial vresponse.
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
2. The vnurse vcaring vfor va vpatient vwould videntify va vneed vfor vadditional vinterventions
vrelated vto vfamily vdynamics vwhen
a. extended vfamily voffers vto vhelp.
b. family vmembers vexpress vcNoncern.
c. the vill vmember vdemands vattention.
d. memories vare vshared. ANS: v C
It vis vnot vuncommon vfor vthe vill vfamily vmember vto vbecome vdemanding vand vindicate
vthat vthey vdeserve vspecial vtreatment vand vcare, vand vthe vsupportive vfamily vmay vneed
vassistance vin vunderstanding vthe vdynamics vof vthe villness vin vorder vto vcontinue vto vbe
vsupportive. vOffers vfrom vextended vfamily vto vhelp vcan vbe vindicative vof vpositive
vdynamics. vConcern vexpressed vby vfamily vmembers vcan vbe vindicative vof vpositive
vdynamics. vSharing vof vfamily vmemories vcan vbe vindicative vof vpositive vdynamics.
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
3. Two vwomen vhave van vestablished vlong-term vrelationship vand vare vattending vparenting
vclasses vin vanticipation vof vfinalizing vadoption vof va vbaby. vThe vnurse videntifies vthem
vas vwhich vtype vof vfamily? a. Cohabiting
b. Nuclear
c. Same-sex
d. Single vparent vANS:
vC
This vfamily vwould vbe vconsidered va vsame-sex vfamily. vCohabiting vrefers vto va vcouple
vwho vlive vtogether vwith vno vlegal vbond. vNuclear vrefers vto vthe vtraditional vmale vand
vfemale vcore vfamily vwith vone vor vmore vchildren. vSingle vparent vrefers vto va vfamily
vwith vone vadult vand vone vor vmore vchildren.
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
,4. The vnurse videntifies vthe vfamily vwith va vchild vgraduating vfrom vcollege vas vhaving ANS: v D
vwhich veffect von vthe vfamily vlife vcycle? a. Minimal vimpact Intimate vpartner vviolence vis van vexemplar vof vnegative/dysfunctional vfamily
b. Considered vto vbe va vnegative vimpact von vthe vfamily vunit vdynamics. vAging vof vfamily vmembers vis van vexemplar vof vchanges vto vfamily
c. Leads vto vrole vconfusion vdynamics. vChronic villness vof va vfamily vmember vis van vexemplar vof vchanges vto
d. Expectation vof vrole vchange ANS: v D vfamily vdynamics.
vDisability vof va vfamily vmember vis van vexemplar vof vchanges vto vfamily vdynamics.
The vfamily vlife vcycle vdevelopmental vtheory vfocuses von vthe vgrowth vand vdevelopment
vof vchanges vin vrole vrelationships vduring vtransitional vperiods. vA vchild vgraduating
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
vfrom vcollege vis van vexample vof va vtransition vwhich vrequires va vrole vchange. vAs vthis
vis va vtransition, vone vwould vexpect vto vsee va vchange vso vminimal vimpact vwould vnot vbe
vexpected. vGraduation vdoes vnot vimply vthat vit vwill vbe va vnegative vchange von vthe
vfamily vlife vcycle vor vlead vto vrole vconfusion.
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
5. When vreviewing vthe vpurposes vof va vfamily vassessment, vthe vnurse veducator vwould N
videntify va vneed vfor vfurther vteaching vif vthe vstudent vresponded vthat vfamily
vassessment vis vused vto vgain van vunderstanding vof vwhich vaspect vof vthe vfamily?
a. Development N
b. Function
c. Political vviews
d. Structure ANS: v C
An vunderstanding vof vthe vpolitical vviews vof vfamily vmembers vis vnot va vprimary
vpurpose vof va vfamily vassessment. vA vfamily vassessment vprovides vthe vnurse vwith
vinformation vand van vunderstanding vof vfamily vdynamics. vThis vis vimportant vto vnurses
vfor vthe vprovision vof vquality vhealth vcare. vA vfamily vassessment vprovides van
vunderstanding vof vfamily vdevelopment, vfunction, vand vstructure.
OBJ: NCLEX vClient vNeeds vCategory: vHealth vPromotion vand vMaintenance
6. A vnurse vis vplanning vto vassess vthe vstructure vof va vfamily. vWhich vquestion vshould
vthe vnurse vask?
a. “Who vlives vwith vyou vin vthis vhome?”
b. “Who vdoes vthe vgrocery vshopping?”
c. “Who vprovides vsupport vin vyour vfamily?”
d. “How vold vare vthe vmembers vof vyour vfamily?” vANS: v A
The vstructure vof vthe vfamily vincludes vwho vis vin vthe vfamily vand vwhat vtheir
vrelationship vis. v“Who vdoes vthe vshopping?” vwould vprovide vinformation vabout vfamily
vfunctioning. v“Who vprovides vsupport?” vwould vprovide vinformation vabout vfamily
vfunctioning. v“How vold vare vthe vmembers?” vwould vprovide vinformation vabout vfamily
vdevelopment.
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
7. Which vfactors vwhich vwould valert vthe vnurse vto vnegative/dysfunctional vfamily
vdynamics? a. Aging vof vfamily vmembers
b. Chronic villness vof va vfamily vmember
c. Disability vof va vfamily vmember
d. Intimate vpartner vviolence
,Concept v04: vCulture
Giddens: vConcepts vfor vNursing vPractice, v3rd vEdition WWW.NURSYLAB.COM
Growth vis va vquantitative vchange vin vwhich van vincrease vin vcell vnumber vand vsize vresults
vin van vincrease vin voverall vsize vor vweight vof vthe vbody vor vany vof vits vparts. vThe
vprocesses vby vwhich vearly vcells vspecialize vare vreferred vto vas vdifferentiation.
vPsychosocial vand vcognitive vchanges vare vreferred vto vas vdevelopment. vQualitative
vchanges vassociated vwith vaging vare vreferred vto vas vmaturation.
1. The vnurse vmanager vof va vpediatric vclinic vcould vconfirm vthat vthe vnew vnurse
vrecognized vthe vpurpose vof vthe vHEADSS vAdolescent vRisk vProfile vwhen vthe
vnew vnurse vresponds vthat vit vis vused vto vassess vfor vneeds vrelated vto a. anticipatory OBJ: NCLEX vClient vNeeds vCategory: vHealth vPromotion vand vMaintenance
vguidance.
b. low-risk vadolescents. 4. The vmost vappropriate vresponse vof vthe vnurse vwhen va vmother vasks vwhat vthe
vDenver vII vdoes vis vthat vit
c. physical vdevelopment.
d. sexual vdevelopment. a. can vdiagnose vdevelopmental vdisabilities.
b. identifies va vneed vfor vphysical vtherapy.
ANS: v A c. is va vdevelopmental vscreening vtool.
The vHEADSS vAdolescent vRisk vProfile vis va vpsychosocial vassessment vscreening vtool d. provides va vframework vfor vhealth vteaching. ANS: v C
vwhich vassesses vhome, veducation, vactivities, vdrugs, vsex, vand vsuicide vfor vthe vpurpose The vDenver vII vis vthe vmost vcommonly vused vmeasure vof vdevelopmental vstatus vused
vof videntifying vhigh-risk vadolescents vand vthe vneed vfor vanticipatory vguidance. vIt vis vby vhealthcare vprofessionals; vit vis va vscreening vtool. vScreening vtools vdo vnot vprovide va
vused vto videntify vhigh-risk, vnot vlow-risk, vadolescents. vPhysical vdevelopment vis vdiagnosis. vDiagnosis vrequires va vthorough vneurodevelopment vhistory vand vphysical
vassessed vwith vanthropometric vdata. vexamination.
Sexual vdevelopment vis vassessed vusing vphysical vexamination. Developmental vdelay, vwhich vis vsuggested vby vscreening, vis va vsymptom, vnot va
vdiagnosis. vThe vneed vfor vany vtherapy vwould vbe videntified vwith va vcomprehensive
OBJ: NCLEX vClient vNeeds vCategory: vHealth vPromotion vand vMaintenance vevaluation, vnot va vscreening vtool. vSome vproviders vuse vthe vDenver vII vas va vframework
vfor vteaching vabout vexpected vdevelopment, vbut vthis vis vnot vthe vprimary vpurpose vof vthe
2. The vnurse vpreparing va vteaching vplan vfor va vpreschooler vknows vthat, vaccording vto vtool.
vPiaget, vthe vexpected vstage vof vdevelopment vfor va vpreschooler vis a. concrete
voperational. OBJ: NCLEX vClient vNeeds vCategory: vHealth vPromotion vand vMaintenance
b. formal voperational. N
c. preoperational. 5. To vplan vearly vintervention vanNd vcare vfor van vinfant vwith vDown vsyndrome, vthe
d. sensorimotor. ANS: v C vnurse vconsiders vknowledge vof vother vphysical vdevelopment vexemplars vsuch vas a.
cerebral vpalsy.
The vexpected vstage vof vdevelopment vfor va vpreschooler v(3–4 vyears vold) vis b. autism.
vpreoperational. vConcrete voperational vdescribes vthe vthinking vof va vschool-age vchild
c. attention-deficit/hyperactivity vdisorder v(ADHD).
v(7–11 vyears vold). vFormal voperational vdescribes vthe vthinking vof van vindividual vafter
d. failure vto vthrive.
vabout v11 vyears vof vage. vSensorimotor vdescribes vthe vearliest vpattern vof vthinking vfrom
vbirth vto v2 vyears vold. ANS: v D
Failure vto vthrive vis valso va vphysical vdevelopment vexemplar. vCerebral vpalsy vis van
OBJ: NCLEX vClient vNeeds vCategory: vHealth vPromotion vand vMaintenance vexemplar vof vmotor/developmental vdelay. vAutism vis van vexemplar vof vsocial/emotional
vdevelopmental vdelay. vADHD vis van vexemplar vof va vcognitive vdisorder.
3. The vschool vnurse vtalking vwith va vhigh vschool vclass vabout vthe vdifference vbetween
vgrowth vand vdevelopment vwould vbest vdescribe vgrowth vas a. processes vby vwhich OBJ: NCLEX vClient vNeeds vCategory: vHealth vPromotion vand vMaintenance
vearly vcells vspecialize.
b. psychosocial vand vcognitive vchanges. 6. To vplan vearly vintervention vand vcare vfor va vchild vwith va vdevelopmental vdelay,
c. qualitative vchanges vassociated vwith vaging. vthe vnurse vwould vconsider vknowledge vof vthe vconcepts vmost vsignificantly
d. quantitative vchanges vin vsize vor vweight. vANS: v D vimpacted vby vdevelopment, vincluding a. culture.
b. environment.
c. functional vstatus.
d. nutrition. vANS: v C
, Function vis vone vof vthe vconcepts vmost vsignificantly vimpacted vby vdevelopment. vOthers MULTIPLE vCHOICE
vinclude vsensory-perceptual, vcognition, vmobility, vreproduction, vand vsexuality.
vKnowledge vof vthese vconcepts vcan vhelp vthe vnurse vanticipate vareas vthat vneed vto vbe 1. The vnurse vis vassessing va vpatient’s vfunctional vability. vWhich vpatient vbest vdemonstrates
vaddressed. vCulture vis va vconcept vthat vis vconsidered vto vsignificantly vaffect vthe vdefinition vof vfunctional vability?
vdevelopment; vthe vdifference vis vthe vconcepts vthat vaffect vdevelopment vare vthose vthat a. Considers vself vas va vhealthy vindividual; vuses vcane vfor vstability
vrepresent vmajor vinfluencing vfactors v(causes); vhence vdetermination vof vdevelopment b. College veducated; vtravels vfrequently; vcan vbalance va vcheckbook
vwould vbe vthe vfocus vof vpreventive vinterventions. vEnvironment vis vconsidered vto c. Works vout vdaily, vreads vwell, vcooks, vand vcleans vhouse von vthe vweekends
vsignificantly vaffect vdevelopment. vNutrition vis vconsidered vto vsignificantly vaffect d. Healthy vindividual, vvolunteers vat vchurch, vworks vpart vtime, vtakes vcare vof vfamily
vdevelopment. vand vhouse
OBJ: NCLEX vClient vNeeds vCategory: vHealth vPromotion vand vMaintenance ANS: v D
Functional vability vrefers vto vthe vindividual’s vability vto vperform vthe vnormal vdaily
vactivities vrequired vto vmeet vbasic vneeds; vfulfill vusual vroles vin vthe vfamily, vworkplace,
7. A vmother vcomplains vto vthe vnurse vat vthe vpediatric vclinic vthat vher v4-year-old vchild
vand vcommunity; vand vmaintain vhealth vand vwell-being. vThe vother voptions vare vgood;
valways vtalks vto vher vtoys vand vmakes vup vstories. vThe vmother vwants vher vchild vto
vhowever, vhealthy vindividual, vchurch vvolunteer, vpart vtime vworker, vand vthe vpatient
vhave va vpsychological vevaluation. vThe vnurse’s vbest vinitial vresponse vis vto a. refer
vwho vtakes vcare vof vthe vfamily vand vhouse vfully vmeets vthe vcriteria vfor vfunctional
vthe vchild vto va vpsychologist vimmediately.
vability.
b. explain vthat vplaying vmake vbelieve vis vnormal vat vthis vage.
c. complete va vdevelopmental vscreening vusing va vvalidated vtool.
d. separate vthe vchild vfrom vthe vmother vto vget vmore vinformation. OBJ: NCLEX vClient vNeeds vCategory: vPhysiological vIntegrity: vBasic vCare vand vComfort
ANS: v B 2. The vnurse vis vassessing va vpatient’s vfunctional vperformance. vWhat vassessment
By vthe vend vof vthe vfourth vyear, vit vis vexpected vthat va vchild vwill vengage vin vfantasy, vso vparameters vwill vbe vmost vimportant vin vthis vassessment?
vthis vis vnormal vat vthis vage. vA vreferral vto va vpsychologist vwould vbe vpremature vbased a. Continence vassessment, vgait vassessment, vfeeding vassessment, vdressing vassessment,
vonly von vthe vcomplaint vof vthe vmother. vCompleting va vdevelopmental vscreening vwould transfer vassessment N
vbe vvery vappropriate vbut vnot vthe vinitial vresponse. vThe vnurse vwould vcertainly vwant vto
b. Height, vweight, vbody vmass vindex v(BMI), vvital vsigns vassessment
vget vmore vinformation, vbut vseparating vthe vchild vfrom vthe vmother vis vnot vnecessary vat
c. Sleep vassessment, venergy vassessment, vmemory vassessment, vconcentration
vthis vtime.
vassessment
d. Health vand vwell-being, vamount vof vcommunity vvolunteer vtime, vworking voutside vthe
OBJ: NCLEX vClient vNeedsNCategory: vHealth vPromotion vand vMaintenance vhome, vand vability vto vcare vfor vfamily vand vhouse
8. A v17-year-old vgirl vis vhospitalized vfor vappendicitis, vand vher vmother vasks vthe ANS: v A
vnurse vwhy vshe vis vso vneedy vand vacting vlike va vchild. vThe vbest vresponse vof vthe Functional vimpairment, vdisability, vor vhandicap vrefers vto vvarying vdegrees vof van
vnurse vis vthat vin vthe vhospital, vadolescents a. have vseparation vanxiety. vindividual’s vinability vto vperform vthe vtasks vrequired vto vcomplete vnormal vlife vactivities
b. rebel vagainst vrules. vwithout vassistance. vHeight, vweight, vBMI, vand vvital vsigns vare vpart vof va vphysical
c. regress vbecause vof vstress. vassessment. vSleep, venergy, vmemory, vand vconcentration vare vpart vof va vdepression
d. want vto vknow veverything. ANS: v C vscreening. vHealthy, vvolunteering, vworking, vand vcaring vfor vfamily vand vhouse vare
vfunctional vabilities, vnot vperformance.
Regression vto van vearlier vstage vof vdevelopment vis va vcommon vresponse vto vstress.
vSeparation vanxiety vis vmost vcommon vin vinfants vand vtoddlers. vRebellion vagainst
OBJ: NCLEX vClient vNeeds vCategory: vPhysiological vIntegrity: vReduction vof
vhospital vrules vis vusually vnot van vissue vif vthe vadolescent vunderstands vthe vrules vand
vRisk vPotential
vwould vnot vcreate vchildlike vbehaviors. vAn vadolescent vmay vwant vto v“know veverything”
vwith vtheir vlogical vthinking vand vdeductive vreasoning, vbut vthat vwould vnot vexplain vwhy
3. The vnurse vis vassessing va vpatient vwith va vmobility vdysfunction vand vwants vto vgain
vthey vwould vact vlike va vchild.
vinsight vinto vthe vpatient’s vfunctional vability. vWhat vquestion vwould vbe vthe vmost
vappropriate?
OBJ: NCLEX vClient vNeeds vCategory: vHealth vPromotion vand vMaintenance
a. “Are vyou vable vto vshop vfor vyourself?”
Concept v02: vFunctional vAbility b. “Do vyou vuse va vcane, vwalker, vor vwheelchair vto vambulate?”
Giddens: vConcepts vfor vNursing vPractice, v3rd vEdition c. “Do vyou vknow vwhat vtoday’s vdate vis?”
d. “Were vyou vsad vor vdepressed vmore vthan vonce vin vthe vlast v3
vdays?” vANS: v B
WWW.NURSYLAB.COM WWW.NURSYLAB.COM
vdysfunctional vinteractions vand vlack vof vfamily vsupport vfor va vpatient vwould vbe vto
a. enforce vhospital vvisiting vpolicies.
b. monitor vthe vdysfunctional vinteractions.
c. notify vthe vprimary vcare vprovider.
d. role vmodel vappropriate vsupport.
ANS: v D
Nurses vcan, vat vtimes, vrole vmodel vmore vappropriate vinteractions vor vprovide
vsuggestions vfor vimproving vcommunication vand vinteractions vamong vfamily vmembers.
vIf vthe vnurse vdetermines vthat vthe vnumber vof vvisitors vhas va vnegative vimpact von vthe
vpatient, vhospital vpolicy vmay vbe vto vlimit vvisitors, vbut vthat vwould vnot vbe vthe vinitial
vaction. vMonitoring vthe vdysfunctional vinteractions vwould vnot vbe van vadequate
vresponse. vThe vprimary vcare vprovider vshould vcertainly vbe vnotified, vbut vthat vwould
vnot vbe vthe vinitial vresponse.
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
2. The vnurse vcaring vfor va vpatient vwould videntify va vneed vfor vadditional vinterventions
vrelated vto vfamily vdynamics vwhen
a. extended vfamily voffers vto vhelp.
b. family vmembers vexpress vcNoncern.
c. the vill vmember vdemands vattention.
d. memories vare vshared. ANS: v C
It vis vnot vuncommon vfor vthe vill vfamily vmember vto vbecome vdemanding vand vindicate
vthat vthey vdeserve vspecial vtreatment vand vcare, vand vthe vsupportive vfamily vmay vneed
vassistance vin vunderstanding vthe vdynamics vof vthe villness vin vorder vto vcontinue vto vbe
vsupportive. vOffers vfrom vextended vfamily vto vhelp vcan vbe vindicative vof vpositive
vdynamics. vConcern vexpressed vby vfamily vmembers vcan vbe vindicative vof vpositive
vdynamics. vSharing vof vfamily vmemories vcan vbe vindicative vof vpositive vdynamics.
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
3. Two vwomen vhave van vestablished vlong-term vrelationship vand vare vattending vparenting
vclasses vin vanticipation vof vfinalizing vadoption vof va vbaby. vThe vnurse videntifies vthem
vas vwhich vtype vof vfamily? a. Cohabiting
b. Nuclear
c. Same-sex
d. Single vparent vANS:
vC
This vfamily vwould vbe vconsidered va vsame-sex vfamily. vCohabiting vrefers vto va vcouple
vwho vlive vtogether vwith vno vlegal vbond. vNuclear vrefers vto vthe vtraditional vmale vand
vfemale vcore vfamily vwith vone vor vmore vchildren. vSingle vparent vrefers vto va vfamily
vwith vone vadult vand vone vor vmore vchildren.
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
,4. The vnurse videntifies vthe vfamily vwith va vchild vgraduating vfrom vcollege vas vhaving ANS: v D
vwhich veffect von vthe vfamily vlife vcycle? a. Minimal vimpact Intimate vpartner vviolence vis van vexemplar vof vnegative/dysfunctional vfamily
b. Considered vto vbe va vnegative vimpact von vthe vfamily vunit vdynamics. vAging vof vfamily vmembers vis van vexemplar vof vchanges vto vfamily
c. Leads vto vrole vconfusion vdynamics. vChronic villness vof va vfamily vmember vis van vexemplar vof vchanges vto
d. Expectation vof vrole vchange ANS: v D vfamily vdynamics.
vDisability vof va vfamily vmember vis van vexemplar vof vchanges vto vfamily vdynamics.
The vfamily vlife vcycle vdevelopmental vtheory vfocuses von vthe vgrowth vand vdevelopment
vof vchanges vin vrole vrelationships vduring vtransitional vperiods. vA vchild vgraduating
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
vfrom vcollege vis van vexample vof va vtransition vwhich vrequires va vrole vchange. vAs vthis
vis va vtransition, vone vwould vexpect vto vsee va vchange vso vminimal vimpact vwould vnot vbe
vexpected. vGraduation vdoes vnot vimply vthat vit vwill vbe va vnegative vchange von vthe
vfamily vlife vcycle vor vlead vto vrole vconfusion.
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
5. When vreviewing vthe vpurposes vof va vfamily vassessment, vthe vnurse veducator vwould N
videntify va vneed vfor vfurther vteaching vif vthe vstudent vresponded vthat vfamily
vassessment vis vused vto vgain van vunderstanding vof vwhich vaspect vof vthe vfamily?
a. Development N
b. Function
c. Political vviews
d. Structure ANS: v C
An vunderstanding vof vthe vpolitical vviews vof vfamily vmembers vis vnot va vprimary
vpurpose vof va vfamily vassessment. vA vfamily vassessment vprovides vthe vnurse vwith
vinformation vand van vunderstanding vof vfamily vdynamics. vThis vis vimportant vto vnurses
vfor vthe vprovision vof vquality vhealth vcare. vA vfamily vassessment vprovides van
vunderstanding vof vfamily vdevelopment, vfunction, vand vstructure.
OBJ: NCLEX vClient vNeeds vCategory: vHealth vPromotion vand vMaintenance
6. A vnurse vis vplanning vto vassess vthe vstructure vof va vfamily. vWhich vquestion vshould
vthe vnurse vask?
a. “Who vlives vwith vyou vin vthis vhome?”
b. “Who vdoes vthe vgrocery vshopping?”
c. “Who vprovides vsupport vin vyour vfamily?”
d. “How vold vare vthe vmembers vof vyour vfamily?” vANS: v A
The vstructure vof vthe vfamily vincludes vwho vis vin vthe vfamily vand vwhat vtheir
vrelationship vis. v“Who vdoes vthe vshopping?” vwould vprovide vinformation vabout vfamily
vfunctioning. v“Who vprovides vsupport?” vwould vprovide vinformation vabout vfamily
vfunctioning. v“How vold vare vthe vmembers?” vwould vprovide vinformation vabout vfamily
vdevelopment.
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
7. Which vfactors vwhich vwould valert vthe vnurse vto vnegative/dysfunctional vfamily
vdynamics? a. Aging vof vfamily vmembers
b. Chronic villness vof va vfamily vmember
c. Disability vof va vfamily vmember
d. Intimate vpartner vviolence
,Concept v04: vCulture
Giddens: vConcepts vfor vNursing vPractice, v3rd vEdition WWW.NURSYLAB.COM
Growth vis va vquantitative vchange vin vwhich van vincrease vin vcell vnumber vand vsize vresults
vin van vincrease vin voverall vsize vor vweight vof vthe vbody vor vany vof vits vparts. vThe
vprocesses vby vwhich vearly vcells vspecialize vare vreferred vto vas vdifferentiation.
vPsychosocial vand vcognitive vchanges vare vreferred vto vas vdevelopment. vQualitative
vchanges vassociated vwith vaging vare vreferred vto vas vmaturation.
1. The vnurse vmanager vof va vpediatric vclinic vcould vconfirm vthat vthe vnew vnurse
vrecognized vthe vpurpose vof vthe vHEADSS vAdolescent vRisk vProfile vwhen vthe
vnew vnurse vresponds vthat vit vis vused vto vassess vfor vneeds vrelated vto a. anticipatory OBJ: NCLEX vClient vNeeds vCategory: vHealth vPromotion vand vMaintenance
vguidance.
b. low-risk vadolescents. 4. The vmost vappropriate vresponse vof vthe vnurse vwhen va vmother vasks vwhat vthe
vDenver vII vdoes vis vthat vit
c. physical vdevelopment.
d. sexual vdevelopment. a. can vdiagnose vdevelopmental vdisabilities.
b. identifies va vneed vfor vphysical vtherapy.
ANS: v A c. is va vdevelopmental vscreening vtool.
The vHEADSS vAdolescent vRisk vProfile vis va vpsychosocial vassessment vscreening vtool d. provides va vframework vfor vhealth vteaching. ANS: v C
vwhich vassesses vhome, veducation, vactivities, vdrugs, vsex, vand vsuicide vfor vthe vpurpose The vDenver vII vis vthe vmost vcommonly vused vmeasure vof vdevelopmental vstatus vused
vof videntifying vhigh-risk vadolescents vand vthe vneed vfor vanticipatory vguidance. vIt vis vby vhealthcare vprofessionals; vit vis va vscreening vtool. vScreening vtools vdo vnot vprovide va
vused vto videntify vhigh-risk, vnot vlow-risk, vadolescents. vPhysical vdevelopment vis vdiagnosis. vDiagnosis vrequires va vthorough vneurodevelopment vhistory vand vphysical
vassessed vwith vanthropometric vdata. vexamination.
Sexual vdevelopment vis vassessed vusing vphysical vexamination. Developmental vdelay, vwhich vis vsuggested vby vscreening, vis va vsymptom, vnot va
vdiagnosis. vThe vneed vfor vany vtherapy vwould vbe videntified vwith va vcomprehensive
OBJ: NCLEX vClient vNeeds vCategory: vHealth vPromotion vand vMaintenance vevaluation, vnot va vscreening vtool. vSome vproviders vuse vthe vDenver vII vas va vframework
vfor vteaching vabout vexpected vdevelopment, vbut vthis vis vnot vthe vprimary vpurpose vof vthe
2. The vnurse vpreparing va vteaching vplan vfor va vpreschooler vknows vthat, vaccording vto vtool.
vPiaget, vthe vexpected vstage vof vdevelopment vfor va vpreschooler vis a. concrete
voperational. OBJ: NCLEX vClient vNeeds vCategory: vHealth vPromotion vand vMaintenance
b. formal voperational. N
c. preoperational. 5. To vplan vearly vintervention vanNd vcare vfor van vinfant vwith vDown vsyndrome, vthe
d. sensorimotor. ANS: v C vnurse vconsiders vknowledge vof vother vphysical vdevelopment vexemplars vsuch vas a.
cerebral vpalsy.
The vexpected vstage vof vdevelopment vfor va vpreschooler v(3–4 vyears vold) vis b. autism.
vpreoperational. vConcrete voperational vdescribes vthe vthinking vof va vschool-age vchild
c. attention-deficit/hyperactivity vdisorder v(ADHD).
v(7–11 vyears vold). vFormal voperational vdescribes vthe vthinking vof van vindividual vafter
d. failure vto vthrive.
vabout v11 vyears vof vage. vSensorimotor vdescribes vthe vearliest vpattern vof vthinking vfrom
vbirth vto v2 vyears vold. ANS: v D
Failure vto vthrive vis valso va vphysical vdevelopment vexemplar. vCerebral vpalsy vis van
OBJ: NCLEX vClient vNeeds vCategory: vHealth vPromotion vand vMaintenance vexemplar vof vmotor/developmental vdelay. vAutism vis van vexemplar vof vsocial/emotional
vdevelopmental vdelay. vADHD vis van vexemplar vof va vcognitive vdisorder.
3. The vschool vnurse vtalking vwith va vhigh vschool vclass vabout vthe vdifference vbetween
vgrowth vand vdevelopment vwould vbest vdescribe vgrowth vas a. processes vby vwhich OBJ: NCLEX vClient vNeeds vCategory: vHealth vPromotion vand vMaintenance
vearly vcells vspecialize.
b. psychosocial vand vcognitive vchanges. 6. To vplan vearly vintervention vand vcare vfor va vchild vwith va vdevelopmental vdelay,
c. qualitative vchanges vassociated vwith vaging. vthe vnurse vwould vconsider vknowledge vof vthe vconcepts vmost vsignificantly
d. quantitative vchanges vin vsize vor vweight. vANS: v D vimpacted vby vdevelopment, vincluding a. culture.
b. environment.
c. functional vstatus.
d. nutrition. vANS: v C
, Function vis vone vof vthe vconcepts vmost vsignificantly vimpacted vby vdevelopment. vOthers MULTIPLE vCHOICE
vinclude vsensory-perceptual, vcognition, vmobility, vreproduction, vand vsexuality.
vKnowledge vof vthese vconcepts vcan vhelp vthe vnurse vanticipate vareas vthat vneed vto vbe 1. The vnurse vis vassessing va vpatient’s vfunctional vability. vWhich vpatient vbest vdemonstrates
vaddressed. vCulture vis va vconcept vthat vis vconsidered vto vsignificantly vaffect vthe vdefinition vof vfunctional vability?
vdevelopment; vthe vdifference vis vthe vconcepts vthat vaffect vdevelopment vare vthose vthat a. Considers vself vas va vhealthy vindividual; vuses vcane vfor vstability
vrepresent vmajor vinfluencing vfactors v(causes); vhence vdetermination vof vdevelopment b. College veducated; vtravels vfrequently; vcan vbalance va vcheckbook
vwould vbe vthe vfocus vof vpreventive vinterventions. vEnvironment vis vconsidered vto c. Works vout vdaily, vreads vwell, vcooks, vand vcleans vhouse von vthe vweekends
vsignificantly vaffect vdevelopment. vNutrition vis vconsidered vto vsignificantly vaffect d. Healthy vindividual, vvolunteers vat vchurch, vworks vpart vtime, vtakes vcare vof vfamily
vdevelopment. vand vhouse
OBJ: NCLEX vClient vNeeds vCategory: vHealth vPromotion vand vMaintenance ANS: v D
Functional vability vrefers vto vthe vindividual’s vability vto vperform vthe vnormal vdaily
vactivities vrequired vto vmeet vbasic vneeds; vfulfill vusual vroles vin vthe vfamily, vworkplace,
7. A vmother vcomplains vto vthe vnurse vat vthe vpediatric vclinic vthat vher v4-year-old vchild
vand vcommunity; vand vmaintain vhealth vand vwell-being. vThe vother voptions vare vgood;
valways vtalks vto vher vtoys vand vmakes vup vstories. vThe vmother vwants vher vchild vto
vhowever, vhealthy vindividual, vchurch vvolunteer, vpart vtime vworker, vand vthe vpatient
vhave va vpsychological vevaluation. vThe vnurse’s vbest vinitial vresponse vis vto a. refer
vwho vtakes vcare vof vthe vfamily vand vhouse vfully vmeets vthe vcriteria vfor vfunctional
vthe vchild vto va vpsychologist vimmediately.
vability.
b. explain vthat vplaying vmake vbelieve vis vnormal vat vthis vage.
c. complete va vdevelopmental vscreening vusing va vvalidated vtool.
d. separate vthe vchild vfrom vthe vmother vto vget vmore vinformation. OBJ: NCLEX vClient vNeeds vCategory: vPhysiological vIntegrity: vBasic vCare vand vComfort
ANS: v B 2. The vnurse vis vassessing va vpatient’s vfunctional vperformance. vWhat vassessment
By vthe vend vof vthe vfourth vyear, vit vis vexpected vthat va vchild vwill vengage vin vfantasy, vso vparameters vwill vbe vmost vimportant vin vthis vassessment?
vthis vis vnormal vat vthis vage. vA vreferral vto va vpsychologist vwould vbe vpremature vbased a. Continence vassessment, vgait vassessment, vfeeding vassessment, vdressing vassessment,
vonly von vthe vcomplaint vof vthe vmother. vCompleting va vdevelopmental vscreening vwould transfer vassessment N
vbe vvery vappropriate vbut vnot vthe vinitial vresponse. vThe vnurse vwould vcertainly vwant vto
b. Height, vweight, vbody vmass vindex v(BMI), vvital vsigns vassessment
vget vmore vinformation, vbut vseparating vthe vchild vfrom vthe vmother vis vnot vnecessary vat
c. Sleep vassessment, venergy vassessment, vmemory vassessment, vconcentration
vthis vtime.
vassessment
d. Health vand vwell-being, vamount vof vcommunity vvolunteer vtime, vworking voutside vthe
OBJ: NCLEX vClient vNeedsNCategory: vHealth vPromotion vand vMaintenance vhome, vand vability vto vcare vfor vfamily vand vhouse
8. A v17-year-old vgirl vis vhospitalized vfor vappendicitis, vand vher vmother vasks vthe ANS: v A
vnurse vwhy vshe vis vso vneedy vand vacting vlike va vchild. vThe vbest vresponse vof vthe Functional vimpairment, vdisability, vor vhandicap vrefers vto vvarying vdegrees vof van
vnurse vis vthat vin vthe vhospital, vadolescents a. have vseparation vanxiety. vindividual’s vinability vto vperform vthe vtasks vrequired vto vcomplete vnormal vlife vactivities
b. rebel vagainst vrules. vwithout vassistance. vHeight, vweight, vBMI, vand vvital vsigns vare vpart vof va vphysical
c. regress vbecause vof vstress. vassessment. vSleep, venergy, vmemory, vand vconcentration vare vpart vof va vdepression
d. want vto vknow veverything. ANS: v C vscreening. vHealthy, vvolunteering, vworking, vand vcaring vfor vfamily vand vhouse vare
vfunctional vabilities, vnot vperformance.
Regression vto van vearlier vstage vof vdevelopment vis va vcommon vresponse vto vstress.
vSeparation vanxiety vis vmost vcommon vin vinfants vand vtoddlers. vRebellion vagainst
OBJ: NCLEX vClient vNeeds vCategory: vPhysiological vIntegrity: vReduction vof
vhospital vrules vis vusually vnot van vissue vif vthe vadolescent vunderstands vthe vrules vand
vRisk vPotential
vwould vnot vcreate vchildlike vbehaviors. vAn vadolescent vmay vwant vto v“know veverything”
vwith vtheir vlogical vthinking vand vdeductive vreasoning, vbut vthat vwould vnot vexplain vwhy
3. The vnurse vis vassessing va vpatient vwith va vmobility vdysfunction vand vwants vto vgain
vthey vwould vact vlike va vchild.
vinsight vinto vthe vpatient’s vfunctional vability. vWhat vquestion vwould vbe vthe vmost
vappropriate?
OBJ: NCLEX vClient vNeeds vCategory: vHealth vPromotion vand vMaintenance
a. “Are vyou vable vto vshop vfor vyourself?”
Concept v02: vFunctional vAbility b. “Do vyou vuse va vcane, vwalker, vor vwheelchair vto vambulate?”
Giddens: vConcepts vfor vNursing vPractice, v3rd vEdition c. “Do vyou vknow vwhat vtoday’s vdate vis?”
d. “Were vyou vsad vor vdepressed vmore vthan vonce vin vthe vlast v3
vdays?” vANS: v B
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