Test Bank - Concepts for Nursing Practice, 4th Edition (Jean Foret Giddens, 2024) Chapters 1-57 | All Chapters LATEST

,
,Concept 01: Development
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Giddens: Concepts for Nursing Practice, 4th Edition
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MULTIPLE CHOICE r7




1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized thep
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urpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it isus
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ed to assess for needs related to
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a. anticipatory guidance. r7



b. low-risk adolescents. r7



c. physical development. r7



d. sexual development. r7




ANS: A r 7



The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which as
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sesses home, education, activities, drugs, sex, and suicide for the purpose of identifying high
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-risk adolescents and the need for anticipatory guidance. It is used to identify high-
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risk,not low-risk, adolescents. Physical development is assessed with anthropometric data.
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Sexual development is assessed using physical examination.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance r7 r7 r7 r7 r7 r7 r7




2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, thee
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xpected stage of development for a preschooler is
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a. concrete operational. r7




b. formal operational. N r7



c. preoperational.
d. sensorimotor.
ANS: C r 7



The expected stage of development for a preschooler (3–4 years old) is pre-
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operational. Concrete operational describes the thinking of a school-age child (7–
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11 years old). Formal operational describes the thinking of an individual after about 11 years
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of age. Sensorimotordescribes the earliest pattern of thinking from birth to 2 years old.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance r7 r7 r7 r7 r7 r7 r7




3. The school nurse talking with a high school class about the difference between growth andd
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evelopment would best describe growth as r7 r7 r7 r7 r7



a. processes by which early cells specialize. r7 r7 r7 r7 r7



b. psychosocial and cognitive changes. r7 r7 r7



c. qualitative changes associated with aging. r7 r7 r7 r7



d. quantitative changes in size or weight. r7 r7 r7 r7 r7 r7




ANS: D r 7

, Growth is a quantitative change in which an increase in cell number and size results in an in
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crease in overall size or weight of the body or any of its parts. The processes by which early
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cells specialize are referred to as differentiation. Psychosocial and cognitive changes are ref
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erred to as development. Qualitative changes associated with aging are referred to asmatura
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tion.

OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance r7 r7 r7 r7 r7 r7 r7




4. The most appropriate response of the nurse when a mother asks what the Denver II does ist
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hat it r7



a. can diagnose developmental disabilities.
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b. identifies a need for physical therapy. r7 r7 r7 r7 r7



c. is a developmental screening tool.
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d. provides a framework for health teaching. r7 r7 r7 r7 r7




ANS: C r 7



The Denver II is the most commonly used measure of developmental status used by health
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care professionals; it is a screening tool. Screening tools do not provide a diagnosis.Diagno
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sis requires a thorough neurodevelopment history and physical examination.
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Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. Then r7 r7 r7 r7 r7 r7 r7 r7 r7 r7 r7 r7 r7 r7



eed for any therapy would be identified with a comprehensive evaluation, not a screeningto
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ol. Some providers use the Denver II as a framework for teaching about expected developm
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ent, but this is not the primary purpose of the tool.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance r7 r7 r7 r7 r7 r7 r7




5. To plan early intervention anN
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nowledge of other physical development exemplars such as
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a. cerebral palsy. r7



b. autism.
c. attention-deficit/hyperactivity disorder (ADHD). r7 r7



d. failure to thrive. r7 r7




ANS: D r 7



Failure to thrive is also a physical development exemplar. Cerebral palsy is an exemplar of
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motor/developmental delay. Autism is an exemplar of social/emotional developmental dela r7 r7 r7 r7 r7 r7 r7 r7 r7



y. ADHD is an exemplar of a cognitive disorder.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance r7 r7 r7 r7 r7 r7 r7




6. To plan early intervention and care for a child with a developmental delay, the nurse wouldc
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onsider knowledge of the concepts most significantly impacted by development, including
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a. culture.
b. environment.
c. functional status. r7



d. nutrition. r7




ANS: C r 7