Test Bank for Concepts for Nursing Practice (3rd Ed) By Jean Giddens| Complete Guide All Chapters 2025

TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
kx kx kx kx kx kx kx kx kx kx




Concept01:Development
xk xk




Giddens:ConceptsforNursingPractice,3rdEdition
xk xk xk xk xk xk




MULTIPLE CHOICE kx




1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
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purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is used
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to review for needs related to
kx kx kx kx kx kx




a. anticipatory guidance. kx




b. low-risk adolescents. kx




c. physicaldevelopment. kx




d. sexual development. kx




ANS: A k x




The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
kx kx kx kx kx kx kx kx kx kx kx




reviews home, education, activities, drugs, sex, and suicide for the purpose of identifying high-
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risk adolescents and the need for anticipatoryguidance. It is used to identifyhigh-risk, not low-
kx kx kx kx kx kx kx kx kx kx kx kx x
k kx kx




risk, adolescents. Physical development is reviewed with anthropometric data.
kx kx kx kx kx kx kx kx




Sexualdevelopment is reviewed using physical examination.
kx kx kx kx kx kx




OBJ: NCLEXClient Needs Category: Health Promotion and Maintenance kx kx kx kx kx kx kx




2. Thenursepreparing a teaching plan for a preschooler knows that, according to Piaget, the
kx kx kx kx kx kx kx kx kx kx kx kx kx kx




expected stage of development for a preschooler is
kx kx kx kx kx kx kx kx




a. concreteoperational. kx




b. formal operational. kx




c. preoperational.
d. sensorimotor.
ANS: C k x




The expected stage of development for a preschooler (3–4 years old) is pre-operational.
kx kx kx kx kx kx kx kx kx kx kx kx




Concrete operational describes the thinking of a school-age child (7–11 years old). Formal
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operational describes the thinkingof an individual after about 11 years of age. Sensorimotor
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describes the earliest pattern of thinking from birth to 2 years old.
kx kx kx kx kx kx kx kx kx kx kx kx




OBJ: NCLEXClient Needs Category: Health Promotion and Maintenance kx kx kx kx kx kx kx




3. Theschool nursetalking with ahigh school class about thedifferencebetween growth and
kx kx kx kx kx kx kx kx kx kx kx kx kx kx




development would best describe growth as
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a. processes bywhich early cells specialize. kx kx kx kx kx




b. psychosocial and cognitive changes. kx kx kx




c. qualitative changes associated with aging. kx kx kx kx




d. quantitativechangesinsizeorweight. kx kx kx kx x
k




kx ANS: D k x

,TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
kx kx kx kx kx kx kx kx kx kx




Growth is a quantitative change in which an increase in cell number and size results in an
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increase in overall size or weight of the body or any of its parts. The processes by which early
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx




cells specialize are referred to as differentiation. Psychosocial and cognitive changes are
kx kx kx kx kx kx kx kx kx kx kx kx




referred to as development. Qualitativechanges associated with aging arereferred to as
x
k kx kx kx kx kx kx kx kx kx x
k kx kx




maturation.
kx




OBJ: NCLEXClient Needs Category: Health Promotion and Maintenance kx kx kx kx kx kx kx




4. Themost appropriate responseof thenurse when amother asks what the Denver IIdoes is that it
kx kx kx kx kx x
k kx kx x
k kx kx kx kx kx kx kx kx kx




a. can diagnose developmental disabilities. kx kx kx




b. identifies a need for physical therapy. kx kx kx kx kx




c. is a developmental screening tool.
kx kx kx kx




d. provides a framework for health teaching. kx kx kx kx kx




ANS: C k x




The Denver II is the most commonly used measure of developmental status used by healthcare
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professionals; it is a screeningtool. Screening tools do not provideadiagnosis. Diagnosis
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requires a thorough neurodevelopment history and physical examination.
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Developmental delay, which is suggested byscreening, is a symptom, not a diagnosis. The need kx kx kx kx kx x
k kx kx kx kx kx kx kx kx




for anytherapywould be identified with a comprehensive evaluation, not a screening tool. Some
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx




providers use the Denver II as a framework for teaching about expected development, but this is
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not the primary purpose of the tool.
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OBJ: NCLEXClient Needs Category: Health Promotion and Maintenance kx kx kx kx kx kx kx




5. Toplanearlyinterventiona n Nd U
x
k caRreSfIoN
r aGnTinBf.
anCt OwMith Downsyndrome,thenurseconsiders
kx kx kx kx kx kx x
k kx x
k x
k




knowledge of other physical development exemplars such as
kx kx kx kx kx kx kx kx




a. cerebral palsy. kx




b. failureto thrive. kx kx




c. fetal alcohol syndrome. kx kx




d. hydrocephaly.
ANS: D k x




Hydrocephalyis also a physical development exemplar. Cerebral palsyis an exemplarof kx kx kx kx kx kx kx kx x
k kx kx kx




adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
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developmental delay. Fetal alcohol syndrome is an exemplar of cognitive developmental delay.
kx kx kx kx kx kx kx kx kx kx kx kx




OBJ: NCLEXClient Needs Category: Health Promotion and Maintenance kx kx kx kx kx kx kx




6. To plan earlyintervention and care for a child with a developmental delay, the nurse would
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consider knowledge of the concepts most significantlyimpacted bydevelopment, including
kx kx kx kx kx kx kx x
k kx x
k kx




a. culture.
b. environment.
c. functional status. kx




d. nutrition.
kx ANS: C k x

,TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
kx kx kx kx kx kx kx kx kx kx




Function is oneof the concepts most significantlyimpacted bydevelopment. Others include
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k kx kx




sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
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concepts can help the nurse anticipate areas that need to be addressed. Culture is a concept that is
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considered to significantly affect development; the difference is the concepts that affect
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development are those that represent major influencing factors (causes); hence determination of
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development would be the focus of preventive interventions. Environment is considered to
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significantly affect development. Nutrition is considered to significantly affect development.
kx kx kx kx kx kx kx kx kx kx




OBJ: NCLEXClient Needs Category: Health Promotion and Maintenance kx kx kx kx kx kx kx




7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks to her
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toys and makes up stories. The mother wants her child to have a psychological evaluation. The
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nurse‘s best initial response is to
kx kx kx kx kx kx




a. refer the child to a psychologist immediately. kx kx kx kx kx kx




b. explain that playing make believe is normal at this age. kx kx kx kx kx kx kx kx kx




c. complete a developmental screening using a validated tool. kx kx kx kx kx kx kx




d. separatethe child from the mother to get more information. kx kx kx kx kx kx kx kx kx




ANS: B k x




By the end of the fourth year, it is expected that a child will engage in fantasy, so this is normal at
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this age. A referral to a psychologist would be premature based only on the complaint of the
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx




mother. Completing adevelopmental screening would be veryappropriate but not the initial
kx kx kx kx kx kx kx kx x
k kx kx kx kx




response. The nurse would certainly want to get more information, but separating the child from
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx




the mother is not necessary at this time.
kx kx kx kx kx kx kx kx




OBJ: NCLEX Client NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotion k x k x k x and Maintenance k x




8. A 17-year-old girl is hospitalized forappendicitis, and her mother asks the nursewhysheis so
kx kx kx kx kx kx kx kx kx kx kx kx x
k x
k kx kx




needy and acting like a child. The best response of the nurse is that in the hospital, adolescents
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a. haveseparation anxiety. kx kx




b. rebel against rules. kx kx




c. regress because of stress. kx kx kx




d. want to know everything. kx kx kx




ANS: C k x




Regression to an earlier stage of development is a common response to stress. Separation anxiety kx kx kx kx kx kx kx kx kx kx kx kx kx kx




is most common in infants and toddlers. Rebellion against hospital rules is usually not an issue if
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx




the adolescent understands the rules and would not create childlikebehaviors. An adolescent may
x
k kx kx kx kx kx kx kx kx kx kx kx kx kx




want to ―know everything‖ with their logical thinking and deductive reasoning, but that would
kx kx kx kx kx kx kx kx kx kx kx kx kx kx




not explain why they would act like a child.
kx kx kx kx kx kx kx kx kx




OBJ: NCLEXClient Needs Category: Health Promotion and Maintenance kx kx kx kx kx kx kx

, TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
kx kx kx kx kx kx kx kx kx kx




Concept02:FunctionalAbility
xk xk xk




Giddens:ConceptsforNursingPractice,3rdEdition
xk xk xk xk xk xk




MULTIPLE CHOICE kx




1. The nurse is reviewing a patient‘s functional ability. Which patient best demonstrates the
kx kx kx kx kx kx kx kx kx kx kx kx




definition of functional ability?
kx kx kx kx




a. Considers self as a healthy individual; uses cane for stability kx kx kx kx kx kx kx kx kx




b. College educated; travels frequently; can balance a checkbook kx kx kx kx kx kx kx




c. Works out daily, reads well, cooks, and cleans house on the weekends kx kx kx kx kx kx kx kx kx kx kx




d. Healthyindividual, volunteers at church, works part time, takes care of familyand kx kx kx kx kx kx kx kx kx kx kx kx




house kx




ANS: D k x




Functional ability refers to the individual‘s ability to perform the normal daily activities kx kx kx kx kx kx kx kx kx kx kx kx




required to meet basic needs; fulfill usual roles in the family, workplace, and community; and
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx




maintain health and well-being. The other options are good; however, healthy individual,
kx kx kx kx kx kx kx kx kx kx kx kx




church volunteer, part time worker, and the patient who takes careof the family and house fully
kx kx kx kx kx kx kx kx kx kx kx x
k kx kx kx kx kx




meets the criteria for functional ability.
kx kx kx kx kx kx




OBJ: NCLEXClient Needs Category: Physiological Integrity: Basic Care and Comfort kx kx kx kx kx kx kx kx kx




2. Thenurseis reviewinga patient‘s functional performance. What assessment parameters will be
kx kx kx kx kx kx kx kx kx kx kx kx




most important in this assessment?
kx kx kx kx kx




a. Continenceassessment, gait assessment, feeding assessment, dressing assessment, kx kx kx kx kx kx kx




transfer assessment kx




b. Height, weight, bodymass index (BMI), vital signs assessment kx kx kx kx kx kx kx kx




c. Sleepassessment, energyassessment,memoryassessment,concentration kx kx kx kx x
k x
k




assessment kx




d. Health and well-being, amount of communityvolunteer time, working outside the kx kx kx kx kx x
k kx kx kx kx




home, and ability to care for family and house
kx kx kx kx kx kx kx kx kx




ANS: A k x




Functional impairment, disability, or handicap refers to varying degrees of an individual‘s kx kx kx kx kx kx kx kx kx kx kx




inabilityto perform the tasks required to complete normal lifeactivities without assistance.
kx kx kx kx kx kx kx kx kx kx x
k kx kx




Height, weight, BMI, and vital signs are part of a physical assessment. Sleep, energy, memory,
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx




and concentration are part of a depression screening. Healthy, volunteering, working, and
kx kx kx kx kx kx kx kx kx kx kx kx




caring for family and house are functional abilities, not performance.
kx kx kx kx kx kx kx kx kx kx




OBJ: NCLEXClient Needs Category: Physiological Integrity: Reduction ofRisk Potential kx kx kx kx kx kx kx kx kx




3. The nurse is reviewing a patient with a mobilitydysfunction and wants to gain insight into the
kx kx kx kx kx kx kx kx x
k kx kx kx kx kx kx kx




patient‘s functional ability. What question would be the most appropriate?
kx kx kx kx kx kx kx kx kx kx




a. ―Are you able to shop for yourself?‖ kx kx kx kx kx kx




b. ―Do you use a cane, walker, or wheelchair to ambulate?‖ kx kx kx kx kx kx kx kx kx




c. ―Do you know what today‘s date is?‖ kx kx kx kx kx kx




d. ―Were you sad or depressed morethan once in the last 3 days?‖ ANS: kx kx kx kx kx x
k kx kx kx kx kx kx kx




k x B