Test Bank for- Concepts for Nursing Practice (3rd Ed) By Jean Giddens| All Chapters Fully Covered |Latest Update |study guide 100% original and verified A+.

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

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




Concept 01: Development
ju ju


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




MULTIPLE CHOICE ju




1. The nurse manager of a pediatric clinic could confirm that the new nurse
ju ju ju ju ju ju ju j u ju ju ju ju


recognized the purpose of the HEADSS Adolescent Risk Profile when the new
ju j u j u ju ju ju ju ju ju ju ju ju


nurse responds that it is used to review for needs related to
ju ju j u ju ju ju ju ju ju ju j u ju


a. anticipatory guidance. ju


b. low-risk adolescents. ju


c. physical development. ju


d. sexual development. ju




ANS: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool
ju ju ju ju ju ju ju ju ju ju


which reviews home, education, activities, drugs, sex, and suicide for the purpose of
ju ju ju ju ju ju ju ju ju ju ju ju ju


identifying high-risk adolescents and the need for anticipatory guidance. It is used
j u ju ju ju ju ju ju ju ju ju ju ju


to identify high-risk, not low-risk, adolescents. Physical development is reviewed
ju ju ju ju ju ju ju ju ju ju


with anthropometric data.
ju ju ju


Sexual development is reviewed using physical examination.
ju ju ju ju ju ju




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




2. The nurse preparing a teaching plan for a preschooler knows that, according to
ju ju ju ju ju ju ju ju ju ju ju ju


Piaget, the expected stage of development for a preschooler is
ju ju ju ju ju ju ju ju ju ju


a. concrete operational. ju


b. formal operational. ju


c. preoperational.
d. sensorimotor.
ANS: C
The expected stage of development for a preschooler (3–4 years old) is pre-
ju ju ju ju ju ju ju ju ju ju ju ju


operational. Concrete operational describes the thinking of a school-age
j u j u j u j u j u j u j u j u


child (7–11 years old).
j u j u j u j u


Formal operational describes the thinking of an individual after about 11 years of
ju ju ju ju ju ju ju ju ju ju ju ju


age. Sensorimotor describes the earliest pattern of thinking from birth to 2
ju ju j u j u j u ju j u j u j u j u j u j u


years old.
j u j u




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




3. The school nurse talking with a high school class about the difference between
ju ju ju ju ju ju ju ju ju ju ju ju


growth and development would best describe growth as
ju ju ju ju ju ju ju ju


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


b. psychosocial and cognitive changes. ju ju ju


c. qualitative changes associated with aging. ju ju ju ju


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




ju ANS: D

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




Growth is a quantitative change in which an increase in cell number and size
ju ju ju ju ju ju ju ju ju ju ju ju ju


results in an increase in overall size or weight of the body or any of its
ju ju ju j u ju ju ju ju j u ju j u ju ju ju ju ju


juparts. The processes by which early cells specialize are referred to as
ju ju j u ju ju ju ju ju ju ju ju


differentiation. Psychosocial and cognitive changes are referred to as development.
ju ju ju ju ju ju ju ju ju ju


Qualitative changes associated with aging are referred to as maturation.
ju ju ju ju ju ju ju ju ju ju




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




4. The most appropriate response of the nurse when a mother asks what the Denver II
ju ju ju ju ju ju ju ju ju ju ju ju ju ju


does is that it
ju ju ju ju


a. can diagnose developmental disabilities.
ju ju ju


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


c. is a developmental screening tool.
ju ju ju ju


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




ANS: C
The Denver II is the most commonly used measure of developmental status used by
ju ju ju ju ju ju ju ju ju ju ju ju ju


j uhealthcare professionals; it is a screening tool. Screening tools do not provide a
ju ju ju ju ju ju ju ju ju ju ju ju


diagnosis. Diagnosis requires a thorough neurodevelopment history and physical
ju ju ju ju ju ju ju ju ju


examination.
ju


Developmental delay, which is suggested by screening, is a symptom, not a ju ju ju ju ju ju ju ju ju ju ju


diagnosis. The need for any therapy would be identified with a comprehensive
ju ju ju ju ju ju ju ju ju ju ju ju


evaluation, not a screening tool. Some providers use the Denver II as a framework
ju ju ju ju ju ju ju ju ju ju ju ju ju ju


for teaching about expected development, but this is not the primary
ju ju ju ju j u j u ju j u j u j u j u


purpose of the tool.
j u j u j u j u




OBJ: j u j u NCLEX Client Needs Category: Health Promotion and Maintenance
ju ju ju ju ju ju ju




5. To plan early intervention a nNd U
ju ju caRreSfIoN
r aGnTinBf.
anCt OwMith Down syndrome, the nurse considers
ju ju ju ju ju lp ju ju ju ju ju


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


a. cerebral palsy. ju


b. failure to thrive. ju ju


c. fetal alcohol syndrome. ju ju


d. hydrocephaly.
ANS: D j u j u


Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
ju ju ju ju ju ju ju ju ju ju ju ju


adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
ju ju ju ju ju ju ju ju ju ju ju


developmental delay. Fetal alcohol syndrome is an exemplar of cognitive
ju ju ju ju ju ju ju ju ju ju


developmental delay.
ju ju




OBJ: j u j u NCLEX Client Needs Category: Health Promotion and Maintenance
ju ju ju ju ju ju ju




6. To plan early intervention and care for a child with a developmental delay, the nurse
ju ju ju ju ju ju ju ju ju ju ju ju ju ju


would consider knowledge of the concepts most significantly impacted by
ju ju ju ju ju ju ju ju ju ju


development, including
ju ju


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


d. nutrition.
ju ANS: C

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




Function is one of the concepts most significantly impacted by development. Others
ju ju ju ju ju ju ju ju ju ju ju


include sensory-perceptual, cognition, mobility, reproduction, and sexuality.
ju ju ju ju ju ju ju


Knowledge of these concepts can help the nurse anticipate areas that need to
ju ju ju ju ju ju ju ju ju ju ju ju ju


be addressed. Culture is a concept that is considered to significantly affect
ju ju ju ju ju ju ju ju ju ju ju ju


development; the difference is the concepts that affect development are those that
ju ju ju ju ju j u ju ju ju ju ju ju


represent major influencing factors (causes); hence determination of development
ju ju ju ju ju ju ju ju ju


would be the focus of preventive interventions. Environment is considered to
ju ju ju ju ju ju ju j u ju j u j u


significantly affect development. Nutrition is considered to significantly affect
j u ju j u ju ju ju ju ju ju


development.
ju




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




7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child
ju ju ju ju ju ju ju ju ju ju ju ju ju


always talks to her toys and makes up stories. The mother wants her child to
ju ju ju ju j u j u ju ju ju ju ju ju ju j u ju


have a psychological evaluation. The nurse‘s best initial response is to
ju ju ju ju ju ju ju ju ju ju ju


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


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


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


d. separate the child from the mother to get more information.
ju ju ju ju ju ju ju ju ju




ANS: B
By the end of the fourth year, it is expected that a child will engage in
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju


fantasy, so this is normal at this age. A referral to a psychologist would
ju ju ju ju ju j u ju ju j u ju ju j u ju ju


be premature based only on the complaint of the mother. Completing a
ju ju j u ju ju ju ju ju ju ju ju ju


developmental screening would be very appropriate but not the initial response. The
ju ju ju ju ju ju ju ju ju ju ju ju


nurse would certainly want to get more information, but separating the child
ju ju ju ju ju ju ju j u ju j u ju j u


from the mother is not necessary at this time.
j u j u ju ju j u j u j u j u j u




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

8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why
ju ju ju ju ju ju ju ju ju ju ju ju ju


she is so needy and acting like a child. The best response of the nurse is
ju ju ju ju ju ju ju ju ju ju ju j u ju ju j u ju


that in the hospital, adolescents
ju ju ju ju ju


a. have separation anxiety. ju ju


b. rebel against rules. ju ju


c. regress because of stress. ju ju ju


d. want to know everything. ju ju ju




ANS: C
Regression to an earlier stage of development is a common response to stress.
ju ju ju ju ju ju ju ju ju ju ju ju


Separation anxiety is most common in infants and toddlers. Rebellion
ju j u ju j u j u ju j u j u j u j u


against hospital rules is usually not an issue if the adolescent understands the rules
j u j u j u j u ju ju ju ju ju ju ju ju ju ju


and would not create childlike behaviors. An adolescent may want to ―know
ju ju ju ju ju ju ju ju ju ju ju ju


everything‖ with their logical thinking and deductive reasoning, but that would not
ju ju ju ju ju ju ju j u j u ju j u j u


explain why they would act like a child.
j u j u ju ju j u j u j u j u




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