TEST BANK FOR Concepts for Nursing Practice 3rd Edition by Jean Foret Giddens ISBN:978-0323581936 AL CHAPTERS COVERED YOUR ULTIMATE GUIDE 100% VERIFIED A+ GRADE ASSURED!!!!!! NEW LATEST UPDATE!!!!!!

,Concept 01: Development
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Giddens: Concepts for Nursing Practice, 3rd Edition
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MULTIPLE CHOICE CC




1. The nurse manager of a pediatric clinic could confirm that the new nurse recogniz
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ed the purpose of the HEADSS Adolescent Risk Profile when the new nurse resp
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onds that it is used to assess for needs related to
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a. anticipatory guidance. CC


b. low-risk adolescents. CC


c. physical development. CC


d. sexual development. CC




ANS: A C C


The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool wh
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ich assesses home, education, activities, drugs, sex, and suicide for the purpose of ide
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ntifying high- CC


risk adolescents and the need for anticipatory guidance. It is used to identify high-
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risk, not low- CC CC


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
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2. The nurse preparing a teaching plan for a preschooler knows that, according to Piag
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et, the expected stage of development for a preschooler is
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a. concrete operational. CC


b. formal operational. N CC


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


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
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years of age. Sensorimotor describes the earliest pattern of thinking from birth to 2 ye
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ars old. CC




OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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3. The school nurse talking with a high school class about the difference between growt
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h and development would best describe growth as
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a. processes by which early cells specialize. CC CC CC CC CC


b. psychosocial and cognitive changes. CC CC CC


c. qualitative changes associated with aging. CC CC CC CC


d. quantitative changes in size or weig CC CC CC CC CC




ht. ANS: D
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, Growth is a quantitative change in which an increase in cell number and size results
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in an increase in overall size or weight of the body or any of its parts. The processe
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s by which early cells specialize are referred to as differentiation. Psychosocial and c
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ognitive changes are referred to as development. Qualitative changes associated with a
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ging are referred to as maturation.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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4. The most appropriate response of the nurse when a mother asks what the Denver II
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does is that it CC CC CC


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


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




ANS: C C C


The Denver II is the most commonly used measure of developmental status used by h
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ealthcare professionals; it is a screening tool. Screening tools do not provide a diagnosi
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s. Diagnosis 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.
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The need for any therapy would be identified with a comprehensive evaluation, not a s
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creening tool. Some providers use the Denver II as a framework for teaching about ex
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pected development, but this is not the primary purpose of the tool.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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5. To plan early intervention a n Nd care for an infant with Down syndrome, the nurse cons
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iders knowledge of other physical development exemplars such as
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a. cerebral palsy. CC


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


d. failure to thrive. CC CC




ANS: D C C


Failure to thrive is also a physical development exemplar. Cerebral palsy is an exempl
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ar of motor/developmental delay. Autism is an exemplar of social/emotional developm
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ental delay. ADHD is an exemplar of a cognitive disorder.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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6. To plan early intervention and care for a child with a developmental delay, the nurse
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would consider knowledge of the concepts most significantly impacted by developme
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nt, including
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a. culture.
b. environment.
c. functional status. CC


d. nutrition.
CC ANS: C C C

, Function is one of the concepts most significantly impacted by development. Others in
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clude sensory- CC


perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these conce
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pts can help the nurse anticipate areas that need to be addressed. Culture is a concept
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that is considered to significantly affect development; the difference is the concepts t
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hat affect development are those that represent major influencing factors (causes); hen
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ce determination of development would be the focus of preventive interventions. Envi
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ronment is considered to significantly affect development. Nutrition is considered to si
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gnificantly affect development. CC CC




OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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7. A mother complains to the nurse at the pediatric clinic that her 4-year-
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old child always talks to her toys and makes up stories. The mother wants her child t
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o have a psychological evaluation. The nurse’s best initial response is to
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a. refer the child to a psychologist immediately.
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b. explain that playing make believe is normal at this age.
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c. complete a developmental screening using a validated tool.
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d. separate the child from the mother to get more information.
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ANS: B C C


By the end of the fourth year, it is expected that a child will engage in fantasy, so thi
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s is normal at this age. A referral to a psychologist would be premature based only on
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the complaint of the mother. Completing a developmental screening would be very ap
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propriate but not the initial response. The nurse would certainly want to get more info
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rmation, but separating the child from the mother is not necessary at this time.
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OBJ: NCLEX Client NeedsNCategory: Health Promotion and Maintenance
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8. A 17-year-
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old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so
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needy and acting like a child. The best response of the nurse is that in the hospital,
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adolescents
a. have separation anxiety. CC CC


b. rebel against rules. CC CC


c. regress because of stress. CC CC CC


d. want to know everything. CC CC CC




ANS: C C C


Regression to an earlier stage of development is a common response to stress. Separat
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ion anxiety is most common in infants and toddlers. Rebellion against hospital rules is
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CCusually not an issue if the adolescent understands the rules and would not create child
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like behaviors. An adolescent may want to “know everything” with their logical thinki
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ng and deductive reasoning, but that would not explain why they would act like a chi
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ld.

OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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