Updated/Latest Concepts for Nursing Practice 3rd Edition Test Bank Comprehensive Examination Questions and Answers Study Guide for Nursing Fundamentals Clinical Reasoning Patient Care Concepts Health Assessment Evidence-Based Practice Professional Nursing

TES BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
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Concep 01: Development
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Giddens: Concepts for Nursing Practice, 3rd Edition


MULTIPLE CHOICE

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
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used to review for needs related to
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a. anticipatory guidance. J



b. low-risk adolescents. J



c. physical development. J



d. sexual development. J




ANS: A J



The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
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reviews home, education, activities, drugs, sex, and suicide for the purpose of identifying
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high-risk adolescents and the need for anticipatory guidance. It is used to identify high-risk,
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not low-risk, adolescents. Physical development is reviewed with anthropometric data.
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Sexual development is reviewed 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 Piaget, the
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expected stage of development for a preschooler is
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a. concrete operational. J



b. formal operational. J



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



The expected stage of development for a preschooler (3–4 years old) is pre-operational.
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Concrete operational describes the thinking of a school-age child (7–11 years old). Formal
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operational describes the thinking of 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.
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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 growth and
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development would best describe growth as J J J J J



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



b. psychosocial and cognitive changes. J J J



c. qualitative changes associated with aging. J J J J



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




ANS: D J

,TES BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
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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
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cells specialize are referred to as differentiation. Psychosocial and cognitive changes are
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referred to as development. Qualitative changes associated with aging are referred to as
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maturation.

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




4. The most appropriate response of the nurse when a mother asks what the Denver II does is that
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it
a. can diagnose developmental disabilities.
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b. identifies a need for physical therapy. J J J J J



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




ANS: C J



The Denver II is the most commonly used measure of developmental status used by healthcare
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professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis
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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. The J J J J J J J J J J J J J J



need for any therapy would be identified with a comprehensive evaluation, not a screening
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tool. Some providers use the Denver II as a framework for teaching about expected
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development, but this is not the primary purpose of the tool. J J J J J J J J J J




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




5. To planearly interventiona n Nd U
J caRreSfIoN
J r aGnTinBf.
anCt OwMith Down syndrome, the nurse considers
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knowledge of other physical development exemplars such as J J J J J J J



a. cerebral palsy. J



b. failure to thrive. J J



c. fetal alcohol syndrome. J J



d. hydrocephaly.
ANS: D J



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



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 J J J J J J J J J J J



delay.

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




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



d. nutrition.
J ANS: C J

,TES BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
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Function is one of the concepts most significantly impacted by development. Others include
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sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these J J J J J J J J J



concepts can help the nurse anticipate areas that need to be addressed. Culture is a concept that
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is 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
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of 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.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance J J J J J J J




7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks to
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her toys and makes up stories. The mother wants her child to have a psychological evaluation.
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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. J J J J J J J J J



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



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




ANS: B J



By the end of the fourth year, it is expected that a child will engage in fantasy, so this is normal
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at this age. A referral to a psychologist would be premature based only on the complaint of the
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mother. Completing a developmental screening would be very appropriate but not the initial
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response. The nurse would certainly want to get more information, but separating the child
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from the mother is not necessary at this time.
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OBJ: NCLEX Client NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotion and Maintenance
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8. A 17-year-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, adolescents
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a. have separation anxiety. J J



b. rebel against rules. J J



c. regress because of stress. J J J



d. want to know everything. J J J




ANS: C J



Regression to an earlier stage of development is a common response to stress. Separation
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anxiety is most common in infants and toddlers. Rebellion against hospital rules is usually not
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an issue if the adolescent understands the rules and would not create childlike behaviors. An
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adolescent may want to “know everything” with their logical thinking and deductive
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reasoning, but that would not explain why they would act like a child.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance J J J J J J J

, TES BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
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Concept 02: Functional Ability
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Giddens: Concepts for Nursing Practice, 3rd Edition
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MULTIPLE CHOICE J




1. The nurse is reviewing a patient’s functional ability. Which patient best demonstrates the
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definition of functional ability? J J J



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



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



c. Works out daily, reads well, cooks, and cleans house on the weekends
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d. Healthy individual, volunteers at church, works part time, takes care of family and
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house
ANS: D J



Functional ability refers to the individual’s ability to perform the normal daily activities
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required to meet basic needs; fulfill usual roles in the family, workplace, and community; and
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maintain health and well-being. The other options are good; however, healthy individual,
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church volunteer, part time worker, and the patient who takes care of the family and house fully
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meets the criteria for functional ability.
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OBJ: NCLEX Client Needs Category: Physiological Integrity: Basic Care and Comfort
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2. The nurse is reviewing a patient’s functional performance. What assessment parameters will be
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most important in this assessment?
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a. Continence assessment, gait assessment, feeding assessment, dressing assessment, J J J J J J J



transfer assessment J



b. Height, weight, body mass index (BMI), vital signs assessment J J J J J J J J



c. Sleep assessment, energy assessment, memory assessment, concentration
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assessment
d. Health and well-being, amount of community volunteer time, working outside the
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home, and ability to care for family and house J J J J J J J J




ANS: A J



Functional impairment, disability, or handicap refers to varying degrees of an individual’s
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inability to perform the tasks required to complete normal life activities without assistance.
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Height, weight, BMI, and vital signs are part of a physical assessment. Sleep, energy,
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memory, and concentration are part of a depression screening. Healthy, volunteering,
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working, and caring for family and house are functional abilities, not performance.
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OBJ: NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential
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3. The nurse is reviewing a patient with a mobility dysfunction and wants to gain insight into the
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patient’s functional ability. What question would be the most appropriate?
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a. “Are you able to shop for yourself?” J J J J J J



b. “Do you use a cane, walker, or wheelchair to ambulate?”
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c. “Do you know what today’s date is?”
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d. “Were you sad or depressed more than once in the last 3 days?”
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ANS: B J