Test bank for Concepts for Nursing Practice
3rd Edition by Jean Foret Giddens
Chapter 1 - 57 Complete
TABLE OF CONTENTS
UNIT 1: HEALTH CARE RECIPIENT CONCEPTS
Theme: Attributes and Resources
1. Development
2. Functional Ability
3. Family Dynamics
Theme: Personal Preference
4. Culture
5. Spirituality
6. Adherence
7. Self-Management
UNIT 2: HEALTH AND ILLNESS CONCEPTS
Theme: Homeostasis and Regulation
8. Fluid and Electrolytes
9. Acid-Base Balance
10. Thermoregulation
11. Sleep
12. Cellular Regulation
13. Intracranial Regulation
14. Hormonal Regulation
15. Glucose Regulation
16. Nutrition
17. Elimination
18. Perfusion
19. Gas Exchange
Theme: Sexuality and Reproduction
20. Reproduction
21. Sexuality
Theme: Protection and Movement
22. Immunity
23. Inflammation
24. Infection
25. Mobility
26. Tissue Integrity
27. Sensory Perception
28. Pain
29. Fatigue
,Theme: Mood and Cognition
30. Stress and Coping
31. Mood and Affect
32. Anxiety
33. Cognition
34. Psychosis
Theme: Maladaptive Behavior
35. Addiction
36. Interpersonal Violence
UNIT 3: PROFESSIONAL NURSING AND HEALTH CARE CONCEPTS
Theme: Nursing Attributes and Roles
37. Professional Identity
38. Clinical Judgment
39. Leadership
40. Ethics
41. Patient Education
42. Health Promotion
Theme: Care Competencies
43. Communication
44. Collaboration
45. Safety
46. Technology and Informatics
47. Evidence
48. Health Care Quality
Theme: Health Care Delivery
49. Care Coordination
50. Caregiving
51. Palliative Care
52. Health Disparities
53. Population Health NEW!
Theme: Health Care Infrastructure
54. Health Care Organizations
55. Health Care Economics
56. Health Policy
57. Health Care Law
Concept 1: Development Test Bank
MULTIPLE CHOICE
• The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is used to assess for
needs related to
• anticipatory guidance.
, • low-risk adolescents.
• physical development.
• sexual development.
ANS: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
assesses home, education, activities, drugs, sex, and suicide for the purpose of identifying
high-risk adolescents and the need for anticipatory guidance. It is used to identify high-risk,
not low-risk, adolescents. Physical development is assessed with anthropometric data. Sexual
development is assessed using physical examination.
REF: 6 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
• The nurse preparing a teaching plan for a preschooler knows that, according to Piaget,
the expected stage of development for a preschooler is
• concrete operational.
• formal operational.
• preoperational.
• sensorimotor.
ANS: C
The expected stage of development for a preschooler (3 to 4 years old) is preoperational.
Concrete operational describes the thinking of a school-age child (7 to 11 years old). Formal
operational describes the thinking of an individual after about 11 years of age. Sensorimotor
describes the earliest pattern of thinking from birth to 2 years old.
REF: 5 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
• The school nurse talking with a high school class about the difference between growth
and development would best describe growth as
• processes by which early cells specialize.
• psychosocial and cognitive changes.
• qualitative changes associated with aging.
• quantitative changes in size or weight.
ANS: D
Growth is a quantitative change in which an increase in cell number and size results in an
increase in overall size or weight of the body or any of its parts. The processes by which early
cells specialize are referred to as differentiation. Psychosocial and cognitive changes are
referred to as development. Qualitative changes associated with aging are referred to as
maturation.
.
REF: 2 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
• The most appropriate response of the nurse when a mother asks what the Denver II does
is that it
• can diagnose developmental disabilities.
• identifies a need for physical therapy.
• is a developmental screening tool.
• provides a framework for health teaching.
, ANS: C
The Denver II is the most commonly used measure of developmental status used by health
care professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis
requires a thorough neurodevelopment history and physical examination. Developmental
delay, which is suggested by screening, is a symptom, not a diagnosis. The need for any
therapy would be identified with a comprehensive evaluation, not a screening tool. Some
providers use the Denver II as a framework for teaching about expected development, but this
is not the primary purpose of the tool.
REF: 4 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
• To plan early intervention and care for an infant with Down syndrome, the nurse
considers knowledge of other physical development exemplars such as
• cerebral palsy.
• failure to thrive.
• fetal alcohol syndrome.
• hydrocephaly.
ANS: D
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
developmental delay. Fetal alcohol syndrome is an exemplar of cognitive developmental
delay.
REF: 9 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
• To plan early intervention and care for a child with a developmental delay, the nurse would
consider knowledge of the concepts most significantly impacted by development, including
• culture.
• environment.
• functional status.
• nutrition.
ANS: C
.
Function is one of the concepts most significantly impacted by development. Others include
sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
concepts can help the nurse anticipate areas that need to be addressed. Culture is a concept
that is considered to significantly affect development; the difference is the concepts that affect
development are those that represent major influencing factors (causes), hence determination
of development and would be the focus of preventive interventions. Environment is
considered to significantly affect development. Nutrition is considered to significantly affect
development.
REF: 1 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
3rd Edition by Jean Foret Giddens
Chapter 1 - 57 Complete
TABLE OF CONTENTS
UNIT 1: HEALTH CARE RECIPIENT CONCEPTS
Theme: Attributes and Resources
1. Development
2. Functional Ability
3. Family Dynamics
Theme: Personal Preference
4. Culture
5. Spirituality
6. Adherence
7. Self-Management
UNIT 2: HEALTH AND ILLNESS CONCEPTS
Theme: Homeostasis and Regulation
8. Fluid and Electrolytes
9. Acid-Base Balance
10. Thermoregulation
11. Sleep
12. Cellular Regulation
13. Intracranial Regulation
14. Hormonal Regulation
15. Glucose Regulation
16. Nutrition
17. Elimination
18. Perfusion
19. Gas Exchange
Theme: Sexuality and Reproduction
20. Reproduction
21. Sexuality
Theme: Protection and Movement
22. Immunity
23. Inflammation
24. Infection
25. Mobility
26. Tissue Integrity
27. Sensory Perception
28. Pain
29. Fatigue
,Theme: Mood and Cognition
30. Stress and Coping
31. Mood and Affect
32. Anxiety
33. Cognition
34. Psychosis
Theme: Maladaptive Behavior
35. Addiction
36. Interpersonal Violence
UNIT 3: PROFESSIONAL NURSING AND HEALTH CARE CONCEPTS
Theme: Nursing Attributes and Roles
37. Professional Identity
38. Clinical Judgment
39. Leadership
40. Ethics
41. Patient Education
42. Health Promotion
Theme: Care Competencies
43. Communication
44. Collaboration
45. Safety
46. Technology and Informatics
47. Evidence
48. Health Care Quality
Theme: Health Care Delivery
49. Care Coordination
50. Caregiving
51. Palliative Care
52. Health Disparities
53. Population Health NEW!
Theme: Health Care Infrastructure
54. Health Care Organizations
55. Health Care Economics
56. Health Policy
57. Health Care Law
Concept 1: Development Test Bank
MULTIPLE CHOICE
• The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is used to assess for
needs related to
• anticipatory guidance.
, • low-risk adolescents.
• physical development.
• sexual development.
ANS: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
assesses home, education, activities, drugs, sex, and suicide for the purpose of identifying
high-risk adolescents and the need for anticipatory guidance. It is used to identify high-risk,
not low-risk, adolescents. Physical development is assessed with anthropometric data. Sexual
development is assessed using physical examination.
REF: 6 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
• The nurse preparing a teaching plan for a preschooler knows that, according to Piaget,
the expected stage of development for a preschooler is
• concrete operational.
• formal operational.
• preoperational.
• sensorimotor.
ANS: C
The expected stage of development for a preschooler (3 to 4 years old) is preoperational.
Concrete operational describes the thinking of a school-age child (7 to 11 years old). Formal
operational describes the thinking of an individual after about 11 years of age. Sensorimotor
describes the earliest pattern of thinking from birth to 2 years old.
REF: 5 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
• The school nurse talking with a high school class about the difference between growth
and development would best describe growth as
• processes by which early cells specialize.
• psychosocial and cognitive changes.
• qualitative changes associated with aging.
• quantitative changes in size or weight.
ANS: D
Growth is a quantitative change in which an increase in cell number and size results in an
increase in overall size or weight of the body or any of its parts. The processes by which early
cells specialize are referred to as differentiation. Psychosocial and cognitive changes are
referred to as development. Qualitative changes associated with aging are referred to as
maturation.
.
REF: 2 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
• The most appropriate response of the nurse when a mother asks what the Denver II does
is that it
• can diagnose developmental disabilities.
• identifies a need for physical therapy.
• is a developmental screening tool.
• provides a framework for health teaching.
, ANS: C
The Denver II is the most commonly used measure of developmental status used by health
care professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis
requires a thorough neurodevelopment history and physical examination. Developmental
delay, which is suggested by screening, is a symptom, not a diagnosis. The need for any
therapy would be identified with a comprehensive evaluation, not a screening tool. Some
providers use the Denver II as a framework for teaching about expected development, but this
is not the primary purpose of the tool.
REF: 4 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
• To plan early intervention and care for an infant with Down syndrome, the nurse
considers knowledge of other physical development exemplars such as
• cerebral palsy.
• failure to thrive.
• fetal alcohol syndrome.
• hydrocephaly.
ANS: D
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
developmental delay. Fetal alcohol syndrome is an exemplar of cognitive developmental
delay.
REF: 9 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
• To plan early intervention and care for a child with a developmental delay, the nurse would
consider knowledge of the concepts most significantly impacted by development, including
• culture.
• environment.
• functional status.
• nutrition.
ANS: C
.
Function is one of the concepts most significantly impacted by development. Others include
sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
concepts can help the nurse anticipate areas that need to be addressed. Culture is a concept
that is considered to significantly affect development; the difference is the concepts that affect
development are those that represent major influencing factors (causes), hence determination
of development and would be the focus of preventive interventions. Environment is
considered to significantly affect development. Nutrition is considered to significantly affect
development.
REF: 1 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
