TESTBANKFORCONCEPTSFORNURSINGPRACTICE3RDEDITIONBYGIDDENS
Concept01:Development
Giddens:ConceptsforNursingPractice,3rdEdition
MULTIPLECHOICE
1. Thenursemanagerofapediatriccliniccould confirmthatthenewnurserecognizedthe
purposeoftheHEADSSAdolescentRiskProfilewhenthenewnurserespondsthatitis used to
review for needs related to
a. anticipatoryguidance.
b. low-riskadolescents.
c. physicaldevelopment.
d. sexualdevelopment.
ANS:A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
reviews home, education, activities, drugs, sex, and suicide for the purpose of identifying
high-riskadolescentsandtheneedforanticipatoryguidance.Itisusedtoidentifyhigh-risk, not
low-risk, adolescents. Physical development is reviewed with anthropometric data.
Sexualdevelopmentisreviewedusingphysicalexamination.
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance
2. Thenursepreparingateachingplanforapreschoolerknowsthat,accordingtoPiaget,the
expected stage of development for a preschooler is
a. concreteoperational.
b. formaloperational.
c. preoperational.
d. sensorimotor.
ANS:C
The expected stage of development for a preschooler (3–4 years old) is pre-operational.
Concrete operational describes the thinking of a school-age child (7–11 years old). Formal
operationaldescribesthethinkingofanindividualafterabout11yearsofage.Sensorimotor
describes the earliest pattern of thinking from birth to 2 years old.
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance
3. Theschoolnursetalkingwithahighschoolclassaboutthedifferencebetweengrowthand
development would best describe growth as
a. processesbywhich earlycellsspecialize.
b. psychosocialandcognitivechanges.
c. qualitativechangesassociatedwithaging.
d. quantitativechangesinsizeorweight.
ANS:D
,TESTBANKFORCONCEPTSFORNURSINGPRACTICE3RDEDITIONBYGIDDENS
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
earlycellsspecializearereferredto as differentiation. Psychosocialand cognitivechanges
arereferredtoasdevelopment.Qualitativechangesassociatedwithagingarereferredtoas
maturation.
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance
4. Themostappropriateresponseofthenursewhen amotheraskswhattheDenverIIdoesis that it
a. candiagnosedevelopmentaldisabilities.
b. identifiesaneedforphysical therapy.
c. isadevelopmentalscreeningtool.
d. providesaframework forhealthteaching.
ANS:C
The Denver II is the most commonly used measure of developmental status used by
healthcareprofessionals;itisascreeningtool.Screeningtoolsdonotprovideadiagnosis.
Diagnosis requires a thorough neurodevelopment history and physical examination.
Developmentaldelay,whichissuggestedbyscreening,isasymptom,notadiagnosis.The
needforanytherapywouldbeidentifiedwithacomprehensiveevaluation,notascreening 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.
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance
5. Toplanearlyinterventiona n Nd U
caRreSfIoN
raGnTinBf.
anCt OwMith Downsyndrome,thenurseconsiders
knowledge of other physical development exemplars such as
a. cerebralpalsy.
b. failuretothrive.
c. fetalalcoholsyndrome.
d. hydrocephaly.
ANS:D
Hydrocephalyisalsoaphysicaldevelopmentexemplar.Cerebralpalsyisanexemplarof adaptive
developmental delay. Failure to thrive is an exemplar of social/emotional
developmentaldelay.Fetalalcoholsyndromeisanexemplarofcognitivedevelopmental delay.
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance
6. Toplanearlyinterventionandcareforachildwithadevelopmentaldelay, thenursewould
considerknowledgeoftheconceptsmostsignificantlyimpactedbydevelopment,including
a. culture.
b. environment.
c. functionalstatus.
d. nutrition.
ANS:C
,TESTBANKFORCONCEPTSFORNURSINGPRACTICE3RDEDITIONBYGIDDENS
Functionisoneoftheconceptsmostsignificantlyimpactedbydevelopment.Othersinclude
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 ofdevelopment would be thefocus of preventiveinterventions. Environment is
considered to significantly affect development. Nutrition is considered to significantly
affect development.
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance
7. Amothercomplainstothenurseatthepediatricclinicthather4-year-oldchildalwaystalks to her
toys and makes up stories. The mother wants her child to have a psychological evaluation.
The nurse’s best initial response is to
a. referthechildtoapsychologist immediately.
b. explainthatplayingmakebelieveisnormalatthis age.
c. completeadevelopmental screeningusingavalidated tool.
d. separatethechildfromthemothertogetmoreinformation.
ANS:B
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is
normal at this age. A referral to a psychologist would be premature based only on the
complaintofthemother.Completingadevelopmentalscreeningwouldbeveryappropriate but
not the initial response. The nurse would certainly want to get more information, but
separating the child from the mother is not necessary at this time.
OBJ: NCLEXClientNeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotionandMaintenance
8. A17-year-oldgirlishospitalizedforappendicitis,andhermotherasksthenursewhysheis so
needy and acting like a child. The best response of the nurse is that in the hospital,
adolescents
a. haveseparation anxiety.
b. rebelagainstrules.
c. regressbecauseofstress.
d. wanttoknow everything.
ANS:C
Regression to an earlier stage of development is a common response to stress. Separation
anxiety is most common in infants and toddlers. Rebellion against hospital rules is usually
notanissueiftheadolescentunderstandstherulesandwouldnotcreatechildlikebehaviors. An
adolescent may want to “know everything” with their logical thinking and deductive
reasoning, but that would not explain why they would act like a child.
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance
, TESTBANKFORCONCEPTSFORNURSINGPRACTICE3RDEDITIONBYGIDDENS
Concept02:FunctionalAbility
Giddens:ConceptsforNursingPractice,3rdEdition
MULTIPLECHOICE
1. Thenurseisreviewingapatient’sfunctionalability.Whichpatientbestdemonstratesthe
definition of functional ability?
a. Considersselfasahealthyindividual; usescaneforstability
b. Collegeeducated;travelsfrequently;canbalanceacheckbook
c. Worksoutdaily,readswell,cooks,andcleanshouseontheweekends
d. Healthyindividual,volunteersatchurch,worksparttime,takescareoffamilyand house
ANS:D
Functional ability refers to the individual’s ability to perform the normal daily activities
required to meet basic needs; fulfill usual roles in the family, workplace, and community;
and maintain health and well-being. The other options are good; however, healthy
individual,churchvolunteer,parttimeworker,andthepatientwhotakes careofthefamily and
house fully meets the criteria for functional ability.
OBJ: NCLEXClientNeedsCategory:Physiological Integrity:BasicCareandComfort
2. Thenurseisreviewingapatient’sfunctionalperformance.Whatassessmentparameterswill be
most important in this assessment?
a. Continenceassessment,gait assessment,feedingassessment,dressingassessment,
transferassessment
b. Height,weight, bodymassindex(BMI),vitalsignsassessment
c. Sleepassessment,energyassessment,memoryassessment,concentration
assessment
d. Healthandwell-being,amountofcommunityvolunteertime,workingoutsidethe
home, and ability to care for family and house
ANS:A
Functional impairment, disability, or handicap refers to varying degrees of an individual’s
inabilitytoperformthetasksrequiredtocompletenormallifeactivitieswithoutassistance. Height,
weight, BMI, and vital signs are part of a physical assessment. Sleep, energy, memory, and
concentration are part of a depression screening. Healthy, volunteering, working, and
caring for family and house are functional abilities, not performance.
OBJ: NCLEXClientNeedsCategory:PhysiologicalIntegrity:Reduction ofRiskPotential
3. Thenurseisreviewingapatientwithamobilitydysfunctionandwantstogaininsightinto the
patient’s functional ability. What question would be the most appropriate?
a. “Areyouabletoshopforyourself?”
b. “Doyouuseacane,walker,orwheelchairtoambulate?”
c. “Doyouknowwhattoday’sdateis?”
d. “Wereyousadordepressedmorethanonceinthelast3days?”
ANS:B
Concept01:Development
Giddens:ConceptsforNursingPractice,3rdEdition
MULTIPLECHOICE
1. Thenursemanagerofapediatriccliniccould confirmthatthenewnurserecognizedthe
purposeoftheHEADSSAdolescentRiskProfilewhenthenewnurserespondsthatitis used to
review for needs related to
a. anticipatoryguidance.
b. low-riskadolescents.
c. physicaldevelopment.
d. sexualdevelopment.
ANS:A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
reviews home, education, activities, drugs, sex, and suicide for the purpose of identifying
high-riskadolescentsandtheneedforanticipatoryguidance.Itisusedtoidentifyhigh-risk, not
low-risk, adolescents. Physical development is reviewed with anthropometric data.
Sexualdevelopmentisreviewedusingphysicalexamination.
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance
2. Thenursepreparingateachingplanforapreschoolerknowsthat,accordingtoPiaget,the
expected stage of development for a preschooler is
a. concreteoperational.
b. formaloperational.
c. preoperational.
d. sensorimotor.
ANS:C
The expected stage of development for a preschooler (3–4 years old) is pre-operational.
Concrete operational describes the thinking of a school-age child (7–11 years old). Formal
operationaldescribesthethinkingofanindividualafterabout11yearsofage.Sensorimotor
describes the earliest pattern of thinking from birth to 2 years old.
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance
3. Theschoolnursetalkingwithahighschoolclassaboutthedifferencebetweengrowthand
development would best describe growth as
a. processesbywhich earlycellsspecialize.
b. psychosocialandcognitivechanges.
c. qualitativechangesassociatedwithaging.
d. quantitativechangesinsizeorweight.
ANS:D
,TESTBANKFORCONCEPTSFORNURSINGPRACTICE3RDEDITIONBYGIDDENS
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
earlycellsspecializearereferredto as differentiation. Psychosocialand cognitivechanges
arereferredtoasdevelopment.Qualitativechangesassociatedwithagingarereferredtoas
maturation.
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance
4. Themostappropriateresponseofthenursewhen amotheraskswhattheDenverIIdoesis that it
a. candiagnosedevelopmentaldisabilities.
b. identifiesaneedforphysical therapy.
c. isadevelopmentalscreeningtool.
d. providesaframework forhealthteaching.
ANS:C
The Denver II is the most commonly used measure of developmental status used by
healthcareprofessionals;itisascreeningtool.Screeningtoolsdonotprovideadiagnosis.
Diagnosis requires a thorough neurodevelopment history and physical examination.
Developmentaldelay,whichissuggestedbyscreening,isasymptom,notadiagnosis.The
needforanytherapywouldbeidentifiedwithacomprehensiveevaluation,notascreening 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.
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance
5. Toplanearlyinterventiona n Nd U
caRreSfIoN
raGnTinBf.
anCt OwMith Downsyndrome,thenurseconsiders
knowledge of other physical development exemplars such as
a. cerebralpalsy.
b. failuretothrive.
c. fetalalcoholsyndrome.
d. hydrocephaly.
ANS:D
Hydrocephalyisalsoaphysicaldevelopmentexemplar.Cerebralpalsyisanexemplarof adaptive
developmental delay. Failure to thrive is an exemplar of social/emotional
developmentaldelay.Fetalalcoholsyndromeisanexemplarofcognitivedevelopmental delay.
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance
6. Toplanearlyinterventionandcareforachildwithadevelopmentaldelay, thenursewould
considerknowledgeoftheconceptsmostsignificantlyimpactedbydevelopment,including
a. culture.
b. environment.
c. functionalstatus.
d. nutrition.
ANS:C
,TESTBANKFORCONCEPTSFORNURSINGPRACTICE3RDEDITIONBYGIDDENS
Functionisoneoftheconceptsmostsignificantlyimpactedbydevelopment.Othersinclude
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 ofdevelopment would be thefocus of preventiveinterventions. Environment is
considered to significantly affect development. Nutrition is considered to significantly
affect development.
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance
7. Amothercomplainstothenurseatthepediatricclinicthather4-year-oldchildalwaystalks to her
toys and makes up stories. The mother wants her child to have a psychological evaluation.
The nurse’s best initial response is to
a. referthechildtoapsychologist immediately.
b. explainthatplayingmakebelieveisnormalatthis age.
c. completeadevelopmental screeningusingavalidated tool.
d. separatethechildfromthemothertogetmoreinformation.
ANS:B
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is
normal at this age. A referral to a psychologist would be premature based only on the
complaintofthemother.Completingadevelopmentalscreeningwouldbeveryappropriate but
not the initial response. The nurse would certainly want to get more information, but
separating the child from the mother is not necessary at this time.
OBJ: NCLEXClientNeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotionandMaintenance
8. A17-year-oldgirlishospitalizedforappendicitis,andhermotherasksthenursewhysheis so
needy and acting like a child. The best response of the nurse is that in the hospital,
adolescents
a. haveseparation anxiety.
b. rebelagainstrules.
c. regressbecauseofstress.
d. wanttoknow everything.
ANS:C
Regression to an earlier stage of development is a common response to stress. Separation
anxiety is most common in infants and toddlers. Rebellion against hospital rules is usually
notanissueiftheadolescentunderstandstherulesandwouldnotcreatechildlikebehaviors. An
adolescent may want to “know everything” with their logical thinking and deductive
reasoning, but that would not explain why they would act like a child.
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance
, TESTBANKFORCONCEPTSFORNURSINGPRACTICE3RDEDITIONBYGIDDENS
Concept02:FunctionalAbility
Giddens:ConceptsforNursingPractice,3rdEdition
MULTIPLECHOICE
1. Thenurseisreviewingapatient’sfunctionalability.Whichpatientbestdemonstratesthe
definition of functional ability?
a. Considersselfasahealthyindividual; usescaneforstability
b. Collegeeducated;travelsfrequently;canbalanceacheckbook
c. Worksoutdaily,readswell,cooks,andcleanshouseontheweekends
d. Healthyindividual,volunteersatchurch,worksparttime,takescareoffamilyand house
ANS:D
Functional ability refers to the individual’s ability to perform the normal daily activities
required to meet basic needs; fulfill usual roles in the family, workplace, and community;
and maintain health and well-being. The other options are good; however, healthy
individual,churchvolunteer,parttimeworker,andthepatientwhotakes careofthefamily and
house fully meets the criteria for functional ability.
OBJ: NCLEXClientNeedsCategory:Physiological Integrity:BasicCareandComfort
2. Thenurseisreviewingapatient’sfunctionalperformance.Whatassessmentparameterswill be
most important in this assessment?
a. Continenceassessment,gait assessment,feedingassessment,dressingassessment,
transferassessment
b. Height,weight, bodymassindex(BMI),vitalsignsassessment
c. Sleepassessment,energyassessment,memoryassessment,concentration
assessment
d. Healthandwell-being,amountofcommunityvolunteertime,workingoutsidethe
home, and ability to care for family and house
ANS:A
Functional impairment, disability, or handicap refers to varying degrees of an individual’s
inabilitytoperformthetasksrequiredtocompletenormallifeactivitieswithoutassistance. Height,
weight, BMI, and vital signs are part of a physical assessment. Sleep, energy, memory, and
concentration are part of a depression screening. Healthy, volunteering, working, and
caring for family and house are functional abilities, not performance.
OBJ: NCLEXClientNeedsCategory:PhysiologicalIntegrity:Reduction ofRiskPotential
3. Thenurseisreviewingapatientwithamobilitydysfunctionandwantstogaininsightinto the
patient’s functional ability. What question would be the most appropriate?
a. “Areyouabletoshopforyourself?”
b. “Doyouuseacane,walker,orwheelchairtoambulate?”
c. “Doyouknowwhattoday’sdateis?”
d. “Wereyousadordepressedmorethanonceinthelast3days?”
ANS:B
