Test Bank for Concepts for Nursing Practice 23rd Edition By Jean Foret Giddens Chapter 1-57 Complete

TESTwBANKwFORwCONCEPTSwFORwNURSINGwPRACTICEw3RDwEDITIONwBYwGIDDENS

Concept 01: Development
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Giddens: Concepts for Nursing Practice, 3rd Edition
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MULTIPLEwCHOICE

1. Thewnursewmanagerwofwawpediatricwclinicwcouldwconfirmwthatwthewnewwnursewrecognizedwt
hewpurposewofwthewHEADSSwAdolescentwRiskwProfilewwhenwthewnewwnursewrespondswthat
witwiswusedwtowreviewwforwneedswrelatedwto

a. anticipatorywguidance.
b. low-riskwadolescents.
c. physicalwdevelopment.
d. sexualwdevelopment.
ANS:w A
ThewHEADSSwAdolescentwRiskwProfilewiswawpsychosocialwassessmentwscreeningwtoolwwhichw
reviewswhome,weducation,wactivities,wdrugs,wsex,wandwsuicidewforwthewpurposewofwidentifyingw
high-riskwadolescentswandwthewneedwforwanticipatorywguidance.wItwiswusedwtowidentifywhigh-
risk,wnotwlow-
risk,wadolescents.wPhysicalwdevelopmentwiswreviewedwwithwanthropometricwdata.
Sexualwdevelopmentwiswreviewedwusingwphysicalwexamination.

OBJ: NCLEXwClientwNeedswCategory:wHealthwPromotionwandwMaintenance

2. Thewnursewpreparingwawteachingwplanwforwawpreschoolerwknowswthat,waccordingwtowPiaget,wt
hewexpectedwstagewofwdevelopmentwforwawpreschoolerwis
a. concretewoperational.
b. formalwoperational.
c. preoperational.
d. sensorimotor.
ANS:w C
Thewexpectedwstagewofwdevelopmentwforwawpreschoolerw(3–4wyearswold)wiswpre-
operational.wConcretewoperationalwdescribeswthewthinkingwofwawschool-agewchildw(7–
11wyearswold).wFormalwoperationalwdescribeswthewthinkingwofwanwindividualwafterwaboutw11wye
arswofwage.wSensorimotorwdescribeswthewearliestwpatternwofwthinkingwfromwbirthwtow2wyearswold
.

OBJ: NCLEXwClientwNeedswCategory:wHealthwPromotionwandwMaintenance

3. Thewschoolwnursewtalkingwwithwawhighwschoolwclasswaboutwthewdifferencewbetweenwgrowthwa
ndwdevelopmentwwouldwbestwdescribewgrowthwas
a. processeswbywwhichwearlywcellswspecialize.
b. psychosocialwandwcognitivewchanges.
c. qualitativewchangeswassociatedwwithwaging.
d. quantitativewchangeswinwsizeworwweight
.wANS:w D

,TESTwBANKwFORwCONCEPTSwFORwNURSINGwPRACTICEw3RDwEDITIONwBYwGIDDENS

Growthwiswawquantitativewchangewinwwhichwanwincreasewinwcellwnumberwandwsizewresultswinwan
wincreasewinwoverallwsizeworwweight wofwthewbodyworwanywofwitswparts.wThewprocesseswbywwhich

wearlywcellswspecializewarewreferredwtowaswdifferentiation.wPsychosocialwandwcognitivewchange

swarewreferredwtowaswdevelopment.wQualitativewchangeswassociatedwwithwagingwarewreferredwtow
aswmaturation.

OBJ: NCLEXwClientwNeedswCategory:wHealthwPromotionwandwMaintenance

4. ThewmostwappropriatewresponsewofwthewnursewwhenwawmotherwaskswwhatwthewDenverwIIwdoesw
iswthatwit
a. canwdiagnosewdevelopmentalwdisabilities.
b. identifieswawneedwforwphysicalwtherapy.
c. iswawdevelopmentalwscreeningwtool.
d. provideswawframeworkwforwhealthwteaching.
ANS:w C
ThewDenverwIIwiswthewmostwcommonlywusedwmeasurewofwdevelopmentalwstatuswusedwbywhealt
hcarewprofessionals;witwiswawscreeningwtool.wScreeningwtoolswdownotwprovidewawdiagnosis.wDia
gnosiswrequireswawthoroughwneurodevelopmentwhistorywandwphysicalwexamination.
Developmentalwdelay,wwhichwiswsuggestedwbywscreening,wiswawsymptom,wnotwawdiagnosis.wTh
ewneedwforwanywtherapywwouldwbewidentifiedwwithwawcomprehensivewevaluation,wnotwawscreeni
ngwtool.wSomewproviderswusewthewDenverwIIwaswawframeworkwforwteachingwaboutwexpectedwde
velopment,wbutwthiswiswnotwthewprimarywpurposewofwthewtool.

OBJ: NCLEXwClientwNeedswCategory:wHealthwPromotionwandwMaintenance

5. Towplanwearlywinterventionwa n Nd wU
caRreSfIoN
rwaGnTinBf.
anCt OwMithwDownwsyndrome,wthewnursewconside
rswknowledgewofwotherwphysicalwdevelopmentwexemplarswsuchwas
a. cerebralwpalsy.
b. failurewtowthrive.
c. fetalwalcoholwsyndrome.
d. hydrocephaly.
ANS:w D
Hydrocephalywiswalsowawphysicalwdevelopmentwexemplar.wCerebralwpalsywiswanwexemplarwofw
adaptivewdevelopmentalwdelay.wFailurewtowthrivewiswanwexemplarwofwsocial/emotionalwdevelo
pmentalwdelay.wFetalwalcoholwsyndromewiswanwexemplarwofwcognitivewdevelopmentalwdelay.

OBJ: NCLEXwClientwNeedswCategory:wHealthwPromotionwandwMaintenance

6. Towplanwearlywinterventionwandwcarewforwawchildwwithwawdevelopmentalwdelay,wthewnursewwou
ldwconsiderwknowledgewofwthewconceptswmostwsignificantlywimpactedwbywdevelopment,winclu
ding
a. culture.
b. environment.
c. functionalwstatus.
d. nutrition.
ANS:w C
w

,TESTwBANKwFORwCONCEPTSwFORwNURSINGwPRACTICEw3RDwEDITIONwBYwGIDDENS

Functionwiswonewofwthewconceptswmostwsignificantlywimpactedwbywdevelopment.wOtherswinclud
ewsensory-
perceptual,wcognition,wmobility,wreproduction,wandwsexuality.wKnowledgewofwthesewconceptsw
canwhelpwthewnursewanticipatewareaswthatwneedwtowbewaddressed.wCulturewiswawconceptwthatwiswc
onsideredwtowsignificantlywaffectwdevelopment;wthewdifferencewiswthewconceptswthatwaffectwde
velopmentwarewthosewthatwrepresentwmajorwinfluencingwfactorsw(causes);whencewdetermination
wofwdevelopment wwouldwbewthewfocuswofwpreventivewinterventions. wEnvironmentwiswconsidere

dwtowsignificantlywaffectwdevelopment.wNutritionwiswconsideredwtowsignificantlywaffectwdevelo
pment.

OBJ: NCLEXwClientwNeedswCategory:wHealthwPromotionwandwMaintenance

7. Awmotherwcomplainswtowthewnursewatwthewpediatricwclinicwthatwherw4-year-
oldwchildwalwayswtalkswtowherwtoyswandwmakeswupwstories.wThewmotherwwantswherwchildwtowhav
ewawpsychologicalwevaluation.wThewnurse’swbestwinitialwresponsewiswto
a. referwthewchildwtowawpsychologistwimmediately.
b. explainwthatwplayingwmakewbelievewiswnormalwatwthiswage.
c. completewawdevelopmentalwscreeningwusingwawvalidatedwtool.
d. separatewthewchildwfromwthewmotherwtowgetwmorewinformation.
ANS:w B
Bywthewendwofwthewfourthwyear,witwiswexpectedwthatwawchildwwillwengagewinwfantasy,wsowthiswisw
normalwatwthiswage.wAwreferralwtowawpsychologistwwouldwbewprematurewbasedwonlywonwthewco
mplaintwofwthewmother.wCompletingwawdevelopmentalwscreeningwwouldwbewverywappropriatew
butwnotwthewinitialwresponse.wThewnursewwouldwcertainlywwantwtowgetwmorewinformation,wbutw
separatingwthewchildwfromwthewmotherwiswnotwnecessarywatwthiswtime.

OBJ: NCLEXw Clientw NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotion w andw Maintenance

8. Aw17-year-
oldwgirlwiswhospitalizedwforwappendicitis,wandwherwmotherwaskswthewnursewwhywshewiswsowneed
ywandwactingwlikewawchild.wThewbestwresponsewofwthewnursewiswthatwinwthewhospital,wadolescent
s
a. havewseparationwanxiety.
b. rebelwagainstwrules.
c. regresswbecausewofwstress.
d. wantwtowknowweverything.
ANS:w C
Regressionwtowanwearlierwstagewofwdevelopmentwiswawcommonwresponsewtowstress.wSeparationw
anxietywiswmostwcommonwinwinfantswandwtoddlers.wRebellionwagainstwhospitalwruleswiswusually
wnotwanwissuewifwthewadolescentwunderstandswthewruleswandwwouldwnotwcreatewchildlikewbehavio

rs.wAnwadolescentwmaywwantwtow“knowweverything”wwithwtheirwlogicalwthinkingwandwdeductiv
ewreasoning,wbutwthatwwouldwnotwexplainwwhywtheywwouldwactwlikewawchild.

OBJ: NCLEXwClientwNeedswCategory:wHealthwPromotionwandwMaintenance

, TESTwBANKwFORwCONCEPTSwFORwNURSINGwPRACTICEw3RDwEDITIONwBYwGIDDENS

Concept 02: Functional Ability
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Giddens: Concepts for Nursing Practice, 3rd Edition
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MULTIPLEwCHOICE

1. Thewnursewiswreviewingwawpatient’swfunctionalwability.wWhichwpatientwbestwdemonstrateswth
ewdefinitionwofwfunctionalwability?
a. Considerswselfwaswawhealthywindividual;wuseswcanewforwstability
b. Collegeweducated;wtravelswfrequently;wcanwbalancewawcheckbook
c. Workswoutwdaily,wreadswwell,wcooks,wandwcleanswhousewonwthewweekends
d. Healthywindividual,wvolunteerswatwchurch,wworkswpartwtime,wtakeswcarewofwfamilywan
dwhouse
ANS:w D
Functionalwabilitywreferswtowthewindividual’swabilitywtowperformwthewnormalwdailywactivitieswr
equiredwtowmeetwbasicwneeds;wfulfillwusualwroleswinwthewfamily,wworkplace,wandwcommunity;w
andwmaintainwhealthwandwwell-
being.wThewotherwoptionswarewgood;whowever,whealthywindividual,wchurchwvolunteer,wpartwtim
ewworker,wandwthewpatientwwhowtakeswcarewofwthewfamilywandwhousewfullywmeetswthewcriteriawf
orwfunctionalwability.

OBJ: NCLEXwClientwNeedswCategory:wPhysiologicalwIntegrity:wBasicwCarewandwComfort

2. Thewnursewiswreviewingwawpatient’swfunctionalwperformance.wWhatwassessmentwparameterswwi
llwbewmostwimportantwinwthiswassessment?
a. Continencewassessment,wgaitwassessment,wfeedingwassessment,wdressingwassessment,
transferwassessment
b. Height,wweight,wbodywmasswindexw(BMI),wvitalwsignswassessment
c. Sleepwassessment,wenergywassessment,wmemorywassessment,wconcentratio
nwassessment
d. Healthwandwwell-
being,wamountwofwcommunitywvolunteerwtime,wworkingwoutsidewthewhome,wandwabil
itywtowcarewforwfamilywandwhouse
ANS:w A
Functionalwimpairment,wdisability,worwhandicapwreferswtowvaryingwdegreeswofwanwindividual’s
winabilitywtowperformwthewtaskswrequiredwtowcompletewnormalwlifewactivities wwithoutwassistanc

e.wHeight,wweight,wBMI,wandwvitalwsignswarewpartwofwawphysicalwassessment.wSleep,wenergy,w
memory,wandwconcentrationwarewpartwofwawdepressionwscreening.wHealthy,wvolunteering,wwor
king,wandwcaringwforwfamilywandwhousewarewfunctionalwabilities,wnotwperformance.

OBJ: NCLEXwClientwNeedswCategory:wPhysiologicalwIntegrity:wReductionwofwRiskwPotential

3. Thewnursewiswreviewingwawpatientwwithwawmobilitywdysfunctionwandwwantswtowgainwinsightwin
towthewpatient’swfunctionalwability.wWhatwquestionwwouldwbewthewmostwappropriate?
a. “Arewyouwablewtowshopwforwyourself?”
b. “Dowyouwusewawcane,wwalker,worwwheelchairwtowambulate?”
c. “Dowyouwknowwwhatwtoday’swdatewis?”
d. “Werewyouwsadworwdepressedwmorewthanwoncewinwthewlastw3wdays?
”wANS:w B