Test Bank for Concepts for Nursing Practice (3rd Ed) By Jean Giddens| Complete Guide All Chapters 2025

TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
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Concept01:Development
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Giddens:ConceptsforNursingPractice,3rdEdition
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MULTIPLE CHOICE ,t




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 used to
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review for needs related to
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a. anticipatoryguidance. ,t




b. low-risk adolescents. ,t




c. physicaldevelopment. ,t




d. sexualdevelopment. ,t




ANS: A , t




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 high-
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risk adolescents and theneed foranticipatoryguidance. It is usedtoidentifyhigh-risk, not low-risk,
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adolescents. Physical development is reviewed with anthropometric data.
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Sexualdevelopment is reviewed usingphysical examination.
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OBJ: NCLEXClient Needs Category: Health Promotion and Maintenance ,t ,t ,t ,t ,t ,t ,t




2. Thenursepreparingateachingplanforapreschoolerknows that, accordingto Piaget, the
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expected stage of development for a preschooler is
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a. concreteoperational. ,t




b. formaloperational. ,t




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




The expected stage of development for a preschooler (3–4 years old) is pre-operational. Concrete
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operational describes the thinking of a school-age child (7–11 years old). Formal
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operationaldescribes thethinkingofanindividualafterabout11 yearsofage.Sensorimotor
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describes the earliest pattern of thinking from birth to 2 years old.
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OBJ: NCLEXClient Needs Category: Health Promotion and Maintenance ,t ,t ,t ,t ,t ,t ,t




3. Theschool nursetalkingwith ahigh school class about thedifferencebetween growth and
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development would best describe growth as
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a. processesbywhich earlycells specialize. ,t ,t ,t ,t ,t




b. psychosocial and cognitivechanges. ,t ,t ,t




c. qualitativechanges associated with aging. ,t ,t ,t ,t




d. quantitativechangesinsizeorweight. ,t ,t ,t ,t ,t




ANS: D
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,TEST 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 increase
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in overall size or weight of the body or any of its parts. The processes by which earlycells
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specializeare referred to as differentiation. Psychosocial and cognitive changes arereferredtoas
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development. Qualitativechanges associatedwithagingarereferredtoas maturation.
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OBJ: NCLEXClient Needs Category: Health Promotion and Maintenance ,t ,t ,t ,t ,t ,t ,t




4. Themost appropriateresponseofthenursewhen amotherasks what theDenver IIdoes is that it
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a. can diagnosedevelopmental disabilities. ,t ,t ,t




b. identifies aneed forphysical therapy. ,t ,t ,t ,t ,t




c. is a developmental screeningtool. ,t ,t ,t ,t




d. providesaframework for health teaching. ,t ,t ,t ,t ,t




ANS: C , t




The Denver II is the most commonly used measure of developmental status used by
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healthcareprofessionals; it isascreeningtool. Screeningtools do not provideadiagnosis.
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Diagnosis requires a thorough neurodevelopment history and physical examination.
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Developmental delay, which is suggestedbyscreening, is asymptom, not adiagnosis. The need for ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t




anytherapywould beidentifiedwith a comprehensiveevaluation, not ascreening tool. Some
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providers use the Denver II as a framework for teaching about expected development, but this is
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not the primary purpose of the tool.
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OBJ: NCLEXClient Needs Category: Health Promotion and Maintenance ,t ,t ,t ,t ,t ,t ,t




5. Toplanearlyinterventiona n Nd U
,t caRreSfIoN
r aGnTinBf.
anCt OwMith Downsyndrome,thenurseconsiders
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knowledge of other physical development exemplars such as
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a. cerebralpalsy. ,t




b. failureto thrive. ,t ,t




c. fetalalcohol syndrome. ,t ,t




d. hydrocephaly.
ANS: D , t




Hydrocephalyis also aphysical development exemplar.Cerebral palsyis an exemplarof adaptive ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t




developmental delay. Failure to thrive is an exemplar of social/emotional developmental delay.
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Fetal alcohol syndromeis anexemplar ofcognitive developmental delay.
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OBJ: NCLEXClient Needs Category: Health Promotion and Maintenance ,t ,t ,t ,t ,t ,t ,t




6. Toplan earlyintervention and carefor achild with adevelopmental delay, the nursewould
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considerknowledgeoftheconcepts most significantlyimpacted bydevelopment, including
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a. culture.
b. environment.
c. functionalstatus. ,t




d. nutrition.
ANS: C
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,TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
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Functionis oneoftheconcepts most significantlyimpactedbydevelopment. Othersinclude ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t




sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
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concepts can help the nurse anticipate areas that need to be addressed. Culture is a concept that is
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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 of
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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: NCLEXClient Needs Category: Health Promotionand Maintenance ,t ,t ,t ,t ,t ,t ,t




7. Amothercomplains tothenurseat thepediatric clinic that her4-year-old child always talks to her
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toys and makes up stories. The mother wants her child to have a psychological evaluation. The
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nurse‘s best initial response is to
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a. referthechild to apsychologist immediately. ,t ,t ,t ,t ,t ,t




b. explain thatplayingmakebelieve is normal at this age. ,t ,t ,t ,t ,t ,t ,t ,t ,t




c. completeadevelopmental screeningusing avalidated tool. ,t ,t ,t ,t ,t ,t ,t




d. separatethe child from themotherto get moreinformation. ,t ,t ,t ,t ,t ,t ,t ,t ,t




ANS: B , t




By the end of the fourth year, it is expected that a child will engage in fantasy, so this is normal at
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this age. A referral to a psychologist would be premature based only on the complaintof
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themother.Completingadevelopmentalscreeningwould beveryappropriate but not the initial
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response. The nurse would certainly want to get more information, but separating the child from
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the mother is not necessary at this time.
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OBJ: NCLEX Client NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotion , t , t , t and Maintenance , t




8. A17-year-old girl is hospitalized forappendicitis, and hermother asks the nursewhysheis so needy
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and acting like a child. The best response of the nurse is that in the hospital, adolescents
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a. haveseparation anxiety. ,t ,t




b. rebelagainst rules. ,t ,t




c. regressbecauseof stress. ,t ,t ,t




d. want to know everything. ,t ,t ,t




ANS: C , t




Regression to an earlier stage of development is a common response to stress. Separation anxiety is ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t




most common in infants and toddlers. Rebellion against hospital rules is usually not an issueifthe
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adolescent understands therules andwould not create childlikebehaviors. An adolescent may want
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to ―know everything‖ with their logical thinking and deductive reasoning, but that would not
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explain why they would act like a child.
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OBJ: NCLEXClient Needs Category: Health Promotion and Maintenance ,t ,t ,t ,t ,t ,t ,t

, TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
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Concept02:FunctionalAbility
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Giddens:ConceptsforNursingPractice,3rdEdition
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MULTIPLE CHOICE ,t




1. Thenurseisreviewingapatient‘sfunctionalability. Whichpatient best demonstratesthe
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definition of functional ability?
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a. Considers self as ahealthyindividual; uses canefor stability ,t ,t ,t ,t ,t ,t ,t ,t ,t




b. Collegeeducated; travels frequently; can balance acheckbook ,t ,t ,t ,t ,t ,t ,t




c. Worksout daily, reads well, cooks, and cleans houseon theweekends ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t




d. Healthyindividual, volunteersat church, works parttime,takes careof familyand house ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t




ANS: D , t




Functional ability refers to the individual‘s ability to perform the normal daily activities required ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t




to meet basic needs; fulfill usual roles in the family, workplace, and community; and maintain
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health and well-being. The other options are good; however, healthy individual, church
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volunteer,parttimeworker,and thepatient whotakes careofthefamily and house fully meets the
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criteria for functional ability.
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OBJ: NCLEXClient Needs Category: Physiological Integrity: BasicCareand Comfort ,t ,t ,t ,t ,t ,t ,t ,t ,t




2. Thenurseisreviewingapatient‘sfunctionalperformance. Whatassessmentparameterswill be
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most important in this assessment?
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a. Continenceassessment, gait assessment, feeding assessment,dressingassessment, ,t ,t ,t ,t ,t ,t ,t




transferassessment ,t




b. Height, weight, bodymass index (BMI), vital signs assessment ,t ,t ,t ,t ,t ,t ,t ,t




c. Sleepassessment,energyassessment,memoryassessment,concentration ,t ,t ,t ,t ,t ,t




assessment ,t




d. Health andwell-being, amount ofcommunityvolunteertime,workingoutsidethe ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t




home, and ability to care for family and house
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ANS: A , t




Functional impairment, disability, or handicap refers to varying degrees of an individual‘s ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t




inabilitytoperformthetasksrequired to completenormal lifeactivities without assistance. Height,
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weight, BMI, and vital signs are part of a physical assessment. Sleep, energy, memory, and
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concentration are part of a depression screening. Healthy, volunteering, working, and caring for
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family and house are functional abilities, not performance.
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OBJ: NCLEXClient Needs Category: Physiological Integrity: Reduction ofRisk Potential ,t ,t ,t ,t ,t ,t ,t ,t ,t




3. Thenurseis reviewinga patient with amobilitydysfunction 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 abletoshopfor yourself?‖ ,t ,t ,t ,t ,t ,t




b. ―Do you useacane, walker, orwheelchair to ambulate?‖ ,t ,t ,t ,t ,t ,t ,t ,t ,t




c. ―Do you know what today‘s date is?‖ ,t ,t ,t ,t ,t ,t




d. ―Wereyousadordepressedmorethanonceinthelast3 days?‖ ANS: ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t




, t B