Concepts for Nursing Practice 3rd Edition by giddes
Chapter 1-57
IntroductionExams serve as a fundamental tool in evaluating a student's understanding of a subject, particularly in fields as diverse as business, law, and mathematics. These disciplines not
Co cept 01: Developme t
Gidde s: Co cepts for ursi g Practice, 3rd Editio
MULTIPLE CHOICE
1. The urse ma ager of a pediatric cli ic could co firm that the ew urse recog ized the
purpose of the HEADSS Adolesce t Risk Profile whe the ew urse respo ds that it is
used to assess for eeds related to
a. a ticipatory guida ce.
b. low-risk adolesce ts.
c. physical developme t.
d. sexual developme t.
A S: A
The HEADSS Adolesce t Risk Profile is a psychosocial assessme t scree i g tool which
assesses home, educatio , activities, drugs, sex, a d suicide for the purpose of ide tifyi g
high-risk adolesce ts a d the eed for a ticipatory guida ce. It is used to ide tify high-risk, ot
low-risk, adolesce ts. Physical developme t is assessed with a thropometric data.
Sexual developme t is assessed usi g physical exami atio .
OBJ: CLEX Clie t eeds Category: Health Promotio a d Mai te a ce
IntroductionExams serve as a fundamental tool in evaluating a student's understanding of a subject, particularly in fields as diverse as business, law, and mathematics. These disciplines not
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2. The urse prepari g a teachi g pla for a preschooler k ows that, accordi g to Piaget, the
expected stage of developme t for a preschooler is
a. co crete operatio al.
b. formal operatio al.
c. preoperatio al.
d. se sorimotor.
A S: C
The expected stage of developme t for a preschooler (3–4 years old) is pre-operatio al. Co
crete operatio al describes the thi ki g of a school-age child (7–11 years old). Formal operatio
al describes the thi ki g of a i dividual after about 11 years of age. Se sorimotor describes the
earliest patter of thi ki g from birth to 2 years old.
OBJ: CLEX Clie t eeds Category: Health Promotio a d Mai te a ce
3. The school urse talki g with a high school class about the differe ce betwee growth a d
developme t would best describe growth as
a. processes by which early cells specialize.
b. psychosocial a d cog itive cha ges.
c. qualitative cha ges associated with agi g.
d. qua titative cha ges i size or weight.
A S: D
Growth is a qua titative cha ge i which a i crease i cell umber a d size results i a i crease
, i overall size or weight of the body or a y of its parts. The processes by which early cells
specialize are referred to as differe tiatio . Psychosocial a d cog itive cha ges are referred to
as developme t. Qualitative cha ges associated with agi g are referred to as maturatio .
OBJ: CLEX Clie t eeds Category: Health Promotio a d Mai te a ce
IntroductionExams serve as a fundamental tool in evaluating a student's understanding of a subject, particularly in fields as diverse as business, law, and mathematics. These disciplines not
subject to self-employme t tax o their share of the i come. U dersta di g how to mi imize this liability is crucial for LLC members.- **Tax Electio s**: - LLCs ca elect to be taxed as a corporatio , allowi g for strategic tax pla
i g based o the members’ overall tax situatio s.### Special Topics i Busi ess Taxatio #### 1. I ter atio al Tax Co sideratio sAs globalizatio i creases, u dersta di g i ter atio al tax implicatio s becomes esse tial.- **Foreig Tax
Credits**: - Busi esses operati g i ter atio ally may qualify for foreig tax credits, which help avoid double taxatio o i come ear ed abroad. Proper pla i g is crucial to maximize these be efits.- **Tra sfer Prici g**: -
The most appropriate respo se of the urse whe a mother asks what the De ver II does is that it
e. ca diag ose developme tal disabilities.
f. ide tifies a eed for physical therapy.
g. is a developme tal scree i g tool.
h. provides a framework for health teachi g.
A S: C
The De ver II is the most commo ly used measure of developme tal status used by
healthcare professio als; it is a scree i g tool. Scree i g tools do ot provide a diag osis. Diag
osis requires a thorough eurodevelopme t history a d physical exami atio .
Developme tal delay, which is suggested by scree i g, is a symptom, ot a diag osis. The eed
for a y therapy would be ide tified with a comprehe sive evaluatio , ot a scree i g tool. Some
providers use the De ver II as a framework for teachi g about expected developme t, but this
is ot the primary purpose of the tool.
OBJ: CLEX Clie t eeds Category: Health Promotio a d Mai te a ce
4. To pla early i terve tio a d care for a i fa t with Dow sy drome, the urse co siders k
owledge of other physical developme t exemplars such as
a. cerebral palsy.
b. autism.
c. atte tio -deficit/hyperactivity disorder (ADHD).
d. failure to thrive.
A S: D
Failure to thrive is also a physical developme t exemplar. Cerebral palsy is a exemplar of
motor/developme tal delay. Autism is a exemplar of social/emotio al developme tal delay.
ADHD is a exemplar of a cog itive disorder.
OBJ: CLEX Clie t eeds Category: Health Promotio a d Mai te a ce
5. To pla early i terve tio a d care for a child with a developme tal delay, the urse would co
sider k owledge of the co cepts most sig ifica tly impacted by developme t, i cludi g
a. culture.
b. e viro me t.
c. fu ctio al status.
d. utritio .
A S: C
Fu ctio is o e of the co cepts most sig ifica tly impacted by developme t. Others i clude se
sory-perceptual, cog itio , mobility, reproductio , a d sexuality. K owledge of these co cepts
ca help the urse a ticipate areas that eed to be addressed. Culture is a co cept that is co
sidered to sig ifica tly affect developme t; the differe ce is the co cepts that affect
developme t are those that represe t major i flue ci g factors (causes); he ce determi atio of
developme t would be the focus of preve tive i terve tio s. E viro me t is co sidered to sig
ifica tly affect developme t. utritio is co sidered to sig ifica tly affect developme t.
OBJ: CLEX Clie t eeds Category: Health Promotio a d Mai te a ce
i clude timi g i come a d expe ses, leveragi g credits a d deductio s, a d selecti g the appropriate busi ess structure.### Curre t Developme ts#### 1. Legislative Cha gesTax laws are subject to freque t cha ges, impacti g busi ess
, credits, which help avoid double taxatio o i come ear ed abroad. **Tra sfer Prici g**: -
6. A mother complai s to the urse at the pediatric cli ic that her 4-year-old child always talks
to her toys a d makes up stories. The mother wa ts her child to have a psychological
evaluatio . The urse’s best i itial respo se is to
a. refer the child to a psychologist immediately.
b. explai that playi g make believe is ormal at this age.
c. complete a developme tal scree i g usi g a validated tool.
d. separate the child from the mother to get more i formatio .
A S: B
By the e d of the fourth year, it is expected that a child will e gage i fa tasy, so this is
ormal at this age. A referral to a psychologist would be premature based o ly o the complai
t of the mother. Completi g a developme tal scree i g would be very appropriate but ot the i
itial respo se. The urse would certai ly wa t to get more i formatio , but separati g the child
from the mother is ot ecessary at this time.
IntroductionExams serve as a fundamental tool in evaluating a student's understanding of a subject, particularly in fields as diverse as business, law, and mathematics. These
disciplines not
OBJ: CLEX Clie t eeds Category: Health Promotio a d Mai te a ce
Int IntroductionExams serve as a fundamental tool in evaluating a student's understanding of a subject, particularly in fields as diverse as business, law, and mathematics. These disciplines
not roductionExams serve as a fundamental tool in evaluating a student's understanding of a subject, particularly in fields as diverse as business, law, and mathematics. These disciplines
A 17-year-old girl is hospitalized for appe dicitis, a d her mother asks the urse why she is so
not
eedy a d acti g like a child. The best respo se of the urse is that i the hospital, adolesce ts
e. have separatio a xiety.
f. rebel agai st rules.
g. regress because of stress.
h. wa t to k ow everythi g.
A S: C
IntroductionExams serve as a fundamental tool in evaluating a student's understanding of a subject, particularly in fields as diverse as business, law, and mathematics. These disciplines not
Regressio to a earlier stage of developme t is a commo respo se to stress. Separatio a
xiety is most commo i i fa ts a d toddlers. Rebellio agai st hospital rules is usually ot a
issue if the adolesce t u dersta ds the rules a d would ot create childlike behaviors. A
adolesce t may wa t to <k ow everythi g= with their logical thi ki g a d deductive reaso i g,
but that would ot explai why they would act like a child.
OBJ: CLEX Clie t eeds Category: Health Promotio a d Mai te a ce
i clude timi g i come a d expe ses, leveragi g credits a d deductio s, a d selecti g the appropriate busi ess structure.### Curre t Developme ts#### 1. Legislative Cha gesTax laws are subject to freque t cha ges, impacti g busi ess strategies.- **Rece t
maximize these be efits.- **Tra sfer Prici g**: -
, Co cept 02: Fu ctio al Ability
Gidde s: Co cepts for ursi g Practice, 3rd Editio
MULTIPLE CHOICE
1. The urse is assessi g a patie t’s fu ctio al ability. Which patie t best demo strates the defi
itio of fu ctio al ability?
a. Co siders self as a healthy i dividual; uses ca e for stability
b. College educated; travels freque tly; ca bala ce a checkbook
c. Works out daily, reads well, cooks, a d clea s house o the weeke ds
d. Healthy i dividual, volu teers at church, works part time, takes care of family a d
house
A S: D
Fu ctio al ability refers to the i dividual’s ability to perform the ormal daily activities
required to meet basic eeds; fulfill usual roles i the family, workplace, a d commu ity; a d
mai tai health a d well-bei g. The other optio s are good; however, healthy i dividual,
church volu teer, part time worker, a d the patie t who takes care of the family a d house
fully meets the criteria for fu ctio al ability.
OBJ: CLEX Clie t eeds Category: Physiological I tegrity: Basic Care a d Comfort
to m IntroductionExams serve as a fundamental tool in evaluating a student's understanding of a subject, particularly in fields as diverse as business, law, and mathematics. These disciplines
not aximize these be efits.- **Tra sfer Prici g**: -
2. The urse is assessi g a patie t’s fu ctio al performa ce. What assessme t parameters will
be most importa t i this assessme t?
a. Co ti e ce assessme t, gait assessme t, feedi g assessme t, dressi g assessme t,
tra sfer assessme t
b. Height, weight, body mass i dex (BMI), vital sig s assessme t
c. Sleep assessme t, e ergy assessme t, memory assessme t, co ce tratio
assessme t
d. Health a d well-bei g, amou t of commu ity volu teer time, worki g outside the
home, a d ability to care for family a d house
A S: A
Fu ctio al impairme t, disability, or ha dicap refers to varyi g degrees of a i dividual’s i
ability to perform the tasks required to complete ormal life activities without assista ce.
Height, weight, BMI, a d vital sig s are part of a physical assessme t. Sleep, e ergy,
memory, a d co ce tratio are part of a depressio scree i g. Healthy, volu teeri g, worki g, a
d cari g for family a d house are fu ctio al abilities, ot performa ce.
OBJ: CLEX Clie t eeds Category: Physiological I tegrity: Reductio of Risk Pote tial
3. The urse is assessi g a patie t with a mobility dysfu ctio a d wa ts to gai i sight i to
the patie t’s fu ctio al ability. What questio would be the most appropriate?
a. <Are you able to shop for yourself?=
b. <Do you use a ca e, walker, or wheelchair to ambulate?=
c. <Do you k ow what today’s date is?=
d. <Were you sad or depressed more tha o ce i the last 3 days?=
A S: B
<Do you use a ca e, walker, or wheelchair to ambulate?= will assist the urse i determi i g the
patie t’s ability to perform self-care activities. A utritio al health risk assessme t is ot the fu
ctio al assessme t. K owi g the date is part of a me tal status exam. Assessi g sad ess is a
questio to ask i the depressio scree i g.