Giddens: Concept 01: Development
1. 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
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
ANS: A
2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the
expected stage of development for a preschooler is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
ANS: C
3. The school nurse talking with a high school class about the difference between growth and
development would best describe growth as
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight.
ANS: D
4. The most appropriate response of the nurse when a mother asks what the Denver II does is that it
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy.
c. is a developmental screening tool.
d. provides a framework for health teaching.
ANS: C
5. To plan early intervention and care for an infant with Down syndrome, the nurse considers
knowledge of other physical development exemplars such as
a. cerebral palsy.
b. autism.
c. attention deficit hyperactivity disorder (ADHD).
d. failure to thrive.
ANS: D
6. 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
a. culture.
b. environment.
c. functional status.
, d. nutrition.
ANS: C
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks 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. refer the child to a psychologist immediately.
b. explain that playing make believe is normal at this age.
c. complete a developmental screening using a validated tool.
d. separate the child from the mother to get more information.
ANS: B
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so
needy and acting like a child. The best response of the nurse is that in the hospital, adolescents
a. have separation anxiety.
b. rebel against rules.
c. regress because of stress.
d. want to know everything.
ANS: C
Yoost: Chapter 16: Health and Wellness
1. The World Health Organization defines health as
a. the absence of disease.
b. the lack of infirmity.
c. complete well-being.
d. being independent of fiscal responsibility.
ANS: C
2. Several models exist that describe the relationship between health and wellness. The model used
to understand the interrelationship between elements of basic requirements for survival and the
desires that drive personal growth and development and is represented as a pyramid is:
a. Maslow’s hierarchy of needs.
b. Health Belief Model.
c. Health Promotion Model.
d. Holistic Health Model.
ANS: A
3. The nurse is developing a plan of care for a patient with a hip fracture. In order to prioritize the
patient’s care, the nurse should use:
a. the Health Belief Model.
b. Pender’s Health Promotion Model.
c. Maslow’s hierarchy of needs.
d. the Holistic Health Model.
ANS: C
,4. The nurse is preparing a patient teaching plan and is seeking a way to determine the patient’s
readiness and motivation to act regarding lifestyle changes to best manage diabetes mellitus.
Which model would be useful for this nurse?
a. Maslow’s hierarchy of needs.
b. Holistic Health Model.
c. Health Promotion Model.
d. Health Belief Model.
ANS: D
5. According to the Health Belief Model, which of the following patients would be most likely to
change health behavior?
a. The person who perceives that he is at risk for colon cancer
b. The person who recognizes that colon cancer is easily cured
c. The person who believes that behavior can change outcomes
d. The patient who faces multiple social barriers
ANS: A
6. Intentional behaviors to circumvent illness, detect it early, and maintain the best possible level of
mental and physiologic function within the boundaries of illness describe:
a. health promotion.
b. self-actualization.
c. health protection.
d. self-transcendence.
ANS: C
7. The nurse caring for a patient with chronic pain uses guided imagery, therapeutic touch, and
relaxation techniques as interventions for pain. The nurse is using what type of approach?
a. Holistic
b. Eastern holistic
c. Risk factor reduction
d. Health protection
ANS: A
8. An overweight, sedentary middle-aged smoker with a family history of cardiac disease has
noticed a steady rise in resting blood pressure over a 3- to 4-year period. The patient is concerned
about his slightly elevated blood pressure and begins walking 20 to 30 minutes in the evenings
with his wife and reduces his pack-a-day cigarette habit to ten cigarettes a day. This person has
taken the first steps in:
a. risk factor reduction.
b. self-actualization.
c. self-transcendence.
d. health promotion.
ANS: A
9. The nursing goal for all individuals and their families seeking preventive care is to have
individuals and families:
a. take responsibility for their health and wellness.
, b. abandon the use of electronic educational media.
c. make lifestyle changes after diseases occur.
d. use temporary changes until the danger has passed.
ANS: A
10. The use of seatbelts and airbags in automobiles is an example of:
a. secondary prevention.
b. tertiary prevention.
c. holistic care model.
d. primary prevention.
ANS: D
11. A 40-year-old patient presents to her provider for a yearly physical. The provider notes a family
history of breast cancer in the patient’s mother. The provider schedules the patient for a
mammogram. The nurse recognizes this as what level of prevention?
a. Tertiary
b. Primary
c. Secondary
d. Holistic
ANS: C
12. The patient asks the nurse to explain collaborative health care partnerships. The nurse gives a
correct description when stating that collaborative care:
a. does not require participation of the patient.
b. is individual and cannot be mandated or legislated.
c. education needs are delegated to assistive personnel.
d. is designed to provide care to the patient as a whole.
ANS: D
13. A patient is diagnosed with pneumonia after an abrupt onset of fever, cough, and malaise. The
patient is started on antibiotic therapy and is expected to improve in 2 to 3 weeks. The nurse
correctly identifies this illness as:
a. acute.
b. chronic.
c. remission.
d. exacerbation.
ANS: A
14. When caring for patients with chronic illness, the nurse needs to:
a. help the patient face the reality that he will not get better.
b. emphasize to the patient that the illness is not his fault.
c. emphasize improving quality of life through preventive behaviors.
d. acknowledge the limitations placed on the patient by his suffering.
ANS: C
15. A patient presents to the clinic for illness, and the sick role is legitimized by the provider. The
nurse recognizes this as what stage of illness according to Suchman’s Model?