TEST BANK FOR CONCEPTS FOR NURSING PRACTICE (3RD ED) BY JEAN GIDDENS| COMPLETE GUIDE ALL CHAPTERS 2024 EXAM QUESTIONS AND COMPLETE 100% CORRECT VERIFIED ANSWERS WITH WELL EXPLAINED RATIONALES GRADED A+ BY EXPERTS LATEST UPDATE 2024 PROVEN AND GUARANTEED 1

TEST BANK FOR CONCEPTS FOR NURSING PRACTICE (3RD ED) BY JEAN GIDDENS| COMPLETE GUIDE ALL CHAPTERS 2024 EXAM QUESTIONS AND COMPLETE 100% CORRECT VERIFIED ANSWERS WITH WELL EXPLAINED RATIONALES GRADED A+ BY EXPERTS LATEST UPDATE 2024 PROVEN AND GUARANTEED 100% SUCCESS AFTER DOWNLOAD (ALL YOU NEED TO PASS YOUR EXAMS) 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 refer the child to a psychologist immediately. explain that playing make believe is normal at this age. complete a developmental screening using a validated tool. separate the child from the mother to get more information. 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 complaint of the mother. Completing a developmental screening would be very appropriate 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: NCLEX Client NeedsNCategory: Health Promotion and Maintenance 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 have separation anxiety. rebel against rules. regress because of stress. want to know 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 not an issue if the adolescent understands the rules and would not create childlike behaviors. 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: NCLEX Client Needs Category: Health Promotion and Maintenance Concept 02: Functional Ability Giddens: Concepts for Nursing Practice, 3rd Edition MULTIPLE CHOICE The nurse is assessing a patient’s functional ability. Which patient best demonstrates the definition of functional ability? Considers self as a healthy individual; uses cane for stability College educated; travels frequently; can balance a checkbook Works out daily, reads well, cooks, and cleans house on the weekends Healthy individual, volunteers at church, works part time, takes care of family and 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, church volunteer, part time worker, and the patient who takes care of the family and house fully meets the criteria for functional ability. OBJ: NCLEX Client Needs Category: Physiological Integrity: Basic Care and Comfort The nurse is assessing a patient’s functional performance. What assessment parameters will be most important in this assessment? Continence assessment, gait assessment, feeding assessment, dressing assessment, transfer assessment N Height, weight, body mass index (BMI), vital signs assessment Sleep assessment, energy assessment, memory assessment, concentration assessment Health and well-being, amount of community volunteer time, working outside the home, and ability to care for family and house ANS: A Functional impairment, disability, or handicap refers to varying degrees of an individual’s inability to perform the tasks required to complete normal life activities without assistance. 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: NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential The nurse is assessing a patient with a mobility dysfunction and wants to gain insight into the patient’s functional ability. What question would be the most appropriate? a. “Are you able to shop for yourself?” “Do you use a cane, walker, or wheelchair to ambulate?” “Do you know what today’s date is?” “Were you sad or depressed more than once in the last 3 days?” ANS: B