Giddens concepts for nursing practice 3rd edition

GIDDENS CONCEPTS FOR
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NURSING PRACTICE, 3RD
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EDITION

,Conceptz01:zDevelopmentz

MULTIPLEzCHOICE

1. Theznursezmanagerzofzazpediatriczcliniczcouldzconfirmzthatztheznewznursezrecognizedzthezpurposez
ofzthezHEADSSzAdolescentzRiskzProfilezwhenztheznewznursezrespondszthatzitziszusedztozassesszforzneedszrela
tedzto

a. anticipatoryzguidance.

b. low-riskzadolescents.

c. physicalzdevelopment.

d. sexualzdevelopment.z

ANS:zA

ThezHEADSSzAdolescentzRiskzProfileziszazpsychosocialzassessmentzscreeningztoolzwhichzassesseszhome,zed
ucation,zactivities,zdrugs,zsex,zandzsuicidezforzthezpurposezofzidentifyingzhigh-
riskzadolescentszandzthezneedzforzanticipatoryzguidance.zItziszusedztozidentifyzhigh-risk,znotzlow-
risk,zadolescents.zPhysicalzdevelopmentziszassessedzwithzanthropometriczdata.

Sexualzdevelopmentziszassessedzusingzphysicalzexamination.



OBJ: NCLEXzClientzNeedszCategory:zHealthzPromotionzandzMaintenance



2. Theznursezpreparingzazteachingzplanzforzazpreschoolerzknowszthat,zaccordingztozPiaget,ztheze
xpectedzstagezofzdevelopmentzforzazpreschoolerzis

a. concretezoperational.

b. formalzoperational. N

c. preoperational.

d. sensorimotor.

ANS:zC

Thezexpectedzstagezofzdevelopmentzforzazpreschoolerz(3–4zyearszold)ziszpre-
operational.zConcretezoperationalzdescribeszthezthinkingzofzazschool-agezchildz(7–
11zyearszold).zFormalzoperationalzdescribeszthezthinkingzofzanzindividualzafterzaboutz11zyearszofzage.zSen
sorimotorzdescribeszthezearliestzpatternzofzthinkingzfromzbirthztoz2zyearszold.



OBJ: NCLEXzClientzNeedszCategory:zHealthzPromotionzandzMaintenance

,3. Thezschoolznurseztalkingzwithzazhighzschoolzclasszaboutzthezdifferencezbetweenzgrowthzandzd
evelopmentzwouldzbestzdescribezgrowthzas

a. processeszbyzwhichzearlyzcellszspecialize.

b. psychosocialzandzcognitivezchanges.

c. qualitativezchangeszassociatedzwithzaging.

d. quantitativezchangeszinzsizezorzweight.zANS:zD




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Growthziszazquantitativezchangezinzwhichzanzincreasezinzcellznumberzandzsizezresultszinzanzincreasezinzo
verallzsizezorzweightzofzthezbodyzorzanyzofzitszparts.zThezprocesseszbyzwhichzearlyzcellszspecializezarezref
erredztozaszdifferentiation.zPsychosocialzandzcognitivezchangeszarezreferredztozaszdevelopment.
Qualitativezchangeszassociatedzwithzagingzarezreferredztozaszmaturation.



OBJ:zzzzz NCLEXzClientzNeedszCategory:zHealthzPromotionzandzMaintenance



4. ThezmostzappropriatezresponsezofztheznursezwhenzazmotherzaskszwhatzthezDenverzIIzdoesziszthatzit

a. canzdiagnosezdevelopmentalzdisabilities.

b. identifieszazneedzforzphysicalztherapy.

c. iszazdevelopmentalzscreeningztool.

d. provideszazframeworkzforzhealthzteaching.z

ANS:zC

ThezDenverzIIziszthezmostzcommonlyzusedzmeasurezofzdevelopmentalzstatuszusedzbyzhealthcarezprof
essionals;zitziszazscreeningztool.zScreeningztoolszdoznotzprovidezazdiagnosis.zDiagnosiszrequireszazthoro
ughzneurodevelopmentzhistoryzandzphysicalzexamination.

, Developmentalzdelay,zwhichziszsuggestedzbyzscreening,ziszazsymptom,znotzazdiagnosis.zThezneedzforzanyzth
erapyzwouldzbezidentifiedzwithzazcomprehensivezevaluation,znotzazscreeningztool.zSomezproviderszusezthez
DenverzIIzaszazframeworkzforzteachingzaboutzexpectedzdevelopment,zbutzthiszisznotzthezprimaryzpurposezo
fztheztool.



OBJ: NCLEXzClientzNeedszCategory:zHealthzPromotionzandzMaintenance



5. TozplanzearlyzinterventionzanNdzcarezforzanzinfantzwithzDownzsyndrome,ztheznursezconsiderszk
nowledgezofzotherzphysicalzdevelopmentzexemplarszsuchzas

a. cerebralzpalsy.

b. autism.

c. attention-deficit/hyperactivityzdisorderz(ADHD).

d. failureztozthrive.

ANS:zD

Failureztozthriveziszalsozazphysicalzdevelopmentzexemplar.zCerebralzpalsyziszanzexemplarzofzmotor/devel
opmentalzdelay.zAutismziszanzexemplarzofzsocial/emotionalzdevelopmentalzdelay.zADHDziszanzexemplarzo
fzazcognitivezdisorder.



OBJ: NCLEXzClientzNeedszCategory:zHealthzPromotionzandzMaintenance



6. Tozplanzearlyzinterventionzandzcarezforzazchildzwithzazdevelopmentalzdelay,ztheznursezwouldzc
onsiderzknowledgezofzthezconceptszmostzsignificantlyzimpactedzbyzdevelopment,zincluding

a. culture.

b. environment.

c. functionalzstatus.

d. nutrition.zANS:zC



Functionziszonezofzthezconceptszmostzsignificantlyzimpactedzbyzdevelopment.zOtherszincludezsensory-
zperceptual,zcognition,zmobility,zreproduction,zandzsexuality.zKnowledgezofzthesezconceptszcanzhelpzthezn

ursezanticipatezareaszthatzneedztozbezaddressed.zCultureziszazconceptzthatziszconsideredztozsignificantlyzaff
ectzdevelopment;zthezdifferenceziszthezconceptszthatzaffectzdevelopmentzarezthosezthatzrepresentzmajorzi
nfluencingzfactorsz(causes);zhencezdeterminationzofzdevelopmentzwouldzbezthezfocuszof