TEST BANK - Concepts for Nursing Practice, 3rd Edition,

TESTXBANKXFORXCONCEPTSXFORXNURSINGXPRACTICEX3RDXEDITIONXBYXGIDDENS

Concept 01: Development
X X

Giddens: Concepts for Nursing Practice, 3rd Edition
X X X X X X




MULTIPLEXCHOICE

1. TheXnurseXmanagerXofXaXpediatricXclinicXcouldXconfirmXthatXtheXnewXnurseXrecognizedXt
heXpurposeXofXtheXHEADSSXAdolescentXRiskXProfileXwhenXtheXnewXnurseXrespondsXthat
XitXisX
usedXtoXreviewXforXneedsXrelatedXto
a. anticipatoryXguidance.
b. low-riskXadolescents.
c. physicalXdevelopment.
d. sexualXdevelopment.
ANS:X A
TheXHEADSSXAdolescentXRiskXProfileXisXaXpsychosocialXassessmentXscreeningXtoolXwhichX
reviewsXhome,Xeducation,Xactivities,Xdrugs,Xsex,XandXsuicideXforXtheXpurposeXofXidentifyingX
high-riskXadolescentsXandXtheXneedXforXanticipatoryXguidance.XItXisXusedXtoXidentifyXhigh-
risk,XnotXlow-
risk,Xadolescents.XPhysicalXdevelopmentXisXreviewedXwithXanthropometricXdata.
SexualXdevelopmentXisXreviewedXusingXphysicalXexamination.

OBJ: NCLEXXClientXNeedsXCategory:XHealthXPromotionXandXMaintenance

2. TheXnurseXpreparingXaXteachingXplanXforXaXpreschoolerXknowsXthat,XaccordingXtoXPiaget,Xt
heXexpectedXstageXofXdevelopmentXforXaXpreschoolerXis
a. concreteXoperational.
b. formalXoperational.
c. preoperational.
d. sensorimotor.
ANS:X C
TheXexpectedXstageXofXdevelopmentXforXaXpreschoolerX(3–4XyearsXold)XisXpre-
operational.XConcreteXoperationalXdescribesXtheXthinkingXofXaXschool-ageXchildX(7–
11XyearsXold).XFormalXoperationalXdescribesXtheXthinkingXofXanXindividualXafterXaboutX11Xye
arsXofXage.XSensorimotorXdescribesXtheXearliestXpatternXofXthinkingXfromXbirthXtoX2XyearsXold.

OBJ: NCLEXXClientXNeedsXCategory:XHealthXPromotionXandXMaintenance

3. TheXschoolXnurseXtalkingXwithXaXhighXschoolXclassXaboutXtheXdifferenceXbetweenXgrowthXa
ndXdevelopmentXwouldXbestXdescribeXgrowthXas
a. processesXbyXwhichXearlyXcellsXspecialize.
b. psychosocialXandXcognitiveXchanges.
c. qualitativeXchangesXassociatedXwithXaging.
d. quantitativeXchangesXinXsizeXorXweight
.XANS:X D




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,TESTXBANKXFORXCONCEPTSXFORXNURSINGXPRACTICEX3RDXEDITIONXBYXGIDDENS

GrowthXisXaXquantitativeXchangeXinXwhichXanXincreaseXinXcellXnumberXandXsizeXresultsXinXa
nXincreaseXinXoverallXsizeXorXweightXofXtheXbodyXorXanyXofXitsXparts.XTheXprocessesXbyXwhi
chXearlyXcellsXspecializeXareXreferredXtoXasXdifferentiation.XPsychosocialXandXcognitiveXcha
ngesXareXreferredXtoXasXdevelopment.XQualitativeXchangesXassociatedXwithXagingXareXreferre
dXtoXasXmaturation.

OBJ: NCLEXXClientXNeedsXCategory:XHealthXPromotionXandXMaintenance

4. TheXmostXappropriateXresponseXofXtheXnurseXwhenXaXmotherXasksXwhatXtheXDenverXIIXdoes
XisX
thatXit
a. canXdiagnoseXdevelopmentalXdisabilities.
b. identifiesXaXneedXforXphysicalXtherapy.
c. isXaXdevelopmentalXscreeningXtool.
d. providesXaXframeworkXforXhealthXteaching.
ANS:X C
TheXDenverXIIXisXtheXmostXcommonlyXusedXmeasureXofXdevelopmentalXstatusXusedXbyXhea
lthcareXprofessionals;XitXisXaXscreeningXtool.XScreeningXtoolsXdoXnotXprovideXaXdiagnosis.XD
iagnosisXrequiresXaXthoroughXneurodevelopmentXhistoryXandXphysicalXexamination.
DevelopmentalXdelay,XwhichXisXsuggestedXbyXscreening,XisXaXsymptom,XnotXaXdiagnosis.XT
heXneedXforXanyXtherapyXwouldXbeXidentifiedXwithXaXcomprehensiveXevaluation,XnotXaXscree
ningXtool.XSomeXprovidersXuseXtheXDenverXIIXasXaXframeworkXforXteachingXaboutXexpectedX
development,XbutXthisXisXnotXtheXprimaryXpurposeXofXtheXtool.

OBJ: NCLEXXClientXNeedsXCategory:XHealthXPromotionXandXMaintenance

5. ToXplanXearlyXinterventionXanN
dXU
caRreSfIoN
rXaGnTiB
nf.
anCt OwMithXDownXsyndrome,XtheXnurseXconside
rsXknowledgeXofXotherXphysicalXdevelopmentXexemplarsXsuchXas
a. cerebralXpalsy.
b. failureXtoXthrive.
c. fetalXalcoholXsyndrome.
d. hydrocephaly.
ANS:X D
HydrocephalyXisXalsoXaXphysicalXdevelopmentXexemplar.XCerebralXpalsyXisXanXexemplarX
ofXadaptiveXdevelopmentalXdelay.XFailureXtoXthriveXisXanXexemplarXofXsocial/emotionalXd
evelopmentalXdelay.XFetalXalcoholXsyndromeXisXanXexemplarXofXcognitiveXdevelopmentalX
delay.

OBJ: NCLEXXClientXNeedsXCategory:XHealthXPromotionXandXMaintenance

6. ToXplanXearlyXinterventionXandXcareXforXaXchildXwithXaXdevelopmentalXdelay,XtheXnurseXwou
ldXconsiderXknowledgeXofXtheXconceptsXmostXsignificantlyXimpactedXbyXdevelopment,Xinclu
ding
a. culture.
b. environment.
c. functionalXstatus.
d. nutrition.
XANS:X C




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,TESTXBANKXFORXCONCEPTSXFORXNURSINGXPRACTICEX3RDXEDITIONXBYXGIDDENS

FunctionXisXoneXofXtheXconceptsXmostXsignificantlyXimpactedXbyXdevelopment.XOthersXinclu
deXsensory-
perceptual,Xcognition,Xmobility,Xreproduction,XandXsexuality.XKnowledgeXofXtheseXconceptsX
canXhelpXtheXnurseXanticipateXareasXthatXneedXtoXbeXaddressed.XCultureXisXaXconceptXthatXisXc
onsideredXtoXsignificantlyXaffectXdevelopment;XtheXdifferenceXisXtheXconceptsXthatXaffectXde
velopmentXareXthoseXthatXrepresentXmajorXinfluencingXfactorsX(causes);XhenceXdetermination
XofXdevelopmentXwouldXbeXtheXfocusXofXpreventiveXinterventions.XEnvironmentX isXconsidere
dXtoXsignificantlyXaffectXdevelopment.XNutritionXisXconsideredXtoXsignificantlyXaffectXdevelo
pment.

OBJ: NCLEXXClientXNeedsXCategory:XHealthXPromotionXandXMaintenance

7. AXmotherXcomplainsXtoXtheXnurseXatXtheXpediatricXclinicXthatXherX4-year-
oldXchildXalwaysXtalksXtoXherXtoysXandXmakesXupXstories.XTheXmotherXwantsXherXchildXtoXhav
eXaXpsychologicalXevaluation.XTheXnurse’sXbestXinitialXresponseXisXto
a. referXtheXchildXtoXaXpsychologistXimmediately.
b. explainXthatXplayingXmakeXbelieveXisXnormalXatXthisXage.
c. completeXaXdevelopmentalXscreeningXusingXaXvalidatedXtool.
d. separateXtheXchildXfromXtheXmotherXtoXgetXmoreXinformation.
ANS:X B
ByXtheXendXofXtheXfourthXyear,XitXisXexpectedXthatXaXchildXwillXengageXinXfantasy,XsoXthisXisX
normalXatXthisXage.XAXreferralXtoXaXpsychologistXwouldXbeXprematureXbasedXonlyXonXtheXco
mplaintXofXtheXmother.XCompletingXaXdevelopmentalXscreeningXwouldXbeXveryXappropriateX
butXnotXtheXinitialXresponse.XTheXnurseXwouldXcertainlyXwantXtoXgetXmoreXinformation,XbutX
separatingXtheXchildXfromXtheXmotherXisXnotXnecessaryXatXthisXtime.

OBJ: NCLEXXClientXNeedsNCUaRteSgI
orNy:GH
TeBa.
lthCPOrM
omotionXandXMaintenance

8. AX17-year-
oldXgirlXisXhospitalizedXforXappendicitis,XandXherXmotherXasksXtheXnurseXwhyXsheXisXsoXneedy
XandXactingXlikeXaXchild.XTheXbestXresponseXofXtheXnurseXisXthatXinXtheXhospital,Xadolescents

a. haveXseparationXanxiety.
b. rebelXagainstXrules.
c. regressXbecauseXofXstress.
d. wantXtoXknowXeverything.
ANS:X C
RegressionXtoXanXearlierXstageXofXdevelopmentXisXaXcommonXresponseXtoXstress.XSeparationX
anxietyXisXmostXcommonXinXinfantsXandXtoddlers.XRebellionXagainstXhospitalXrulesXisXusually
XnotXanXissueXifXtheXadolescentXunderstandsXtheXrulesXandXwouldXnotXcreateXchildlikeXbehavio

rs.XAnXadolescentXmayXwantXtoX“knowXeverything”XwithXtheirXlogicalXthinkingXandXdeductive
Xreasoning,XbutXthatXwouldXnotXexplainXwhyXtheyXwouldXactXlikeXaXchild.




OBJ: NCLEXXClientXNeedsXCategory:XHealthXPromotionXandXMaintenance




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Concept 02: Functional Ability
X X X

Giddens: Concepts for Nursing Practice, 3rd Edition
X X X X X X




MULTIPLEXCHOICE

1. TheXnurseXisXreviewingXaXpatient’sXfunctionalXability.XWhichXpatientXbestXdemonstratesXt
heXdefinitionXofXfunctionalXability?
a. ConsidersXselfXasXaXhealthyXindividual;XusesXcaneXforXstability
b. CollegeXeducated;XtravelsXfrequently;XcanXbalanceXaXcheckbook
c. WorksXoutXdaily,XreadsXwell,Xcooks,XandXcleansXhouseXonXtheXweekends
d. HealthyXindividual,XvolunteersXatXchurch,XworksXpartXtime,XtakesXcareXofXfamilyXa
ndXhouse
ANS:X D
FunctionalXabilityXrefersXtoXtheXindividual’sXabilityXtoXperformXtheXnormalXdailyXactivitiesXr
equiredXtoXmeetXbasicXneeds;XfulfillXusualXrolesXinXtheXfamily,Xworkplace,XandXcommunity;X
andXmaintainXhealthXandXwell-
being.XTheXotherXoptionsXareXgood;Xhowever,XhealthyXindividual,XchurchXvolunteer,XpartXti
meXworker,XandXtheXpatientXwhoXtakesXcareXofXtheXfamilyXandXhouseXfullyXmeetsXtheXcriteria
XforXfunctionalXability.




OBJ: NCLEXXClientXNeedsXCategory:XPhysiologicalXIntegrity:XBasicXCareXandXComfort

2. TheXnurseXisXreviewingXaXpatient’sXfunctionalXperformance.XWhatXassessmentXparametersXwi
llXbeXmostXimportantXinXthisXassessment?
a. ContinenceXassessment,XgaitXassessment,XfeedingXassessment,XdressingXassessment,
transferXassessment NURSINGTB.COM
b. Height,Xweight,XbodyXmassXindexX(BMI),XvitalXsignsXassessment
c. SleepXassessment,XenergyXassessment,XmemoryXassessment,Xconcentratio
nXassessment
d. HealthXandXwell-
being,XamountXofXcommunityXvolunteerXtime,XworkingXoutsideXtheXhome,XandXabil
ityXtoXcareXforXfamilyXandXhouse
ANS:X A
FunctionalXimpairment,Xdisability,XorXhandicapXrefersXtoXvaryingXdegreesXofXanXindividual’s
XinabilityXtoXperformXtheXtasksXrequiredXtoXcompleteXnormalXlifeXactivitiesXwithoutXassistanc

e.XHeight,Xweight,XBMI,XandXvitalXsignsXareXpartXofXaXphysicalXassessment.XSleep,Xenergy,Xm
emory,XandXconcentrationXareXpartXofXaXdepressionXscreening.XHealthy,Xvolunteering,Xworki
ng,XandXcaringXforXfamilyXandXhouseXareXfunctionalXabilities,XnotXperformance.

OBJ: NCLEXXClientXNeedsXCategory:XPhysiologicalXIntegrity:XReductionXofXRiskXPotential

3. TheXnurseXisXreviewingXaXpatientXwithXaXmobilityXdysfunctionXandXwantsXtoXgainXinsightXin
toXtheXpatient’sXfunctionalXability.XWhatXquestionXwouldXbeXtheXmostXappropriate?
a. “AreXyouXableXtoXshopXforXyourself?”
b. “DoXyouXuseXaXcane,Xwalker,XorXwheelchairXtoXambulate?”
c. “DoXyouXknowXwhatXtoday’sXdateXis?”
d. “WereXyouXsadXorXdepressedXmoreXthanXonceXinXtheXlastX3Xdays
?”XANS:X B



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