Test Bank for Concepts for Nursing Practice 3rd Edition Jean FORET Giddens(HIGHLY GRADED)(PANEL REVIEWED)

TESTxBANKxFORxCONCEPTSxFORxNURSINGxPRACTICEx3RDxEDITIONxBYxGIDDENS

Concept 01: Development
x x

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




MULTIPLExCHOICE

1. Thexnursexmanagerxofxaxpediatricxclinicxcouldxconfirmxthatxthexnewxnursexrecognizedxthexp
urposexofxthexHEADSSxAdolescentxRiskxProfilexwhenxthexnewxnursexrespondsxthatxitxisxus
edxtoxreviewxforxneedsxrelatedxto
a. anticipatoryxguidance.
b. low-riskxadolescents.
c. physicalxdevelopment.
d. sexualxdevelopment.
ANS:x A
ThexHEADSSxAdolescentxRiskxProfilexisxaxpsychosocialxassessmentxscreeningxtoolxwhichxre
viewsxhome,xeducation,xactivities,xdrugs,xsex,xandxsuicidexforxthexpurposexofxidentifyingxhigh
-riskxadolescentsxandxthexneedxforxanticipatoryxguidance.xItxisxusedxtoxidentifyxhigh-
risk,xnotxlow-risk,xadolescents.xPhysicalxdevelopmentxisxreviewedxwithxanthropometricxdata.
Sexualxdevelopmentxisxreviewedxusingxphysicalxexamination.

OBJ: NCLEXxClientxNeedsxCategory:xHealthxPromotionxandxMaintenance

2. Thexnursexpreparingxaxteachingxplanxforxaxpreschoolerxknowsxthat,xaccordingxtoxPiaget,xthexe
xpectedxstagexofxdevelopmentxforxaxpreschoolerxis
a. concretexoperational.
b. formalxoperational.
c. preoperational.
d. sensorimotor.
ANS:x C
Thexexpectedxstagexofxdevelopmentxforxaxpreschoolerx(3–4xyearsxold)xisxpre-
operational.xConcretexoperationalxdescribesxthexthinkingxofxaxschool-agexchildx(7–
11xyearsxold).xFormalxoperationalxdescribesxthexthinkingxofxanxindividualxafterxaboutx11xyearsx
ofxage.xSensorimotorxdescribesxthexearliestxpatternxofxthinkingxfromxbirthxtox2xyearsxold.

OBJ: NCLEXxClientxNeedsxCategory:xHealthxPromotionxandxMaintenance

3. Thexschoolxnursextalkingxwithxaxhighxschoolxclassxaboutxthexdifferencexbetweenxgrowthxandxd
evelopmentxwouldxbestxdescribexgrowthxas
a. processesxbyxwhichxearlyxcellsxspecialize.
b. psychosocialxandxcognitivexchanges.
c. qualitativexchangesxassociatedxwithxaging.
d. quantitativexchangesxinxsizexorxweight.x
ANS:x D

,TESTxBANKxFORxCONCEPTSxFORxNURSINGxPRACTICEx3RDxEDITIONxBYxGIDDENS

Growthxisxaxquantitativexchangexinxwhichxanxincreasexinxcellxnumberxandxsizexresultsxinxanxin
creasexinxoverallxsizexorxweightxofxthexbodyxorxanyxofxitsxparts.xThexprocessesxbyxwhichxearlyx
cellsxspecializexarexreferredxtoxasxdifferentiation.xPsychosocialxandxcognitivexchangesxarexref
erredxtoxasxdevelopment.xQualitativexchangesxassociatedxwithxagingxarexreferredxtoxasxmatura
tion.

OBJ: NCLEXxClientxNeedsxCategory:xHealthxPromotionxandxMaintenance

4. ThexmostxappropriatexresponsexofxthexnursexwhenxaxmotherxasksxwhatxthexDenverxIIxdoesxisxt
hatxit
a. canxdiagnosexdevelopmentalxdisabilities.
b. identifiesxaxneedxforxphysicalxtherapy.
c. isxaxdevelopmentalxscreeningxtool.
d. providesxaxframeworkxforxhealthxteaching.
ANS:x C
ThexDenverxIIxisxthexmostxcommonlyxusedxmeasurexofxdevelopmentalxstatusxusedxbyxhealth
carexprofessionals;xitxisxaxscreeningxtool.xScreeningxtoolsxdoxnotxprovidexaxdiagnosis.xDiagno
sisxrequiresxaxthoroughxneurodevelopmentxhistoryxandxphysicalxexamination.
Developmentalxdelay,xwhichxisxsuggestedxbyxscreening,xisxaxsymptom,xnotxaxdiagnosis.xThexn
eedxforxanyxtherapyxwouldxbexidentifiedxwithxaxcomprehensivexevaluation,xnotxaxscreeningxto
ol.xSomexprovidersxusexthexDenverxIIxasxaxframeworkxforxteachingxaboutxexpectedxdevelopm
ent,xbutxthisxisxnotxthexprimaryxpurposexofxthextool.

OBJ: NCLEXxClientxNeedsxCategory:xHealthxPromotionxandxMaintenance

5. ToxplanxearlyxinterventionxanN
dxU
caRreSfIoN
rxaGnTiB
nf.
anCt OwMithxDownxsyndrome,xthexnursexconsidersx
knowledgexofxotherxphysicalxdevelopmentxexemplarsxsuchxas
a. cerebralxpalsy.
b. failurextoxthrive.
c. fetalxalcoholxsyndrome.
d. hydrocephaly.
ANS:x D
Hydrocephalyxisxalsoxaxphysicalxdevelopmentxexemplar.xCerebralxpalsyxisxanxexemplarxofxa
daptivexdevelopmentalxdelay.xFailurextoxthrivexisxanxexemplarxofxsocial/emotionalxdevelop
mentalxdelay.xFetalxalcoholxsyndromexisxanxexemplarxofxcognitivexdevelopmentalxdelay.

OBJ: NCLEXxClientxNeedsxCategory:xHealthxPromotionxandxMaintenance

6. Toxplanxearlyxinterventionxandxcarexforxaxchildxwithxaxdevelopmentalxdelay,xthexnursexwouldxc
onsiderxknowledgexofxthexconceptsxmostxsignificantlyximpactedxbyxdevelopment,xincluding
a. culture.
b. environment.
c. functionalxstatus.
d. nutrition.x
ANS:x C

,TESTxBANKxFORxCONCEPTSxFORxNURSINGxPRACTICEx3RDxEDITIONxBYxGIDDENS

Functionxisxonexofxthexconceptsxmostxsignificantlyximpactedxbyxdevelopment.xOthersxincludexs
ensory-
perceptual,xcognition,xmobility,xreproduction,xandxsexuality.xKnowledgexofxthesexconceptsxca
nxhelpxthexnursexanticipatexareasxthatxneedxtoxbexaddressed.xCulturexisxaxconceptxthatxisxconsid
eredxtoxsignificantlyxaffectxdevelopment;xthexdifferencexisxthexconceptsxthatxaffectxdevelopme
ntxarexthosexthatxrepresentxmajorxinfluencingxfactorsx(causes);xhencexdeterminationxofxdevelo
pmentxwouldxbexthexfocusxofxpreventivexinterventions.xEnvironmentxisxconsideredxtoxsignifica
ntlyxaffectxdevelopment.xNutritionxisxconsideredxtoxsignificantlyxaffectxdevelopment.

OBJ: NCLEXxClientxNeedsxCategory:xHealthxPromotionxandxMaintenance

7. Axmotherxcomplainsxtoxthexnursexatxthexpediatricxclinicxthatxherx4-year-
oldxchildxalwaysxtalksxtoxherxtoysxandxmakesxupxstories.xThexmotherxwantsxherxchildxtoxhavexax
psychologicalxevaluation.xThexnurse’sxbestxinitialxresponsexisxto
a. referxthexchildxtoxaxpsychologistximmediately.
b. explainxthatxplayingxmakexbelievexisxnormalxatxthisxage.
c. completexaxdevelopmentalxscreeningxusingxaxvalidatedxtool.
d. separatexthexchildxfromxthexmotherxtoxgetxmorexinformation.
ANS:x B
Byxthexendxofxthexfourthxyear,xitxisxexpectedxthatxaxchildxwillxengagexinxfantasy,xsoxthisxisxnor
malxatxthisxage.xAxreferralxtoxaxpsychologistxwouldxbexprematurexbasedxonlyxonxthexcomplaint
xofxthexmother.xCompletingxaxdevelopmentalxscreeningxwouldxbexveryxappropriatexbutxnotxthex

initialxresponse.xThexnursexwouldxcertainlyxwantxtoxgetxmorexinformation,xbutxseparatingxthex
childxfromxthexmotherxisxnotxnecessaryxatxthisxtime.

OBJ: NCLEXxClientxNeedsNCUaRteSgI
orN
y:GH
TeBal.thCPOrM
omotionxandxMaintenance

8. Ax17-year-
oldxgirlxisxhospitalizedxforxappendicitis,xandxherxmotherxasksxthexnursexwhyxshexisxsoxneedyxan
dxactingxlikexaxchild.xThexbestxresponsexofxthexnursexisxthatxinxthexhospital,xadolescents
a. havexseparationxanxiety.
b. rebelxagainstxrules.
c. regressxbecausexofxstress.
d. wantxtoxknowxeverything.
ANS:x C
Regressionxtoxanxearlierxstagexofxdevelopmentxisxaxcommonxresponsextoxstress.xSeparationxanx
ietyxisxmostxcommonxinxinfantsxandxtoddlers.xRebellionxagainstxhospitalxrulesxisxusuallyxnotxan
xissuexifxthexadolescentxunderstandsxthexrulesxandxwouldxnotxcreatexchildlikexbehaviors.xAnxado

lescentxmayxwantxtox“knowxeverything”xwithxtheirxlogicalxthinkingxandxdeductivexreasoning,xb
utxthatxwouldxnotxexplainxwhyxtheyxwouldxactxlikexaxchild.

OBJ: NCLEXxClientxNeedsxCategory:xHealthxPromotionxandxMaintenance

, TESTxBANKxFORxCONCEPTSxFORxNURSINGxPRACTICEx3RDxEDITIONxBYxGIDDENS

Concept 02: Functional Ability
x x x

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




MULTIPLExCHOICE

1. Thexnursexisxreviewingxaxpatient’sxfunctionalxability.xWhichxpatientxbestxdemonstratesxthexd
efinitionxofxfunctionalxability?
a. Considersxselfxasxaxhealthyxindividual;xusesxcanexforxstability
b. Collegexeducated;xtravelsxfrequently;xcanxbalancexaxcheckbook
c. Worksxoutxdaily,xreadsxwell,xcooks,xandxcleansxhousexonxthexweekends
d. Healthyxindividual,xvolunteersxatxchurch,xworksxpartxtime,xtakesxcarexofxfamilyxandxh
ouse
ANS:x D
Functionalxabilityxrefersxtoxthexindividual’sxabilityxtoxperformxthexnormalxdailyxactivitiesxreq
uiredxtoxmeetxbasicxneeds;xfulfillxusualxrolesxinxthexfamily,xworkplace,xandxcommunity;xandx
maintainxhealthxandxwell-
being.xThexotherxoptionsxarexgood;xhowever,xhealthyxindividual,xchurchxvolunteer,xpartxtimex
worker,xandxthexpatientxwhoxtakesxcarexofxthexfamilyxandxhousexfullyxmeetsxthexcriteriaxforxfun
ctionalxability.

OBJ: NCLEXxClientxNeedsxCategory:xPhysiologicalxIntegrity:xBasicxCarexandxComfort

2. Thexnursexisxreviewingxaxpatient’sxfunctionalxperformance.xWhatxassessmentxparametersxwillxb
exmostximportantxinxthisxassessment?
a. Continencexassessment,xgaitxassessment,xfeedingxassessment,xdressingxassessment,
transferxassessment
b. Height,xweight,xbodyxmassxindexx(BMI),xvitalxsignsxassessment
c. Sleepxassessment,xenergyxassessment,xmemoryxassessment,xconcentrationx
assessment
d. Healthxandxwell-
being,xamountxofxcommunityxvolunteerxtime,xworkingxoutsidexthexhome,xandxability
xtoxcarex forxfamilyxandxhouse



ANS:x A
Functionalximpairment,xdisability,xorxhandicapxrefersxtoxvaryingxdegreesxofxanxindividual’sxin
abilityxtoxperformxthextasksxrequiredxtoxcompletexnormalxlifexactivitiesxwithoutxassistance.xHei
ght,xweight,xBMI,xandxvitalxsignsxarexpartxofxaxphysicalxassessment.xSleep,xenergy,xmemory,xa
ndxconcentrationxarexpartxofxaxdepressionxscreening.xHealthy,xvolunteering,xworking,xandxcari
ngxforxfamilyxandxhousexarexfunctionalxabilities,xnotxperformance.

OBJ: NCLEXxClientxNeedsxCategory:xPhysiologicalxIntegrity:xReductionxofxRiskxPotential

3. Thexnursexisxreviewingxaxpatientxwithxaxmobilityxdysfunctionxandxwantsxtoxgainxinsightxintoxt
hexpatient’sxfunctionalxability.xWhatxquestionxwouldxbexthexmostxappropriate?
a. “Arexyouxablextoxshopxforxyourself?”
b. “Doxyouxusexaxcane,xwalker,xorxwheelchairxtoxambulate?”
c. “Doxyouxknowxwhatxtoday’sxdatexis?”
d. “Werexyouxsadxorxdepressedxmorexthanxoncexinxthexlastx3xdays?”x
ANS:x B