TESTwBANKwFORwCONCEPTSwFORwNURSINGwPRACTICEw3RDwEDITIONwBYwGIDDENS
Concept 01: Development
w w
Giddens: Concepts for Nursing Practice, 3rd Edition
w w w w w w
MULTIPLEwCHOICE
1. Thewnursewmanagerwofwawpediatricwclinicwcouldwconfirmwthatwthewnewwnursewrecognizedwt
hewpurposewofwthewHEADSSwAdolescentwRiskwProfilewwhenwthewnewwnursewrespondswthat
witwiswusedwtowreviewwforwneedswrelatedwto
a. anticipatorywguidance.
b. low-riskwadolescents.
c. physicalwdevelopment.
d. sexualwdevelopment.
ANS:w A
ThewHEADSSwAdolescentwRiskwProfilewiswawpsychosocialwassessmentwscreeningwtoolwwhichw
reviewswhome,weducation,wactivities,wdrugs,wsex,wandwsuicidewforwthewpurposewofwidentifyingw
high-riskwadolescentswandwthewneedwforwanticipatorywguidance.wItwiswusedwtowidentifywhigh-
risk,wnotwlow-
risk,wadolescents.wPhysicalwdevelopmentwiswreviewedwwithwanthropometricwdata.
Sexualwdevelopmentwiswreviewedwusingwphysicalwexamination.
OBJ: NCLEXwClientwNeedswCategory:wHealthwPromotionwandwMaintenance
2. Thewnursewpreparingwawteachingwplanwforwawpreschoolerwknowswthat,waccordingwtowPiaget,wt
hewexpectedwstagewofwdevelopmentwforwawpreschoolerwis
a. concretewoperational.
b. formalwoperational.
c. preoperational.
d. sensorimotor.
ANS:w C
Thewexpectedwstagewofwdevelopmentwforwawpreschoolerw(3–4wyearswold)wiswpre-
operational.wConcretewoperationalwdescribeswthewthinkingwofwawschool-agewchildw(7–
11wyearswold).wFormalwoperationalwdescribeswthewthinkingwofwanwindividualwafterwaboutw11wye
arswofwage.wSensorimotorwdescribeswthewearliestwpatternwofwthinkingwfromwbirthwtow2wyearswold
.
OBJ: NCLEXwClientwNeedswCategory:wHealthwPromotionwandwMaintenance
3. Thewschoolwnursewtalkingwwithwawhighwschoolwclasswaboutwthewdifferencewbetweenwgrowthwa
ndwdevelopmentwwouldwbestwdescribewgrowthwas
a. processeswbywwhichwearlywcellswspecialize.
b. psychosocialwandwcognitivewchanges.
c. qualitativewchangeswassociatedwwithwaging.
d. quantitativewchangeswinwsizeworwweight
.wANS:w D
,TESTwBANKwFORwCONCEPTSwFORwNURSINGwPRACTICEw3RDwEDITIONwBYwGIDDENS
Growthwiswawquantitativewchangewinwwhichwanwincreasewinwcellwnumberwandwsizewresultswinwan
wincreasewinwoverallwsizeworwweight wofwthewbodyworwanywofwitswparts.wThewprocesseswbywwhich
wearlywcellswspecializewarewreferredwtowaswdifferentiation.wPsychosocialwandwcognitivewchange
swarewreferredwtowaswdevelopment.wQualitativewchangeswassociatedwwithwagingwarewreferredwtow
aswmaturation.
OBJ: NCLEXwClientwNeedswCategory:wHealthwPromotionwandwMaintenance
4. ThewmostwappropriatewresponsewofwthewnursewwhenwawmotherwaskswwhatwthewDenverwIIwdoesw
iswthatwit
a. canwdiagnosewdevelopmentalwdisabilities.
b. identifieswawneedwforwphysicalwtherapy.
c. iswawdevelopmentalwscreeningwtool.
d. provideswawframeworkwforwhealthwteaching.
ANS:w C
ThewDenverwIIwiswthewmostwcommonlywusedwmeasurewofwdevelopmentalwstatuswusedwbywhealt
hcarewprofessionals;witwiswawscreeningwtool.wScreeningwtoolswdownotwprovidewawdiagnosis.wDia
gnosiswrequireswawthoroughwneurodevelopmentwhistorywandwphysicalwexamination.
Developmentalwdelay,wwhichwiswsuggestedwbywscreening,wiswawsymptom,wnotwawdiagnosis.wTh
ewneedwforwanywtherapywwouldwbewidentifiedwwithwawcomprehensivewevaluation,wnotwawscreeni
ngwtool.wSomewproviderswusewthewDenverwIIwaswawframeworkwforwteachingwaboutwexpectedwde
velopment,wbutwthiswiswnotwthewprimarywpurposewofwthewtool.
OBJ: NCLEXwClientwNeedswCategory:wHealthwPromotionwandwMaintenance
5. Towplanwearlywinterventionwa n Nd wU
caRreSfIoN
rwaGnTinBf.
anCt OwMithwDownwsyndrome,wthewnursewconside
rswknowledgewofwotherwphysicalwdevelopmentwexemplarswsuchwas
a. cerebralwpalsy.
b. failurewtowthrive.
c. fetalwalcoholwsyndrome.
d. hydrocephaly.
ANS:w D
Hydrocephalywiswalsowawphysicalwdevelopmentwexemplar.wCerebralwpalsywiswanwexemplarwofw
adaptivewdevelopmentalwdelay.wFailurewtowthrivewiswanwexemplarwofwsocial/emotionalwdevelo
pmentalwdelay.wFetalwalcoholwsyndromewiswanwexemplarwofwcognitivewdevelopmentalwdelay.
OBJ: NCLEXwClientwNeedswCategory:wHealthwPromotionwandwMaintenance
6. Towplanwearlywinterventionwandwcarewforwawchildwwithwawdevelopmentalwdelay,wthewnursewwou
ldwconsiderwknowledgewofwthewconceptswmostwsignificantlywimpactedwbywdevelopment,winclu
ding
a. culture.
b. environment.
c. functionalwstatus.
d. nutrition.
ANS:w C
w
,TESTwBANKwFORwCONCEPTSwFORwNURSINGwPRACTICEw3RDwEDITIONwBYwGIDDENS
Functionwiswonewofwthewconceptswmostwsignificantlywimpactedwbywdevelopment.wOtherswinclud
ewsensory-
perceptual,wcognition,wmobility,wreproduction,wandwsexuality.wKnowledgewofwthesewconceptsw
canwhelpwthewnursewanticipatewareaswthatwneedwtowbewaddressed.wCulturewiswawconceptwthatwiswc
onsideredwtowsignificantlywaffectwdevelopment;wthewdifferencewiswthewconceptswthatwaffectwde
velopmentwarewthosewthatwrepresentwmajorwinfluencingwfactorsw(causes);whencewdetermination
wofwdevelopment wwouldwbewthewfocuswofwpreventivewinterventions. wEnvironmentwiswconsidere
dwtowsignificantlywaffectwdevelopment.wNutritionwiswconsideredwtowsignificantlywaffectwdevelo
pment.
OBJ: NCLEXwClientwNeedswCategory:wHealthwPromotionwandwMaintenance
7. Awmotherwcomplainswtowthewnursewatwthewpediatricwclinicwthatwherw4-year-
oldwchildwalwayswtalkswtowherwtoyswandwmakeswupwstories.wThewmotherwwantswherwchildwtowhav
ewawpsychologicalwevaluation.wThewnurse’swbestwinitialwresponsewiswto
a. referwthewchildwtowawpsychologistwimmediately.
b. explainwthatwplayingwmakewbelievewiswnormalwatwthiswage.
c. completewawdevelopmentalwscreeningwusingwawvalidatedwtool.
d. separatewthewchildwfromwthewmotherwtowgetwmorewinformation.
ANS:w B
Bywthewendwofwthewfourthwyear,witwiswexpectedwthatwawchildwwillwengagewinwfantasy,wsowthiswisw
normalwatwthiswage.wAwreferralwtowawpsychologistwwouldwbewprematurewbasedwonlywonwthewco
mplaintwofwthewmother.wCompletingwawdevelopmentalwscreeningwwouldwbewverywappropriatew
butwnotwthewinitialwresponse.wThewnursewwouldwcertainlywwantwtowgetwmorewinformation,wbutw
separatingwthewchildwfromwthewmotherwiswnotwnecessarywatwthiswtime.
OBJ: NCLEXw Clientw NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotion w andw Maintenance
8. Aw17-year-
oldwgirlwiswhospitalizedwforwappendicitis,wandwherwmotherwaskswthewnursewwhywshewiswsowneed
ywandwactingwlikewawchild.wThewbestwresponsewofwthewnursewiswthatwinwthewhospital,wadolescent
s
a. havewseparationwanxiety.
b. rebelwagainstwrules.
c. regresswbecausewofwstress.
d. wantwtowknowweverything.
ANS:w C
Regressionwtowanwearlierwstagewofwdevelopmentwiswawcommonwresponsewtowstress.wSeparationw
anxietywiswmostwcommonwinwinfantswandwtoddlers.wRebellionwagainstwhospitalwruleswiswusually
wnotwanwissuewifwthewadolescentwunderstandswthewruleswandwwouldwnotwcreatewchildlikewbehavio
rs.wAnwadolescentwmaywwantwtow“knowweverything”wwithwtheirwlogicalwthinkingwandwdeductiv
ewreasoning,wbutwthatwwouldwnotwexplainwwhywtheywwouldwactwlikewawchild.
OBJ: NCLEXwClientwNeedswCategory:wHealthwPromotionwandwMaintenance
, TESTwBANKwFORwCONCEPTSwFORwNURSINGwPRACTICEw3RDwEDITIONwBYwGIDDENS
Concept 02: Functional Ability
w w w
Giddens: Concepts for Nursing Practice, 3rd Edition
w w w w w w
MULTIPLEwCHOICE
1. Thewnursewiswreviewingwawpatient’swfunctionalwability.wWhichwpatientwbestwdemonstrateswth
ewdefinitionwofwfunctionalwability?
a. Considerswselfwaswawhealthywindividual;wuseswcanewforwstability
b. Collegeweducated;wtravelswfrequently;wcanwbalancewawcheckbook
c. Workswoutwdaily,wreadswwell,wcooks,wandwcleanswhousewonwthewweekends
d. Healthywindividual,wvolunteerswatwchurch,wworkswpartwtime,wtakeswcarewofwfamilywan
dwhouse
ANS:w D
Functionalwabilitywreferswtowthewindividual’swabilitywtowperformwthewnormalwdailywactivitieswr
equiredwtowmeetwbasicwneeds;wfulfillwusualwroleswinwthewfamily,wworkplace,wandwcommunity;w
andwmaintainwhealthwandwwell-
being.wThewotherwoptionswarewgood;whowever,whealthywindividual,wchurchwvolunteer,wpartwtim
ewworker,wandwthewpatientwwhowtakeswcarewofwthewfamilywandwhousewfullywmeetswthewcriteriawf
orwfunctionalwability.
OBJ: NCLEXwClientwNeedswCategory:wPhysiologicalwIntegrity:wBasicwCarewandwComfort
2. Thewnursewiswreviewingwawpatient’swfunctionalwperformance.wWhatwassessmentwparameterswwi
llwbewmostwimportantwinwthiswassessment?
a. Continencewassessment,wgaitwassessment,wfeedingwassessment,wdressingwassessment,
transferwassessment
b. Height,wweight,wbodywmasswindexw(BMI),wvitalwsignswassessment
c. Sleepwassessment,wenergywassessment,wmemorywassessment,wconcentratio
nwassessment
d. Healthwandwwell-
being,wamountwofwcommunitywvolunteerwtime,wworkingwoutsidewthewhome,wandwabil
itywtowcarewforwfamilywandwhouse
ANS:w A
Functionalwimpairment,wdisability,worwhandicapwreferswtowvaryingwdegreeswofwanwindividual’s
winabilitywtowperformwthewtaskswrequiredwtowcompletewnormalwlifewactivities wwithoutwassistanc
e.wHeight,wweight,wBMI,wandwvitalwsignswarewpartwofwawphysicalwassessment.wSleep,wenergy,w
memory,wandwconcentrationwarewpartwofwawdepressionwscreening.wHealthy,wvolunteering,wwor
king,wandwcaringwforwfamilywandwhousewarewfunctionalwabilities,wnotwperformance.
OBJ: NCLEXwClientwNeedswCategory:wPhysiologicalwIntegrity:wReductionwofwRiskwPotential
3. Thewnursewiswreviewingwawpatientwwithwawmobilitywdysfunctionwandwwantswtowgainwinsightwin
towthewpatient’swfunctionalwability.wWhatwquestionwwouldwbewthewmostwappropriate?
a. “Arewyouwablewtowshopwforwyourself?”
b. “Dowyouwusewawcane,wwalker,worwwheelchairwtowambulate?”
c. “Dowyouwknowwwhatwtoday’swdatewis?”
d. “Werewyouwsadworwdepressedwmorewthanwoncewinwthewlastw3wdays?
”wANS:w B
Concept 01: Development
w w
Giddens: Concepts for Nursing Practice, 3rd Edition
w w w w w w
MULTIPLEwCHOICE
1. Thewnursewmanagerwofwawpediatricwclinicwcouldwconfirmwthatwthewnewwnursewrecognizedwt
hewpurposewofwthewHEADSSwAdolescentwRiskwProfilewwhenwthewnewwnursewrespondswthat
witwiswusedwtowreviewwforwneedswrelatedwto
a. anticipatorywguidance.
b. low-riskwadolescents.
c. physicalwdevelopment.
d. sexualwdevelopment.
ANS:w A
ThewHEADSSwAdolescentwRiskwProfilewiswawpsychosocialwassessmentwscreeningwtoolwwhichw
reviewswhome,weducation,wactivities,wdrugs,wsex,wandwsuicidewforwthewpurposewofwidentifyingw
high-riskwadolescentswandwthewneedwforwanticipatorywguidance.wItwiswusedwtowidentifywhigh-
risk,wnotwlow-
risk,wadolescents.wPhysicalwdevelopmentwiswreviewedwwithwanthropometricwdata.
Sexualwdevelopmentwiswreviewedwusingwphysicalwexamination.
OBJ: NCLEXwClientwNeedswCategory:wHealthwPromotionwandwMaintenance
2. Thewnursewpreparingwawteachingwplanwforwawpreschoolerwknowswthat,waccordingwtowPiaget,wt
hewexpectedwstagewofwdevelopmentwforwawpreschoolerwis
a. concretewoperational.
b. formalwoperational.
c. preoperational.
d. sensorimotor.
ANS:w C
Thewexpectedwstagewofwdevelopmentwforwawpreschoolerw(3–4wyearswold)wiswpre-
operational.wConcretewoperationalwdescribeswthewthinkingwofwawschool-agewchildw(7–
11wyearswold).wFormalwoperationalwdescribeswthewthinkingwofwanwindividualwafterwaboutw11wye
arswofwage.wSensorimotorwdescribeswthewearliestwpatternwofwthinkingwfromwbirthwtow2wyearswold
.
OBJ: NCLEXwClientwNeedswCategory:wHealthwPromotionwandwMaintenance
3. Thewschoolwnursewtalkingwwithwawhighwschoolwclasswaboutwthewdifferencewbetweenwgrowthwa
ndwdevelopmentwwouldwbestwdescribewgrowthwas
a. processeswbywwhichwearlywcellswspecialize.
b. psychosocialwandwcognitivewchanges.
c. qualitativewchangeswassociatedwwithwaging.
d. quantitativewchangeswinwsizeworwweight
.wANS:w D
,TESTwBANKwFORwCONCEPTSwFORwNURSINGwPRACTICEw3RDwEDITIONwBYwGIDDENS
Growthwiswawquantitativewchangewinwwhichwanwincreasewinwcellwnumberwandwsizewresultswinwan
wincreasewinwoverallwsizeworwweight wofwthewbodyworwanywofwitswparts.wThewprocesseswbywwhich
wearlywcellswspecializewarewreferredwtowaswdifferentiation.wPsychosocialwandwcognitivewchange
swarewreferredwtowaswdevelopment.wQualitativewchangeswassociatedwwithwagingwarewreferredwtow
aswmaturation.
OBJ: NCLEXwClientwNeedswCategory:wHealthwPromotionwandwMaintenance
4. ThewmostwappropriatewresponsewofwthewnursewwhenwawmotherwaskswwhatwthewDenverwIIwdoesw
iswthatwit
a. canwdiagnosewdevelopmentalwdisabilities.
b. identifieswawneedwforwphysicalwtherapy.
c. iswawdevelopmentalwscreeningwtool.
d. provideswawframeworkwforwhealthwteaching.
ANS:w C
ThewDenverwIIwiswthewmostwcommonlywusedwmeasurewofwdevelopmentalwstatuswusedwbywhealt
hcarewprofessionals;witwiswawscreeningwtool.wScreeningwtoolswdownotwprovidewawdiagnosis.wDia
gnosiswrequireswawthoroughwneurodevelopmentwhistorywandwphysicalwexamination.
Developmentalwdelay,wwhichwiswsuggestedwbywscreening,wiswawsymptom,wnotwawdiagnosis.wTh
ewneedwforwanywtherapywwouldwbewidentifiedwwithwawcomprehensivewevaluation,wnotwawscreeni
ngwtool.wSomewproviderswusewthewDenverwIIwaswawframeworkwforwteachingwaboutwexpectedwde
velopment,wbutwthiswiswnotwthewprimarywpurposewofwthewtool.
OBJ: NCLEXwClientwNeedswCategory:wHealthwPromotionwandwMaintenance
5. Towplanwearlywinterventionwa n Nd wU
caRreSfIoN
rwaGnTinBf.
anCt OwMithwDownwsyndrome,wthewnursewconside
rswknowledgewofwotherwphysicalwdevelopmentwexemplarswsuchwas
a. cerebralwpalsy.
b. failurewtowthrive.
c. fetalwalcoholwsyndrome.
d. hydrocephaly.
ANS:w D
Hydrocephalywiswalsowawphysicalwdevelopmentwexemplar.wCerebralwpalsywiswanwexemplarwofw
adaptivewdevelopmentalwdelay.wFailurewtowthrivewiswanwexemplarwofwsocial/emotionalwdevelo
pmentalwdelay.wFetalwalcoholwsyndromewiswanwexemplarwofwcognitivewdevelopmentalwdelay.
OBJ: NCLEXwClientwNeedswCategory:wHealthwPromotionwandwMaintenance
6. Towplanwearlywinterventionwandwcarewforwawchildwwithwawdevelopmentalwdelay,wthewnursewwou
ldwconsiderwknowledgewofwthewconceptswmostwsignificantlywimpactedwbywdevelopment,winclu
ding
a. culture.
b. environment.
c. functionalwstatus.
d. nutrition.
ANS:w C
w
,TESTwBANKwFORwCONCEPTSwFORwNURSINGwPRACTICEw3RDwEDITIONwBYwGIDDENS
Functionwiswonewofwthewconceptswmostwsignificantlywimpactedwbywdevelopment.wOtherswinclud
ewsensory-
perceptual,wcognition,wmobility,wreproduction,wandwsexuality.wKnowledgewofwthesewconceptsw
canwhelpwthewnursewanticipatewareaswthatwneedwtowbewaddressed.wCulturewiswawconceptwthatwiswc
onsideredwtowsignificantlywaffectwdevelopment;wthewdifferencewiswthewconceptswthatwaffectwde
velopmentwarewthosewthatwrepresentwmajorwinfluencingwfactorsw(causes);whencewdetermination
wofwdevelopment wwouldwbewthewfocuswofwpreventivewinterventions. wEnvironmentwiswconsidere
dwtowsignificantlywaffectwdevelopment.wNutritionwiswconsideredwtowsignificantlywaffectwdevelo
pment.
OBJ: NCLEXwClientwNeedswCategory:wHealthwPromotionwandwMaintenance
7. Awmotherwcomplainswtowthewnursewatwthewpediatricwclinicwthatwherw4-year-
oldwchildwalwayswtalkswtowherwtoyswandwmakeswupwstories.wThewmotherwwantswherwchildwtowhav
ewawpsychologicalwevaluation.wThewnurse’swbestwinitialwresponsewiswto
a. referwthewchildwtowawpsychologistwimmediately.
b. explainwthatwplayingwmakewbelievewiswnormalwatwthiswage.
c. completewawdevelopmentalwscreeningwusingwawvalidatedwtool.
d. separatewthewchildwfromwthewmotherwtowgetwmorewinformation.
ANS:w B
Bywthewendwofwthewfourthwyear,witwiswexpectedwthatwawchildwwillwengagewinwfantasy,wsowthiswisw
normalwatwthiswage.wAwreferralwtowawpsychologistwwouldwbewprematurewbasedwonlywonwthewco
mplaintwofwthewmother.wCompletingwawdevelopmentalwscreeningwwouldwbewverywappropriatew
butwnotwthewinitialwresponse.wThewnursewwouldwcertainlywwantwtowgetwmorewinformation,wbutw
separatingwthewchildwfromwthewmotherwiswnotwnecessarywatwthiswtime.
OBJ: NCLEXw Clientw NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotion w andw Maintenance
8. Aw17-year-
oldwgirlwiswhospitalizedwforwappendicitis,wandwherwmotherwaskswthewnursewwhywshewiswsowneed
ywandwactingwlikewawchild.wThewbestwresponsewofwthewnursewiswthatwinwthewhospital,wadolescent
s
a. havewseparationwanxiety.
b. rebelwagainstwrules.
c. regresswbecausewofwstress.
d. wantwtowknowweverything.
ANS:w C
Regressionwtowanwearlierwstagewofwdevelopmentwiswawcommonwresponsewtowstress.wSeparationw
anxietywiswmostwcommonwinwinfantswandwtoddlers.wRebellionwagainstwhospitalwruleswiswusually
wnotwanwissuewifwthewadolescentwunderstandswthewruleswandwwouldwnotwcreatewchildlikewbehavio
rs.wAnwadolescentwmaywwantwtow“knowweverything”wwithwtheirwlogicalwthinkingwandwdeductiv
ewreasoning,wbutwthatwwouldwnotwexplainwwhywtheywwouldwactwlikewawchild.
OBJ: NCLEXwClientwNeedswCategory:wHealthwPromotionwandwMaintenance
, TESTwBANKwFORwCONCEPTSwFORwNURSINGwPRACTICEw3RDwEDITIONwBYwGIDDENS
Concept 02: Functional Ability
w w w
Giddens: Concepts for Nursing Practice, 3rd Edition
w w w w w w
MULTIPLEwCHOICE
1. Thewnursewiswreviewingwawpatient’swfunctionalwability.wWhichwpatientwbestwdemonstrateswth
ewdefinitionwofwfunctionalwability?
a. Considerswselfwaswawhealthywindividual;wuseswcanewforwstability
b. Collegeweducated;wtravelswfrequently;wcanwbalancewawcheckbook
c. Workswoutwdaily,wreadswwell,wcooks,wandwcleanswhousewonwthewweekends
d. Healthywindividual,wvolunteerswatwchurch,wworkswpartwtime,wtakeswcarewofwfamilywan
dwhouse
ANS:w D
Functionalwabilitywreferswtowthewindividual’swabilitywtowperformwthewnormalwdailywactivitieswr
equiredwtowmeetwbasicwneeds;wfulfillwusualwroleswinwthewfamily,wworkplace,wandwcommunity;w
andwmaintainwhealthwandwwell-
being.wThewotherwoptionswarewgood;whowever,whealthywindividual,wchurchwvolunteer,wpartwtim
ewworker,wandwthewpatientwwhowtakeswcarewofwthewfamilywandwhousewfullywmeetswthewcriteriawf
orwfunctionalwability.
OBJ: NCLEXwClientwNeedswCategory:wPhysiologicalwIntegrity:wBasicwCarewandwComfort
2. Thewnursewiswreviewingwawpatient’swfunctionalwperformance.wWhatwassessmentwparameterswwi
llwbewmostwimportantwinwthiswassessment?
a. Continencewassessment,wgaitwassessment,wfeedingwassessment,wdressingwassessment,
transferwassessment
b. Height,wweight,wbodywmasswindexw(BMI),wvitalwsignswassessment
c. Sleepwassessment,wenergywassessment,wmemorywassessment,wconcentratio
nwassessment
d. Healthwandwwell-
being,wamountwofwcommunitywvolunteerwtime,wworkingwoutsidewthewhome,wandwabil
itywtowcarewforwfamilywandwhouse
ANS:w A
Functionalwimpairment,wdisability,worwhandicapwreferswtowvaryingwdegreeswofwanwindividual’s
winabilitywtowperformwthewtaskswrequiredwtowcompletewnormalwlifewactivities wwithoutwassistanc
e.wHeight,wweight,wBMI,wandwvitalwsignswarewpartwofwawphysicalwassessment.wSleep,wenergy,w
memory,wandwconcentrationwarewpartwofwawdepressionwscreening.wHealthy,wvolunteering,wwor
king,wandwcaringwforwfamilywandwhousewarewfunctionalwabilities,wnotwperformance.
OBJ: NCLEXwClientwNeedswCategory:wPhysiologicalwIntegrity:wReductionwofwRiskwPotential
3. Thewnursewiswreviewingwawpatientwwithwawmobilitywdysfunctionwandwwantswtowgainwinsightwin
towthewpatient’swfunctionalwability.wWhatwquestionwwouldwbewthewmostwappropriate?
a. “Arewyouwablewtowshopwforwyourself?”
b. “Dowyouwusewawcane,wwalker,worwwheelchairwtowambulate?”
c. “Dowyouwknowwwhatwtoday’swdatewis?”
d. “Werewyouwsadworwdepressedwmorewthanwoncewinwthewlastw3wdays?
”wANS:w B
