Test Bank for Concepts for Nursing Practice, 34th Edition (Giddens, 2024), Chapter 1-57 All Chapters.pdf

TESTnBANKnFORnCONCEPTSnFORnNURSINGnPRACTICEn3RDnEDITIONnBYnGIDDENS

Concept 01: Development
n n

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




MULTIPLEnCHOICE

1. Thennursenmanagernofnanpediatricnclinicncouldnconfirmnthatnthennewnnursenrecognizednthenp
urposenofnthenHEADSSnAdolescentnRisknProfilenwhennthennewnnursenrespondsnthatnitnisnus
edntonreviewnfornneedsnrelatednto
a. anticipatorynguidance.
b. low-risknadolescents.
c. physicalndevelopment.
d. sexualndevelopment.
ANS:n A
ThenHEADSSnAdolescentnRisknProfilenisnanpsychosocialnassessmentnscreeningntoolnwhichnre
viewsnhome,neducation,nactivities,ndrugs,nsex,nandnsuicidenfornthenpurposenofnidentifyingnhigh
-risknadolescentsnandnthenneednfornanticipatorynguidance.nItnisnusedntonidentifynhigh-
risk,nnotnlow-risk,nadolescents.nPhysicalndevelopmentnisnreviewednwithnanthropometricndata.
Sexualndevelopmentnisnreviewednusingnphysicalnexamination.

OBJ: NCLEXnClientnNeedsnCategory:nHealthnPromotionnandnMaintenance

2. Thennursenpreparingnanteachingnplannfornanpreschoolernknowsnthat,naccordingntonPiaget,nthene
xpectednstagenofndevelopmentnfornanpreschoolernis
a. concretenoperational.
b. formalnoperational.
c. preoperational.
d. sensorimotor.
ANS:n C
Thenexpectednstagenofndevelopmentnfornanpreschoolern(3–4nyearsnold)nisnpre-
operational.nConcretenoperationalndescribesnthenthinkingnofnanschool-agenchildn(7–
11nyearsnold).nFormalnoperationalndescribesnthenthinkingnofnannindividualnafternaboutn11nyearsn
ofnage.nSensorimotorndescribesnthenearliestnpatternnofnthinkingnfromnbirthnton2nyearsnold.

OBJ: NCLEXnClientnNeedsnCategory:nHealthnPromotionnandnMaintenance

3. Thenschoolnnursentalkingnwithnanhighnschoolnclassnaboutnthendifferencenbetweenngrowthnandnd
evelopmentnwouldnbestndescribengrowthnas
a. processesnbynwhichnearlyncellsnspecialize.
b. psychosocialnandncognitivenchanges.
c. qualitativenchangesnassociatednwithnaging.
d. quantitativenchangesninnsizenornweight.n
ANS:n D

,TESTnBANKnFORnCONCEPTSnFORnNURSINGnPRACTICEn3RDnEDITIONnBYnGIDDENS

Growthnisnanquantitativenchangeninnwhichnannincreaseninncellnnumbernandnsizenresultsninnanninc
reaseninnoverallnsizenornweightnofnthenbodynornanynofnitsnparts.nThenprocessesnbynwhichnearlynce
llsnspecializenarenreferredntonasndifferentiation.nPsychosocialnandncognitivenchangesnarenreferr
edntonasndevelopment.nQualitativenchangesnassociatednwithnagingnarenreferredntonasnmaturation
.

OBJ: NCLEXnClientnNeedsnCategory:nHealthnPromotionnandnMaintenance

4. ThenmostnappropriatenresponsenofnthennursenwhennanmothernasksnwhatnthenDenvernIIndoesnisnt
hatnit
a. canndiagnosendevelopmentalndisabilities.
b. identifiesnanneednfornphysicalntherapy.
c. isnandevelopmentalnscreeningntool.
d. providesnanframeworknfornhealthnteaching.
ANS:n C
ThenDenvernIInisnthenmostncommonlynusednmeasurenofndevelopmentalnstatusnusednbynhealthca
renprofessionals;nitnisnanscreeningntool.nScreeningntoolsndonnotnprovidenandiagnosis.nDiagnosisnr
equiresnanthoroughnneurodevelopmentnhistorynandnphysicalnexamination.
Developmentalndelay,nwhichnisnsuggestednbynscreening,nisnansymptom,nnotnandiagnosis.nThenn
eednfornanyntherapynwouldnbenidentifiednwithnancomprehensivenevaluation,nnotnanscreeningntoo
l.nSomenprovidersnusenthenDenvernIInasnanframeworknfornteachingnaboutnexpectedndevelopmen
t,nbutnthisnisnnotnthenprimarynpurposenofnthentool.

OBJ: NCLEXnClientnNeedsnCategory:nHealthnPromotionnandnMaintenance

5. Tonplannearlyninterventionna n Nd nU
caRreSfIoN
rnaGnTinBf.
anCt OwMithnDownnsyndrome,nthennursenconsidersn
knowledgenofnothernphysicalndevelopmentnexemplarsnsuchnas
a. cerebralnpalsy.
b. failurentonthrive.
c. fetalnalcoholnsyndrome.
d. hydrocephaly.
ANS:n D
Hydrocephalynisnalsonanphysicalndevelopmentnexemplar.nCerebralnpalsynisnannexemplarnofnada
ptivendevelopmentalndelay.nFailurentonthrivenisnannexemplarnofnsocial/emotionalndevelopment
alndelay.nFetalnalcoholnsyndromenisnannexemplarnofncognitivendevelopmentalndelay.

OBJ: NCLEXnClientnNeedsnCategory:nHealthnPromotionnandnMaintenance

6. Tonplannearlyninterventionnandncarenfornanchildnwithnandevelopmentalndelay,nthennursenwouldnc
onsidernknowledgenofnthenconceptsnmostnsignificantlynimpactednbyndevelopment,nincluding
a. culture.
b. environment.
c. functionalnstatus.
d. nutrition.
nANS:n C

,TESTnBANKnFORnCONCEPTSnFORnNURSINGnPRACTICEn3RDnEDITIONnBYnGIDDENS

Functionnisnonenofnthenconceptsnmostnsignificantlynimpactednbyndevelopment.nOthersnincludens
ensory-
perceptual,ncognition,nmobility,nreproduction,nandnsexuality.nKnowledgenofnthesenconceptsnca
nnhelpnthennursenanticipatenareasnthatnneedntonbenaddressed.nCulturenisnanconceptnthatnisnconsid
eredntonsignificantlynaffectndevelopment;nthendifferencenisnthenconceptsnthatnaffectndevelopme
ntnarenthosenthatnrepresentnmajorninfluencingnfactorsn(causes);nhencendeterminationnofndevelop
mentnwouldnbenthenfocusnofnpreventiveninterventions.nEnvironmentnisnconsideredntonsignifican
tlynaffectndevelopment.nNutritionnisnconsideredntonsignificantlynaffectndevelopment.

OBJ: NCLEXnClientnNeedsnCategory:nHealthnPromotionnandnMaintenance

7. Anmotherncomplainsntonthennursenatnthenpediatricnclinicnthatnhern4-year-
oldnchildnalwaysntalksntonherntoysnandnmakesnupnstories.nThenmothernwantsnhernchildntonhavenan
psychologicalnevaluation.nThennurse’snbestninitialnresponsenisnto
a. refernthenchildntonanpsychologistnimmediately.
b. explainnthatnplayingnmakenbelievenisnnormalnatnthisnage.
c. completenandevelopmentalnscreeningnusingnanvalidatedntool.
d. separatenthenchildnfromnthenmotherntongetnmoreninformation.
ANS:n B
Bynthenendnofnthenfourthnyear,nitnisnexpectednthatnanchildnwillnengageninnfantasy,nsonthisnisnnorm
alnatnthisnage.nAnreferralntonanpsychologistnwouldnbenprematurenbasednonlynonnthencomplaintnof
nthenmother.nCompletingnandevelopmentalnscreeningnwouldnbenverynappropriatenbutnnotnthenini

tialnresponse.nThennursenwouldncertainlynwantntongetnmoreninformation,nbutnseparatingnthenchi
ldnfromnthenmothernisnnotnnecessarynatnthisntime.

OBJ: NCLEXn Clientn NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotion n andn Maintenance

8. An17-year-
oldngirlnisnhospitalizednfornappendicitis,nandnhernmothernasksnthennursenwhynshenisnsonneedynan
dnactingnlikenanchild.nThenbestnresponsenofnthennursenisnthatninnthenhospital,nadolescents
a. havenseparationnanxiety.
b. rebelnagainstnrules.
c. regressnbecausenofnstress.
d. wantntonknowneverything.
ANS:n C
Regressionntonannearliernstagenofndevelopmentnisnancommonnresponsentonstress.nSeparationnanxi
etynisnmostncommonninninfantsnandntoddlers.nRebellionnagainstnhospitalnrulesnisnusuallynnotnanni
ssuenifnthenadolescentnunderstandsnthenrulesnandnwouldnnotncreatenchildlikenbehaviors.nAnnadol
escentnmaynwantnton“knowneverything”nwithntheirnlogicalnthinkingnandndeductivenreasoning,nb
utnthatnwouldnnotnexplainnwhyntheynwouldnactnlikenanchild.

OBJ: NCLEXnClientnNeedsnCategory:nHealthnPromotionnandnMaintenance

, TESTnBANKnFORnCONCEPTSnFORnNURSINGnPRACTICEn3RDnEDITIONnBYnGIDDENS

Concept 02: Functional Ability
n n n

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




MULTIPLEnCHOICE

1. Thennursenisnreviewingnanpatient’snfunctionalnability.nWhichnpatientnbestndemonstratesnthen
definitionnofnfunctionalnability?
a. Considersnselfnasnanhealthynindividual;nusesncanenfornstability
b. Collegeneducated;ntravelsnfrequently;ncannbalancenancheckbook
c. Worksnoutndaily,nreadsnwell,ncooks,nandncleansnhousenonnthenweekends
d. Healthynindividual,nvolunteersnatnchurch,nworksnpartntime,ntakesncarenofnfamilynandn
house
ANS:n D
Functionalnabilitynrefersntonthenindividual’snabilityntonperformnthennormalndailynactivitiesnrequ
iredntonmeetnbasicnneeds;nfulfillnusualnrolesninnthenfamily,nworkplace,nandncommunity;nandnma
intainnhealthnandnwell-
being.nThenothernoptionsnarengood;nhowever,nhealthynindividual,nchurchnvolunteer,npartntimen
worker,nandnthenpatientnwhontakesncarenofnthenfamilynandnhousenfullynmeetsnthencriterianfornfun
ctionalnability.

OBJ: NCLEXnClientnNeedsnCategory:nPhysiologicalnIntegrity:nBasicnCarenandnComfort

2. Thennursenisnreviewingnanpatient’snfunctionalnperformance.nWhatnassessmentnparametersnwilln
benmostnimportantninnthisnassessment?
a. Continencenassessment,ngaitnassessment,nfeedingnassessment,ndressingnassessment,
transfernassessment
b. Height,nweight,nbodynmassnindexn(BMI),nvitalnsignsnassessment
c. Sleepnassessment,nenergynassessment,nmemorynassessment,nconcentrationn
assessment
d. Healthnandnwell-
being,namountnofncommunitynvolunteerntime,nworkingnoutsidenthenhome,nandnability
ntoncarenfornfamilynandnhouse



ANS:n A
Functionalnimpairment,ndisability,nornhandicapnrefersntonvaryingndegreesnofnannindividual’snin
abilityntonperformnthentasksnrequiredntoncompletennormalnlifenactivitiesnwithoutnassistance.nHei
ght,nweight,nBMI,nandnvitalnsignsnarenpartnofnanphysicalnassessment.nSleep,nenergy,nmemory,na
ndnconcentrationnarenpartnofnandepressionnscreening.nHealthy,nvolunteering,nworking,nandncari
ngnfornfamilynandnhousenarenfunctionalnabilities,nnotnperformance.

OBJ: NCLEXnClientnNeedsnCategory:nPhysiologicalnIntegrity:nReductionnofnRisknPotential

3. Thennursenisnreviewingnanpatientnwithnanmobilityndysfunctionnandnwantsntongainninsightnintont
henpatient’snfunctionalnability.nWhatnquestionnwouldnbenthenmostnappropriate?
a. “Arenyounablentonshopnfornyourself?”
b. “Donyounusenancane,nwalker,nornwheelchairntonambulate?”
c. “Donyounknownwhatntoday’sndatenis?”
d. “Werenyounsadnorndepressednmorenthannonceninnthenlastn3ndays?”n
ANS:n B