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TEST BANK CONCEPTS OF NURSING PRACTICE(WITH ACCESS ON VITAL SOURCE) 3RD EDITION GIDDENS CHAPTER 1- 57COMPLETE GUIDE.pdf

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TEST BANK CONCEPTS OF NURSING PRACTICE(WITH ACCESS ON VITAL SOURCE) 3RD EDITION GIDDENS CHAPTER 1- 57COMPLETE GUIDE.pdf

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TESTmBANKmFORmCONCEPTSmFORmNURSINGmPRACTICEm3RDmEDITIONmBYmGIDDENS

Conceptm01:mDevelopment
Giddens:mConcepts mfor mNursing mPractice,m3rdmEdition


MULTIPLEmCHOICE

1. Themnursem managermof mampediatricmclinicmcould mconfirmmthat mthemnew mnursemrecognized mt
hempurposemof mthemHEADSSmAdolescent mRiskmProfilemwhenmthemnew mnursemrespondsmtha
t mit mismused mtomreview mformneedsmrelated mto
a. anticipatorymguidance.
b. low-riskmadolescents.
c. physicalmdevelopment.
d. sexualmdevelopment.
ANS:m A
ThemHEADSSmAdolescent mRiskmProfilemismampsychosocialmassessment mscreeningmtoolmwhich
mreviewsmhome,meducation,mactivities,mdrugs,msex,mand msuicidemformthempurposemof midentifyin

gmhigh-riskmadolescentsmand mthemneed mformanticipatorymguidance.mIt mismused mtomidentifymhigh-
risk,mnot mlow-
risk,madolescents.mPhysicalmdevelopment mismreviewed mwithmanthropometricmdata.
Sexualmdevelopment mismreviewed musingmphysicalmexamination.

OBJ: NCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance

2. Themnursempreparingmamteachingmplanmformampreschoolermknowsmthat,maccordingmtomPiaget,mt
hemexpected mstagemof mdevelopment mformampreschoolermis
a. concretemoperational.
b. formalmoperational.
c. preoperational.
d. sensorimotor.
ANS:m C
Themexpected mstagemof mdevelopment mformampreschoolerm(3–4myearsmold)mismpre-
operational.mConcretemoperationalmdescribesmthemthinkingmof mamschool-agemchild m(7–
11myearsmold).mFormalmoperationalmdescribesmthemthinkingmof manmindividualmaftermabout m11my
earsmof mage.mSensorimotormdescribesmthemearliest mpatternmof mthinkingmfrommbirthmtom2myearsmo
ld.

OBJ: NCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance

3. Themschoolmnursemtalkingmwithmamhighmschoolmclassmabout mthemdifferencembetweenmgrowthma
nd mdevelopment mwould mbest mdescribemgrowthmas
a. processesmbymwhichmearlymcellsmspecialize.
b. psychosocialmand mcognitivemchanges.
c. qualitativemchangesmassociated mwithmaging.
d. quantitativemchangesminmsizemormweight
.mANS:m D

,TESTmBANKmFORmCONCEPTSmFORmNURSINGmPRACTICEm3RDmEDITIONmBYmGIDDENS

Growthmismamquantitativemchangeminmwhichmanmincreaseminmcellmnumberm and msizemresultsminm a
nmincreaseminmoverallmsizemor mweight mof mthembodymormanymof mitsmparts.mThemprocessesmby mwhi
chmearlymcellsmspecializemarem referred mtomasmdifferentiation.mPsychosocialm and mcognitivemcha
ngesmaremreferred mtomasmdevelopment.mQualitativemchangesmassociated mwithmagingmaremreferre
d mtomasmmaturation.

OBJ: NCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance

4. Themmostmappropriatemresponsemof mthemnursemwhenmammothermasksmwhat mthemDenvermII mdoes
mismthat mit

a. canmdiagnosemdevelopmentalmdisabilities.
b. identifiesmamneed mformphysicalmtherapy.
c. ismamdevelopmentalmscreeningmtool.
d. providesmamframeworkmformhealthmteaching.
ANS:m C
ThemDenvermII mismthemmost mcommonlymused mmeasuremof mdevelopmentalmstatusmused mbymheal
thcaremprofessionals;mit mismamscreeningmtool.mScreeningmtoolsmdomnot mprovidemamdiagnosis.mDi
agnosismrequiresmamthoroughmneurodevelopment mhistorymand mphysicalmexamination.
Developmentalmdelay,mwhichmismsuggested mbymscreening,mismamsymptom,mnot mamdiagnosis.mTh
emneed mformanymtherapymwould mbemidentified mwithmamcomprehensivemevaluation,mnot mamscreen
ingmtool.mSomemprovidersmusemthemDenvermII masmamframeworkmformteachingmabout mexpected md
evelopment,mbut mthismismnot mthemprimarympurposemof mthemtool.

OBJ: NCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance

5. Tomplanmearlyminterventionma n N
d mU
caRreSfIoN
rmaGnTinBf.
anCt O
wMithmDownmsyndrome,mthemnursemconside
rsmknowledgemof mothermphysicalmdevelopment mexemplarsmsuchmas
a. cerebralmpalsy.
b. failuremtomthrive.
c. fetalmalcoholmsyndrome.
d. hydrocephaly.
ANS:m D
Hydrocephalymismalsomamphysicalmdevelopment mexemplar.mCerebralmpalsy mism anmexemplarmof m
adaptivemdevelopmentalmdelay.mFailuremtomthrivemismanmexemplarmof msocial/emotionalmdevelo
pmentalmdelay.mFetalmalcoholmsyndromemismanmexemplarmof mcognitivemdevelopmentalmdelay.

OBJ: NCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance

6. Tomplanmearlyminterventionmand mcaremformamchild mwithmamdevelopmentalmdelay,mthemnursemwo
uld mconsidermknowledgemof mthemconceptsmmost msignificantlymimpacted mbymdevelopment,mincl
uding
a. culture.
b. environment.
c. functionalmstatus.
d. nutrition.
mANS:m C

,TESTmBANKmFORmCONCEPTSmFORmNURSINGmPRACTICEm3RDmEDITIONmBYmGIDDENS

Functionmismonemof mthemconceptsmmost msignificantlymimpacted mbymdevelopment.mOthersminclu
demsensory-
perceptual,mcognition,mmobility,mreproduction,mand msexuality.mKnowledgemof mthesemconcepts
mcanmhelpmthemnursemanticipatemareasmthat mneed mtombemaddressed.mCulturemismamconcept mthat mis

mconsidered mtomsignificantlymaffect mdevelopment;mthemdifferencemismthemconceptsmthat maffect m

development maremthosemthat mrepresent mmajorminfluencingmfactorsm(causes);mhence mdeterminat
ionmof mdevelopment mwould mbemthemfocusmof mpreventiveminterventions.mEnvironment mismconsi
dered mtomsignificantlymaffect mdevelopment.mNutritionmismconsidered mtomsignificantlymaffect md
evelopment.

OBJ: NCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance

7. Ammothermcomplainsmtomthemnursemat mthempediatricmclinicmthat mherm4-year-
old mchild malwaysmtalksmtomhermtoysmand mmakesmupmstories.mThemmothermwantsmhermchild mtomha
vemampsychologicalmevaluation.mThemnurse’smbestminitialm responsem ismto
a. refermthemchild mtomampsychologist mimmediately.
b. explainmthat mplayingmmakembelievemismnormalmat mthismage.
c. completemamdevelopmentalmscreeningmusingmamvalidated mtool.
d. separatemthemchild mfrommthemmothermtomget mmoreminformation.
ANS:m B
Bymthemend mof mthemfourthmyear,mit mismexpected mthat mamchild mwillmengageminmfantasy,msomthismis
mnormalmat mthismage.mA mreferralmtomampsychologist mwould mbemprematurembased monlymonmthemc

omplaint mof mthemmother.mCompletingmamdevelopmentalmscreeningmwould mbemverymappropriate
mbut mnot mtheminitialmresponse.mThemnursemwould mcertainlymwant mtomget mmoreminformation,mbut

mseparatingmthemchild mfrommthemmothermismnot mnecessarymat mthismtime.




OBJ: NCLEXm Clientm N eed sNCUaRteSgI
o rN
y:GHTeBal.thCPOrM
omotion m andm Maintenance

8. Am17-year-
old mgirlmismhospitalized mformappendicitis,mand mhermmothermasksmthemnursemwhymshemismsomneed
ymand mactingmlikemamchild.mThembestmresponsemof mthemnursemismthat minmthemhospital,madolescen
ts
a. havemseparationmanxiety.
b. rebelmagainst mrules.
c. regressmbecausemof mstress.
d. want mtomknow meverything.
ANS:m C
Regressionmtomanmearliermstagemof mdevelopment mismamcommonmresponsemtomstress.mSeparationm
anxietymismmost mcommonminminfantsmand mtoddlers.mRebellionmagainst mhospitalmrulesm ismusuall
ymnot manmissuemif mthemadolescent munderstandsmthemrulesmand mwould mnot mcreatemchildlikembehav
iors.mAnmadolescent mmaymwant mtom“know meverything”mwithmtheirmlogicalmthinkingmand mdeduct
ivemreasoning,mbut mthat mwould mnot mexplainmwhymtheymwould mact mlikemamchild.

OBJ: NCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance

, TESTmBANKmFORmCONCEPTSmFORmNURSINGmPRACTICEm3RDmEDITIONmBYmGIDDENS

Conceptm02:mFunctionalmAbility
Giddens:mConcepts mfor mNursing mPractice,m3rdmEdition


MULTIPLEmCHOICE

1. Themnursemismreviewingmampatient’smfunctionalmability.mWhichmpatient mbestmdemonstratesmt
hemdefinitionmof mfunctionalmability?
a. Considersmself masmamhealthymindividual;musesmcanemformstability
b. Collegemeducated;mtravelsmfrequently;mcanmbalancemamcheckbook
c. Worksmout mdaily,mreadsmwell,mcooks,mand mcleansmhousemonmthemweekends
d. Healthymindividual,mvolunteersmat mchurch,mworksmpart mtime,mtakesmcaremof mfamilyma
nd mhouse
ANS:m D
Functionalmabilitymrefersmtomthemindividual’smabilitymtomperformmthemnormalmdailymactivitiesm r
equired mtommeet mbasicmneeds;mfulfillmusualmrolesminmthemfamily, mworkplace,m and mcommunity;
mand mmaintainmhealthmand mwell-

being.mThemothermoptionsmaremgood;mhowever,mhealthymindividual,mchurchmvolunteer,mpart mti
memworker,mand mthempatient mwhomtakesmcaremof mthemfamilymand mhousemfullymmeetsmthemcriteri
amformfunctionalmability.

OBJ: NCLEX mClient mNeedsmCategory:mPhysiologicalmIntegrity:mBasicmCaremand mComfort

2. Themnursemismreviewingmampatient’smfunctionalmperformance.mWhat massessment mparametersmw
illmbemmostmimportant minmthismassessment?
a. Continencemassessment,mgait massessment,mfeedingmassessment,mdressingmassessment,
transfermassessment
b. Height,mweight,mbodymmassmindexm(BMI),mvitalmsignsmassessment
c. Sleepmassessment,menergymassessment,mmemory massessment,mconcentratio
nmassessment
d. Healthmand mwell-
being,mamount mof mcommunitymvolunteermtime,mworkingmoutsidemthemhome,mand mabi
litymtomcaremformfamilymand mhouse
ANS:m A
Functionalmimpairment,mdisability,mormhandicapmrefersmtomvaryingmdegreesmof manm individual’
sminabilitymtomperformmthemtasksmrequired mtomcompletemnormalmlifemactivitiesmwithout massistan
ce.mHeight,mweight,mBMI,mand mvitalmsignsmarempart mof mamphysicalmassessment.mSleep,menergy,
mmemory,mand mconcentrationmarempart mof mamdepressionmscreening.mHealthy,mvolunteering,mw

orking,mand mcaringmformfamilymand mhousemaremfunctionalmabilities,mnot mperformance.

OBJ: NCLEX mClient mNeedsmCategory:mPhysiologicalmIntegrity:mReductionmof mRiskmPotential

3. Themnursemismreviewingmampatient mwithmammobilitymdysfunctionmand mwantsmtomgainminsight mi
ntomthempatient’smfunctionalmability.mWhat mquestionmwould mbemthemmostmappropriate?
a. “Aremyoumablemtomshopmformyourself?”
b. “Domyoumusemamcane,mwalker,mormwheelchairmtomambulate?”
c. “Domyoumknowmwhat mtoday’smdatemis?”
d. “Weremyoumsad mormdepressed mmoremthanmonceminmthemlast m3mdays
?”mANS:m B

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