COMPLETE 2025 CONCEPTS FOR NURSING P j j j j j
RACTICE 3RD EDITION BY JEAN GIDDENS
j j j j j
| FULL CHAPTERS j j
Concept 01: Development
j j
Giddens: Concepts for Nursing Practice, 3rd Edition
j j j j j j
MULTIPLEjCHOICE
1. Thejnursejmanagerjofjajpediatricjclinicjcouldjconfirmjthatjthejnewjnursejrecognizedjthejpurp
osejofjthejHEADSSjAdolescentjRiskjProfilejwhenjthejnewjnursejrespondsjthatjitjisjusedjtojre
viewjforjneedsjrelatedjto
a. anticipatoryjguidance.
b. low-riskjadolescents.
c. physicaljdevelopment.
d. sexualjdevelopment.
ANS:j A
ThejHEADSSjAdolescentjRiskjProfilejisjajpsychosocialjassessmentjscreeningjtooljwhichjrevie
wsjhome,jeducation,jactivities,jdrugs,jsex,jandjsuicidejforjthejpurposejofjidentifyingjhigh-
riskjadolescentsjandjthejneedjforjanticipatoryjguidance.jItjisjusedjtojidentifyjhigh-risk,jnotjlow-
risk,jadolescents.jPhysicaljdevelopmentjisjreviewedjwithjanthropometricjdata.
Sexualjdevelopmentjisjreviewedjusingjphysicaljexamination.
OBJ: NCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
2. Thejnursejpreparingjajteachingjplanjforjajpreschoolerjknowsjthat,jaccordingjtojPiaget,jthejexpe
ctedjstagejofjdevelopmentjforjajpreschoolerjis
a. concretejoperational.
b. formaljoperational.
c. preoperational.
d. sensorimotor.
ANS:j C
Thejexpectedjstagejofjdevelopmentjforjajpreschoolerj(3–4jyearsjold)jisjpre-
operational.jConcretejoperationaljdescribesjthejthinkingjofjajschool-agejchildj(7–
11jyearsjold).jFormaljoperationaljdescribesjthejthinkingjofjanjindividualjafterjaboutj11jyearsjofjag
e.jSensorimotorjdescribesjthejearliestjpatternjofjthinkingjfromjbirthjtoj2jyearsjold.
OBJ: NCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
3. Thejschooljnursejtalkingjwithjajhighjschooljclassjaboutjthejdifferencejbetweenjgrowthjandjdeve
lopmentjwouldjbestjdescribejgrowthjas
a. processesjbyjwhichjearlyjcellsjspecialize.
b. psychosocialjandjcognitivejchanges.
c. qualitativejchangesjassociatedjwithjaging.
d. quantitativejchangesjinjsizejorjweight.
,ANS:j D
, Growthjisjajquantitativejchangejinjwhichjanjincreasejinjcelljnumberjandjsizejresultsjinjanjincrea
sejinjoveralljsizejorjweightjofjthejbodyjorjanyjofjitsjparts.jThejprocessesjbyjwhichjearlyjcellsjspec
ializejarejreferredjtojasjdifferentiation.jPsychosocialjandjcognitivejchangesjarejreferredjtojasjdev
elopment.jQualitativejchangesjassociatedjwithjagingjarejreferredjtojasjmaturation.
OBJ: NCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
4. ThejmostjappropriatejresponsejofjthejnursejwhenjajmotherjasksjwhatjthejDenverjIIjdoesjisjthatjit
a. canjdiagnosejdevelopmentaljdisabilities.
b. identifiesjajneedjforjphysicaljtherapy.
c. isjajdevelopmentaljscreeningjtool.
d. providesjajframeworkjforjhealthjteaching.
ANS:j C
ThejDenverjIIjisjthejmostjcommonlyjusedjmeasurejofjdevelopmentaljstatusjusedjbyjhealthcarej
professionals;jitjisjajscreeningjtool.jScreeningjtoolsjdojnotjprovidejajdiagnosis.jDiagnosisjrequir
esjajthoroughjneurodevelopmentjhistoryjandjphysicaljexamination.
Developmentaljdelay,jwhichjisjsuggestedjbyjscreening,jisjajsymptom,jnotjajdiagnosis.jThejneedj
forjanyjtherapyjwouldjbejidentifiedjwithjajcomprehensivejevaluation,jnotjajscreeningjtool.jSome
jprovidersjusejthejDenverj IIjasjajframeworkjforjteachingjaboutjexpectedjdevelopment,jbutjthisji
sjnotjthejprimaryjpurposejofjthejtool.
OBJ: NCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
5. TojplanjearlyjinterventionjajnjNdj U
caRreSfIoN
rjaGnTinBf.
anCt OwMithjDownjsyndrome,jthejnursejconsidersjkno
wledgejofjotherjphysicaljdevelopmentjexemplarsjsuchjas
a. cerebraljpalsy.
b. failurejtojthrive.
c. fetaljalcoholjsyndrome.
d. hydrocephaly.
ANS:j D
Hydrocephalyjisjalsojajphysicaljdevelopmentjexemplar.jCerebraljpalsyjisjanjexemplarjofjadapti
vejdevelopmentaljdelay.jFailurejtojthrivejisjanjexemplarjofjsocial/emotionaljdevelopmentaljdel
ay.jFetaljalcoholjsyndromejisjanjexemplarjofjcognitivejdevelopmentaljdelay.
OBJ: NCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
6. Tojplanjearlyjinterventionjandjcarejforjajchildjwithjajdevelopmentaljdelay,jthejnursejwouldjcons
iderjknowledgejofjthejconceptsjmostjsignificantlyjimpactedjbyjdevelopment,jincluding
a. culture.
b. environment.
c. functionaljstatus.
d. nutrition.
ANS:j C
j
, Functionjisjonejofjthejconceptsjmostjsignificantlyjimpactedjbyjdevelopment.jOthersjincludejsen
sory-
perceptual,jcognition,jmobility,jreproduction,jandjsexuality.jKnowledgejofjthesejconceptsjcanj
helpjthejnursejanticipatejareasjthatjneedjtojbejaddressed.jCulturejisjajconceptjthatjisjconsideredjt
ojsignificantlyjaffectjdevelopment;jthejdifferencejisjthejconceptsjthatjaffectjdevelopmentjarejth
osejthatjrepresentjmajorjinfluencingjfactorsj(causes);jhencejdeterminationjofjdevelopmentjwou
ldjbejthejfocusjofjpreventivejinterventions.jEnvironmentjisjconsideredjtojsignificantlyjaffectjde
velopment.jNutritionjisjconsideredjtojsignificantlyjaffectjdevelopment.
OBJ: NCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
7. Ajmotherjcomplainsjtojthejnursejatjthejpediatricjclinicjthatjherj4-year-
oldjchildjalwaysjtalksjtojherjtoysjandjmakesjupjstories.jThejmotherjwantsjherjchildjtojhavejajpsyc
hological
evaluation.jThejnurse’sjbestjinitialjresponsejisjto
a. referjthejchildjtojajpsychologistjimmediately.
b. explainjthatjplayingjmakejbelievejisjnormaljatjthisjage.
c. completejajdevelopmentaljscreeningjusingjajvalidatedjtool.
d. separatejthejchildjfromjthejmotherjtojgetjmorejinformation.
ANS:j B
Byjthejendjofjthejfourthjyear,jitjisjexpectedjthatjajchildjwilljengagejinjfantasy,jsojthisjisjnormaljatj
thisjage.jAjreferraljtojajpsychologistjwouldjbejprematurejbasedjonlyjonjthejcomplaintjofjthejmot
her.jCompletingjajdevelopmentaljscreeningjwouldjbejveryjappropriatejbutjnotjthejinitialjrespon
se.jThejnursejwouldjcertainlyjwantjtojgetjmorejinformation,jbutjseparatingjthejchildjfromjthejm
otherjisjnotjnecessaryjatjthisjtime.
OBJ: NCLEXj Clientj NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotionj andj Maintenance
8. Aj17-year-
oldjgirljisjhospitalizedjforjappendicitis,jandjherjmotherjasksjthejnursejwhyjshejisjsojneedyjandjact
ingjlikejajchild.jThejbestjresponsejofjthejnursejisjthatjinjthejhospital,jadolescents
a. havejseparationjanxiety.
b. rebeljagainstjrules.
c. regressjbecausejofjstress.
d. wantjtojknowjeverything.
ANS:j C
Regressionjtojanjearlierjstagejofjdevelopmentjisjajcommonjresponsejtojstress.jSeparationjanxiet
yjisjmostjcommonjinjinfantsjandjtoddlers.jRebellionjagainstjhospitaljrulesjisjusuallyjnotjanjissueji
fjthejadolescentjunderstandsjthejrulesjandjwouldjnotjcreatejchildlikejbehaviors.jAnjadolescentjm
ayjwantjtoj“knowjeverything”jwithjtheirjlogicaljthinkingjandjdeductivejreasoning,jbutjthatjwoul
djnotjexplainjwhyjtheyjwouldjactjlikejajchild.
OBJ: NCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
RACTICE 3RD EDITION BY JEAN GIDDENS
j j j j j
| FULL CHAPTERS j j
Concept 01: Development
j j
Giddens: Concepts for Nursing Practice, 3rd Edition
j j j j j j
MULTIPLEjCHOICE
1. Thejnursejmanagerjofjajpediatricjclinicjcouldjconfirmjthatjthejnewjnursejrecognizedjthejpurp
osejofjthejHEADSSjAdolescentjRiskjProfilejwhenjthejnewjnursejrespondsjthatjitjisjusedjtojre
viewjforjneedsjrelatedjto
a. anticipatoryjguidance.
b. low-riskjadolescents.
c. physicaljdevelopment.
d. sexualjdevelopment.
ANS:j A
ThejHEADSSjAdolescentjRiskjProfilejisjajpsychosocialjassessmentjscreeningjtooljwhichjrevie
wsjhome,jeducation,jactivities,jdrugs,jsex,jandjsuicidejforjthejpurposejofjidentifyingjhigh-
riskjadolescentsjandjthejneedjforjanticipatoryjguidance.jItjisjusedjtojidentifyjhigh-risk,jnotjlow-
risk,jadolescents.jPhysicaljdevelopmentjisjreviewedjwithjanthropometricjdata.
Sexualjdevelopmentjisjreviewedjusingjphysicaljexamination.
OBJ: NCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
2. Thejnursejpreparingjajteachingjplanjforjajpreschoolerjknowsjthat,jaccordingjtojPiaget,jthejexpe
ctedjstagejofjdevelopmentjforjajpreschoolerjis
a. concretejoperational.
b. formaljoperational.
c. preoperational.
d. sensorimotor.
ANS:j C
Thejexpectedjstagejofjdevelopmentjforjajpreschoolerj(3–4jyearsjold)jisjpre-
operational.jConcretejoperationaljdescribesjthejthinkingjofjajschool-agejchildj(7–
11jyearsjold).jFormaljoperationaljdescribesjthejthinkingjofjanjindividualjafterjaboutj11jyearsjofjag
e.jSensorimotorjdescribesjthejearliestjpatternjofjthinkingjfromjbirthjtoj2jyearsjold.
OBJ: NCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
3. Thejschooljnursejtalkingjwithjajhighjschooljclassjaboutjthejdifferencejbetweenjgrowthjandjdeve
lopmentjwouldjbestjdescribejgrowthjas
a. processesjbyjwhichjearlyjcellsjspecialize.
b. psychosocialjandjcognitivejchanges.
c. qualitativejchangesjassociatedjwithjaging.
d. quantitativejchangesjinjsizejorjweight.
,ANS:j D
, Growthjisjajquantitativejchangejinjwhichjanjincreasejinjcelljnumberjandjsizejresultsjinjanjincrea
sejinjoveralljsizejorjweightjofjthejbodyjorjanyjofjitsjparts.jThejprocessesjbyjwhichjearlyjcellsjspec
ializejarejreferredjtojasjdifferentiation.jPsychosocialjandjcognitivejchangesjarejreferredjtojasjdev
elopment.jQualitativejchangesjassociatedjwithjagingjarejreferredjtojasjmaturation.
OBJ: NCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
4. ThejmostjappropriatejresponsejofjthejnursejwhenjajmotherjasksjwhatjthejDenverjIIjdoesjisjthatjit
a. canjdiagnosejdevelopmentaljdisabilities.
b. identifiesjajneedjforjphysicaljtherapy.
c. isjajdevelopmentaljscreeningjtool.
d. providesjajframeworkjforjhealthjteaching.
ANS:j C
ThejDenverjIIjisjthejmostjcommonlyjusedjmeasurejofjdevelopmentaljstatusjusedjbyjhealthcarej
professionals;jitjisjajscreeningjtool.jScreeningjtoolsjdojnotjprovidejajdiagnosis.jDiagnosisjrequir
esjajthoroughjneurodevelopmentjhistoryjandjphysicaljexamination.
Developmentaljdelay,jwhichjisjsuggestedjbyjscreening,jisjajsymptom,jnotjajdiagnosis.jThejneedj
forjanyjtherapyjwouldjbejidentifiedjwithjajcomprehensivejevaluation,jnotjajscreeningjtool.jSome
jprovidersjusejthejDenverj IIjasjajframeworkjforjteachingjaboutjexpectedjdevelopment,jbutjthisji
sjnotjthejprimaryjpurposejofjthejtool.
OBJ: NCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
5. TojplanjearlyjinterventionjajnjNdj U
caRreSfIoN
rjaGnTinBf.
anCt OwMithjDownjsyndrome,jthejnursejconsidersjkno
wledgejofjotherjphysicaljdevelopmentjexemplarsjsuchjas
a. cerebraljpalsy.
b. failurejtojthrive.
c. fetaljalcoholjsyndrome.
d. hydrocephaly.
ANS:j D
Hydrocephalyjisjalsojajphysicaljdevelopmentjexemplar.jCerebraljpalsyjisjanjexemplarjofjadapti
vejdevelopmentaljdelay.jFailurejtojthrivejisjanjexemplarjofjsocial/emotionaljdevelopmentaljdel
ay.jFetaljalcoholjsyndromejisjanjexemplarjofjcognitivejdevelopmentaljdelay.
OBJ: NCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
6. Tojplanjearlyjinterventionjandjcarejforjajchildjwithjajdevelopmentaljdelay,jthejnursejwouldjcons
iderjknowledgejofjthejconceptsjmostjsignificantlyjimpactedjbyjdevelopment,jincluding
a. culture.
b. environment.
c. functionaljstatus.
d. nutrition.
ANS:j C
j
, Functionjisjonejofjthejconceptsjmostjsignificantlyjimpactedjbyjdevelopment.jOthersjincludejsen
sory-
perceptual,jcognition,jmobility,jreproduction,jandjsexuality.jKnowledgejofjthesejconceptsjcanj
helpjthejnursejanticipatejareasjthatjneedjtojbejaddressed.jCulturejisjajconceptjthatjisjconsideredjt
ojsignificantlyjaffectjdevelopment;jthejdifferencejisjthejconceptsjthatjaffectjdevelopmentjarejth
osejthatjrepresentjmajorjinfluencingjfactorsj(causes);jhencejdeterminationjofjdevelopmentjwou
ldjbejthejfocusjofjpreventivejinterventions.jEnvironmentjisjconsideredjtojsignificantlyjaffectjde
velopment.jNutritionjisjconsideredjtojsignificantlyjaffectjdevelopment.
OBJ: NCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
7. Ajmotherjcomplainsjtojthejnursejatjthejpediatricjclinicjthatjherj4-year-
oldjchildjalwaysjtalksjtojherjtoysjandjmakesjupjstories.jThejmotherjwantsjherjchildjtojhavejajpsyc
hological
evaluation.jThejnurse’sjbestjinitialjresponsejisjto
a. referjthejchildjtojajpsychologistjimmediately.
b. explainjthatjplayingjmakejbelievejisjnormaljatjthisjage.
c. completejajdevelopmentaljscreeningjusingjajvalidatedjtool.
d. separatejthejchildjfromjthejmotherjtojgetjmorejinformation.
ANS:j B
Byjthejendjofjthejfourthjyear,jitjisjexpectedjthatjajchildjwilljengagejinjfantasy,jsojthisjisjnormaljatj
thisjage.jAjreferraljtojajpsychologistjwouldjbejprematurejbasedjonlyjonjthejcomplaintjofjthejmot
her.jCompletingjajdevelopmentaljscreeningjwouldjbejveryjappropriatejbutjnotjthejinitialjrespon
se.jThejnursejwouldjcertainlyjwantjtojgetjmorejinformation,jbutjseparatingjthejchildjfromjthejm
otherjisjnotjnecessaryjatjthisjtime.
OBJ: NCLEXj Clientj NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotionj andj Maintenance
8. Aj17-year-
oldjgirljisjhospitalizedjforjappendicitis,jandjherjmotherjasksjthejnursejwhyjshejisjsojneedyjandjact
ingjlikejajchild.jThejbestjresponsejofjthejnursejisjthatjinjthejhospital,jadolescents
a. havejseparationjanxiety.
b. rebeljagainstjrules.
c. regressjbecausejofjstress.
d. wantjtojknowjeverything.
ANS:j C
Regressionjtojanjearlierjstagejofjdevelopmentjisjajcommonjresponsejtojstress.jSeparationjanxiet
yjisjmostjcommonjinjinfantsjandjtoddlers.jRebellionjagainstjhospitaljrulesjisjusuallyjnotjanjissueji
fjthejadolescentjunderstandsjthejrulesjandjwouldjnotjcreatejchildlikejbehaviors.jAnjadolescentjm
ayjwantjtoj“knowjeverything”jwithjtheirjlogicaljthinkingjandjdeductivejreasoning,jbutjthatjwoul
djnotjexplainjwhyjtheyjwouldjactjlikejajchild.
OBJ: NCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
