TESTvBANKvFORvCONCEPTSvFORvNURSINGvPRACTICEv3RDvEDITIONvBYvGIDDENS
Conceptv01:vDevelopment
Giddens:vConceptsvforvNursingvPractice,v3rdvEdition
MULTIPLEvCHOICE
1. Thevnursevmanagervofvavpediatricvclinicvcouldvconfirmvthatvthevnewvnursevrecognizedvth
evpurposevofvthevHEADSSvAdolescentvRiskvProfilevwhenvthevnewvnursevrespondsvthatvi
tvisvusedvtovreviewvforvneedsvrelatedvto
a. anticipatoryvguidance.
b. low-riskvadolescents.
c. physicalvdevelopment.
d. sexualvdevelopment.
ANS:v A
ThevHEADSSvAdolescentvRiskvProfilevisvavpsychosocialvassessmentvscreeningvtoolvwhichv
reviewsvhome,veducation,vactivities,vdrugs,vsex,vandvsuicidevforvthevpurposevofvidentifyingv
high-riskvadolescentsvandvthevneedvforvanticipatoryvguidance.vItvisvusedvtovidentifyvhigh-
risk,vnotvlow-
risk,vadolescents.vPhysicalvdevelopmentvisvreviewedvwithvanthropometricvdata.
Sexualvdevelopmentvisvreviewedvusingvphysicalvexamination.
OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance
2. Thevnursevpreparingvavteachingvplanvforvavpreschoolervknowsvthat,vaccordingvtovPiaget,vth
evexpectedvstagevofvdevelopmentvforvavpreschoolervis
a. concretevoperational.
b. formalvoperational.
c. preoperational.
d. sensorimotor.
ANS:v C
Thevexpectedvstagevofvdevelopmentvforvavpreschoolerv(3–4vyearsvold)visvpre-
operational.vConcretevoperationalvdescribesvthevthinkingvofvavschool-agevchildv(7–
11vyearsvold).vFormalvoperationalvdescribesvthevthinkingvofvanvindividualvaftervaboutv11vyea
rsvofvage.vSensorimotorvdescribesvthevearliestvpatternvofvthinkingvfromvbirthvtov2vyearsvold.
OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance
3. Thevschoolvnursevtalkingvwithvavhighvschoolvclassvaboutvthevdifferencevbetweenvgrowthvan
dvdevelopmentvwouldvbestvdescribevgrowthvas
a. processesvbyvwhichvearlyvcellsvspecialize.
b. psychosocialvandvcognitivevchanges.
c. qualitativevchangesvassociatedvwithvaging.
d. quantitativevchangesvinvsizevorvweight
.vANS:v D
,TESTvBANKvFORvCONCEPTSvFORvNURSINGvPRACTICEv3RDvEDITIONvBYvGIDDENS
Growthvisvavquantitativevchangevinvwhichvanvincreasevinvcellvnumbervandvsizevresultsvinvan
vincreasevinvoverall vsizevorvweightvofvthevbodyvorvanyvofvitsvparts.vThevprocessesvbyvwhichv
earlyvcellsvspecializevarevreferredvtovasvdifferentiation.vPsychosocialvandvcognitivevchanges
varevreferredvtovasvdevelopment.vQualitativevchangesvassociatedvwithvagingvarevreferredvtova
svmaturation.
OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance
4. ThevmostvappropriatevresponsevofvthevnursevwhenvavmothervasksvwhatvthevDenvervIIvdoesv
isvthatvit
a. canvdiagnosevdevelopmentalvdisabilities.
b. identifiesvavneedvforvphysicalvtherapy.
c. isvavdevelopmentalvscreeningvtool.
d. providesvavframeworkvforvhealthvteaching.
ANS:v C
ThevDenvervIIvisvthevmostvcommonlyvusedvmeasurevofvdevelopmentalvstatusvusedvbyvhealt
hcarevprofessionals;vitvisvavscreeningvtool.vScreeningvtoolsvdovnotvprovidevavdiagnosis.vDiag
nosisvrequiresvavthoroughvneurodevelopmentvhistoryvandvphysicalvexamination.
Developmentalvdelay,vwhichvisvsuggestedvbyvscreening,visvavsymptom,vnotvavdiagnosis.vThe
vneedvforvanyvtherapyvwouldvbevidentifiedvwithvavcomprehensivevevaluation,vnotvavscreenin
gvtool.vSomevprovidersvusevthevDenvervIIvasvavframeworkvforvteachingvaboutvexpectedvdev
elopment,vbutvthisvisvnotvthevprimaryvpurposevofvthevtool.
OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance
5. Tovplanvearlyvinterventionva n Nd vU
caRreSfIoN
rvaGnTinBf.
anCt OwMithvDownvsyndrome,vthevnursevconsider
svknowledgevofvothervphysicalvdevelopmentvexemplarsvsuchvas
a. cerebralvpalsy.
b. failurevtovthrive.
c. fetalvalcoholvsyndrome.
d. hydrocephaly.
ANS:v D
Hydrocephalyvisvalsovavphysicalvdevelopmentvexemplar.vCerebralvpalsyvisvanvexemplarvofva
daptivevdevelopmentalvdelay.vFailurevtovthrivevisvanvexemplarvofvsocial/emotionalvdevelop
mentalvdelay.vFetalvalcoholvsyndromevisvanvexemplarvofvcognitivevdevelopmentalvdelay.
OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance
6. Tovplanvearlyvinterventionvandvcarevforvavchildvwithvavdevelopmentalvdelay,vthevnursevwoul
dvconsidervknowledgevofvthevconceptsvmostvsignificantlyvimpactedvbyvdevelopment,vinclud
ing
a. culture.
b. environment.
c. functionalvstatus.
d. nutrition.
ANS:v C
v
,TESTvBANKvFORvCONCEPTSvFORvNURSINGvPRACTICEv3RDvEDITIONvBYvGIDDENS
Functionvisvonevofvthevconceptsvmostvsignificantlyvimpactedvbyvdevelopment.vOthersvinclud
evsensory-
perceptual,vcognition,vmobility,vreproduction,vandvsexuality.vKnowledgevofvthesevconceptsv
canvhelpvthevnursevanticipatevareasvthatvneedvtovbevaddressed.vCulturevisvavconceptvthatvisvc
onsideredvtovsignificantlyvaffectvdevelopment;vthevdifferencevisvthevconceptsvthatvaffectvdev
elopmentvarevthosevthatvrepresentvmajorvinfluencingvfactorsv(causes);vhencevdeterminationv
ofvdevelopmentvwouldvbevthevfocusvofvpreventivevinterventions.vEnvironmentvisvconsidered
vtovsignificantlyvaffectvdevelopment.vNutritionvisvconsideredvtovsignificantlyvaffectvdevelop
ment.
OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance
7. Avmothervcomplainsvtovthevnursevatvthevpediatricvclinicvthatvherv4-year-
oldvchildvalwaysvtalksvtovhervtoysvandvmakesvupvstories.vThevmothervwantsvhervchildvtovhav
evavpsychologicalvevaluation.vThevnurse’svbestvinitialvresponsevisvto
a. refervthevchildvtovavpsychologistvimmediately.
b. explainvthatvplayingvmakevbelievevisvnormalvatvthisvage.
c. completevavdevelopmentalvscreeningvusingvavvalidatedvtool.
d. separatevthevchildvfromvthevmothervtovgetvmorevinformation.
ANS:v B
Byvthevendvofvthevfourthvyear,vitvisvexpectedvthatvavchildvwillvengagevinvfantasy,vsovthisvisvn
ormalvatvthisvage.vAvreferralvtovavpsychologistvwouldvbevprematurevbasedvonlyvonvthevcom
plaintvofvthevmother.vCompletingvavdevelopmentalvscreeningvwouldvbevveryvappropriatevbut
vnotvthevinitialvresponse.vThevnursevwouldvcertainlyvwantvtovgetvmorevinformation,vbutvsep
aratingvthevchildvfromvthevmothervisvnotvnecessaryvatvthisvtime.
OBJ: NCLEXv Clientv NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotion v andv Maintenance
8. Av17-year-
oldvgirlvisvhospitalizedvforvappendicitis,vandvhervmothervasksvthevnursevwhyvshevisvsovneedy
vandvactingvlikevavchild.vThevbestvresponsevofvthevnursevisvthatvinvthevhospital,vadolescents
a. havevseparationvanxiety.
b. rebelvagainstvrules.
c. regressvbecausevofvstress.
d. wantvtovknowveverything.
ANS:v C
Regressionvtovanvearliervstagevofvdevelopmentvisvavcommonvresponsevtovstress.vSeparationva
nxietyvisvmostvcommonvinvinfantsvandvtoddlers.vRebellionvagainstvhospitalvrulesvisvusuallyvn
otvanvissuevifvthevadolescentvunderstandsvthevrulesvandvwouldvnotvcreatevchildlikevbehaviors.
vAnvadolescentvmayvwantvtov“knowveverything”vwithvtheirvlogicalvthinkingvandvdeductivevr
easoning,vbutvthatvwouldvnotvexplainvwhyvtheyvwouldvactvlikevavchild.
OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance
, TESTvBANKvFORvCONCEPTSvFORvNURSINGvPRACTICEv3RDvEDITIONvBYvGIDDENS
Conceptv02:vFunctionalvAbility
Giddens:vConceptsvforvNursingvPractice,v3rdvEdition
MULTIPLEvCHOICE
1. Thevnursevisvreviewingvavpatient’svfunctionalvability.vWhichvpatientvbestvdemonstratesvth
evdefinitionvofvfunctionalvability?
a. Considersvselfvasvavhealthyvindividual;vusesvcanevforvstability
b. Collegeveducated;vtravelsvfrequently;vcanvbalancevavcheckbook
c. Worksvoutvdaily,vreadsvwell,vcooks,vandvcleansvhousevonvthevweekends
d. Healthyvindividual,vvolunteersvatvchurch,vworksvpartvtime,vtakesvcarevofvfamilyvan
dvhouse
ANS:v D
Functionalvabilityvrefersvtovthevindividual’svabilityvtovperformvthevnormalvdailyvactivitiesvre
quiredvtovmeetvbasicvneeds;vfulfillvusualvrolesvinvthevfamily,vworkplace,vandvcommunity;va
ndvmaintainvhealthvandvwell-
being.vThevothervoptionsvarevgood;vhowever,vhealthyvindividual,vchurchvvolunteer,vpartvtim
evworker,vandvthevpatientvwhovtakesvcarevofvthevfamilyvandvhousevfullyvmeetsvthevcriteriavf
orvfunctionalvability.
OBJ: NCLEXvClientvNeedsvCategory:vPhysiologicalvIntegrity:vBasicvCarevandvComfort
2. Thevnursevisvreviewingvavpatient’svfunctionalvperformance.vWhatvassessmentvparametersvwil
lvbevmostvimportantvinvthisvassessment?
a. Continencevassessment,vgaitvassessment,vfeedingvassessment,vdressingvassessment,
transfervassessment
b. Height,vweight,vbodyvmassvindexv(BMI),vvitalvsignsvassessment
c. Sleepvassessment,venergyvassessment,vmemoryvassessment,vconcentratio
nvassessment
d. Healthvandvwell-
being,vamountvofvcommunityvvolunteervtime,vworkingvoutsidevthevhome,vandvabil
ityvtovcarevforvfamilyvandvhouse
ANS:v A
Functionalvimpairment,vdisability,vorvhandicapvrefersvtovvaryingvdegreesvofvanvindividual’s
vinabilityvtovperformvthevtasksvrequiredvtovcompletevnormalvlifevactivitiesvwithoutvassistanc
e.vHeight,vweight,vBMI,vandvvitalvsignsvarevpartvofvavphysicalvassessment.vSleep,venergy,v
memory,vandvconcentrationvarevpartvofvavdepressionvscreening.vHealthy,vvolunteering,vwor
king,vandvcaringvforvfamilyvandvhousevarevfunctionalvabilities,vnotvperformance.
OBJ: NCLEXvClientvNeedsvCategory:vPhysiologicalvIntegrity:vReductionvofvRiskvPotential
3. Thevnursevisvreviewingvavpatientvwithvavmobilityvdysfunctionvandvwantsvtovgainvinsightvint
ovthevpatient’svfunctionalvability.vWhatvquestionvwouldvbevthevmostvappropriate?
a. “Arevyouvablevtovshopvforvyourself?”
b. “Dovyouvusevavcane,vwalker,vorvwheelchairvtovambulate?”
c. “Dovyouvknowvwhatvtoday’svdatevis?”
d. “Werevyouvsadvorvdepressedvmorevthanvoncevinvthevlastv3vdays?
”vANS:v B
Conceptv01:vDevelopment
Giddens:vConceptsvforvNursingvPractice,v3rdvEdition
MULTIPLEvCHOICE
1. Thevnursevmanagervofvavpediatricvclinicvcouldvconfirmvthatvthevnewvnursevrecognizedvth
evpurposevofvthevHEADSSvAdolescentvRiskvProfilevwhenvthevnewvnursevrespondsvthatvi
tvisvusedvtovreviewvforvneedsvrelatedvto
a. anticipatoryvguidance.
b. low-riskvadolescents.
c. physicalvdevelopment.
d. sexualvdevelopment.
ANS:v A
ThevHEADSSvAdolescentvRiskvProfilevisvavpsychosocialvassessmentvscreeningvtoolvwhichv
reviewsvhome,veducation,vactivities,vdrugs,vsex,vandvsuicidevforvthevpurposevofvidentifyingv
high-riskvadolescentsvandvthevneedvforvanticipatoryvguidance.vItvisvusedvtovidentifyvhigh-
risk,vnotvlow-
risk,vadolescents.vPhysicalvdevelopmentvisvreviewedvwithvanthropometricvdata.
Sexualvdevelopmentvisvreviewedvusingvphysicalvexamination.
OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance
2. Thevnursevpreparingvavteachingvplanvforvavpreschoolervknowsvthat,vaccordingvtovPiaget,vth
evexpectedvstagevofvdevelopmentvforvavpreschoolervis
a. concretevoperational.
b. formalvoperational.
c. preoperational.
d. sensorimotor.
ANS:v C
Thevexpectedvstagevofvdevelopmentvforvavpreschoolerv(3–4vyearsvold)visvpre-
operational.vConcretevoperationalvdescribesvthevthinkingvofvavschool-agevchildv(7–
11vyearsvold).vFormalvoperationalvdescribesvthevthinkingvofvanvindividualvaftervaboutv11vyea
rsvofvage.vSensorimotorvdescribesvthevearliestvpatternvofvthinkingvfromvbirthvtov2vyearsvold.
OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance
3. Thevschoolvnursevtalkingvwithvavhighvschoolvclassvaboutvthevdifferencevbetweenvgrowthvan
dvdevelopmentvwouldvbestvdescribevgrowthvas
a. processesvbyvwhichvearlyvcellsvspecialize.
b. psychosocialvandvcognitivevchanges.
c. qualitativevchangesvassociatedvwithvaging.
d. quantitativevchangesvinvsizevorvweight
.vANS:v D
,TESTvBANKvFORvCONCEPTSvFORvNURSINGvPRACTICEv3RDvEDITIONvBYvGIDDENS
Growthvisvavquantitativevchangevinvwhichvanvincreasevinvcellvnumbervandvsizevresultsvinvan
vincreasevinvoverall vsizevorvweightvofvthevbodyvorvanyvofvitsvparts.vThevprocessesvbyvwhichv
earlyvcellsvspecializevarevreferredvtovasvdifferentiation.vPsychosocialvandvcognitivevchanges
varevreferredvtovasvdevelopment.vQualitativevchangesvassociatedvwithvagingvarevreferredvtova
svmaturation.
OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance
4. ThevmostvappropriatevresponsevofvthevnursevwhenvavmothervasksvwhatvthevDenvervIIvdoesv
isvthatvit
a. canvdiagnosevdevelopmentalvdisabilities.
b. identifiesvavneedvforvphysicalvtherapy.
c. isvavdevelopmentalvscreeningvtool.
d. providesvavframeworkvforvhealthvteaching.
ANS:v C
ThevDenvervIIvisvthevmostvcommonlyvusedvmeasurevofvdevelopmentalvstatusvusedvbyvhealt
hcarevprofessionals;vitvisvavscreeningvtool.vScreeningvtoolsvdovnotvprovidevavdiagnosis.vDiag
nosisvrequiresvavthoroughvneurodevelopmentvhistoryvandvphysicalvexamination.
Developmentalvdelay,vwhichvisvsuggestedvbyvscreening,visvavsymptom,vnotvavdiagnosis.vThe
vneedvforvanyvtherapyvwouldvbevidentifiedvwithvavcomprehensivevevaluation,vnotvavscreenin
gvtool.vSomevprovidersvusevthevDenvervIIvasvavframeworkvforvteachingvaboutvexpectedvdev
elopment,vbutvthisvisvnotvthevprimaryvpurposevofvthevtool.
OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance
5. Tovplanvearlyvinterventionva n Nd vU
caRreSfIoN
rvaGnTinBf.
anCt OwMithvDownvsyndrome,vthevnursevconsider
svknowledgevofvothervphysicalvdevelopmentvexemplarsvsuchvas
a. cerebralvpalsy.
b. failurevtovthrive.
c. fetalvalcoholvsyndrome.
d. hydrocephaly.
ANS:v D
Hydrocephalyvisvalsovavphysicalvdevelopmentvexemplar.vCerebralvpalsyvisvanvexemplarvofva
daptivevdevelopmentalvdelay.vFailurevtovthrivevisvanvexemplarvofvsocial/emotionalvdevelop
mentalvdelay.vFetalvalcoholvsyndromevisvanvexemplarvofvcognitivevdevelopmentalvdelay.
OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance
6. Tovplanvearlyvinterventionvandvcarevforvavchildvwithvavdevelopmentalvdelay,vthevnursevwoul
dvconsidervknowledgevofvthevconceptsvmostvsignificantlyvimpactedvbyvdevelopment,vinclud
ing
a. culture.
b. environment.
c. functionalvstatus.
d. nutrition.
ANS:v C
v
,TESTvBANKvFORvCONCEPTSvFORvNURSINGvPRACTICEv3RDvEDITIONvBYvGIDDENS
Functionvisvonevofvthevconceptsvmostvsignificantlyvimpactedvbyvdevelopment.vOthersvinclud
evsensory-
perceptual,vcognition,vmobility,vreproduction,vandvsexuality.vKnowledgevofvthesevconceptsv
canvhelpvthevnursevanticipatevareasvthatvneedvtovbevaddressed.vCulturevisvavconceptvthatvisvc
onsideredvtovsignificantlyvaffectvdevelopment;vthevdifferencevisvthevconceptsvthatvaffectvdev
elopmentvarevthosevthatvrepresentvmajorvinfluencingvfactorsv(causes);vhencevdeterminationv
ofvdevelopmentvwouldvbevthevfocusvofvpreventivevinterventions.vEnvironmentvisvconsidered
vtovsignificantlyvaffectvdevelopment.vNutritionvisvconsideredvtovsignificantlyvaffectvdevelop
ment.
OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance
7. Avmothervcomplainsvtovthevnursevatvthevpediatricvclinicvthatvherv4-year-
oldvchildvalwaysvtalksvtovhervtoysvandvmakesvupvstories.vThevmothervwantsvhervchildvtovhav
evavpsychologicalvevaluation.vThevnurse’svbestvinitialvresponsevisvto
a. refervthevchildvtovavpsychologistvimmediately.
b. explainvthatvplayingvmakevbelievevisvnormalvatvthisvage.
c. completevavdevelopmentalvscreeningvusingvavvalidatedvtool.
d. separatevthevchildvfromvthevmothervtovgetvmorevinformation.
ANS:v B
Byvthevendvofvthevfourthvyear,vitvisvexpectedvthatvavchildvwillvengagevinvfantasy,vsovthisvisvn
ormalvatvthisvage.vAvreferralvtovavpsychologistvwouldvbevprematurevbasedvonlyvonvthevcom
plaintvofvthevmother.vCompletingvavdevelopmentalvscreeningvwouldvbevveryvappropriatevbut
vnotvthevinitialvresponse.vThevnursevwouldvcertainlyvwantvtovgetvmorevinformation,vbutvsep
aratingvthevchildvfromvthevmothervisvnotvnecessaryvatvthisvtime.
OBJ: NCLEXv Clientv NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotion v andv Maintenance
8. Av17-year-
oldvgirlvisvhospitalizedvforvappendicitis,vandvhervmothervasksvthevnursevwhyvshevisvsovneedy
vandvactingvlikevavchild.vThevbestvresponsevofvthevnursevisvthatvinvthevhospital,vadolescents
a. havevseparationvanxiety.
b. rebelvagainstvrules.
c. regressvbecausevofvstress.
d. wantvtovknowveverything.
ANS:v C
Regressionvtovanvearliervstagevofvdevelopmentvisvavcommonvresponsevtovstress.vSeparationva
nxietyvisvmostvcommonvinvinfantsvandvtoddlers.vRebellionvagainstvhospitalvrulesvisvusuallyvn
otvanvissuevifvthevadolescentvunderstandsvthevrulesvandvwouldvnotvcreatevchildlikevbehaviors.
vAnvadolescentvmayvwantvtov“knowveverything”vwithvtheirvlogicalvthinkingvandvdeductivevr
easoning,vbutvthatvwouldvnotvexplainvwhyvtheyvwouldvactvlikevavchild.
OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance
, TESTvBANKvFORvCONCEPTSvFORvNURSINGvPRACTICEv3RDvEDITIONvBYvGIDDENS
Conceptv02:vFunctionalvAbility
Giddens:vConceptsvforvNursingvPractice,v3rdvEdition
MULTIPLEvCHOICE
1. Thevnursevisvreviewingvavpatient’svfunctionalvability.vWhichvpatientvbestvdemonstratesvth
evdefinitionvofvfunctionalvability?
a. Considersvselfvasvavhealthyvindividual;vusesvcanevforvstability
b. Collegeveducated;vtravelsvfrequently;vcanvbalancevavcheckbook
c. Worksvoutvdaily,vreadsvwell,vcooks,vandvcleansvhousevonvthevweekends
d. Healthyvindividual,vvolunteersvatvchurch,vworksvpartvtime,vtakesvcarevofvfamilyvan
dvhouse
ANS:v D
Functionalvabilityvrefersvtovthevindividual’svabilityvtovperformvthevnormalvdailyvactivitiesvre
quiredvtovmeetvbasicvneeds;vfulfillvusualvrolesvinvthevfamily,vworkplace,vandvcommunity;va
ndvmaintainvhealthvandvwell-
being.vThevothervoptionsvarevgood;vhowever,vhealthyvindividual,vchurchvvolunteer,vpartvtim
evworker,vandvthevpatientvwhovtakesvcarevofvthevfamilyvandvhousevfullyvmeetsvthevcriteriavf
orvfunctionalvability.
OBJ: NCLEXvClientvNeedsvCategory:vPhysiologicalvIntegrity:vBasicvCarevandvComfort
2. Thevnursevisvreviewingvavpatient’svfunctionalvperformance.vWhatvassessmentvparametersvwil
lvbevmostvimportantvinvthisvassessment?
a. Continencevassessment,vgaitvassessment,vfeedingvassessment,vdressingvassessment,
transfervassessment
b. Height,vweight,vbodyvmassvindexv(BMI),vvitalvsignsvassessment
c. Sleepvassessment,venergyvassessment,vmemoryvassessment,vconcentratio
nvassessment
d. Healthvandvwell-
being,vamountvofvcommunityvvolunteervtime,vworkingvoutsidevthevhome,vandvabil
ityvtovcarevforvfamilyvandvhouse
ANS:v A
Functionalvimpairment,vdisability,vorvhandicapvrefersvtovvaryingvdegreesvofvanvindividual’s
vinabilityvtovperformvthevtasksvrequiredvtovcompletevnormalvlifevactivitiesvwithoutvassistanc
e.vHeight,vweight,vBMI,vandvvitalvsignsvarevpartvofvavphysicalvassessment.vSleep,venergy,v
memory,vandvconcentrationvarevpartvofvavdepressionvscreening.vHealthy,vvolunteering,vwor
king,vandvcaringvforvfamilyvandvhousevarevfunctionalvabilities,vnotvperformance.
OBJ: NCLEXvClientvNeedsvCategory:vPhysiologicalvIntegrity:vReductionvofvRiskvPotential
3. Thevnursevisvreviewingvavpatientvwithvavmobilityvdysfunctionvandvwantsvtovgainvinsightvint
ovthevpatient’svfunctionalvability.vWhatvquestionvwouldvbevthevmostvappropriate?
a. “Arevyouvablevtovshopvforvyourself?”
b. “Dovyouvusevavcane,vwalker,vorvwheelchairvtovambulate?”
c. “Dovyouvknowvwhatvtoday’svdatevis?”
d. “Werevyouvsadvorvdepressedvmorevthanvoncevinvthevlastv3vdays?
”vANS:v B
