COMPLETE 2025 CONCEPTS FOR NURSING P
n n n n n
RACTICE 3RD EDITION BY JEAN GIDDENS
n n n n n
| FULL CHAPTERS n n
Conceptn01:nDevelopment
Giddens:nConcepts nfor nNursing nPractice,n3rdnEdition
MULTIPLEnCHOICE
1. Then nursen managern ofn an pediatricn clinicn couldn confirmn that nthen newn nursen recognizedn then p
urposen ofn thenHEADSSnAdolescent n RisknProfilen whenn then newn nursen respondsnthatn itn isn us
ed n ton review n forn needsn related n to
a. anticipatoryn guidance.
b. low-riskn adolescents.
c. physicalndevelopment.
d. sexualn development.
ANS:n A
Then HEADSSn Adolescent n Riskn Profilen isn an psychosocialn assessment n screeningn tooln whichn re
viewsn home,n education,n activities,n drugs,n sex,n andnsuiciden forn then purposen ofn identifyingn high
-riskn adolescentsn and n then need n fornanticipatorynguidance.n It n isn used n ton identifynhigh-
risk,n not n low-risk,n adolescents.n Physicaln development n isn reviewed n withn anthropometricn data.
Sexualn development n isn reviewed n usingn physicaln examination.
OBJ: NCLEX nClient n Needsn Category:n Healthn Promotionn and n Maintenance
2. Thennursenpreparingn an teachingn plannfornanpreschoolernknowsn that,n accordingn tonPiaget,nthene
xpected n stagen of n development n forn an preschoolern is
a. concretenoperational.
b. formalnoperational.
c. preoperational.
d. sensorimotor.
ANS:n C
Then expected n stagen of n development n forn an preschoolern (3–4n yearsn old)n isn pre-
operational.n Concreten operationaln describesn then thinkingn of n an school-agen child n (7–
11n yearsn old).n Formaln operationalndescribesn then thinkingnof nannindividualn afternaboutn11nyearsno
f n age.nSensorimotorn describesn then earliest n patternn of n thinkingn fromn birthn ton 2n yearsn old.
OBJ: NCLEX nClient n Needsn Category:n Healthn Promotionn and n Maintenance
3. Thenschooln nursentalkingn withn anhighn schooln classn about nthendifferencenbetweenngrowthnandnd
evelopment n would n best n describen growthn as
a. processesn byn whichn earlyn cellsn specialize.
b. psychosocialn and n cognitiven changes.
c. qualitativen changesn associated n withn aging.
d. quantitativenchangesninnsizenornweight.
,ANS:n D
, Growthn isn an quantitativen changeninn whichn annincreasen inn celln numbern and n sizen resultsn inn anninc
reasen inn overalln sizen orn weight n of n then bodynorn anyn of n itsn parts.n Then processesn byn whichn earlync
ellsn specializen aren referred n ton asn differentiation.n Psychosocialn and n cognitiven changesn arenrefer
red nton asn development.n Qualitativenchangesn associated nwithnagingn arenreferred ntonasn maturatio
n.
OBJ: NCLEX nClient n Needsn Category:n Healthn Promotionn and n Maintenance
4. Thenmostn appropriaten responsenof n thennursenwhenn anmothernasksn what nthenDenvernIIndoesn isn t
hat n it
a. cann diagnosen developmentaln disabilities.
b. identifiesn an need n fornphysicaln therapy.
c. isn an developmentaln screeningn tool.
d. providesn an frameworkn forn healthn teaching.
ANS:n C
Then Denvern II n isn then most ncommonlyn used n measuren of ndevelopmentaln statusnused nbynhealthca
renprofessionals;n it n isnanscreeningntool.n Screeningn toolsn don not nprovidenandiagnosis.n Diagnosisn r
equiresn an thoroughn neurodevelopment n historyn and n physicaln examination.
Developmentaln delay,n whichn isn suggestednbynscreening,n isn an symptom,n not n andiagnosis.n Then n
eed n forn anyntherapynwouldnbenidentified nwithnancomprehensiven evaluation,n not nanscreeningn too
l.n Somen providersn usen then Denvern IInasn an frameworkn forn teachingn about n expected n developme
nt,n but n thisn isn not n then primaryn purposen of n then tool.
OBJ: NCLEX nClient n Needsn Category:n Healthn Promotionn and n Maintenance
5. TonplannearlyninterventionnannnN dn U
caRreSfIoN
rn G
anTinBf.
anCt O
wMithn Downnsyndrome,nthennursenconsidersnk
nowledgen of n othern physicaln development n exemplarsn suchn as
a. cerebralnpalsy.
b. failurenton thrive.
c. fetaln alcoholn syndrome.
d. hydrocephaly.
ANS:n D
Hydrocephalynisn alson anphysicaln development n exemplar.nCerebraln palsynisn ann exemplarnof n ada
ptiven developmentaln delay.n Failuren ton thriven isn ann exemplarn of nsocial/emotionaln development
aln delay.n Fetaln alcoholn syndromen isn ann exemplarn of ncognitiven developmentaln delay.
OBJ: NCLEX nClient n Needsn Category:n Healthn Promotionn and n Maintenance
6. Ton plann earlyninterventionn and n caren fornanchild nwithnandevelopmentaln delay,n then nursenwouldn c
onsidernknowledgenof nthenconceptsn most n significantlynimpacted n byndevelopment,n including
a. culture.
b. environment.
c. functionalnstatus.
d. nutrition.
n ANS:n C
, Functionnisn onenof n thenconceptsnmost nsignificantlynimpacted nbyndevelopment.n Othersnincludens
ensory-
perceptual,n cognition,n mobility,n reproduction,n and n sexuality.n Knowledgenof n thesen conceptsn c
ann helpn then nursen anticipaten areasn that nneed nton benaddressed.n Culturen isn anconcept n that n isn consi
dered n ton significantlyn affectn development;n thendifferencen isn thenconceptsn that naffectn developm
ent n aren thosen that n represent n majorn influencingn factorsn (causes);n hencen determinationn of n devel
opment n would n benthenfocusn ofnpreventiven interventions.n Environment n isn considered n ton signifi
cantlyn affect n development.n Nutritionn isn considered n ton significantlyn affect n development.
OBJ: NCLEX nClient n Needsn Category:n Healthn Promotionn and n Maintenance
7. An motherncomplainsn ton then nursenat n then pediatricn clinicn that n hern4-year-
old n child n alwaysn talksn tonhern toysnandn makesn upnstories.n Then mothern wantsn hern child nton havenan
psychological
evaluation.n Then nurse’sn bestn initialn responsen isn to
a. refern then child n ton an psychologist n immediately.
b. explainn that n playingn makenbelieven isn normaln at n thisn age.
c. completenan developmentaln screeningn usingn an validated n tool.
d. separatenthen child n fromn then mothern ton get n moren information.
ANS:n B
Byn then end nof nthen fourthn year,n it n isn expected n that n an child n willn engagen inn fantasy,n son thisn isn nor
maln at n thisn age.n An referraln tonan psychologist n wouldnben prematuren based nonlyn onnthen complaintn
of nthenmother.n Completingnandevelopmentalnscreeningnwould n benverynappropriaten but nnot ntheni
nitialn response.n Then nursen would n certainlyn want n ton getn moren information,n butn separatingn thenc
hild n fromn then mothern isn not n necessaryn at n thisn time.
OBJ: NCLEXn Clientn Need sNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotionn andn Maintenance
8. An17-year-
old n girln isn hospitalized n fornappendicitis,n andnhernmothern asksnthennursenwhynshenisn son needyn an
d n actingn liken an child.n Then bestn responsen of n then nursen isn that n inn then hospital,n adolescents
a. havenseparationn anxiety.
b. rebeln against n rules.
c. regressn becausen of n stress.
d. want n ton know n everything.
ANS:n C
Regressionn ton ann earliern stagen of n development n isn ancommonn responsen ton stress.n Separationn anx
ietyn isn most n commonn inn infantsn and ntoddlers.n Rebellionn against n hospitaln rulesn isn usuallyn not nann
issuenif nthen adolescent n understandsn thenrulesn andnwouldnnot ncreatenchildlikenbehaviors.n Ann adol
escent n mayn want n ton“know neverything”n withntheirn logicaln thinkingn and ndeductiven reasoning,n b
ut n that n would n not n explainn whyn theyn would n act n liken an child.
OBJ: NCLEX nClient n Needsn Category:n Healthn Promotionn and n Maintenance
n n n n n
RACTICE 3RD EDITION BY JEAN GIDDENS
n n n n n
| FULL CHAPTERS n n
Conceptn01:nDevelopment
Giddens:nConcepts nfor nNursing nPractice,n3rdnEdition
MULTIPLEnCHOICE
1. Then nursen managern ofn an pediatricn clinicn couldn confirmn that nthen newn nursen recognizedn then p
urposen ofn thenHEADSSnAdolescent n RisknProfilen whenn then newn nursen respondsnthatn itn isn us
ed n ton review n forn needsn related n to
a. anticipatoryn guidance.
b. low-riskn adolescents.
c. physicalndevelopment.
d. sexualn development.
ANS:n A
Then HEADSSn Adolescent n Riskn Profilen isn an psychosocialn assessment n screeningn tooln whichn re
viewsn home,n education,n activities,n drugs,n sex,n andnsuiciden forn then purposen ofn identifyingn high
-riskn adolescentsn and n then need n fornanticipatorynguidance.n It n isn used n ton identifynhigh-
risk,n not n low-risk,n adolescents.n Physicaln development n isn reviewed n withn anthropometricn data.
Sexualn development n isn reviewed n usingn physicaln examination.
OBJ: NCLEX nClient n Needsn Category:n Healthn Promotionn and n Maintenance
2. Thennursenpreparingn an teachingn plannfornanpreschoolernknowsn that,n accordingn tonPiaget,nthene
xpected n stagen of n development n forn an preschoolern is
a. concretenoperational.
b. formalnoperational.
c. preoperational.
d. sensorimotor.
ANS:n C
Then expected n stagen of n development n forn an preschoolern (3–4n yearsn old)n isn pre-
operational.n Concreten operationaln describesn then thinkingn of n an school-agen child n (7–
11n yearsn old).n Formaln operationalndescribesn then thinkingnof nannindividualn afternaboutn11nyearsno
f n age.nSensorimotorn describesn then earliest n patternn of n thinkingn fromn birthn ton 2n yearsn old.
OBJ: NCLEX nClient n Needsn Category:n Healthn Promotionn and n Maintenance
3. Thenschooln nursentalkingn withn anhighn schooln classn about nthendifferencenbetweenngrowthnandnd
evelopment n would n best n describen growthn as
a. processesn byn whichn earlyn cellsn specialize.
b. psychosocialn and n cognitiven changes.
c. qualitativen changesn associated n withn aging.
d. quantitativenchangesninnsizenornweight.
,ANS:n D
, Growthn isn an quantitativen changeninn whichn annincreasen inn celln numbern and n sizen resultsn inn anninc
reasen inn overalln sizen orn weight n of n then bodynorn anyn of n itsn parts.n Then processesn byn whichn earlync
ellsn specializen aren referred n ton asn differentiation.n Psychosocialn and n cognitiven changesn arenrefer
red nton asn development.n Qualitativenchangesn associated nwithnagingn arenreferred ntonasn maturatio
n.
OBJ: NCLEX nClient n Needsn Category:n Healthn Promotionn and n Maintenance
4. Thenmostn appropriaten responsenof n thennursenwhenn anmothernasksn what nthenDenvernIIndoesn isn t
hat n it
a. cann diagnosen developmentaln disabilities.
b. identifiesn an need n fornphysicaln therapy.
c. isn an developmentaln screeningn tool.
d. providesn an frameworkn forn healthn teaching.
ANS:n C
Then Denvern II n isn then most ncommonlyn used n measuren of ndevelopmentaln statusnused nbynhealthca
renprofessionals;n it n isnanscreeningntool.n Screeningn toolsn don not nprovidenandiagnosis.n Diagnosisn r
equiresn an thoroughn neurodevelopment n historyn and n physicaln examination.
Developmentaln delay,n whichn isn suggestednbynscreening,n isn an symptom,n not n andiagnosis.n Then n
eed n forn anyntherapynwouldnbenidentified nwithnancomprehensiven evaluation,n not nanscreeningn too
l.n Somen providersn usen then Denvern IInasn an frameworkn forn teachingn about n expected n developme
nt,n but n thisn isn not n then primaryn purposen of n then tool.
OBJ: NCLEX nClient n Needsn Category:n Healthn Promotionn and n Maintenance
5. TonplannearlyninterventionnannnN dn U
caRreSfIoN
rn G
anTinBf.
anCt O
wMithn Downnsyndrome,nthennursenconsidersnk
nowledgen of n othern physicaln development n exemplarsn suchn as
a. cerebralnpalsy.
b. failurenton thrive.
c. fetaln alcoholn syndrome.
d. hydrocephaly.
ANS:n D
Hydrocephalynisn alson anphysicaln development n exemplar.nCerebraln palsynisn ann exemplarnof n ada
ptiven developmentaln delay.n Failuren ton thriven isn ann exemplarn of nsocial/emotionaln development
aln delay.n Fetaln alcoholn syndromen isn ann exemplarn of ncognitiven developmentaln delay.
OBJ: NCLEX nClient n Needsn Category:n Healthn Promotionn and n Maintenance
6. Ton plann earlyninterventionn and n caren fornanchild nwithnandevelopmentaln delay,n then nursenwouldn c
onsidernknowledgenof nthenconceptsn most n significantlynimpacted n byndevelopment,n including
a. culture.
b. environment.
c. functionalnstatus.
d. nutrition.
n ANS:n C
, Functionnisn onenof n thenconceptsnmost nsignificantlynimpacted nbyndevelopment.n Othersnincludens
ensory-
perceptual,n cognition,n mobility,n reproduction,n and n sexuality.n Knowledgenof n thesen conceptsn c
ann helpn then nursen anticipaten areasn that nneed nton benaddressed.n Culturen isn anconcept n that n isn consi
dered n ton significantlyn affectn development;n thendifferencen isn thenconceptsn that naffectn developm
ent n aren thosen that n represent n majorn influencingn factorsn (causes);n hencen determinationn of n devel
opment n would n benthenfocusn ofnpreventiven interventions.n Environment n isn considered n ton signifi
cantlyn affect n development.n Nutritionn isn considered n ton significantlyn affect n development.
OBJ: NCLEX nClient n Needsn Category:n Healthn Promotionn and n Maintenance
7. An motherncomplainsn ton then nursenat n then pediatricn clinicn that n hern4-year-
old n child n alwaysn talksn tonhern toysnandn makesn upnstories.n Then mothern wantsn hern child nton havenan
psychological
evaluation.n Then nurse’sn bestn initialn responsen isn to
a. refern then child n ton an psychologist n immediately.
b. explainn that n playingn makenbelieven isn normaln at n thisn age.
c. completenan developmentaln screeningn usingn an validated n tool.
d. separatenthen child n fromn then mothern ton get n moren information.
ANS:n B
Byn then end nof nthen fourthn year,n it n isn expected n that n an child n willn engagen inn fantasy,n son thisn isn nor
maln at n thisn age.n An referraln tonan psychologist n wouldnben prematuren based nonlyn onnthen complaintn
of nthenmother.n Completingnandevelopmentalnscreeningnwould n benverynappropriaten but nnot ntheni
nitialn response.n Then nursen would n certainlyn want n ton getn moren information,n butn separatingn thenc
hild n fromn then mothern isn not n necessaryn at n thisn time.
OBJ: NCLEXn Clientn Need sNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotionn andn Maintenance
8. An17-year-
old n girln isn hospitalized n fornappendicitis,n andnhernmothern asksnthennursenwhynshenisn son needyn an
d n actingn liken an child.n Then bestn responsen of n then nursen isn that n inn then hospital,n adolescents
a. havenseparationn anxiety.
b. rebeln against n rules.
c. regressn becausen of n stress.
d. want n ton know n everything.
ANS:n C
Regressionn ton ann earliern stagen of n development n isn ancommonn responsen ton stress.n Separationn anx
ietyn isn most n commonn inn infantsn and ntoddlers.n Rebellionn against n hospitaln rulesn isn usuallyn not nann
issuenif nthen adolescent n understandsn thenrulesn andnwouldnnot ncreatenchildlikenbehaviors.n Ann adol
escent n mayn want n ton“know neverything”n withntheirn logicaln thinkingn and ndeductiven reasoning,n b
ut n that n would n not n explainn whyn theyn would n act n liken an child.
OBJ: NCLEX nClient n Needsn Category:n Healthn Promotionn and n Maintenance
