Test Bank For Concepts for Nursing Practice 3rd Edition By Jean Foret Giddens | | 9780323581936 | Chapter 1-57 | Complete Questions And Answers A+

TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
gg gg gg gg gg gg gg gg gg gg




Concept gg

, TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
gg gg gg gg gg gg gg gg gg gg




01: Development
gg


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




MULTIPLE CHOICE gg




1. The nurse manager of a pediatric clinic could confirm that the new nurse
gg gg gg gg gg gg gg gg gg gg gg gg


recognized the purpose of the HEADSS Adolescent Risk Profile when the new
gg gg gg gg gg gg gg gg gg gg gg gg


nurse responds that it is used to review for needs related to
gg gg gg gg gg gg gg gg gg gg gg gg


a. anticipatory guidance. gg


b. low-risk adolescents. gg


c. physical development. gg


d. sexual development. gg




ANS: A g g


The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool
gg gg gg gg gg gg gg gg gg gg


which reviews home, education, activities, drugs, sex, and suicide for the purpose of
gg gg gg gg gg gg gg gg gg gg gg gg gg


identifying high-risk adolescents and the need for anticipatory guidance. It is used to
gg gg gg gg gg gg gg gg gg gg gg gg gg


identify high-risk, not low-risk, adolescents. Physical development is reviewed with
gg gg gg gg gg gg gg gg gg gg


anthropometric data.
gg gg


Sexual development is reviewed using physical examination.
gg gg gg gg gg gg




OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
gg gg gg gg gg gg gg




2. The nurse preparing a teaching plan for a preschooler knows that, according to
gg gg gg gg gg gg gg gg gg gg gg gg


Piaget, the expected stage of development for a preschooler is
gg gg gg gg gg gg gg gg gg gg


a. concrete operational. gg


b. formal operational. gg


c. preoperational.
d. sensorimotor.
ANS: C g g


The expected stage of development for a preschooler (3–4 years old) is pre-
gg gg gg gg gg gg gg gg gg gg gg gg


operational. Concrete operational describes the thinking of a school-age child (7–11
gg gg gg gg gg gg gg gg gg gg


years old). Formal operational describes the thinking of an individual after about 11
gg gg gg gg gg gg gg gg gg gg gg gg gg


years of age. Sensorimotor describes the earliest pattern of thinking from birth to 2
gg gg gg gg gg gg gg gg gg gg gg gg gg gg


years old.
gg gg




OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
gg gg gg gg gg gg gg




3. The school nurse talking with a high school class about the difference between growth
gg gg gg gg gg gg gg gg gg gg gg gg gg


and development would best describe growth as
gg gg gg gg gg gg gg


a. processes by which early cells specialize. gg gg gg gg gg


b. psychosocial and cognitive changes. gg gg gg


c. qualitative changes associated with aging. gg gg gg gg


d. quantitative changes in size or gg gg gg gg




weight. ANS: D
gg gg g g

,TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
gg gg gg gg gg gg gg gg gg gg




Growth is a quantitative change in which an increase in cell number and size results
gg gg gg gg gg gg gg gg gg gg gg gg gg gg


in an increase in overall size or weight of the body or any of its parts. The
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg


processes by which early cells specialize are referred to as differentiation.
gg gg gg gg gg gg gg gg gg gg gg


Psychosocial and cognitive changes are referred to as development. Qualitative changes
gg gg gg gg gg gg gg gg gg gg gg


associated with aging are referred to as maturation.
gg gg gg gg gg gg gg gg




OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
gg gg gg gg gg gg gg




4. The most appropriate response of the nurse when a mother asks what the Denver II
gg gg gg gg gg gg gg gg gg gg gg gg gg gg


does is that it
gg gg gg gg


a. can diagnose developmental disabilities.
gg gg gg


b. identifies a need for physical therapy. gg gg gg gg gg


c. is a developmental screening tool.
gg gg gg gg


d. provides a framework for health teaching. gg gg gg gg gg




ANS: C g g


The Denver II is the most commonly used measure of developmental status used by
gg gg gg gg gg gg gg gg gg gg gg gg gg


healthcare professionals; it is a screening tool. Screening tools do not provide a
gg gg gg gg gg gg gg gg gg gg gg gg gg


diagnosis. Diagnosis requires a thorough neurodevelopment history and physical
gg gg gg gg gg gg gg gg gg


examination.
gg


Developmental delay, which is suggested by screening, is a symptom, not a diagnosis.
gg gg gg gg gg gg gg gg gg gg gg gg


The need for any therapy would be identified with a comprehensive evaluation, not a
gg gg gg gg gg gg gg gg gg gg gg gg gg gg


screening tool. Some providers use the Denver II as a framework for teaching about
gg gg gg gg gg gg gg gg gg gg gg gg gg gg


expected development, but this is not the primary purpose of the tool.
gg gg gg gg gg gg gg gg gg gg gg gg




OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
gg gg gg gg gg gg gg




5. To plan early intervention a n Nd U
gg caRreSfIoN
gg r aGnTinBf.
anCt OwMith Down syndrome, the nurse
gg gg gg gg gg gg gg gg


considers knowledge of other physical development exemplars such as
gg gg gg gg gg gg gg gg gg


a. cerebral palsy. gg


b. failure to thrive. gg gg


c. fetal alcohol syndrome. gg gg


d. hydrocephaly.
ANS: D g g


Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar
gg gg gg gg gg gg gg gg gg gg gg


of adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
gg gg gg gg gg gg gg gg gg gg gg gg


developmental delay. Fetal alcohol syndrome is an exemplar of cognitive
gg gg gg gg gg gg gg gg gg gg


developmental delay.
gg gg




OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
gg gg gg gg gg gg gg




6. To plan early intervention and care for a child with a developmental delay, the nurse
gg gg gg gg gg gg gg gg gg gg gg gg gg gg


would consider knowledge of the concepts most significantly impacted by
gg gg gg gg gg gg gg gg gg gg


development, including
gg gg


a. culture.
b. environment.
c. functional status. gg


d. nutrition.
gg ANS: C g g

, TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
gg gg gg gg gg gg gg gg gg gg




Function is one of the concepts most significantly impacted by development. Others
gg gg gg gg gg gg gg gg gg gg gg


include sensory-perceptual, cognition, mobility, reproduction, and sexuality.
gg gg gg gg gg gg gg


Knowledge of these concepts can help the nurse anticipate areas that need to be
gg gg gg gg gg gg gg gg gg gg gg gg gg gg


addressed. Culture is a concept that is considered to significantly affect development;
gg gg gg gg gg gg gg gg gg gg gg gg


the difference is the concepts that affect development are those that represent major
gg gg gg gg gg gg gg gg gg gg gg gg gg


influencing factors (causes); hence determination of development would be the focus
gg gg gg gg gg gg gg gg gg gg gg


of preventive interventions. Environment is considered to significantly affect
gg gg gg gg gg gg gg gg gg


development. Nutrition is considered to significantly affect development.
gg gg gg gg gg gg gg gg




OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
gg gg gg gg gg gg gg




7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always
gg gg gg gg gg gg gg gg gg gg gg gg gg gg


talks to her toys and makes up stories. The mother wants her child to have a
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg


psychological evaluation. The nurse‘s best initial response is to
gg gg gg gg gg gg gg gg gg


a. refer the child to a psychologist immediately.
gg gg gg gg gg gg


b. explain that playing make believe is normal at this age.
gg gg gg gg gg gg gg gg gg


c. complete a developmental screening using a validated tool. gg gg gg gg gg gg gg


d. separate the child from the mother to get more information.
gg gg gg gg gg gg gg gg gg




ANS: B g g


By the end of the fourth year, it is expected that a child will engage in fantasy, so
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg


this is normal at this age. A referral to a psychologist would be premature based
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg


only on the complaint of the mother. Completing a developmental screening would be
gg gg gg gg gg gg gg gg gg gg gg gg gg


very appropriate but not the initial response. The nurse would certainly want to get
gg gg gg gg gg gg gg gg gg gg gg gg gg gg


more information, but separating the child from the mother is not necessary at this
gg gg gg gg gg gg gg gg gg gg gg gg gg gg


time.
gg




OBJ: NCLEX g g Client g g NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotion g g and g g Maintenance

8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why
gg gg gg gg gg gg gg gg gg gg gg gg gg


she is so needy and acting like a child. The best response of the nurse is that in the
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg


hospital, adolescents
gg gg


a. have separation anxiety. gg gg


b. rebel against rules. gg gg


c. regress because of stress. gg gg gg


d. want to know everything. gg gg gg




ANS: C g g


Regression to an earlier stage of development is a common response to stress.
gg gg gg gg gg gg gg gg gg gg gg gg


Separation anxiety is most common in infants and toddlers. Rebellion against hospital
gg gg gg gg gg gg gg gg gg gg gg gg


rules is usually not an issue if the adolescent understands the rules and would not
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg


create childlike behaviors. An adolescent may want to ―know everything‖ with their
gg gg gg gg gg gg gg gg gg gg gg gg


logical thinking and deductive reasoning, but that would not explain why they would
gg gg gg gg gg gg gg gg gg gg gg gg gg


act like a child.
gg gg gg gg




OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
gg gg gg gg gg gg gg