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Concepts for Nursing Practice 3rd Edition

Giddens Test Bank
Concept01:Development
Giddens:ConceptsforNursingPractice,3rdEdition

MULTIPLECHOICE

1. Thenursemanagerofapediatriccliniccouldconfirm thatthenewnurse recognized

thepurpose of the HEADSS Adolescent Risk Profile when the new nurse responds that
it isusedto reviewforneedsrelated to
a. anticipatoryguidance.
b. low-riskadolescents.
c. physicaldevelopment.
d. sexualdevelopment.
ANS:A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool
whichreviews home, education, activities, drugs, sex, and suicide for the purpose of
identifyinghigh-risk adolescents and the need for anticipatory guidance. It is used to
identify high-risk,notlow-
risk,adolescents.Physicaldevelopmentisreviewedwithanthropometricdata.
Sexualdevelopmentisreviewedusingphysicalexamination.

OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance

2. Thenursepreparing ateaching planforapreschoolerknows that, according to

Piaget,theexpectedstageof development for apreschooleris
a. concreteoperational.
b. formaloperational.
c. preoperational.
d. sensorimotor.
ANS:C
The expected stage of development for a preschooler (3–4 years old) is pre-
operational.Concrete operational describes the thinking of a school-age child (7–11 years
old). Formaloperationaldescribesthe thinkingofanindividualafter
about11yearsofage.Sensorimotordescribestheearliest pattern ofthinking frombirth to 2 years
old.

OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance

3. Theschoolnursetalkingwithahighschoolclassaboutthedifferencebetweengrowthanddevelop
mentwould bestdescribegrowth as
a. processesbywhichearly cellsspecialize.
b. psychosocialand cognitivechanges.
c. qualitativechangesassociatedwithaging.
d. quantitative changes in size or
weight.ANS:D

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Growth is a quantitative change in which an increase in cell number and size results in
anincrease in overall size or weight of the body or any of its parts. The processes by
whichearly cells specialize are referred to as differentiation. Psychosocial and cognitive
changesarereferredtoas development.
Qualitativechangesassociatedwithagingarereferredtoasmaturation.

OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance

4. Themostappropriate responseof thenursewhenamother askswhattheDenver IIdoesisthat it

a. candiagnosedevelopmentaldisabilities.
b. identifiesaneedforphysicaltherapy.
c. isadevelopmentalscreeningtool.
d. providesaframeworkforhealthteaching.
ANS:C
The Denver II is the most commonly used measure of developmental status used
byhealthcareprofessionals;itisa screeningtool.Screeningtools
donotprovideadiagnosis.Diagnosisrequiresathoroughneurodevelopmenthistory
andphysical examination.
Developmental delay, which is suggested by screening, is a symptom, not a diagnosis.
Theneed for any therapy would be identified with a comprehensive evaluation, not a
screeningtool. Some providers use the Denver II as a framework for teaching about
expecteddevelopment,but this is not theprimary purpose of thetool.

OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance

5. To plan early intervention anN

dU
caRreSfIoN
r aGnTiB
nf.
anCt OwMithDown syndrome, thenurseconsiders
knowledgeof other physical development exemplarssuch as
a. cerebralpalsy.
b. failuretothrive.
c. fetalalcoholsyndrome.
d. hydrocephaly.
ANS:D
Hydrocephalyisalsoaphysicaldevelopmentexemplar.Cerebralpalsyisanexemplarofadaptiv
e developmental delay. Failure to thrive is an exemplar of
social/emotionaldevelopmental delay. Fetal alcohol syndrome is an exemplar of
cognitive developmentaldelay.

OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance

6. To plan early intervention and care for a child with a developmental delay, the nurse
wouldconsiderknowledgeoftheconcepts mostsignificantlyimpactedbydevelopment,
including
a. culture.
b. environment.
c. functionalstatus.
d. nutrition.
ANS:C

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Functionisoneoftheconceptsmostsignificantlyimpactedbydevelopment.Othersincludesensor
y-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of theseconcepts
can help the nurse anticipate areas that need to be addressed. Culture is a conceptthat is
considered to significantly affect development; the difference is the concepts thataffect
development are those that represent major influencing factors (causes);
hencedetermination of development would be the focus of preventive interventions.
Environmentis considered to significantly affect development. Nutrition is considered to
significantlyaffectdevelopment.

OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance

7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always
talkstohertoysand makes upstories. Themotherwants her childto have apsychological
evaluation.Thenurse’sbestinitialresponse isto
a. referthechildto apsychologistimmediately.
b. explainthatplayingmakebelieveisnormalatthisage.
c. completeadevelopmentalscreeningusingavalidatedtool.
d. separatethechildfromthemothertogetmoreinformation.
ANS:B
By the end of the fourth year, it is expected that a child will engage in fantasy, so this
isnormal at this age. A referral to a psychologist would be premature based only on
thecomplaintofthemother. Completingadevelopmentalscreeningwouldbe
veryappropriatebut not the initial response. The nurse would certainly want to get more
information, butseparatingthechildfromthemotheris not necessaryat this time.

OBJ: NCLEXClient NeedsNCUaRteSgI

orN
y:GH
TeBal.thCPOrM
o motionand Maintenance

8. A17-year-oldgirlis hospitalizedforappendicitis, andhermother asksthe nursewhysheisso

needy and acting like a child. The best response of the nurse is that in the
hospital,adolescents
a. haveseparationanxiety.
b. rebelagainstrules.
c. regressbecauseofstress.
d. wanttoknoweverything.
ANS:C
Regression to an earlier stage of development is a common response to stress.
Separationanxiety is most common in infants and toddlers. Rebellion against hospital rules
is usuallynotanissueiftheadolescentunderstandstherulesandwould
notcreatechildlikebehaviors.An adolescent may want to “know everything” with their
logical thinking and deductivereasoning,but that wouldnot explain whythey would act like
achild.

OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance

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