Exam (elaborations)
Test Bank Concepts for Nursing Practice (4TH Ed) by Jean Giddens 2024 STUVIA
Test Bank Concepts for Nursing Practice (4TH Ed) by Jean Giddens 2024 STUVIA
[Show more]
Connected book
Book Title:
Author(s):
- Edition:
- ISBN:
- Edition:
Content preview
,Concept 01: Developmentj j
Giddens: Concepts for Nursing Practice, 4TH Edition
j j j j j j
MULTIPLE CHOICE j
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized thepurp
j j j j j j j j j j j j j j j
ose of the HEADSS Adolescent Risk Profile when the new nurse responds that it isused to ass
j j j j j j j j j j j j j j j j j
ess for needs related to
j j j j
a. anticipatory guidance. j
b. low-risk adolescents. j
c. physical development. j
d. sexual development. j
ANS: A j
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which assess
j j j j j j j j j j j j
es home, education, activities, drugs, sex, and suicide for the purpose of identifying high-
j j j j j j j j j j j j j
risk adolescents and the need for anticipatory guidance. It is used to identify high-risk,not low-
j j j j j j j j j j j j j j j
risk, adolescents. Physical development is assessed with anthropometric data.
j j j j j j j j
Sexual development is assessed using physical examination.
j j j j j j
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance j j j j j j j
2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, theexpe
j j j j j j j j j j j j j j j
cted stage of development for a preschooler is
j j j j j j j
a. concrete operational. j
b. formal operational. N j
c. preoperational.
d. sensorimotor.
ANS: C j
The expected stage of development for a preschooler (3–4 years old) is pre-
j j j j j j j j j j j j
operational. Concrete operational describes the thinking of a school-age child (7–
j j j j j j j j j j
11 years old). Formal operational describes the thinking of an individual after about 11 years of ag
j j j j j j j j j j j j j j j j
e. Sensorimotordescribes the earliest pattern of thinking from birth to 2 years old.
j j j j j j j j j j j j j
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance j j j j j j j
3. The school nurse talking with a high school class about the difference between growth anddevel
j j j j j j j j j j j j j j j
opment would best describe growth as j j j j j
a. processes by which early cells specialize. j j j j j
b. psychosocial and cognitive changes. j j j
c. qualitative changes associated with aging. j j j j
d. quantitative changes in size or weight.A j j j j j j
NS: D j
WWW.NURSYLAB.COM
, Growth is a quantitative change in which an increase in cell number and size results in an increas
j j j j j j j j j j j j j j j j j
e in overall size or weight of the body or any of its parts. The processes by which early cells speci
j j j j j j j j j j j j j j j j j j j j
alize are referred to as differentiation. Psychosocial and cognitive changes are referred to as dev
j j j j j j j j j j j j j j
elopment. Qualitative changes associated with aging are referred to asmaturation.
j j j j j j j j j j
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance j j j j j j j
4. The most appropriate response of the nurse when a mother asks what the Denver II does isthat it
j j j j j j j j j j j j j j j j j j
a. can diagnose developmental disabilities. j j j
b. identifies a need for physical therapy. j j j j j
c. is a developmental screening tool.
j j j j
d. provides a framework for health teaching. j j j j j
ANS: C j
The Denver II is the most commonly used measure of developmental status used by healthcare
j j j j j j j j j j j j j j j
professionals; it is a screening tool. Screening tools do not provide a diagnosis.Diagnosis requi j j j j j j j j j j j j j j
res a thorough neurodevelopment history and physical examination.
j j j j j j j
Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. Theneed j j j j j j j j j j j j j j j
for any therapy would be identified with a comprehensive evaluation, not a screeningtool. Som
j j j j j j j j j j j j j j
e providers use the Denver II as a framework for teaching about expected development, but this i
j j j j j j j j j j j j j j j j
s not the primary purpose of the tool.
j j j j j j j
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance j j j j j j j
5. To plan early intervention anN
j d care for an infant with Down syndrome, the nurse considers know
j j j j j j j j j j j j j j
ledge of other physical development exemplars such as
j j j j j j j
a. cerebral palsy. j
b. autism.
c. attention-deficit/hyperactivity disorder (ADHD). j j
d. failure to thrive. j j
ANS: D j
Failure to thrive is also a physical development exemplar. Cerebral palsy is an exemplar ofmoto
j j j j j j j j j j j j j j j
r/developmental delay. Autism is an exemplar of social/emotional developmental delay. ADH j j j j j j j j j j
D is an exemplar of a cognitive disorder.
j j j j j j j
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance j j j j j j j
6. To plan early intervention and care for a child with a developmental delay, the nurse wouldconsi
j j j j j j j j j j j j j j j j
der knowledge of the concepts most significantly impacted by development, including
j j j j j j j j j j
a. culture.
b. environment.
c. functional status. j
d. nutrition. j
ANS: C j
, Function is one of the concepts most significantly impacted by development. Others includesens
j j j j j j j j j j j j j
ory-
perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these concepts can h
j j j j j j j j j j j
elp the nurse anticipate areas that need to be addressed. Culture is a concept that is considered to si
j j j j j j j j j j j j j j j j j j
gnificantly affect development; the difference is the concepts that affect development are those t
j j j j j j j j j j j j j
hat represent major influencing factors (causes); hence determination of development would be t
j j j j j j j j j j j j
he focus of preventive interventions. Environment is considered to significantly affect developm
j j j j j j j j j j j
ent. Nutrition is considered to significantly affect development.
j j j j j j j
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance j j j j j j j
7. A mother complains to the nurse at the pediatric clinic that her 4-year-
j j j j j j j j j j j j
old child always talksto her toys and makes up stories. The mother wants her child to have a psych
j j j j j j j j j j j j j j j j j j j
ological evaluation. The nurse‘s best initial response is to j j j j j j j j
a. refer the child to a psychologist immediately. j j j j j j
b. explain that playing make believe is normal at this age. j j j j j j j j j
c. complete a developmental screening using a validated tool. j j j j j j j
d. separate the child from the mother to get more information. j j j j j j j j j
ANS: B j
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is normal at t
j j j j j j j j j j j j j j j j j j j j j j
his age. A referral to a psychologist would be premature based only on the complaint of the moth
j j j j j j j j j j j j j j j j j
er. Completing a developmental screening would be very appropriatebut not the initial response
j j j j j j j j j j j j j
. The nurse would certainly want to get more information, but separating the child from the moth
j j j j j j j j j j j j j j j j
er is not necessary at this time.
j j j j j j
OBJ: NCLEXClient NeedsNCategory: Health Promotion and Maintenance j j j j j j
8. A 17-year-
j
old girl is hospitalized for appendicitis, and her mother asks the nurse why she isso needy and acti
j j j j j j j j j j j j j j j j j j
ng like a child. The best response of the nurse is that in the hospital, adolescents
j j j j j j j j j j j j j j j
a. have separation anxiety. j j
b. rebel against rules. j j
c. regress because of stress. j j j
d. want to know everything. j j j
ANS: C j
Regression to an earlier stage of development is a common response to stress. Separation anxiety i
j j j j j j j j j j j j j j j
s most common in infants and toddlers. Rebellion against hospital rules is usually not an issue if th
j j j j j j j j j j j j j j j j j
e adolescent understands the rules and would not create childlike behaviors.An adolescent may w
j j j j j j j j j j j j j j
ant to ―know everything‖ with their logical thinking and deductive reasoning, but that would not e
j j j j j j j j j j j j j j j
xplain why they would act like a child. j j j j j j j
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance j j j j j j j
WWW.NURSYLAB.COM
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller agradesolutions. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
52510 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now