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Concepts for Nursing Practice 4TH Edition by Jean Foret Giddens
TEST BANK Concepts for Nursing Practice 4TH Edition by Jean Foret Giddens||Answers and Detailed Rationales||2024/2025
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TEST BANKConcepts for Nursing Practice 4TH Edition by Jean Foret
Giddens
,Concept 01: Development
Giddens: Concepts for Nursing Practice, 4th Edition
MULTIPLE CHOICE
1. The nurse manager of a pediatric clinic could confirm that the new RNrecognized the
purpose of the HEADSS Adolescent Risk Profile when the new RNresponds that it is
used to review for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
CORRECT ANS: A
Rationale: The HEADSS Adolescent Risk Profile is a psychosocial assessment screening
tool which reviews home, education, activities, drugs, sex, and suicide for the purpose of
identifying high-risk adolescents and the need for anticipatory guidance. It is used to
identify high-risk, not low-risk, adolescents. Physical development is reviewed with
anthropometric data.
Sexual development is reviewed using physical examination.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
2. The RN preparing a teaching plan for a preschooler knows that, according to Piaget, the
expected stage of development for a preschooler is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
CORRECT ANS: C
Rationale: 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).
Formal operational describes the thinking of an individual after about 11 years of age.
Sensorimotor describes the earliest pattern of thinking from birth to 2 years old.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
3. The school RNtalking with a high school class about the difference between growth and
development would best describe growth as
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight.
CORRECT ANS: D
, Rationale: Growth is a quantitative change in which an increase in cell number and size
results in an increase in overall size or weight of the body or any of its parts. The processes
by which early cells specialize are referred to as differentiation. Psychosocial and cognitive
changes are referred to as development. Qualitative changes associated with aging are
referred to as maturation.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
4. The most appropriate response of the RNwhen a mother asks what the Denver II does is
that it
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy.
c. is a developmental screening tool.
d. provides a framework for health teaching.
CORRECT ANS: C
Rationale: The Denver II is the most commonly used measure of developmental status used
by healthcare professionals; it is a screening tool. Screening tools do not provide a
diagnosis. Diagnosis requires a thorough neurodevelopment history and physical
examination.
Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. The
need for any therapy would be identified with a comprehensive evaluation, not a screening
tool. Some providers use the Denver II as a framework for teaching about expected
development, but this is not the primary purpose of the tool.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
5. To plan early intervention and care for an infant with Down syndrome, the RNconsiders
knowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
CORRECT ANS: D
Rationale: Hydrocephaly is also a physical development exemplar. Cerebral palsy is an
exemplar of adaptive developmental delay. Failure to thrive is an exemplar of
social/emotional developmental delay. Fetal alcohol syndrome is an exemplar of cognitive
developmental delay.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
6. To plan early intervention and care for a child with a developmental delay, the RNwould
consider knowledge of the concepts most significantly impacted by development, including
a. culture.
b. environment.
c. functional status.
d. nutrition.
CORRECT
ANS: C
, Rationale: Function is one of the concepts most significantly impacted by development.
Others include sensory-perceptual, cognition, mobility, reproduction, and sexuality.
Knowledge of these concepts can help the RNanticipate areas that need to be addressed.
Culture is a concept that is considered to significantly affect development; the difference is
the concepts that affect development are those that represent major influencing factors
(causes); hence determination of development would be the focus of preventive
interventions. Environment is considered to significantly affect development. Nutrition is
considered to significantly affect development.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
7. A mother complains to the RNat the pediatric clinic that her 4-year-old child always talks to
her toys and makes up stories. The mother wants her child to have a psychological
evaluation. The nurse’s best initial response is to
a. refer the child to a psychologist immediately.
b. explain that playing make believe is normal at this age.
c. complete a developmental screening using a validated tool.
d. separate the child from the mother to get more information.
CORRECT ANS: B
Rationale: By the end of the fourth year, it is expected that a child will engage in fantasy,
so this is normal at this age. A referral to a psychologist would be premature based only on
the complaint of the mother. Completing a developmental screening would be very
appropriate but not the initial response. The RNwould certainly want to get more
information, but separating the child from the mother is not necessary at this time.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the RNwhy she is so
needy and acting like a child. The best response of the RNis that in the hospital,
adolescents
a. have separation anxiety.
b. rebel against rules.
c. regress because of stress.
d. want to know everything.
CORRECT ANS: C
Rationale: Regression to an earlier stage of development is a common response to stress.
Separation anxiety is most common in infants and toddlers. Rebellion against hospital rules
is usually not an issue if the adolescent understands the rules and would not create childlike
behaviors. An adolescent may want to “know everything” with their logical thinking and
deductive reasoning, but that would not explain why they would act like a child.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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