Test Bank for Concepts for Nursing Practice 4th Edition (Elsevier; January 4, 2024) by Jean Giddens, all Chapters Covered
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, Test Bank for Concepts for Nursing Practice 4th Edition (Elsevier; January 4, 2024) by Jean Giddens, all Chapters Covered
1. The most appropriate initial nursing intervention when the nurse notes dysfunctional interactions and lack of
family support for a patient would be to
a. enforce hospital visiting policies.
b. monitor the dysfunctional interactions.
c. notify the primary care provider.
d. role model appropriate support.
ANS: D
Nurses can, at times, role model more appropriate interactions or provide suggestions for improving communication
and interactions among family members. If the nurse determines that the number of visitors has a negative impact
on the patient, hospital policy may be to limit visitors, but that would not be the initial action. Monitoring the
dysfunctional interactions would not be an adequate response. The primary care provider should certainly be
notified, but that would not be the initial response.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
2. The nurse caring for a patient would identify a need for additional interventions related to family dynamics when
a. extended family offers to help.
b. family members express cNoncern.
c. the ill member demands attention.
d. memories are shared. ANS: C
It is not uncommon for the ill family member to become demanding and indicate that they deserve special treatment
and care, and the supportive family may need assistance in understanding the dynamics of the illness in order to
continue to be supportive. Offers from extended family to help can be indicative of positive dynamics. Concern
expressed by family members can be indicative of positive dynamics. Sharing of family memories can be indicative
of positive dynamics.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
3. Two women have an established long-term relationship and are attending parenting classes in anticipation of finalizing
adoption of a baby. The nurse identifies them as which type of family?
a. Cohabiting
b. Nuclear
c. Same-sex
d. Single parent ANS:
C
This family would be considered a same-sex family. Cohabiting refers to a couple who live together with no legal
bond. Nuclear refers to the traditional male and female core family with one or more children. Single parent refers
to a family with one adult and one or more children.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
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, Test Bank for Concepts for Nursing Practice 4th Edition (Elsevier; January 4, 2024) by Jean Giddens, all Chapters Covered
4. The nurse identifies the family with a child graduating from college as having which effect on the family life
cycle? a. Minimal impact
b. Considered to be a negative impact on the family unit
c. Leads to role confusion
d. Expectation of role change ANS: D
The family life cycle developmental theory focuses on the growth and development of changes in role relationships
during transitional periods. A child graduating from college is an example of a transition which requires a role
change. As this
is a transition, one would expect to see a change so minimal impact would not be expected. Graduation does not
imply that it will be a negative change on the family life cycle or lead to role confusion.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
5. When reviewing the purposes of a family assessment, the nurse educator would identify a need for further
teaching if the student responded that family assessment is used to gain an understanding of which aspect of
the family?
a. Development N
b. Function
c. Political views
d. Structure ANS: C
An understanding of the political views of family members is not a primary purpose of a family assessment. A
family assessment provides the nurse with information and an understanding of family dynamics. This is important
to nurses for the provision of quality health care. A family assessment provides an understanding of family
development, function, and structure.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
6. A nurse is planning to assess the structure of a family. Which question should the nurse ask?
a. lives with you in this
b. does the grocery
c. provides support in your
d. old are the members of your ANS: A
The structure of the family includes who is in the family and what their relationship is. does the
would provide information about family functioning. provides would provide
information about family functioning. old are the would provide information about family
development.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
7. Which factors which would alert the nurse to negative/dysfunctional family dynamics?
a. Aging of family members
b. Chronic illness of a family member
c. Disability of a family member
d. Intimate partner violence
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, Test Bank for Concepts for Nursing Practice 4th Edition (Elsevier; January 4, 2024) by Jean Giddens, all Chapters Covered
ANS: D
Intimate partner violence is an exemplar of negative/dysfunctional family dynamics. Aging of family members is
an exemplar of changes to family dynamics. Chronic illness of a family member is an exemplar of changes to
family dynamics.
Disability of a family member is an exemplar of changes to family dynamics. OBJ: NCLEX Client Needs
Category: Psychosocial Integrity
N
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, Test Bank for Concepts for Nursing Practice 4th Edition (Elsevier; January 4, 2024) by Jean Giddens, all Chapters Covered
Concept 2: Culture
Giddens: Concepts for Nursing Practice, 4th Edition
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the purpose of the
HEADSS Adolescent Risk Profile when the
new nurse responds that it is used to assess for needs related to a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development. ANS: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which assesses 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 assessed with
anthropometric data.
Sexual development is assessed using physical examination.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
2. The nurse 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. N
c. preoperational.
d. sensorimotor. ANS: C
The expected stage of development for a preschooler (3 4 years old) is preoperational. 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 nurse talking 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. ANS: D
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, Test Bank for Concepts for Nursing Practice 4th Edition (Elsevier; January 4, 2024) by Jean Giddens, all Chapters Covered
WWW.NURSYLAB.COM
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 nurse when 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. ANS: C
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 anNd care for an infant with Down syndrome, the nurse considers knowledge of
other physical development exemplars such as a. cerebral palsy.
b. autism.
c. attention-deficit/hyperactivity disorder (ADHD).
d. failure to thrive.
ANS: D
Failure to thrive is also a physical development exemplar. Cerebral palsy is an exemplar of motor/developmental delay.
Autism is an exemplar of social/emotional developmental delay. ADHD is an exemplar of a cognitive disorder.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
6. To plan early intervention and care for a child with a developmental delay, the nurse would consider
knowledge of the concepts most significantly impacted by development, including a. culture.
b. environment.
c. functional status.
d. nutrition. ANS: C
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