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Test Bank Concepts for Nursing Practice, 3rd Edition by Giddens UPDATED 2025 QUESTIONS AND ANSWERS Test Bank Concepts for Nursing Practice, 3rd &4TH Edition by Giddens UPDATED 2025 QUESTIONS AND ANSWERS Test Bank Concepts for Nursing Practice, 3rd &4TH Edition by Giddens UPDATED 2025 QUESTIONS AN...

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  • January 26, 2025
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  • Concepts for Nursing Practice, 3rd
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TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS


Concept 01: Development
Giddens: Concepts for Nursing Practice, 3rd Edition


MULTIPLE CHOICE

1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
Test Bank Concepts for Nursing purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is
used to assess for needs related to
Practice, 3rd Edition by Giddens: 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 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 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 3RD EDITION BY GIDDENS TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS

Growth is a quantitative change in which an increase in cell number and size results in an Function is one of the concepts most significantly impacted by development. Others include
increase in overall size or weight of the body or any of its parts. The processes by which sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
early cells specialize are referred to as differentiation. Psychosocial and cognitive changes concepts can help the nurse anticipate areas that need to be addressed. Culture is a concept
are referred to as development. Qualitative changes associated with aging are referred to as that is considered to significantly affect development; the difference is the concepts that
maturation. affect development are those that represent major influencing factors (causes); hence
determination of development would be the focus of preventive interventions. Environment
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance is considered to significantly affect development. Nutrition is considered to significantly
affect development.
4. The most appropriate response of the nurse when a mother asks what the Denver II does is
that it OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy. 7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks
c. is a developmental screening tool. to her toys and makes up stories. The mother wants her child to have a psychological
d. provides a framework for health teaching. evaluation. The nurse’s best initial response is to
a. refer the child to a psychologist immediately.
ANS: C b. explain that playing make believe is normal at this age.
The Denver II is the most commonly used measure of developmental status used by c. complete a developmental screening using a validated tool.
healthcare professionals; it is a screening tool. Screening tools do not provide a diagnosis. d. separate the child from the mother to get more information.
Diagnosis requires a thorough neurodevelopment history and physical examination.
Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. The ANS: B
need for any therapy would be identified with a comprehensive evaluation, not a screening By the end of the fourth year, it is expected that a child will engage in fantasy, so this is
tool. Some providers use the Denver II as a framework for teaching about expected normal at this age. A referral to a psychologist would be premature based only on the
development, but this is not the primary purpose of the tool. complaint of the mother. Completing a developmental screening would be very appropriate
but not the initial response. The nurse would certainly want to get more information, but
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance separating the child from the mother is not necessary at this time.

5. To plan early intervention anN
d care for an infant with Down syndrome, the nurse considers OBJ: NCLEX Client NeedsNCategory: Health Promotion and Maintenance
knowledge of other physical development exemplars such as
a. cerebral palsy. 8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is
b. autism. so needy and acting like a child. The best response of the nurse is that in the hospital,
c. attention-deficit/hyperactivity disorder (ADHD). adolescents
d. failure to thrive. a. have separation anxiety.
b. rebel against rules.
ANS: D c. regress because of stress.
Failure to thrive is also a physical development exemplar. Cerebral palsy is an exemplar of d. want to know everything.
motor/developmental delay. Autism is an exemplar of social/emotional developmental
delay. ADHD is an exemplar of a cognitive disorder. ANS: C
Regression to an earlier stage of development is a common response to stress. Separation
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance 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.
6. To plan early intervention and care for a child with a developmental delay, the nurse would An adolescent may want to <know everything= with their logical thinking and deductive
consider knowledge of the concepts most significantly impacted by development, including reasoning, but that would not explain why they would act like a child.
a. culture.
b. environment. OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
c. functional status.
d. nutrition.
ANS: C




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


Concept 02: Functional Ability <Do you use a cane, walker, or wheelchair to ambulate?= will assist the nurse in determining
Giddens: Concepts for Nursing Practice, 3rd Edition the patient’s ability to perform self-care activities. A nutritional health risk assessment is not
the functional assessment. Knowing the date is part of a mental status exam. Assessing
sadness is a question to ask in the depression screening.
MULTIPLE CHOICE
OBJ: NCLEX Client Needs Category: Physiological Integrity: Physiological Adaptation
1. The nurse is assessing a patient’s functional ability. Which patient best demonstrates the
definition of functional ability? 4. The nurse is developing an interdisciplinary plan of care using the Roper-Logan-Tierney
a. Considers self as a healthy individual; uses cane for stability Model of Nursing for a patient who is currently unconscious. Which interventions would be
b. College educated; travels frequently; can balance a checkbook most critical to developing a plan of care for this patient?
c. Works out daily, reads well, cooks, and cleans house on the weekends a. Eating and drinking, personal cleansing and dressing, working and playing
d. Healthy individual, volunteers at church, works part time, takes care of family and b. Toileting, transferring, dressing, and bathing activities
house c. Sleeping, expressing sexuality, socializing with peers
d. Maintaining a safe environment, breathing, maintaining temperature
ANS: D
Functional ability refers to the individual’s ability to perform the normal daily activities ANS: D
required to meet basic needs; fulfill usual roles in the family, workplace, and community; The most critical aspects of care for an unconscious patient are safe environment, breathing,
and maintain health and well-being. The other options are good; however, healthy and temperature. Eating and drinking are contraindicated in unconscious patients. Toileting,
individual, church volunteer, part time worker, and the patient who takes care of the family transferring, dressing, and bathing activities are BADLs. Sleeping, expressing sexuality, and
and house fully meets the criteria for functional ability. socializing with peers are a part of the Roper-Logan-Tierney Model of Nursing; however,
these are not the most critical for developing the plan of care in an unconscious patient.
OBJ: NCLEX Client Needs Category: Physiological Integrity: Basic Care and Comfort
OBJ: NCLEX Client Needs Category: Physiological Integrity: Physiological Adaptation
2. The nurse is assessing a patient’s functional performance. What assessment parameters will
be most important in this assessment? 5. The home care nurse is trying to determine the necessary services for a 65-year-old patient
a. Continence assessment, gait assessment, feeding assessment, dressing assessment, who was admitted to the home care service after left knee replacement. Which tool is the
transfer assessment N best for the nurse to utilize? N
b. Height, weight, body mass index (BMI), vital signs assessment a. Minimum Data Set (MDS)
c. Sleep assessment, energy assessment, memory assessment, concentration b. Functional Status Scale (FSS)
assessment c. 24-Hour Functional Ability Questionnaire (24hFAQ)
d. Health and well-being, amount of community volunteer time, working outside the d. The Edmonton Functional Assessment Tool
home, and ability to care for family and house
ANS: C
ANS: A The 24hFAQ assesses the postoperative patient in the home setting. The MDS is for nursing
Functional impairment, disability, or handicap refers to varying degrees of an individual’s home patients. The FSS is for children. The Edmonton is for cancer patients.
inability to perform the tasks required to complete normal life activities without assistance.
Height, weight, BMI, and vital signs are part of a physical assessment. Sleep, energy, OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
memory, and concentration are part of a depression screening. Healthy, volunteering,
working, and caring for family and house are functional abilities, not performance. 6. The nurse is assessing a patient’s functional abilities and asks the patient, <How would you
rate your ability to prepare a balanced meal?= <How would you rate your ability to balance a
OBJ: NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential checkbook?= <How would you rate your ability to keep track of your appointments?= Which
tool would be indicated for the best results of this patient’s perception of their abilities?
3. The nurse is assessing a patient with a mobility dysfunction and wants to gain insight into a. Functional Activities Questionnaire (FAQ)
the patient’s functional ability. What question would be the most appropriate? b. Mini Mental Status Exam (MMSE)
a. <Are you able to shop for yourself?= c. 24hFAQ
b. <Do you use a cane, walker, or wheelchair to ambulate?= d. Performance-based functional measurement
c. <Do you know what today’s date is?=
ANS: A
d. <Were you sad or depressed more than once in the last 3 days?=
ANS: B




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The FAQ is an example of a self-report tool which provides information about the patient’s Concept 03: Family Dynamics
perception of functional ability. The MMSE assesses cognitive impairment. The 24hFAQ is Giddens: Concepts for Nursing Practice, 3rd Edition
used to assess functional ability in postoperative patients. Performance-based tools involve
actual observation of a standardized task, completion of which is judged by objective
criteria. MULTIPLE CHOICE

OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance 1. The most appropriate initial nursing intervention when the nurse notes dysfunctional
interactions and lack of family support for a patient would be to
MULTIPLE RESPONSE a. enforce hospital visiting policies.
b. monitor the dysfunctional interactions.
1. A 65-year-old female patient has been admitted to the medical/surgical unit. The nurse is c. notify the primary care provider.
assessing the patient’s risk for falls so that falls prevention can be implemented if necessary. d. role model appropriate support.
Select all the risk factors that apply from this patient's history and physical. (Select all that ANS: D
apply.) Nurses can, at times, role model more appropriate interactions or provide suggestions for
a. Being a woman improving communication and interactions among family members. If the nurse determines
b. Taking more than six medications that the number of visitors has a negative impact on the patient, hospital policy may be to
c. Having hypertension limit visitors, but that would not be the initial action. Monitoring the dysfunctional
d. Having cataracts interactions would not be an adequate response. The primary care provider should certainly
e. Muscle strength 3/5 bilaterally be notified, but that would not be the initial response.
f. Incontinence
ANS: B, D, E, F OBJ: NCLEX Client Needs Category: Psychosocial Integrity
Adverse effects of medications can contribute to falls. Cataracts impair vision, which is a
risk factor for falls. Poor muscle strength is a risk factor for falls. Incontinence of urine or 2. The nurse caring for a patient would identify a need for additional interventions related to
stool increases risk for falls. Men have a higher risk for falls. Hypertension itself does not family dynamics when
a. extended family offers to help.
contribute to falls. Taking meNdications to treat hypertension that may lead to hypotension
b. family members express cNoncern.
and dizziness is a fall risk. Dizziness does contribute to falls.
c. the ill member demands attention.
OBJ: NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential 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




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