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Test Bank for Concepts for Nursing Practice 3rd Edition By Jean Giddens| Complete Guide All Chapters Revised Edition Latest Update Test Bank for Concepts for Nursing Practice 3rd Edition By Jean Giddens| Complete Guide All Chapters Revised Edition Latest Update Test Bank for Concepts for Nu...

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Test Bank for Concepts for Nursing Practice (3rd Ed) By Jean Giddens| Complete Guide All Chapters 2024




Test Bank for Concepts for Nursing Practice 3rd Edition By Jean Giddens| Complete
Guide All Chapters Revised Edition Latest Update 2024-2025

,Test Bank for Concepts for Nursing Practice (3rd Ed) By Jean Giddens| Complete Guide All Chapters 2024




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


MULTIPLE CHOICE

1. The nurse practitioner manager of a pediatric clinic could confirm that the new nurse
practitioner recognized thepurpose of the HEADSS Adolescent Risk Profile when the
new nurse practitioner responds that it isused to assess for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
CORRECT: 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.

OBJECTIVE: NCLEX Patient Needs Category: Health Promotion and Maintenance

2. The nurse practitioner preparing a teaching plan for a preschooler knows that, according
to Piaget, theexpected stage of development for a preschooler is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
CORRECT: 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.

OBJECTIVE: NCLEX Patient Needs Category: Health Promotion and Maintenance

3. The school nurse practitioner talking with a high school class about the difference
between growth anddevelopment 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: D

,Test Bank for Concepts for Nursing Practice (3rd Ed) By Jean Giddens| Complete Guide All Chapters 2024


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.

OBJECTIVE: NCLEX Patient Needs Category: Health Promotion and Maintenance

4. The most appropriate response of the nurse practitioner when a mother asks what the
Denver II does isthat 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: 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.

OBJECTIVE: NCLEX Patient Needs Category: Health Promotion and Maintenance

5. To plan early intervention and care for an infant with Down syndrome, the nurse
practitioner considersknowledge of other physical development exemplars such as
a. cerebral palsy.
b. autism.
c. attention-deficit/hyperactivity disorder (ADHD).
d. failure to thrive.
CORRECT: 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.

OBJECTIVE: NCLEX Patient Needs Category: Health Promotion and Maintenance

6. To plan early intervention and care for a child with a developmental delay, the nurse
practitioner wouldconsider knowledge of the concepts most significantly impacted by
development, including
a. culture.
b. environment.
c. functional status.
d. nutrition.
CORRECT:
C

, Test Bank for Concepts for Nursing Practice (3rd Ed) By Jean Giddens| Complete Guide All Chapters 2024


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 nurse practitioner anticipate 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.

OBJECTIVE: NCLEX Patient Needs Category: Health Promotion and Maintenance

7. A mother complains to the nurse practitioner at the pediatric clinic that her 4-year-old child
always talksto her toys and makes up stories. The mother wants her child to have a
psychological
evaluation. The nurse practitioner’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: B
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 nurse practitioner would certainly want to get more
information, but separating the child from the mother is not necessary at this time.

OBJECTIVE: NCLEX Patient Needs Category: Health Promotion and Maintenance

8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse
practitioner why she isso needy and acting like a child. The best response of the nurse
practitioner is that in the hospital, adolescents
a. have separation anxiety.
b. rebel against rules.
c. regress because of stress.
d. want to know everything.
CORRECT: C
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.

OBJECTIVE: NCLEX Patient Needs Category: Health Promotion and Maintenance

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