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CONCEPTS OF NURSING PRACTICE 3RD EDITION GIDDEN’S TESTBANK/ALL CHAPTER 1-57/COMPLETE GUIDE
CONCEPTS OF NURSING PRACTICE 3RD EDITION GIDDEN’S TESTBANK/ALL CHAPTER 1-57/COMPLETE GUIDE
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CONCEPTS OF NURSING PRACTICE 3RD EDITION GIDDEN’STESTBANK/ALL CHAPTER 1-57/COMPLETE GUIDE 2024-2025
,Concept 01: Development
Giddens: Concepts for Nursing Practice, 3rd Edition
MULTIPLE CHOICE
1. The registered nurse manager of a pediatric clinic could confirm that the new registered
nurse recognized the purpose of the HEADSS Adolescent Risk Profile when the new
registered nurse responds that it isused to assess for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
CORRECT CHOICE: A
Elaboration :->>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 registered nurse 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. N
c. preoperational.
d. sensorimotor.
CORRECT CHOICE: C
Elaboration :->>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 registered nurse 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 CHOICE: D
, Elaboration :->>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 changesare referred to as development. Qualitative changes associated with aging
are referred to asmaturation.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
4. The most appropriate response of the registered nurse 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 CHOICE: C
Elaboration :->>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 anN
d care for an infant with Down syndrome, the registered
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.
CORRECT CHOICE: D
Elaboration :->>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 registered
nurse wouldconsider knowledge of the concepts most significantly impacted by
development, including
a. culture.
b. environment.
c. functional status.
d. nutrition.
CORRECT
CHOICE: C
, Elaboration :->>Function is one of the concepts most significantly impacted by
development. Others includesensory-perceptual, cognition, mobility, reproduction, and
sexuality. Knowledge of these concepts can help the registered nurse 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. Environmentis 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 registered nurse 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 registered 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 CHOICE: B
Elaboration :->>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
appropriatebut not the initial response. The registered nurse would certainly want to get
more information, but separating the child from the mother is not necessary at this time.
OBJ: NCLEX Client NeedsNCategory: Health Promotion and Maintenance
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the registered nurse
why she isso needy and acting like a child. The best response of the registered nurse 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 CHOICE: C
Elaboration :->>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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