Test Bank
Concepts For Nursing Practice
Jean Foret Giddens
4th Edition
,Table Of Contents
Concept 01 Development
Concept 02 Functional Ability
Concept 03 Family Dynamics
Concept 04 Culture
Concept 05 Spirituality
Concept 06 Adherence
Concept 07 Self-Management
Concept 08 Fluid And Electrolytes
Concept 09 Acid–Base Balance
Concept 10 Thermoregulation
Concept 11 Sleep
Concept 12 Cellular Regulation
Concept 13 Intracranial Regulation
Concept 14 Hormonal Regulation
Concept 15 Glucose Regulation
Concept 16 Nutrition
Concept 17 Elimination
Concept 18 Perfusion
Concept 19 Gas Exchange
Concept 20 Reproduction
Concept 21 Sexuality
Concept 22 Immunity
Concept 23 Inflammation
Concept 24 Infection
Concept 25 Mobility
Concept 26 Tissue Integrity
Concept 27 Sensory Perception
Concept 28 Pain
Concept 29 Fatigue
Concept 30 Stress And Coping
Concept 31 Mood And Affect
Concept 32 Anxiety
Concept 33 Cognition
Concept 34 Psychosis
Concept 35 Addiction
Concept 36 Interpersonal Violence
Concept 37 Professional Identity
Concept 38 Clinical Judgment
Concept 39 Leadership
Concept 40 Ethics
Concept 41 Patient Education
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Concept 42 Health Promotion
Concept 43 Communication
Concept 44 Collaboration
Concept 45 Safety
Concept 46 Technology And Informatics
Concept 47 Evidence
Concept 48 Health Care Quality
Concept 49 Care Coordination
Concept 50 Caregiving
Concept 51 Palliative Care
Concept 52 Health Disparities
Concept 53 Population Health
Concept 54 Health Care Organizations
Concept 55 Health Care Economics
Concept 56 Health Policy
Concept 57 Health Care Law
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,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 Nurse
Recognized The Purpose Of The HEADSS Adolescent Risk Profile When The New
Nurse Responds That It Is Used To Review For Needs Related To
a. Anticipatory Guidance.
b. Low-Risk Adolescents.
c. Physical Development.
d. Sexual Development.
Answer: A
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.
Objective: 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.
c. Preoperational.
d. Sensorimotor.
Answer: 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 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.
Answer: D
, 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 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.
Answer: C
The Denver Ii Is The Most Commonly Used Measure Of Developmental Status Used By
Health;Care 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 Client Needs Category: Health; Promotion And
Maintenance
5. To Plan Early Intervention and care of an infant with Down Syndrome, The Nurse
Considers Knowledge Of Other Physical Development Exemplars Such As
a. Cerebral Palsy.
b. Failure To Thrive.
c. Fetal Alcohol Syndrome.
d. Hydrocephaly.
Answer: D
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.
Objective: 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
. Answer: C
, 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 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 Client Needs Category: Health; Promotion And
Maintenance
7. A Mother Complains To The Nurse At 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.
Answer: 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 Would Certainly Want To
Get More Information, But Separating The Child From The Mother Is Not Necessary At
This Time.
Objective: Nclex Client Needsncuartesgi
o rny:Ghtebal.Thcporm
omotion And Maintenance
8. A 17-Year-Old Girl Is Hospitalized For Appendicitis, And Her Mother Asks The Nurse
Why She Is So Needy And Acting Like A Child. The Best Response Of The 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.
Answer: 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 Client Needs Category: Health; Promotion And
Maintenance
,Concept 02: Functional Ability
Giddens: Concepts For Nursing Practice, 4th Edition
Multiple Choice
1. The Nurse Is Reviewing A Patient’s Functional Ability. Which Patient Best
Demonstrates The Definition Of Functional Ability?
a. Considers Self As A Health;Y Individual; Uses Cane For Stability
b. College Educated; Travels Frequently; Can Balance A Checkbook
c. Works Out Daily, Reads Well, Cooks, And Cleans House On The Weekends
d. Health;Y Individual, Volunteers At Church, Works Part Time, Takes Care Of
Family And House
Answer: D
Functional Ability Refers To The Individual’s Ability To Perform The Normal Daily
Activities Required To Meet Basic Needs; Fulfill Usual Roles In The Family, Workplace,
And Community; And Maintain Health; And Well-Being. The Other Options Are Good;
However, Health;Y Individual, Church Volunteer, Part Time Worker, And The Patient
Who Takes Care Of The Family And House Fully Meets The Criteria For Functional
Ability.
Objective: Nclex Client Needs Category: Physiological Integrity: Basic Care And
Comfort
2. The Nurse Is Reviewing A Patient’s Functional Performance. What Assessment Parameters
Will Be Most Important In This Assessment?
a. Continence Assessment, Gait Assessment, Feeding Assessment, Dressing Assessment,
Transfer Assessment
b. Height, Weight, Body Mass Index (Bmi), Vital Signs Assessment
c. Sleep Assessment, Energy Assessment, Memory Assessment,
Concentration Assessment
d. Health; And Well-Being, Amount Of Community Volunteer Time, Working
Outside The Home, And Ability To Care For Family And House
Answer: A
Functional Impairment, Disability, Or Handicap Refers To Varying Degrees Of An
Individual’s 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, Memory, And Concentration Are Part Of A Depression
Screening. Health;Y, Volunteering, Working, And Caring For Family And House Are
Functional Abilities, Not Performance.
Objective: Nclex Client Needs Category: Physiological Integrity: Reduction
Of Risk Potential
3. The Nurse Is Reviewing A Patient With A Mobility Dysfunction And Wants To Gain
Insight Into The Patient’s Functional Ability. What Question Would Be The Most
Appropriate?
a. “Are You Able To Shop For Yourself?”
b. “Do You Use A Cane, Walker, Or Wheelchair To Ambulate?”
c. “Do You Know What Today’s Date Is?”
d. “Were You Sad Or Depressed More Than Once In The Last 3
Days?” Answer: B
, “Do You Use A Cane, Walker, Or Wheelchair To Ambulate?” Will Assist The Nurse In
Determining 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. Reviewing Sadness Is A Question To Ask In The Depression Screening.
Objective: Nclex Client Needs Category: Physiological Integrity:
Physiological Adaptation
4. The Nurse Is Developing An Interdisciplinary Plan Of Care Using The Roper-Logan-
Tierney Model Of Nursing For A Patient Who Is Currently Unconscious. Which
Interventions Would Be Most Critical To Developing A Plan Of Care For This Patient?
a. Eating And Drinking, Personal Cleansing And Dressing, Working And Playing
b. Toileting, Transferring, Dressing, And Bathing Activities
c. Sleeping, Expressing Sexuality, Socializing With Peers
d. Maintaining A Safe Environment, Breathing, Maintaining Temperature
Answer: D
The Most Critical Aspects Of Care For An Unconscious Patient Are Safe Environment,
Breathing, And Temperature. Eating And Drinking Are Contraindicated In Unconscious
Patients. Toileting, Transferring, Dressing, And Bathing Activities Are Badls. Sleeping,
Expressing Sexuality, And 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.
Objective: Nclex Client Needs Category: Physiological Integrity:
Physiological Adaptation
5. The Home Care Nurse Is Trying To Determine The Necessary Services For A 65-Year-
Old Patient Who Was Admitted To The Home Care Service After Left Knee
Replacement. Which Tool Is The Best For The Nurse To Utilize?
a. Minimum Data Set (Mds)
b. Functional Status Scale (Fss)
c. 24-Hour Functional Ability Questionnaire (24hfaq)
d. The Edmonton Functional Assessment Tool
Answer: C
The 24hfaq Reviews The Postoperative Patient In The Home Setting. The Mds Is For
Nursing Home Patients. The Fss Is For Children. The Edmonton Is For Cancer Patients.
Objective: Nclex Client Needs Category: Health; Promotion And
Maintenance
6. The Nurse Is Reviewing 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 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?
a. Functional Activities Questionnaire (Faq)
b. Mini Mental Status Exam (Mmse)
c. 24hfaq
d. Performance-Based Functional
Measurement Answer: A
