{"id":128198,"date":"2023-11-28T12:11:10","date_gmt":"2023-11-28T12:11:10","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=128198"},"modified":"2023-11-28T12:11:14","modified_gmt":"2023-11-28T12:11:14","slug":"concepts-for-nursing-practice-3rd-edition-test-bank-comprehensive-companion-2","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/11\/28\/concepts-for-nursing-practice-3rd-edition-test-bank-comprehensive-companion-2\/","title":{"rendered":"Concepts For Nursing Practice 3rd Edition Test Bank | Comprehensive Companion"},"content":{"rendered":"\n

Concepts For Nursing Practice 3rd Edition Test Bank | Comprehensive Companion<\/p>\n\n\n\n

1
Test Bank For Concepts For Nursing Practice 3rd Edition
Concept 01: Development
Giddens: Concepts for Nursing Practice, 3rd Edition
MULTIPLE CHOICE<\/p>\n\n\n\n

    \n
  1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized thepurpose
    of the HEADSS Adolescent Risk Profile when the new nurse responds that it isused to review
    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 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.
    OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance<\/li>\n\n\n\n
  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.
    ANS: C
    The expected stage of development for a preschooler (3\u20134 years old) is pre-operational. Concrete
    operational describes the thinking of a school-age child (7\u201311 years old). Formal operational
    describes the thinking of an individual after about 11 years of age. Sensorimotordescribes the
    earliest pattern of thinking from birth to 2 years old.
    OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance<\/li>\n\n\n\n
  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<\/li>\n<\/ol>\n\n\n\n

    2
    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<\/p>\n\n\n\n

      \n
    1. 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<\/li>\n\n\n\n
    2. To plan early intervention anNdUcaRreSfIoNr aGnTiBnf.anCtOwMith 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.
      ANS: 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.
      OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance<\/li>\n\n\n\n
    3. 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<\/li>\n<\/ol>\n\n\n\n

      3
      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.
      OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance<\/p>\n\n\n\n

        \n
      1. 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\u2019s 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.
        ANS: 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.
        OBJ: NCLEX Client NeedsNCUaRteSgIorNy:GHTeBa.lthCPOrMomotion and Maintenance<\/li>\n\n\n\n
      2. 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.
        ANS: 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 \u201cknow everything\u201d 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<\/li>\n<\/ol>\n\n\n\n

        4
        Concept 02: Functional Ability
        Giddens: Concepts for Nursing Practice, 3rd Edition
        MULTIPLE CHOICE<\/p>\n\n\n\n

          \n
        1. The nurse is reviewing a patient\u2019s functional ability. Which patient best demonstrates the
          definition of functional ability?
          a. Considers self as a healthy 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. Healthy individual, volunteers at church, works part time, takes care of family and
          house
          ANS: D
          Functional ability refers to the individual\u2019s 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, healthy
          individual, church volunteer, part time worker, and the patient who takes care of the family
          and house fully meets the criteria for functional ability.
          OBJ: NCLEX Client Needs Category: Physiological Integrity: Basic Care and Comfort<\/li>\n\n\n\n
        2. The nurse is reviewing a patient\u2019s 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
          ANS: A
          Functional impairment, disability, or handicap refers to varying degrees of an individual\u2019s
          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. Healthy, volunteering,
          working, and caring for family and house are functional abilities, not performance.
          OBJ: NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential<\/li>\n\n\n\n
        3. The nurse is reviewing a patient with a mobility dysfunction and wants to gain insight into
          the patient\u2019s functional ability. What question would be the most appropriate?
          a. \u201cAre you able to shop for yourself?\u201d
          b. \u201cDo you use a cane, walker, or wheelchair to ambulate?\u201d
          c. \u201cDo you know what today\u2019s date is?\u201d
          d. \u201cWere you sad or depressed more than once in the last 3 days?\u201d
          ANS: B
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