Concepts For Nursing Practice 2nd Edition Giddens Test Bank
Concepts For Nursing Practice 2nd Edition Giddens Test Bank
Concepts For Nursing Practice 2nd Edition Giddens Test Bank
MULTIPLE CHOICE
1. The nurse is assessing a patient’s 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’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, 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.
REF: Page 13
OBJ: NCLEX® Client Needs Category: Physiological Integrity: Basic Care and Comfort
2. The nurse is assessing 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
ANS: 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. Healthy, volunteering,
working, and caring for family and house are functional abilities, not performance.
REF: Page 13
OBJ: NCLEX® Client Needs Category: Physiological Integrity: Reduction of Risk Potential
3. The nurse is assessing 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?”
REF: Page 14
OBJ: NCLEX® Client Needs Category: Physiological Integrity: Physiological Adaptation
REF: Page 14
OBJ: 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
ANS: C
The 24hFAQ assesses 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.
REF: Page 16 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
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
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
ANS: A
The FAQ is an example of a self-report tool which provides information about the patient’s
perception of functional ability. The MMSE assesses cognitive impairment. The 24hFAQ is
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.
REF: Page 16 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
MULTIPLE RESPONSE
1. A 65-year-old female patient has been admitted to the medical/surgical unit. The nurse is
assessing the patient’s risk for falls so that falls prevention can be implemented if necessary.
Select all the risk factors that apply from this patient's history and physical. (Select all that
apply.)
a. Being a woman
b. Taking more than six medications
c. Having hypertension
d. Having cataracts
e. Muscle strength 3/5 bilaterally
f. Incontinence
ANS: B, D, E, F
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 stool
increases risk for falls. Men have a higher risk for falls. Hypertension itself does not
contribute to falls. Taking medications to treat hypertension that may lead to hypotension and
dizziness is a fall risk. Dizziness does contribute to falls.
REF: Page 15
OBJ: NCLEX® Client Needs Category: Physiological Integrity: Reduction of Risk Potential
MATCHING
Match the activities listed with the appropriate functional level of ability:
a. for instrumental activities of daily living (IADLs)
b. for basic activities of daily living (BADLs)
1. Uses a cane
2. Bathes daily
3. Takes medications as prescribed
4. Dresses self
5. Balances the checkbook
6. Cleans the house
“And I don’t want anything to say about the working of the capital,” the
old gentleman had cried. “Gracious, man alive,” to Mr. Marlowe, “I
don’t know anything about business; and I can trust you, who have
brought it up to this.”
So Mr. King resolutely kept away from all business conferences to which
he was always asked; and he pinched his lips under his white mustache
very tightly together whenever the fit seized him to give advice.
Whenever this was particularly strong upon him, he invariably kept away
from town, working it off by scolding at the editorials in the morning
paper. At other times he would sometimes take an early morning train
with Jasper, and spend hours in wandering over the big establishment, in
which he was a great favorite, and in reading and examining the books
and periodicals turned out; swelling with pride more and more at the
splendid character of the work he saw before him.
Sometimes Phronsie was with him, and often Polly came; and now and
then Elyot or King hung to his hand, and listened to his delighted praise
of the whole thing.
But this day he announced that he was going alone with Jasper. And
when they arrived at the publishing house, he said, in a very different
tone from that he had used on his first visit,—“And what a first-class
fool I was then, to be sure,” he reflected,—“Jasper, my boy, see if Mr.
Marlowe would like to talk with me now. If not, I’ll go up into the
bindery and see that new machine.”
Mr. Marlowe wasn’t ready to see him, being, as on the former occasion,
occupied with a gentleman who had made the appointment for that hour;
so Mr. King did go up into the bindery, whereat all the working-people
looked up with a smile, as the old gentleman made them his courtliest
bow.
“Father,” cried Jasper, springing up the stairs two at a time, “Mr.
Marlowe is ready now. He is dreadfully sorry to keep you waiting so
long, but it couldn’t be helped. Mr. Strong did not get through, but
lapped over on the agent of the new paper company, who had an
appointment.”
“Say no more, my boy,” cried his father. “I don’t mind waiting a half-
hour. I’ve nothing special to do, and it’s pleasant up here.”
“A half-hour?” repeated Jasper, taking out his watch. “You’ve been up
here just three hours, father!”
“To be sure,” cried the old gentleman, glancing at it, and then whipping
out his own, when he burst out laughing, and took Jasper’s arm, and
went down-stairs.
“I move that we all three go out to luncheon,” said Mr. Marlowe, as they
came into his small private office. “What do you say, Mr. King?”
“Yes, yes, to be sure; a good plan,” assented the old gentleman, who
always said “yes” nowadays to everything Mr. Marlowe proposed.
“And we can begin our talk there, and finish it here,” said the publisher,
putting down his desk-cover.
“Now, Jasper, my boy,” said old Mr. King, when the three were together
in a quiet corner at the restaurant, “I’m going to say something that will
perhaps make you feel badly a bit.”
Jasper put up his hand involuntarily.
“It won’t make a thing come a minute the sooner for talking of it,” said
the old gentleman cheerily; “but I’m not going to live forever, and that’s
a fact. I never should have lasted half so long if it hadn’t been for you,
my boy,” laying his hand across the little table on Jasper’s, who grasped
it eagerly, “and for those blessed Peppers. And, dear me, I mean to go
right straight on living a long while yet,” he added, with a glance at
Jasper’s pale face. “But I want a good talk with both of you to-day. I
don’t mind saying that a certain thing troubles me, and I want to get it off
my mind.”
Mr. Marlowe said nothing, his clear-cut face quietly turned to the old
gentleman, waiting for him to proceed.
“There’s no man living, Marlowe, that I’d ask advice from sooner than
you,” said Mr. King; “and that you know.”
A bright smile shot over the publisher’s face, lighting up the keen gray
eyes with a world of affection. “I know,” he said simply.
“It’s about Phronsie,” said old Mr. King brokenly, and his handsome
white head drooped.
“Don’t, father,” began Jasper, dreadfully distressed; “Phronsie wouldn’t
want you to feel badly.”
“I would let your father speak what is on his mind, Jasper,” said Mr.
Marlowe quietly.
“She—she—oh, you know it already,” said the old gentleman with
difficulty, “formed an attachment with a young sculptor when we were
last abroad. I introduced them myself. He’s General May’s nephew,
working in Rome; got a high degree of talent, and all that. But, oh,
Phronsie!”
Mr. Marlowe’s imperturbable countenance gave no hint to any onlooker
that anything but the most ordinary conversation was in progress; the
other two sitting with their faces to the wall.
“And now that precious child is really and absolutely in love with that
man,” said Mr. King in a subdued but dreadful voice. “I didn’t believe it
until I saw her face the other night when little Grace said he was her
cousin. Marlowe, what can I do?” He grasped the strong right hand lying
on the table.
“Mr. King,” said the publisher, with a lightning-like gleam in the gray
eyes, “I can only tell you certain ways of looking at the matter that seem
right to me. You may not like what I say.”
“You will say it all the same,” said the old gentleman grimly.
“I shall say it all the same,” said Mr. Marlowe.
“That’s what I like you for,” broke in Mr. King. “Why, if I hadn’t wanted
the truth, I wouldn’t have come to you, man.” He leaned forward, and
gazed into the clear gray eyes.
“You approve of Roslyn May as a man?” asked Mr. Marlowe.
“Dear me, yes. Why, if I hadn’t, do you suppose I would have introduced
him to Phronsie,” cried the old gentleman, somewhat irately.
“Certainly not. Now, what is there that you disapprove of in him?” asked
the publisher.
“Nothing; that is, the young fellow is all right, I suppose, only—why
Phronsie is a mere child yet. She’s my little one!”
“Miss Phronsie is twenty years old,” said Mr. Marlowe.
“Bless me, why so she is!” exclaimed Mr. King. And then, as if a wholly
new idea had struck him, he kept repeating to himself at intervals as the
waiter brought the luncheon, “Phronsie is twenty years old. Phronsie is
twenty years old!”
“It doesn’t seem a day since that child sent me her gingerbread boy,” he
said aloud, when the meal was half over.
“I suppose so. That’s a way time has of treating us all,” said Mr.
Marlowe. “Well, I am glad you broached this subject, Mr. King; and
now, with your permission, we will finish it when we get back to my
office.”
Jasper shot him a grateful glance; and quite easy in his mind about his
father, now that the ice was really broken, and the dreaded subject open
for future discussion, he gave a sigh of relief as he saw the countenance
of the old gentleman lighten.
“I take it, Mr. King,” observed Mr. Marlowe, when they were once more
in the little private office with orders for no callers to be admitted, “that
Phronsie’s welfare is what you are most concerned about?”
“Yes, yes,” cried the old gentleman; “it is, Marlowe.”
“Then, that is really the only thing for us to consider in this conversation.
You admit that you believe Phronsie to be deeply in love with this young
sculptor?”
Old Mr. King whirled abruptly around on Jasper, “What say you,
Jasper?” he cried. “Perhaps she isn’t,” with a sudden hope that Jasper
might confirm this. But Jasper looked him steadily in the eyes. “You are
right, father. Phronsie has loved him ever since you brought her home, I
believe.”
The old gentleman groaned aloud, and caught at the table for support.
“And it is only her love for you,” said Jasper, seeing in Mr. Marlowe’s
eyes the counsel that the whole of the truth had better be spoken, “that
has made her able not to show it.”
Old Mr. King got out of his chair, and took as many turns around the
small room as its space would allow, fuming like a caged animal.
“And what do you want me to do about it, Marlowe?” he demanded
presently, stopping short in front of that gentleman’s office-chair.
“I do not want, nor advise anything,” said Mr. Marlowe calmly.
“Well, what do you think I ought to do,” he fumed—“that’s the same
thing. Come, speak out and be done with it, man.”
For answer, Mr. Marlowe turned to his desk full of papers. “I’ve talked
enough,” he said with his bright smile. “Think it out for yourself, King;
you’ll do the right thing.” And he put out his strong hand kindly. The old
gentleman grasped it without a word, and hung to it a moment, then
clapped on his hat. “I won’t wait for you, Jasper,” he said. “I’m going
home.”
“Don’t you want me to go with you, father?” cried Jasper with a glance
at Mr. Marlowe.
“You can go just as well as not,” said that gentleman; “there is nothing
pressing this afternoon.”
“No, no,” said the old gentleman imperiously; “I’ll go by myself. Good-
day, Marlowe.”
“Jasper,” said his friend, as the tall, stately figure passed rapidly out
down the long salesroom, “don’t be troubled,” glancing into Jasper’s
overcast face; “it is better as it is. Let him think it out by himself. And
believe me, my boy, the greatest kindness one can do your father, is to
prevent him from being untrue to himself.”
“I know it,” said Jasper; “but, O Mr. Marlowe! you do know, because
you’ve seen it, how he just worships Phronsie. We all do for that matter;
but father—well, that’s different. She’s just everything to him.”
“And that’s just the very reason he wants to show her that he is worthy of
it,” said the publisher gravely; “and no one must point it out to him. He
must travel that way alone, till he can think only of her good. And he’ll
do it.”
CHAPTER XVII.
ALEXIA HAS GRACE TO HERSELF.
“WELL, if I’m not glad to get you here!” cried Alexia that same
morning, dragging Grace into the front doorway of “The Pumpkin.”
“Now you shall make me such a visit! Dear me, won’t we have good
times together,” making all sorts of wild plans in her mind on the spot, to
atone for any former coldness.
“I can’t stay but two days,” cried Grace in alarm. “I’m to go back to ‘The
Oaks’ then.”
“Nonsense! Why, it would take you two days to see that blessed child
alone. You’ve no idea how he’s grown this last week,” said Alexia.
“Hadn’t I better see him now?” asked Grace, feeling it unsafe to put off
such a wonderful sight any longer.
“That you had!” exclaimed Alexia, delighted at such enthusiasm. “Come
right up into the nursery this very minute, Grace.”
So the two ran up the winding stairs into the tiny box of a room called
the nursery. There on the floor, sprawling after a red rubber ball, was
Algernon. His mother seized him, and covered his round red face with
kisses. “The blessed, precious baby!” she cried.
“Ar-goo-goo-goo!” screamed Algernon in a passion, and kicking
fearfully.
“See how he tries to talk—how he does talk!” cried Alexia, whirling
around with him till his arms and legs appeared to Grace like so many
spokes to a wheel in rapid motion. “Oh, my dear! So he should tell his
old mother all about it. Grace, isn’t he perfectly wonderful?”
“He is a baby,” said Grace, saying the first thing that came into her mind.
“I knew you’d say so when you came to see him,” declared Alexia, with
a triumphant flush on her sallow face. “That isn’t half he can do, either.”
She set Algernon on the floor, and dropped there herself, regardless of
her elaborate morning-dress. “Crawl over mummy, now,” she
commanded.
But Algernon preferred to crawl just the other way, after his ball.
“That’s just it!” cried Alexia delightedly. “Now, you see he’s not to be
led. He’s going to think for himself. Oh, I expect great things from that
boy, Grace!”
A placid-looking woman in a big stiff white cap sat by the window
sewing.
“Now, there’s Bonny,” said Alexia, still sitting on the floor, and looking
over at her, “she’s thoroughly commonplace, and can’t rise to the
superiority of that blessed child. And strange to say, Grace, his father
can’t either. But I can; oh, you dear!” with that she caught Algernon by
one of his fat little legs, and drew him to her. And then ensued a wild
screaming on Algernon’s part, and a petting on Alexia’s, Grace backing
off to the door, feeling that the room was too small for so much action.
“Now I’m going to have a talk with you, Grace,” said Alexia presently,
and hanging tightly to her baby, “come,” in one of the lulls when
Algernon paused to take breath, “let’s go into your room.”
“Can we talk with the baby?” asked Grace with wide eyes.
“Nonsense; yes, indeed! Algernon loves to hear conversation, and he
really understands a good deal,” said Alexia, tucking her “blessed child”
under one arm, and going off. “This is your room, right next, so you can
hear his dear little voice the first thing in the morning. Oh, you darling!”
stopping to kiss Algernon. Then she ran with him into Grace’s small
apartment room, and dumped him into the middle of the bed. “Now,
then, Grace, he’s all right. Come in, dear, this is your room.”
“Will he stay there?” asked Grace fearfully.
“Dear me, yes,” said Alexia; “he’s so very sensible. And I’m going to sit
this side to make it absolutely sure. Well, now, Grace, take off your
bonnet, and come here. I want to ask you something.”
Grace took off her bonnet, and came round by the side of the bed.
“Sit on the foot there, will you,” said Alexia.
“That’s a dear. Well, now, Grace, do tell me about Roslyn May. I’ve been
dying to know, and couldn’t get a chance with all this swarm of company
around our ears, ever since you said he was your cousin the other night.
How did that ever happen?”
“Why, he was born so,” said Grace.