TEST BANK CONCEPTS FOR NURSING
PRACTICE (4TH ED) BY JEAN GIDDENS 2026
,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 assess for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
✔✔ CORRECT ANSWER ✔✔: 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.
OBJ: 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.
✔✔ CORRECT 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.
OBJ: 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. ✔✔ CORRECT
ANSWER ✔✔: D
, TEST BANK CONCEPTS FOR NURSING
PRACTICE (4TH ED) BY JEAN GIDDENS 2026
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
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.
✔✔ CORRECT ANSWER ✔✔: 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
PRACTICE (4TH ED) BY JEAN GIDDENS 2026
,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 assess for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
✔✔ CORRECT ANSWER ✔✔: 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.
OBJ: 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.
✔✔ CORRECT 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.
OBJ: 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. ✔✔ CORRECT
ANSWER ✔✔: D
, TEST BANK CONCEPTS FOR NURSING
PRACTICE (4TH ED) BY JEAN GIDDENS 2026
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
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.
✔✔ CORRECT ANSWER ✔✔: 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
