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.
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
5 To plan early intervention and care for an infant with
Down syndrome, the 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.
ANSWER :D
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 nurse would consider knowledge of the concepts most
significantly impacted by development, including a. Culture
b. Environment
c. Functional status
d. Nutrition