Concepts 1: Development
How can the nurse manager of a pediatric clinic assess the understanding of the new nurse regarding
the purpose of the HEADSS Adolescent Risk Profile when the new nurse explains its application in
reviewing needs associated with...?
a) Anticipatory guidance
b) Low-risk adolescents
c) Physical development
d) Sexual development
Justification for Answer: The HEADSS Adolescent Risk Profile is a screening tool used to assess the
psychosocial aspects of adolescents' lives. It examines various domains, including home, education,
activities, drugs, sex, and suicide, with the aim of identifying high-risk individuals and determining the
need for anticipatory guidance. It is important to note that the tool focuses on identifying high-risk
adolescents rather than low-risk ones. As part of the assessment, physical development is evaluated
using anthropometric data, while sexual development is assessed through a physical examination.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
2).
When developing a teaching plan for a preschooler, the nurse is aware that, based on Piaget's theory of
cognitive development, the anticipated stage of development for a preschooler is….
a) Concrete operational
b) Formal operational
c) Pre-operational
d) Sensorimotor
Justification for the Answer: The developmental stage typically observed in preschoolers, aged 3-4
years old, is known as the pre-operational stage, as described by Piaget's theory of cognitive
development. It is important to note that the concrete operational stage characterizes the thinking of
school-age children, typically between the ages of 7 and 11. The formal operational stage, on the other
hand, pertains to individuals who are approximately 11 years of age and older, encompassing more
advanced thinking abilities. Lastly, the sensorimotor stage represents the earliest pattern of thinking,
observed from birth to approximately 2 years old.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
3).
When discussing the distinction between growth and development with a high school class, the school
nurse would most accurately define growth as…
a) Processes by which early cells specialize
b) Psychosocial and cognitive changes
c) Qualitative changes associated with aging