TEST BANK - CONCEPTS FOR NURSING PRACTICE, 4th
1 1 1 1 1 1 1
EDITION (GIDDENS, 2021), CHAPTER 1-57 | ALL CHAPTERS
1 1 1 1 1 1 1
,e
,Concept101:1Development
MULTIPLE1CHOICE
1. The1nurse1manager1of1a1pediatric1clinic1could1confirm1that1the1new1nurse1recognized1the1purp
ose1of1the1HEADSS1Adolescent1Risk1Profile1when1the1new1nurse1responds1that1it1is1used1to1assess1for1n
eeds1related1to
a. anticipatory1guidance.
b. low-risk1adolescents.
c. physical1development.
d. sexual1development
.1ANS:1A
The1HEADSS1Adolescent1Risk1Profile1is1a1psychosocial1assessment1screening1tool1which1assesses1home,
1education,1activities,1drugs,1sex,1and1suicide1for1the1purpose1of1identifying1high-
risk1adolescents1and1the1need1for1anticipatory1guidance.1It1is1used1to1identify1high-risk,1not1low-
risk,1adolescents.1Physical1development1is1assessed1with1anthropometric1data.
Sexual1development1is1assessed1using1physical1examination.
OBJ: NCLEX1Client1Needs1Category:1Health1Promotion1and1Maintenance
2. The1nurse1preparing1a1teaching1plan1for1a1preschooler1knows1that,1according1to1Piaget,1t
he1expected1stage1of1development1for1a1preschooler1is
a. concrete1operational.
b. formal1operational. N
c. preoperational.
d. sensorimotor.1
ANS:1C
The1expected1stage1of1development1for1a1preschooler1(3–41years1old)1is1pre-
operational.1Concrete1operational1describes1the1thinking1of1a1school-age1child1(7–
111years1old).1Formal1operational1describes1the1thinking1of1an1individual1after1about1111years1of1age.1
Sensorimotor1describes1the1earliest1pattern1of1thinking1from1birth1to121years1old.
OBJ: NCLEX1Client1Needs1Category:1Health1Promotion1and1Maintenance
3. The1school1nurse1talking1with1a1high1school1class1about1the1difference1between1growth1a
nd1development1would1best1describe1growth1as
, a. processes1by1which1early1cells1specialize.
b. psychosocial1and1cognitive1changes.
c. qualitative1changes1associated1with1aging.
d. quantitative1changes1in1size1or1weight.1ANS:1D
Growth1is1a1quantitative1change1in1which1an1increase1in1cell1number1and1size1results1in1an1increase
1in1overall1size1or1weight1of1the1body1or1any1of1its1parts.1The1processes1by1which1early1cells1specializ
e1are1referred1to1as1differentiation.1Psychosocial1and1cognitive1changes1are1referred1to1as1developm
ent.
Qualitative1changes1associated1with1aging1are1referred1to1as1maturation.
OBJ:11111 NCLEX1Client1Needs1Category:1Health1Promotion1and1Maintenance
4. The1most1appropriate1response1of1the1nurse1when1a1mother1asks1what1the1Denver1II1does1is1that1it
a. can1diagnose1developmental1disabilities.
b. identifies1a1need1for1physical1therapy.
c. is1a1developmental1screening1tool.
d. provides1a1framework1for1health1teaching
.1ANS:1C
The1Denver1II1is1the1most1commonly1used1measure1of1developmental1status1used1by1healthcare1p
rofessionals;1it1is1a1screening1tool.1Screening1tools1do1not1provide1a1diagnosis.1Diagnosis1requires1
a1thorough1neurodevelopment1history1and1physical1examination.
Developmental1delay,1which1is1suggested1by1screening,1is1a1symptom,1not1a1diagnosis.1The1need1for1an
y1therapy1would1be1identified1with1a1comprehensive1evaluation,1not1a1screening1tool.1Some1providers1
use1the1Denver1II1as1a1framework1for1teaching1about1expected1development,1but1this1is1not1the1primar
y1purpose1of1the1tool.
OBJ:11111 NCLEX1Client1Needs1Category:1Health1Promotion1and1Maintenance
1 1 1 1 1 1 1
EDITION (GIDDENS, 2021), CHAPTER 1-57 | ALL CHAPTERS
1 1 1 1 1 1 1
,e
,Concept101:1Development
MULTIPLE1CHOICE
1. The1nurse1manager1of1a1pediatric1clinic1could1confirm1that1the1new1nurse1recognized1the1purp
ose1of1the1HEADSS1Adolescent1Risk1Profile1when1the1new1nurse1responds1that1it1is1used1to1assess1for1n
eeds1related1to
a. anticipatory1guidance.
b. low-risk1adolescents.
c. physical1development.
d. sexual1development
.1ANS:1A
The1HEADSS1Adolescent1Risk1Profile1is1a1psychosocial1assessment1screening1tool1which1assesses1home,
1education,1activities,1drugs,1sex,1and1suicide1for1the1purpose1of1identifying1high-
risk1adolescents1and1the1need1for1anticipatory1guidance.1It1is1used1to1identify1high-risk,1not1low-
risk,1adolescents.1Physical1development1is1assessed1with1anthropometric1data.
Sexual1development1is1assessed1using1physical1examination.
OBJ: NCLEX1Client1Needs1Category:1Health1Promotion1and1Maintenance
2. The1nurse1preparing1a1teaching1plan1for1a1preschooler1knows1that,1according1to1Piaget,1t
he1expected1stage1of1development1for1a1preschooler1is
a. concrete1operational.
b. formal1operational. N
c. preoperational.
d. sensorimotor.1
ANS:1C
The1expected1stage1of1development1for1a1preschooler1(3–41years1old)1is1pre-
operational.1Concrete1operational1describes1the1thinking1of1a1school-age1child1(7–
111years1old).1Formal1operational1describes1the1thinking1of1an1individual1after1about1111years1of1age.1
Sensorimotor1describes1the1earliest1pattern1of1thinking1from1birth1to121years1old.
OBJ: NCLEX1Client1Needs1Category:1Health1Promotion1and1Maintenance
3. The1school1nurse1talking1with1a1high1school1class1about1the1difference1between1growth1a
nd1development1would1best1describe1growth1as
, a. processes1by1which1early1cells1specialize.
b. psychosocial1and1cognitive1changes.
c. qualitative1changes1associated1with1aging.
d. quantitative1changes1in1size1or1weight.1ANS:1D
Growth1is1a1quantitative1change1in1which1an1increase1in1cell1number1and1size1results1in1an1increase
1in1overall1size1or1weight1of1the1body1or1any1of1its1parts.1The1processes1by1which1early1cells1specializ
e1are1referred1to1as1differentiation.1Psychosocial1and1cognitive1changes1are1referred1to1as1developm
ent.
Qualitative1changes1associated1with1aging1are1referred1to1as1maturation.
OBJ:11111 NCLEX1Client1Needs1Category:1Health1Promotion1and1Maintenance
4. The1most1appropriate1response1of1the1nurse1when1a1mother1asks1what1the1Denver1II1does1is1that1it
a. can1diagnose1developmental1disabilities.
b. identifies1a1need1for1physical1therapy.
c. is1a1developmental1screening1tool.
d. provides1a1framework1for1health1teaching
.1ANS:1C
The1Denver1II1is1the1most1commonly1used1measure1of1developmental1status1used1by1healthcare1p
rofessionals;1it1is1a1screening1tool.1Screening1tools1do1not1provide1a1diagnosis.1Diagnosis1requires1
a1thorough1neurodevelopment1history1and1physical1examination.
Developmental1delay,1which1is1suggested1by1screening,1is1a1symptom,1not1a1diagnosis.1The1need1for1an
y1therapy1would1be1identified1with1a1comprehensive1evaluation,1not1a1screening1tool.1Some1providers1
use1the1Denver1II1as1a1framework1for1teaching1about1expected1development,1but1this1is1not1the1primar
y1purpose1of1the1tool.
OBJ:11111 NCLEX1Client1Needs1Category:1Health1Promotion1and1Maintenance
