,Conceptui01:uiDevelopment
Giddens:uiConceptsuiforuiNursinguiPractice,ui3rduiEdition
MULTIPLEuiCHOICE
1. Theuinurseuimanageruiofuiauipediatricuiclinicuicoulduiconfirmuithatuitheuinewuinurseuirecog
nizeduitheuipurposeuiofuitheuiHEADSSuiAdolescentuiRiskuiProfileuiwhenuitheuinewuinurseui
respondsuithatuiituiisuui seduitouiassessuiforuineedsuirelateduito
a. anticipatoryuiguidance.
b. low-riskuiadolescents.
c. physicaluidevelopment.
d. sexualuidevelopment.
ANS:u i A
TheuiHEADSSuiAdolescentuiRiskuiProfileuiisuiauipsychosocialuiassessmentuiscreeninguitoolui
whichuiassessesuihome,uieducation,uiactivities,uidrugs,uisex,uianduisuicideuiforuitheuipurposeui
ofuiidentifyinguihigh-
riskuiadolescentsuianduitheuineeduiforuianticipatoryuiguidance.uiItuiisuiuseduitouiidentifyuihigh-
risk,uinotuilow-
risk,uiadolescents.uiPhysicaluidevelopmentuiisuiassesseduiwithuianthropometricuidata.
Sexualuidevelopmentuiisuiassesseduiusinguiphysicaluiexamination.
OBJ: NCLEXuiClientuiNeedsuiCategory:uiHealthuiPromotionuianduiMaintenance
2. Theuinurseuipreparinguiauiteachinguiplanuiforuiauipreschooleruiknowsuithat,uiaccordinguitouiP
iaget,uitheuei xpecteduistageuiofuidevelopmentuiforuiauipreschooleruiis
a. concreteuioperational.
b. formaluioperational. N
c. preoperational.
d. sensorimotor.
ANS:u i C
Theuiexpecteduistageuiofuidevelopmentuiforuiauipreschoolerui(3–4uiyearsuiold)uiisuipre-
operational.uiConcreteuioperationaluidescribesuitheuithinkinguiofuiauischool-ageuichildui(7–
11uiyearsuiold).uiFormaluioperationaluidescribesuitheuithinkinguiofuianuiindividualuiafteruiabout
ui11uiyearsuiofuiage.uiSensorimotoruidescribesuitheui earliestuipatternuiofuithinkinguifromuibirthuit
oui2uiyearsuiold.
OBJ: NCLEXuiClientuiNeedsuiCategory:uiHealthuiPromotionuianduiMaintenance
3. Theuischooluinurseuitalkinguiwithuiauihighuischooluiclassuiaboutuitheuidifferenceuibetweenuigr
owthuianduidevelopmentuiwoulduibestuidescribeuigrowthuias
a. processesuibyuiwhichuiearlyuicellsuispecialize.
b. psychosocialuianduicognitiveuichanges.
c. qualitativeuichangesuiassociateduiwithuiaging.
d. quantitativeuichangesuiinuisizeuioruiwei
ght.uiANS:u i D
WWW.NURSYLAB.COM
, Growthuiisuiauiquantitativeuichangeuiinuiwhichuianuiincreaseuiinuicelluinumberuianduisizeuiresu
ltsuiinuianuiincreaseuiinuioveralluisizeuioruiweightuiofuitheuibodyuioruianyuiofuiitsuiparts.uiTheuip
rocessesuibyuiwhichuiearlyuicellsuispecializeuiareuireferreduitouiasuidifferentiation.uiPsychoso
cialuianduicognitiveuichangesuiareuireferreduitouiasuidevelopment.uiQualitativeuichangesuiasso
ciateduiwithuiaginguiareuireferreduitouiasuimaturation.
OBJ: NCLEXuiClientuiNeedsuiCategory:uiHealthuiPromotionuianduiMaintenance
4. TheuimostuiappropriateuiresponseuiofuitheuinurseuiwhenuiauimotheruiasksuiwhatuitheuiDenveru
iIIuidoesuiisuithatuiit
a. canuidiagnoseuidevelopmentaluidisabilities.
b. identifiesuiauineeduiforuiphysicaluitherapy.
c. isuiauidevelopmentaluiscreeninguitool.
d. providesuiauiframeworkuiforuihealthuiteaching.
ANS:u i C
TheuiDenveruiIIuiisuitheuimostuicommonlyuiuseduimeasureuiofuidevelopmentaluistatusuiusedui
byuihealthcareuiprofessionals;uiituiisuiauiscreeninguitool.uiScreeninguitoolsuidouinotuiprovideui
auidiagnosis.uiDiagnosisuirequiresuiauithoroughuineurodevelopmentuihistoryuianduiphysicaluie
xamination.
Developmentaluidelay,uiwhichuiisuisuggesteduibyuiscreening,uiisuiauisymptom,uinotuiauidiagn
osis.uiTheuineeduiforuianyuitherapyuiwoulduibeuiidentifieduiwithuiauicomprehensiveuievaluation
,uinotuiauiscreeninguitool.uiSomeuiprovidersuiuseuitheuiDenveruiIIuiasuiauiframeworkuiforuiteach
inguiaboutuiexpecteduidevelopment,uibutuithisuiisuinotuitheuiprimaryuipurposeuiofuitheuitool.
OBJ: NCLEXuiClientuiNeedsuiCategory:uiHealthuiPromotionuianduiMaintenance
5. TouiplanuiearlyuiinterventionuianN
duicareuiforuianuiinfantuiwithuiDownuisyndrome,uitheuinurseui
considersuiknowledgeuiofuiotheruiphysicaluidevelopmentuiexemplarsuisuchuias
a. cerebraluipalsy.
b. autism.
c. attention-deficit/hyperactivityuidisorderui(ADHD).
d. failureuitouithrive.
ANS:u i D
Failureuitouithriveuiisuialsouiauiphysicaluidevelopmentuiexemplar.uiCerebraluipalsyuiisuianuiexe
mplaruiofum
i otor/developmentaluidelay.uiAutismuiisuianuiexemplaruiofuisocial/emotionaluidev
elopmentaluidelay.uiADHDuiisuianuiexemplaruiofuiauicognitiveuidisorder.
OBJ: NCLEXuiClientuiNeedsuiCategory:uiHealthuiPromotionuianduiMaintenance
6. Touiplanuiearlyuiinterventionuianduicareuiforuiauichilduiwithuiauidevelopmentaluidelay,uitheuinu
rseuiwoulduci onsideruiknowledgeuiofuitheuiconceptsuimostuisignificantlyuiimpacteduibyuidevelo
pment,uiincluding
a. culture.
b. environment.
c. functionaluistatus.
d. nutrition.
uiANS:u i C
, Functionuiisuioneuiofuitheuiconceptsuimostuisignificantlyuiimpacteduibyuidevelopment.uiOthers
uiincludeuisensory-
perceptual,uicognition,uimobility,uireproduction,uianduisexuality.uiKnowledgeuiofuitheseuiconc
eptsuicanuihelpuitheuinurseuianticipateuiareasuithatuineeduitouibeuiaddressed.uiCultureuiisuiauicon
ceptuithatuiisuiconsidereduitouisignificantlyuiaffectuidevelopment;uitheuidifferenceuiisuitheuicon
ceptsuithatuiaffectuidevelopmentuiareuithoseuithatuirepresentuimajoruiinfluencinguifactorsui(cau
ses);uihenceuideterminationuiofuidevelopmentuiwoulduibeuitheuifocusuiofuipreventiveuiintervent
ions.uiEnvironmentuiisuiconsidereduitouisignificantlyuiaffectuidevelopment.uiNutritionuiisuicon
sidereduitouisignificantlyuiaffectuidevelopment.
OBJ: NCLEXuiClientuiNeedsuiCategory:uiHealthuiPromotionuianduiMaintenance
7. Auimotheruicomplainsuitouitheuinurseuiatuitheuipediatricuiclinicuithatuiherui4-year-
olduichilduialwaysuitalksuitouiheruitoysuianduimakesuiupuistories.uiTheuimotheruiwantsuiheruichild
uitouihaveuiauipsychologicaluievaluation.uiTheuinurse’suibestuiinitialuiresponseuiisuito
a. referuitheuichilduitouiauipsychologistuiimmediately.
b. explainuithatuiplayinguimakeuibelieveuiisuinormaluiatuithisuiage.
c. completeuiauidevelopmentaluiscreeninguiusinguiauivalidateduitool.
d. separateuitheuichilduifromuitheuimotheruitouigetuimoreuiinformation.
ANS:u i B
Byuitheuienduiofuitheuifourthuiyear,uiituiisuiexpecteduithatuiauichilduiwilluiengageuiinuifantasy,uis
ouithisuiisuinormaluiatuithisuiage.uiAuireferraluitouiauipsychologistuiwoulduibeuiprematureuibase
duionlyuionuitheuicomplaintuiofuitheuimother.uiCompletinguiauidevelopmentaluiscreeninguiwou
lduibeuiveryuiappropriateuibutuinotuitheuiinitialuiresponse.uiTheuinurseuiwoulduicertainlyuiwantui
touigetuimoreuiinformation,uibutuiseparatinguitheuichilduifromuitheuimotheruiisuinotuinecessaryu
iatuithisuitime.
OBJ: NCLEXuiClientuiNeedsNCategory:uiHealthuiPromotionuianduiMaintenance
8. Aui17-year-
olduigirluiisuihospitalizeduiforuiappendicitis,uianduiheruimotheruiasksuitheuinurseuiwhyuisheuiisuis
ouineedyuianduiactinguilikeuiauichild.uiTheuibestuiresponseuiofuitheuinurseuiisuithatuiinuitheuihos
pital,uiadolescents
a. haveuiseparationuianxiety.
b. rebeluiagainstuirules.
c. regressuibecauseuiofuistress.
d. wantuitouiknowuieverything.
ANS:u i C
Regressionuitouianuiearlieruistageuiofuidevelopmentuiisuiauicommonuiresponseuitouistress.uiSepa
rationuianxietyuiisuimostuicommonuiinuiinfantsuianduitoddlers.uiRebellionuiagainstuihospitaluirul
esuiisuiusuallyuinotuianuiissueuiifuitheuiadolescentuiunderstandsuitheuirulesuianduiwoulduinotuicre
ateuichildlikeuibehaviors.uiAnuiadolescentuimayuiwantuitoui“knowuieverything”uiwithuitheiruilogi
caluithinkinguianduideductiveuireasoning,uibutuithatuiwoulduinotuiexplainuiwhyuitheyuiwoulduiac
tuilikeuiauichild.
OBJ: NCLEXuiClientuiNeedsuiCategory:uiHealthuiPromotionuianduiMaintenance
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Giddens:uiConceptsuiforuiNursinguiPractice,ui3rduiEdition
MULTIPLEuiCHOICE
1. Theuinurseuimanageruiofuiauipediatricuiclinicuicoulduiconfirmuithatuitheuinewuinurseuirecog
nizeduitheuipurposeuiofuitheuiHEADSSuiAdolescentuiRiskuiProfileuiwhenuitheuinewuinurseui
respondsuithatuiituiisuui seduitouiassessuiforuineedsuirelateduito
a. anticipatoryuiguidance.
b. low-riskuiadolescents.
c. physicaluidevelopment.
d. sexualuidevelopment.
ANS:u i A
TheuiHEADSSuiAdolescentuiRiskuiProfileuiisuiauipsychosocialuiassessmentuiscreeninguitoolui
whichuiassessesuihome,uieducation,uiactivities,uidrugs,uisex,uianduisuicideuiforuitheuipurposeui
ofuiidentifyinguihigh-
riskuiadolescentsuianduitheuineeduiforuianticipatoryuiguidance.uiItuiisuiuseduitouiidentifyuihigh-
risk,uinotuilow-
risk,uiadolescents.uiPhysicaluidevelopmentuiisuiassesseduiwithuianthropometricuidata.
Sexualuidevelopmentuiisuiassesseduiusinguiphysicaluiexamination.
OBJ: NCLEXuiClientuiNeedsuiCategory:uiHealthuiPromotionuianduiMaintenance
2. Theuinurseuipreparinguiauiteachinguiplanuiforuiauipreschooleruiknowsuithat,uiaccordinguitouiP
iaget,uitheuei xpecteduistageuiofuidevelopmentuiforuiauipreschooleruiis
a. concreteuioperational.
b. formaluioperational. N
c. preoperational.
d. sensorimotor.
ANS:u i C
Theuiexpecteduistageuiofuidevelopmentuiforuiauipreschoolerui(3–4uiyearsuiold)uiisuipre-
operational.uiConcreteuioperationaluidescribesuitheuithinkinguiofuiauischool-ageuichildui(7–
11uiyearsuiold).uiFormaluioperationaluidescribesuitheuithinkinguiofuianuiindividualuiafteruiabout
ui11uiyearsuiofuiage.uiSensorimotoruidescribesuitheui earliestuipatternuiofuithinkinguifromuibirthuit
oui2uiyearsuiold.
OBJ: NCLEXuiClientuiNeedsuiCategory:uiHealthuiPromotionuianduiMaintenance
3. Theuischooluinurseuitalkinguiwithuiauihighuischooluiclassuiaboutuitheuidifferenceuibetweenuigr
owthuianduidevelopmentuiwoulduibestuidescribeuigrowthuias
a. processesuibyuiwhichuiearlyuicellsuispecialize.
b. psychosocialuianduicognitiveuichanges.
c. qualitativeuichangesuiassociateduiwithuiaging.
d. quantitativeuichangesuiinuisizeuioruiwei
ght.uiANS:u i D
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, Growthuiisuiauiquantitativeuichangeuiinuiwhichuianuiincreaseuiinuicelluinumberuianduisizeuiresu
ltsuiinuianuiincreaseuiinuioveralluisizeuioruiweightuiofuitheuibodyuioruianyuiofuiitsuiparts.uiTheuip
rocessesuibyuiwhichuiearlyuicellsuispecializeuiareuireferreduitouiasuidifferentiation.uiPsychoso
cialuianduicognitiveuichangesuiareuireferreduitouiasuidevelopment.uiQualitativeuichangesuiasso
ciateduiwithuiaginguiareuireferreduitouiasuimaturation.
OBJ: NCLEXuiClientuiNeedsuiCategory:uiHealthuiPromotionuianduiMaintenance
4. TheuimostuiappropriateuiresponseuiofuitheuinurseuiwhenuiauimotheruiasksuiwhatuitheuiDenveru
iIIuidoesuiisuithatuiit
a. canuidiagnoseuidevelopmentaluidisabilities.
b. identifiesuiauineeduiforuiphysicaluitherapy.
c. isuiauidevelopmentaluiscreeninguitool.
d. providesuiauiframeworkuiforuihealthuiteaching.
ANS:u i C
TheuiDenveruiIIuiisuitheuimostuicommonlyuiuseduimeasureuiofuidevelopmentaluistatusuiusedui
byuihealthcareuiprofessionals;uiituiisuiauiscreeninguitool.uiScreeninguitoolsuidouinotuiprovideui
auidiagnosis.uiDiagnosisuirequiresuiauithoroughuineurodevelopmentuihistoryuianduiphysicaluie
xamination.
Developmentaluidelay,uiwhichuiisuisuggesteduibyuiscreening,uiisuiauisymptom,uinotuiauidiagn
osis.uiTheuineeduiforuianyuitherapyuiwoulduibeuiidentifieduiwithuiauicomprehensiveuievaluation
,uinotuiauiscreeninguitool.uiSomeuiprovidersuiuseuitheuiDenveruiIIuiasuiauiframeworkuiforuiteach
inguiaboutuiexpecteduidevelopment,uibutuithisuiisuinotuitheuiprimaryuipurposeuiofuitheuitool.
OBJ: NCLEXuiClientuiNeedsuiCategory:uiHealthuiPromotionuianduiMaintenance
5. TouiplanuiearlyuiinterventionuianN
duicareuiforuianuiinfantuiwithuiDownuisyndrome,uitheuinurseui
considersuiknowledgeuiofuiotheruiphysicaluidevelopmentuiexemplarsuisuchuias
a. cerebraluipalsy.
b. autism.
c. attention-deficit/hyperactivityuidisorderui(ADHD).
d. failureuitouithrive.
ANS:u i D
Failureuitouithriveuiisuialsouiauiphysicaluidevelopmentuiexemplar.uiCerebraluipalsyuiisuianuiexe
mplaruiofum
i otor/developmentaluidelay.uiAutismuiisuianuiexemplaruiofuisocial/emotionaluidev
elopmentaluidelay.uiADHDuiisuianuiexemplaruiofuiauicognitiveuidisorder.
OBJ: NCLEXuiClientuiNeedsuiCategory:uiHealthuiPromotionuianduiMaintenance
6. Touiplanuiearlyuiinterventionuianduicareuiforuiauichilduiwithuiauidevelopmentaluidelay,uitheuinu
rseuiwoulduci onsideruiknowledgeuiofuitheuiconceptsuimostuisignificantlyuiimpacteduibyuidevelo
pment,uiincluding
a. culture.
b. environment.
c. functionaluistatus.
d. nutrition.
uiANS:u i C
, Functionuiisuioneuiofuitheuiconceptsuimostuisignificantlyuiimpacteduibyuidevelopment.uiOthers
uiincludeuisensory-
perceptual,uicognition,uimobility,uireproduction,uianduisexuality.uiKnowledgeuiofuitheseuiconc
eptsuicanuihelpuitheuinurseuianticipateuiareasuithatuineeduitouibeuiaddressed.uiCultureuiisuiauicon
ceptuithatuiisuiconsidereduitouisignificantlyuiaffectuidevelopment;uitheuidifferenceuiisuitheuicon
ceptsuithatuiaffectuidevelopmentuiareuithoseuithatuirepresentuimajoruiinfluencinguifactorsui(cau
ses);uihenceuideterminationuiofuidevelopmentuiwoulduibeuitheuifocusuiofuipreventiveuiintervent
ions.uiEnvironmentuiisuiconsidereduitouisignificantlyuiaffectuidevelopment.uiNutritionuiisuicon
sidereduitouisignificantlyuiaffectuidevelopment.
OBJ: NCLEXuiClientuiNeedsuiCategory:uiHealthuiPromotionuianduiMaintenance
7. Auimotheruicomplainsuitouitheuinurseuiatuitheuipediatricuiclinicuithatuiherui4-year-
olduichilduialwaysuitalksuitouiheruitoysuianduimakesuiupuistories.uiTheuimotheruiwantsuiheruichild
uitouihaveuiauipsychologicaluievaluation.uiTheuinurse’suibestuiinitialuiresponseuiisuito
a. referuitheuichilduitouiauipsychologistuiimmediately.
b. explainuithatuiplayinguimakeuibelieveuiisuinormaluiatuithisuiage.
c. completeuiauidevelopmentaluiscreeninguiusinguiauivalidateduitool.
d. separateuitheuichilduifromuitheuimotheruitouigetuimoreuiinformation.
ANS:u i B
Byuitheuienduiofuitheuifourthuiyear,uiituiisuiexpecteduithatuiauichilduiwilluiengageuiinuifantasy,uis
ouithisuiisuinormaluiatuithisuiage.uiAuireferraluitouiauipsychologistuiwoulduibeuiprematureuibase
duionlyuionuitheuicomplaintuiofuitheuimother.uiCompletinguiauidevelopmentaluiscreeninguiwou
lduibeuiveryuiappropriateuibutuinotuitheuiinitialuiresponse.uiTheuinurseuiwoulduicertainlyuiwantui
touigetuimoreuiinformation,uibutuiseparatinguitheuichilduifromuitheuimotheruiisuinotuinecessaryu
iatuithisuitime.
OBJ: NCLEXuiClientuiNeedsNCategory:uiHealthuiPromotionuianduiMaintenance
8. Aui17-year-
olduigirluiisuihospitalizeduiforuiappendicitis,uianduiheruimotheruiasksuitheuinurseuiwhyuisheuiisuis
ouineedyuianduiactinguilikeuiauichild.uiTheuibestuiresponseuiofuitheuinurseuiisuithatuiinuitheuihos
pital,uiadolescents
a. haveuiseparationuianxiety.
b. rebeluiagainstuirules.
c. regressuibecauseuiofuistress.
d. wantuitouiknowuieverything.
ANS:u i C
Regressionuitouianuiearlieruistageuiofuidevelopmentuiisuiauicommonuiresponseuitouistress.uiSepa
rationuianxietyuiisuimostuicommonuiinuiinfantsuianduitoddlers.uiRebellionuiagainstuihospitaluirul
esuiisuiusuallyuinotuianuiissueuiifuitheuiadolescentuiunderstandsuitheuirulesuianduiwoulduinotuicre
ateuichildlikeuibehaviors.uiAnuiadolescentuimayuiwantuitoui“knowuieverything”uiwithuitheiruilogi
caluithinkinguianduideductiveuireasoning,uibutuithatuiwoulduinotuiexplainuiwhyuitheyuiwoulduiac
tuilikeuiauichild.
OBJ: NCLEXuiClientuiNeedsuiCategory:uiHealthuiPromotionuianduiMaintenance
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