,
, Concept 01: Development
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Giddens: Concepts for Nursing Practice, 3rd Edition
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MULTIPLE CHOICE h
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
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purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is
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used to review for needs related to
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a. anticipatory guidance. h
b. low-risk adolescents. h
c. physical development. h
d. sexual development. h
ANS: A h
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
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reviews home, education, activities, drugs, sex, and suicide for the purpose of identifying
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high-risk adolescents and the need for anticipatory guidance. It is used to identify high-risk,
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not low-risk, adolescents. Physical development is reviewed with anthropometric data.
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Sexual development is reviewed using physical examination.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the
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expected stage of development for a preschooler is
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a. concrete operational. h
b. formal operational. h
c. preoperational.
d. sensorimotor.
ANS: C h
The expected stage of development for a preschooler (3–4 years old) is pre-operational.
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Concrete operational describes the thinking of a school-age child (7–11 years old). Formal
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operational describes the thinking of an individual after about 11 years of age. Sensorimotor
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describes the earliest pattern of thinking from birth to 2 years old.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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3. The school nurse talking with a high school class about the difference between growth and
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development would best describe growth as
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a. processes by which early cells specialize. h h h h h
b. psychosocial and cognitive changes. h h h
c. qualitative changes associated with aging. h h h h
d. quantitative changes in size or weight. h h h h h
hANS: D h