,Concept 01: Development
MULTIPLE CHOICE
1. ThenursemanagerofapediatriccliniccouldconfirmthatthenewnurserecognizedthepurposeoftheH
EADSSAdolescentRiskProfilewhenthenewnurserespondsthatitisusedtoassessforneedsrelatedto
a. anticipatoryguidance.
b. low-riskadolescents.
c. physicaldevelopment.
d. sexualdevelopment.
ANS:A
TheHEADSSAdolescentRiskProfileisapsychosocialassessmentscreeningtoolwhichassesseshome,educatio
n,activities,drugs,sex,andsuicideforthepurposeofidentifyinghigh-
riskadolescentsandtheneedforanticipatoryguidance.Itisusedtoidentifyhigh-risk,notlow-
risk,adolescents.Physicaldevelopmentisassessedwithanthropometricdata.
Sexualdevelopmentisassessedusingphysicalexamination.
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance
2. Thenursepreparingateachingplanforapreschoolerknowsthat,accordingtoPiaget,theexpect
edstageofdevelopmentforapreschooleris
a. concreteoperational.
b. formaloperational. N
c. preoperational.
d. sensorimotor.
ANS:C
Theexpectedstageofdevelopmentforapreschooler(3–4yearsold)ispre-
operational.Concreteoperationaldescribesthethinkingofaschool-agechild(7–
11yearsold).Formaloperationaldescribesthethinkingofanindividualafterabout11yearsofage.Sensorimoto
rdescribestheearliestpatternofthinkingfrombirthto2yearsold.
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance
, 3. Theschoolnursetalkingwithahighschoolclassaboutthedifferencebetweengrowthanddevelo
pmentwouldbestdescribegrowthas
a. processesbywhichearlycellsspecialize.
b. psychosocialandcognitivechanges.
c. qualitativechangesassociatedwithaging.
d. quantitativechangesinsizeorweight.ANS:D
WWW.NURSYLAB.COM
Growthisaquantitativechangeinwhichanincreaseincellnumberandsizeresultsinanincreaseinoverallsiz
eorweightofthebodyoranyofitsparts.Theprocessesbywhichearlycellsspecializearereferredtoasdiffere
ntiation.Psychosocialandcognitivechangesarereferredtoasdevelopment.
Qualitativechangesassociatedwithagingarereferredtoasmaturation.
OBJ:NCLEXClientNeedsCategory:HealthPromotionandMaintenance
4. ThemostappropriateresponseofthenursewhenamotheraskswhattheDenverIIdoesisthatit
a. candiagnosedevelopmentaldisabilities.
b. identifiesaneedforphysicaltherapy.
c. isadevelopmentalscreeningtool.
d. providesaframeworkforhealthteaching.A
NS:C
TheDenverIIisthemostcommonlyusedmeasureofdevelopmentalstatususedbyhealthcareprofessionals;iti
sascreeningtool.Screeningtoolsdonotprovideadiagnosis.Diagnosisrequiresathoroughneurodevelopment
historyandphysicalexamination.