,Conceptvm01:vmDevelopment
Giddens:vmConceptsvmforvmNursingvmPractice,vm3rdvmEdition
MULTIPLEvmCHOICE
1. Thevmnursevmmanagervmofvmavmpediatricvmclinicvmcouldvmconfirmvmthatvmthevmnewvmnursev
mrecognizedvmthevmpurposevmofvmthevmHEADSSvmAdolescentvmRiskvmProfilevmwhenvmthev
mnewvmnursevmrespondsvmthatvmitvmisvmusedvmtovmassessvmforvmneedsvmrelatedvmto
a. anticipatoryvmguidance.
b. low-riskvmadolescents.
c. physicalvmdevelopment.
d. sexualvmdevelopment.
ANS:v m A
ThevmHEADSSvmAdolescentvmRiskvmProfilevmisvmavmpsychosocialvmassessmentvmscreeningvm
toolvmwhichvmassessesvmhome,vmeducation,vmactivities,vmdrugs,vmsex,vmandvmsuicidevmforvmthe
vmpurposevmofvmidentifyingvmhigh-
riskvmadolescentsvmandvmthevmneedvmforvmanticipatoryvmguidance.vmItvmisvmusedvmtovmidentifyv
mhigh-risk,vmnotvmlow-
risk,vmadolescents.vmPhysicalvmdevelopmentvmisvmassessedvmwithvmanthropometricvmdata.
Sexualvmdevelopmentvmisvmassessedvmusingvmphysicalvmexamination.
OBJ: NCLEXvmClientvmNeedsvmCategory:vmHealthvmPromotionvmandvmMaintenance
2. Thevmnursevmpreparingvmavmteachingvmplanvmforvmavmpreschoolervmknowsvmthat,vmaccordingv
mtovmPiaget,vmthevmexpectedvmstagevmofvmdevelopmentvmforvmavmpreschoolervmis
a. concretevmoperational.
b. formalvmoperational. N
c. preoperational.
d. sensorimotor.
ANS:v m C
Thevmexpectedvmstagevmofvmdevelopmentvmforvmavmpreschoolervm(3–4vmyearsvmold)vmisvmpre-
operational.vmConcretevmoperationalvmdescribesvmthevmthinkingvmofvmavmschool-
agevmchildvm(7–
11vmyearsvmold).vmFormalvmoperationalvmdescribesvmthevmthinkingvmofvmanvmindividualvmaftervm
aboutvm11vmyearsvmofvmage.vmSensorimotorvmdescribesvmthevmearliestvmpatternvmofvmthinkingvmf
romvmbirthvmtovm2vmyearsvmold.
OBJ: NCLEXvmClientvmNeedsvmCategory:vmHealthvmPromotionvmandvmMaintenance
3. Thevmschoolvmnursevmtalkingvmwithvmavmhighvmschoolvmclassvmaboutvmthevmdifferencevmbetwe
envmgrowthvmandvmdevelopmentvmwouldvmbestvmdescribevmgrowthvmas
a. processesvmbyvmwhichvmearlyvmcellsvmspecialize.
b. psychosocialvmandvmcognitivevmchanges.
c. qualitativevmchangesvmassociatedvmwithvmaging.
d. quantitativevmchangesvminvmsizevmorvmw
eight.vmANS:v m D
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, Growthvmisvmavmquantitativevmchangevminvmwhichvmanvmincreasevminvmcellvmnumbervmandvmsiz
evmresultsvminvmanvmincreasevminvmoverallvmsizevmorvmweightvmofvmthevmbodyvmorvmanyvmofvmits
vmparts.vmThevmprocessesvmbyvmwhichvmearlyvmcellsvmspecializevmarevmreferredvmtovmasvmdiffer
entiation.vmPsychosocialvmandvmcognitivevmchangesvmarevmreferredvmtovmasvmdevelopment.vmQ
ualitativevmchangesvmassociatedvmwithvmagingvmarevmreferredvmtovmasvmmaturation.
OBJ: NCLEXvmClientvmNeedsvmCategory:vmHealthvmPromotionvmandvmMaintenance
4. ThevmmostvmappropriatevmresponsevmofvmthevmnursevmwhenvmavmmothervmasksvmwhatvmthevmD
envervmIIvmdoesvmisvmthatvmit
a. canvmdiagnosevmdevelopmentalvmdisabilities.
b. identifiesvmavmneedvmforvmphysicalvmtherapy.
c. isvmavmdevelopmentalvmscreeningvmtool.
d. providesvmavmframeworkvmforvmhealthvmteaching.
ANS:v m C
ThevmDenvervmIIvmisvmthevmmostvmcommonlyvmusedvmmeasurevmofvmdevelopmentalvmstatusvmus
edvmbyvmhealthcarevmprofessionals;vmitvmisvmavmscreeningvmtool.vmScreeningvmtoolsvmdovmnotvmp
rovidevmavmdiagnosis.vmDiagnosisvmrequiresvmavmthoroughvmneurodevelopmentvmhistoryvmandv
mphysicalvmexamination.
Developmentalvmdelay,vmwhichvmisvmsuggestedvmbyvmscreening,vmisvmavmsymptom,vmnotvmavmdi
agnosis.vmThevmneedvmforvmanyvmtherapyvmwouldvmbevmidentifiedvmwithvmavmcomprehensivevme
valuation,vmnotvmavmscreeningvmtool.vmSomevmprovidersvmusevmthevmDenvervmIIvmasvmavmframe
workvmforvmteachingvmaboutvmexpectedvmdevelopment,vmbutvmthisvmisvmnotvmthevmprimaryvmpur
posevmofvmthevmtool.
OBJ: NCLEXvmClientvmNeedsvmCategory:vmHealthvmPromotionvmandvmMaintenance
5. Tovmplanvmearlyvminterventionvma n Nd vmcarevmforvmanvminfantvmwithvmDownvmsyndrome,vmthevmn
ursevmconsidersvmknowledgevmofvmothervmphysicalvmdevelopmentvmexemplarsvmsuchvmas
a. cerebralvmpalsy.
b. autism.
c. attention-deficit/hyperactivityvmdisordervm(ADHD).
d. failurevmtovmthrive.
ANS:v m D
Failurevmtovmthrivevmisvmalsovmavmphysicalvmdevelopmentvmexemplar.vmCerebralvmpalsyvmisvma
nvmexemplarvmofvmmotor/developmentalvmdelay.vmAutismvmisvmanvmexemplarvmofvmsocial/em
otionalvmdevelopmentalvmdelay.vmADHDvmisvmanvmexemplarvmofvmavmcognitivevmdisorder.
OBJ: NCLEXvmClientvmNeedsvmCategory:vmHealthvmPromotionvmandvmMaintenance
6. Tovmplanvmearlyvminterventionvmandvmcarevmforvmavmchildvmwithvmavmdevelopmentalvmdelay,vm
thevmnursevmwouldvmconsidervmknowledgevmofvmthevmconceptsvmmostvmsignificantlyvmimpacte
dvmbyvmdevelopment,vmincluding
a. culture.
b. environment.
c. functionalvmstatus.
d. nutrition.
vmANS:v m C
, Functionvmisvmonevmofvmthevmconceptsvmmostvmsignificantlyvmimpactedvmbyvmdevelopment.vmO
thersvmincludevmsensory-
perceptual,vmcognition,vmmobility,vmreproduction,vmandvmsexuality.vmKnowledgevmofvmthesev
mconceptsvmcanvmhelpvmthevmnursevmanticipatevmareasvmthatvmneedvmtovmbevmaddressed.vmCultu
revmisvmavmconceptvmthatvmisvmconsideredvmtovmsignificantlyvmaffectvmdevelopment;vmthevmdiff
erencevmisvmthevmconceptsvmthatvmaffectvmdevelopmentvmarevmthosevmthatvmrepresentvmmajorvm
influencingvmfactorsvm(causes);vmhencevmdeterminationvmofvmdevelopmentvmwouldvmbevmthevm
focusvmofvmpreventivevminterventions.vmEnvironmentvmisvmconsideredvmtovmsignificantlyvmaff
ectvmdevelopment.vmNutritionvmisvmconsideredvmtovmsignificantlyvmaffectvmdevelopment.
OBJ: NCLEXvmClientvmNeedsvmCategory:vmHealthvmPromotionvmandvmMaintenance
7. Avmmothervmcomplainsvmtovmthevmnursevmatvmthevmpediatricvmclinicvmthatvmhervm4-year-
oldvmchildvmalwaysvmtalksvmtovmhervmtoysvmandvmmakesvmupvmstories.vmThevmmothervmwantsvm
hervmchildvmtovmhavevmavmpsychologicalvmevaluation.vmThevmnurse‘svmbestvminitialvmresponsev
misvmto
a. refervmthevmchildvmtovmavmpsychologistvmimmediately.
b. explainvmthatvmplayingvmmakevmbelievevmisvmnormalvmatvmthisvmage.
c. completevmavmdevelopmentalvmscreeningvmusingvmavmvalidatedvmtool.
d. separatevmthevmchildvmfromvmthevmmothervmtovmgetvmmorevminformation.
ANS:v m B
Byvmthevmendvmofvmthevmfourthvmyear,vmitvmisvmexpectedvmthatvmavmchildvmwillvmengagevminvmfa
ntasy,vmsovmthisvmisvmnormalvmatvmthisvmage.vmAvmreferralvmtovmavmpsychologistvmwouldvmbevmp
rematurevmbasedvmonlyvmonvmthevmcomplaintvmofvmthevmmother.vmCompletingvmavmdevelopment
alvmscreeningvmwouldvmbevmveryvmappropriatevmbutvmnotvmthevminitialvmresponse.vmThevmnursev
mwouldvmcertainlyvmwantvmtovmgetvmmorevminformation,vmbutvmseparatingvmthevmchildvmfromvmt
hevmmothervmisvmnotvmnecessaryvmatvmthisvmtime.
OBJ: NCLEXvmClientvmNeedsNCategory:vmHealthvmPromotionvmandvmMaintenance
8. Avm17-year-
oldvmgirlvmisvmhospitalizedvmforvmappendicitis,vmandvmhervmmothervmasksvmthevmnursevmwhyvms
hevmisvmsovmneedyvmandvmactingvmlikevmavmchild.vmThevmbestvmresponsevmofvmthevmnursevmisvmt
hatvminvmthevmhospital,vmadolescents
a. havevmseparationvmanxiety.
b. rebelvmagainstvmrules.
c. regressvmbecausevmofvmstress.
d. wantvmtovmknowvmeverything.
ANS:v m C
Regressionvmtovmanvmearliervmstagevmofvmdevelopmentvmisvmavmcommonvmresponsevmtovmstress.
vmSeparationvmanxietyvmisvmmostvmcommonvminvminfantsvmandvmtoddlers.vmRebellionvmagainstv
mhospitalvmrulesvmisvmusuallyvmnotvmanvmissuevmifvmthevmadolescentvmunderstandsvmthevmrulesvm
andvmwouldvmnotvmcreatevmchildlikevmbehaviors.vmAnvmadolescentvmmayvmwantvmtovm―knowvme
verything‖vmwithvmtheirvmlogicalvmthinkingvmandvmdeductivevmreasoning,vmbutvmthatvmwouldvm
notvmexplainvmwhyvmtheyvmwouldvmactvmlikevmavmchild.
OBJ: NCLEXvmClientvmNeedsvmCategory:vmHealthvmPromotionvmandvmMaintenance
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Giddens:vmConceptsvmforvmNursingvmPractice,vm3rdvmEdition
MULTIPLEvmCHOICE
1. Thevmnursevmmanagervmofvmavmpediatricvmclinicvmcouldvmconfirmvmthatvmthevmnewvmnursev
mrecognizedvmthevmpurposevmofvmthevmHEADSSvmAdolescentvmRiskvmProfilevmwhenvmthev
mnewvmnursevmrespondsvmthatvmitvmisvmusedvmtovmassessvmforvmneedsvmrelatedvmto
a. anticipatoryvmguidance.
b. low-riskvmadolescents.
c. physicalvmdevelopment.
d. sexualvmdevelopment.
ANS:v m A
ThevmHEADSSvmAdolescentvmRiskvmProfilevmisvmavmpsychosocialvmassessmentvmscreeningvm
toolvmwhichvmassessesvmhome,vmeducation,vmactivities,vmdrugs,vmsex,vmandvmsuicidevmforvmthe
vmpurposevmofvmidentifyingvmhigh-
riskvmadolescentsvmandvmthevmneedvmforvmanticipatoryvmguidance.vmItvmisvmusedvmtovmidentifyv
mhigh-risk,vmnotvmlow-
risk,vmadolescents.vmPhysicalvmdevelopmentvmisvmassessedvmwithvmanthropometricvmdata.
Sexualvmdevelopmentvmisvmassessedvmusingvmphysicalvmexamination.
OBJ: NCLEXvmClientvmNeedsvmCategory:vmHealthvmPromotionvmandvmMaintenance
2. Thevmnursevmpreparingvmavmteachingvmplanvmforvmavmpreschoolervmknowsvmthat,vmaccordingv
mtovmPiaget,vmthevmexpectedvmstagevmofvmdevelopmentvmforvmavmpreschoolervmis
a. concretevmoperational.
b. formalvmoperational. N
c. preoperational.
d. sensorimotor.
ANS:v m C
Thevmexpectedvmstagevmofvmdevelopmentvmforvmavmpreschoolervm(3–4vmyearsvmold)vmisvmpre-
operational.vmConcretevmoperationalvmdescribesvmthevmthinkingvmofvmavmschool-
agevmchildvm(7–
11vmyearsvmold).vmFormalvmoperationalvmdescribesvmthevmthinkingvmofvmanvmindividualvmaftervm
aboutvm11vmyearsvmofvmage.vmSensorimotorvmdescribesvmthevmearliestvmpatternvmofvmthinkingvmf
romvmbirthvmtovm2vmyearsvmold.
OBJ: NCLEXvmClientvmNeedsvmCategory:vmHealthvmPromotionvmandvmMaintenance
3. Thevmschoolvmnursevmtalkingvmwithvmavmhighvmschoolvmclassvmaboutvmthevmdifferencevmbetwe
envmgrowthvmandvmdevelopmentvmwouldvmbestvmdescribevmgrowthvmas
a. processesvmbyvmwhichvmearlyvmcellsvmspecialize.
b. psychosocialvmandvmcognitivevmchanges.
c. qualitativevmchangesvmassociatedvmwithvmaging.
d. quantitativevmchangesvminvmsizevmorvmw
eight.vmANS:v m D
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, Growthvmisvmavmquantitativevmchangevminvmwhichvmanvmincreasevminvmcellvmnumbervmandvmsiz
evmresultsvminvmanvmincreasevminvmoverallvmsizevmorvmweightvmofvmthevmbodyvmorvmanyvmofvmits
vmparts.vmThevmprocessesvmbyvmwhichvmearlyvmcellsvmspecializevmarevmreferredvmtovmasvmdiffer
entiation.vmPsychosocialvmandvmcognitivevmchangesvmarevmreferredvmtovmasvmdevelopment.vmQ
ualitativevmchangesvmassociatedvmwithvmagingvmarevmreferredvmtovmasvmmaturation.
OBJ: NCLEXvmClientvmNeedsvmCategory:vmHealthvmPromotionvmandvmMaintenance
4. ThevmmostvmappropriatevmresponsevmofvmthevmnursevmwhenvmavmmothervmasksvmwhatvmthevmD
envervmIIvmdoesvmisvmthatvmit
a. canvmdiagnosevmdevelopmentalvmdisabilities.
b. identifiesvmavmneedvmforvmphysicalvmtherapy.
c. isvmavmdevelopmentalvmscreeningvmtool.
d. providesvmavmframeworkvmforvmhealthvmteaching.
ANS:v m C
ThevmDenvervmIIvmisvmthevmmostvmcommonlyvmusedvmmeasurevmofvmdevelopmentalvmstatusvmus
edvmbyvmhealthcarevmprofessionals;vmitvmisvmavmscreeningvmtool.vmScreeningvmtoolsvmdovmnotvmp
rovidevmavmdiagnosis.vmDiagnosisvmrequiresvmavmthoroughvmneurodevelopmentvmhistoryvmandv
mphysicalvmexamination.
Developmentalvmdelay,vmwhichvmisvmsuggestedvmbyvmscreening,vmisvmavmsymptom,vmnotvmavmdi
agnosis.vmThevmneedvmforvmanyvmtherapyvmwouldvmbevmidentifiedvmwithvmavmcomprehensivevme
valuation,vmnotvmavmscreeningvmtool.vmSomevmprovidersvmusevmthevmDenvervmIIvmasvmavmframe
workvmforvmteachingvmaboutvmexpectedvmdevelopment,vmbutvmthisvmisvmnotvmthevmprimaryvmpur
posevmofvmthevmtool.
OBJ: NCLEXvmClientvmNeedsvmCategory:vmHealthvmPromotionvmandvmMaintenance
5. Tovmplanvmearlyvminterventionvma n Nd vmcarevmforvmanvminfantvmwithvmDownvmsyndrome,vmthevmn
ursevmconsidersvmknowledgevmofvmothervmphysicalvmdevelopmentvmexemplarsvmsuchvmas
a. cerebralvmpalsy.
b. autism.
c. attention-deficit/hyperactivityvmdisordervm(ADHD).
d. failurevmtovmthrive.
ANS:v m D
Failurevmtovmthrivevmisvmalsovmavmphysicalvmdevelopmentvmexemplar.vmCerebralvmpalsyvmisvma
nvmexemplarvmofvmmotor/developmentalvmdelay.vmAutismvmisvmanvmexemplarvmofvmsocial/em
otionalvmdevelopmentalvmdelay.vmADHDvmisvmanvmexemplarvmofvmavmcognitivevmdisorder.
OBJ: NCLEXvmClientvmNeedsvmCategory:vmHealthvmPromotionvmandvmMaintenance
6. Tovmplanvmearlyvminterventionvmandvmcarevmforvmavmchildvmwithvmavmdevelopmentalvmdelay,vm
thevmnursevmwouldvmconsidervmknowledgevmofvmthevmconceptsvmmostvmsignificantlyvmimpacte
dvmbyvmdevelopment,vmincluding
a. culture.
b. environment.
c. functionalvmstatus.
d. nutrition.
vmANS:v m C
, Functionvmisvmonevmofvmthevmconceptsvmmostvmsignificantlyvmimpactedvmbyvmdevelopment.vmO
thersvmincludevmsensory-
perceptual,vmcognition,vmmobility,vmreproduction,vmandvmsexuality.vmKnowledgevmofvmthesev
mconceptsvmcanvmhelpvmthevmnursevmanticipatevmareasvmthatvmneedvmtovmbevmaddressed.vmCultu
revmisvmavmconceptvmthatvmisvmconsideredvmtovmsignificantlyvmaffectvmdevelopment;vmthevmdiff
erencevmisvmthevmconceptsvmthatvmaffectvmdevelopmentvmarevmthosevmthatvmrepresentvmmajorvm
influencingvmfactorsvm(causes);vmhencevmdeterminationvmofvmdevelopmentvmwouldvmbevmthevm
focusvmofvmpreventivevminterventions.vmEnvironmentvmisvmconsideredvmtovmsignificantlyvmaff
ectvmdevelopment.vmNutritionvmisvmconsideredvmtovmsignificantlyvmaffectvmdevelopment.
OBJ: NCLEXvmClientvmNeedsvmCategory:vmHealthvmPromotionvmandvmMaintenance
7. Avmmothervmcomplainsvmtovmthevmnursevmatvmthevmpediatricvmclinicvmthatvmhervm4-year-
oldvmchildvmalwaysvmtalksvmtovmhervmtoysvmandvmmakesvmupvmstories.vmThevmmothervmwantsvm
hervmchildvmtovmhavevmavmpsychologicalvmevaluation.vmThevmnurse‘svmbestvminitialvmresponsev
misvmto
a. refervmthevmchildvmtovmavmpsychologistvmimmediately.
b. explainvmthatvmplayingvmmakevmbelievevmisvmnormalvmatvmthisvmage.
c. completevmavmdevelopmentalvmscreeningvmusingvmavmvalidatedvmtool.
d. separatevmthevmchildvmfromvmthevmmothervmtovmgetvmmorevminformation.
ANS:v m B
Byvmthevmendvmofvmthevmfourthvmyear,vmitvmisvmexpectedvmthatvmavmchildvmwillvmengagevminvmfa
ntasy,vmsovmthisvmisvmnormalvmatvmthisvmage.vmAvmreferralvmtovmavmpsychologistvmwouldvmbevmp
rematurevmbasedvmonlyvmonvmthevmcomplaintvmofvmthevmmother.vmCompletingvmavmdevelopment
alvmscreeningvmwouldvmbevmveryvmappropriatevmbutvmnotvmthevminitialvmresponse.vmThevmnursev
mwouldvmcertainlyvmwantvmtovmgetvmmorevminformation,vmbutvmseparatingvmthevmchildvmfromvmt
hevmmothervmisvmnotvmnecessaryvmatvmthisvmtime.
OBJ: NCLEXvmClientvmNeedsNCategory:vmHealthvmPromotionvmandvmMaintenance
8. Avm17-year-
oldvmgirlvmisvmhospitalizedvmforvmappendicitis,vmandvmhervmmothervmasksvmthevmnursevmwhyvms
hevmisvmsovmneedyvmandvmactingvmlikevmavmchild.vmThevmbestvmresponsevmofvmthevmnursevmisvmt
hatvminvmthevmhospital,vmadolescents
a. havevmseparationvmanxiety.
b. rebelvmagainstvmrules.
c. regressvmbecausevmofvmstress.
d. wantvmtovmknowvmeverything.
ANS:v m C
Regressionvmtovmanvmearliervmstagevmofvmdevelopmentvmisvmavmcommonvmresponsevmtovmstress.
vmSeparationvmanxietyvmisvmmostvmcommonvminvminfantsvmandvmtoddlers.vmRebellionvmagainstv
mhospitalvmrulesvmisvmusuallyvmnotvmanvmissuevmifvmthevmadolescentvmunderstandsvmthevmrulesvm
andvmwouldvmnotvmcreatevmchildlikevmbehaviors.vmAnvmadolescentvmmayvmwantvmtovm―knowvme
verything‖vmwithvmtheirvmlogicalvmthinkingvmandvmdeductivevmreasoning,vmbutvmthatvmwouldvm
notvmexplainvmwhyvmtheyvmwouldvmactvmlikevmavmchild.
OBJ: NCLEXvmClientvmNeedsvmCategory:vmHealthvmPromotionvmandvmMaintenance
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