,Concept 01: Development
k k
Giddens: Concepts for Nursing Practice, 3rd Edition
k k k k k k
MULTIPLEkCHOICE
1. Theknursekmanagerkofkakpediatrickclinickcouldkconfirmkthatktheknewknursekrecognizedkthekp
urposekofkthekHEADSSkAdolescentkRiskkProfilekwhenktheknewknursekrespondskthatkitkiskus
edktokassesskforkneedskrelatedkto
a. anticipatorykguidance.
b. low-riskkadolescents.
c. physicalkdevelopment.
d. sexualkdevelopment.
ANS:k A
ThekHEADSSkAdolescentkRiskkProfilekiskakpsychosocialkassessmentkscreeningktoolkwhichkas
sesseskhome,keducation,kactivities,kdrugs,ksex,kandksuicidekforkthekpurposekofkidentifyingkhigh
-riskkadolescentskandkthekneedkforkanticipatorykguidance.kItkiskusedktokidentifykhigh-
risk,knotklow-risk,kadolescents.kPhysicalkdevelopmentkiskassessedkwithkanthropometrickdata.
Sexualkdevelopmentkiskassessedkusingkphysicalkexamination.
OBJ: NCLEXkClientkNeedskCategory:kHealthkPromotionkandkMaintenance
2. Theknursekpreparingkakteachingkplankforkakpreschoolerkknowskthat,kaccordingktokPiaget,ktheke
xpectedkstagekofkdevelopmentkforkakpreschoolerkis
a. concretekoperational.
b. formalkoperational. N
c. preoperational.
d. sensorimotor.
ANS:k C
Thekexpectedkstagekofkdevelopmentkforkakpreschoolerk(3–4kyearskold)kiskpre-
operational.kConcretekoperationalkdescribeskthekthinkingkofkakschool-agekchildk(7–
11kyearskold).kFormalkoperationalkdescribeskthekthinkingkofkankindividualkafterkaboutk11kyearsko
fkage.kSensorimotorkdescribeskthekearliestkpatternkofkthinkingkfromkbirthktok2kyearskold.
OBJ: NCLEXkClientkNeedskCategory:kHealthkPromotionkandkMaintenance
3. Thekschoolknursektalkingkwithkakhighkschoolkclasskaboutkthekdifferencekbetweenkgrowthkandkd
evelopmentkwouldkbestkdescribekgrowthkas
a. processeskbykwhichkearlykcellskspecialize.
b. psychosocialkandkcognitivekchanges.
c. qualitativekchangeskassociatedkwithkaging.
d. quantitativekchangeskinksizekorkweight.k
ANS:k D
, Growthkiskakquantitativekchangekinkwhichkankincreasekinkcellknumberkandksizekresultskinkankincr
easekinkoverallksizekorkweightkofkthekbodykorkanykofkitskparts.kThekprocesseskbykwhichkearlykcel
lskspecializekarekreferredktokaskdifferentiation.kPsychosocialkandkcognitivekchangeskarekreferre
dktokaskdevelopment.kQualitativekchangeskassociatedkwithkagingkarekreferredktokaskmaturation.
OBJ: NCLEXkClientkNeedskCategory:kHealthkPromotionkandkMaintenance
4. ThekmostkappropriatekresponsekofktheknursekwhenkakmotherkaskskwhatkthekDenverkIIkdoeskiskt
hatkit
a. cankdiagnosekdevelopmentalkdisabilities.
b. identifieskakneedkforkphysicalktherapy.
c. iskakdevelopmentalkscreeningktool.
d. provideskakframeworkkforkhealthkteaching.
ANS:k C
ThekDenverkIIkiskthekmostkcommonlykusedkmeasurekofkdevelopmentalkstatuskusedkbykhealthcare
kprofessionals;kitkiskakscreeningktool.kScreeningktoolskdoknotkprovidekakdiagnosis.kDiagnosiskrequ
ireskakthoroughkneurodevelopmentkhistorykandkphysicalkexamination.
Developmentalkdelay,kwhichkisksuggestedkbykscreening,kiskaksymptom,knotkakdiagnosis.kTheknee
dkforkanyktherapykwouldkbekidentifiedkwithkakcomprehensivekevaluation,knotkakscreeningktool.kS
omekproviderskusekthekDenverkIIkaskakframeworkkforkteachingkaboutkexpectedkdevelopment,kbut
kthiskisknotkthekprimarykpurposekofkthektool.
OBJ: NCLEXkClientkNeedskCategory:kHealthkPromotionkandkMaintenance
5. Tokplankearlykinterventionka n Nd kcarekforkankinfantkwithkDownksyndrome,ktheknursekconsiderskk
nowledgekofkotherkphysicalkdevelopmentkexemplarsksuchkas
a. cerebralkpalsy.
b. autism.
c. attention-deficit/hyperactivitykdisorderk(ADHD).
d. failurektokthrive.
ANS:k D
Failurektokthrivekiskalsokakphysicalkdevelopmentkexemplar.kCerebralkpalsykiskankexemplarkofkm
otor/developmentalkdelay.kAutismkiskankexemplarkofksocial/emotionalkdevelopmentalkdelay.k
ADHDkiskankexemplarkofkakcognitivekdisorder.
OBJ: NCLEXkClientkNeedskCategory:kHealthkPromotionkandkMaintenance
6. Tokplankearlykinterventionkandkcarekforkakchildkwithkakdevelopmentalkdelay,ktheknursekwouldkc
onsiderkknowledgekofkthekconceptskmostksignificantlykimpactedkbykdevelopment,kincluding
a. culture.
b. environment.
c. functionalkstatus.
d. nutrition.
kANS:k C
, Functionkiskonekofkthekconceptskmostksignificantlykimpactedkbykdevelopment.kOtherskincludeks
ensory-
perceptual,kcognition,kmobility,kreproduction,kandksexuality.kKnowledgekofkthesekconceptskca
nkhelpktheknursekanticipatekareaskthatkneedktokbekaddressed.kCulturekiskakconceptkthatkiskconside
redktoksignificantlykaffectkdevelopment;kthekdifferencekiskthekconceptskthatkaffectkdevelopment
karekthosekthatkrepresentkmajorkinfluencingkfactorsk(causes);khencekdeterminationkofkdevelopm
entkwouldkbekthekfocuskofkpreventivekinterventions.kEnvironmentkiskconsideredktoksignificantl
ykaffectkdevelopment.kNutritionkiskconsideredktoksignificantlykaffectkdevelopment.
OBJ: NCLEXkClientkNeedskCategory:kHealthkPromotionkandkMaintenance
7. Akmotherkcomplainsktoktheknursekatkthekpediatrickclinickthatkherk4-year-
oldkchildkalwaysktalksktokherktoyskandkmakeskupkstories.kThekmotherkwantskherkchildktokhavekak
psychologicalkevaluation.kTheknurse’skbestkinitialkresponsekiskto
a. referkthekchildktokakpsychologistkimmediately.
b. explainkthatkplayingkmakekbelievekisknormalkatkthiskage.
c. completekakdevelopmentalkscreeningkusingkakvalidatedktool.
d. separatekthekchildkfromkthekmotherktokgetkmorekinformation.
ANS:k B
Bykthekendkofkthekfourthkyear,kitkiskexpectedkthatkakchildkwillkengagekinkfantasy,ksokthiskisknormal
katkthiskage.kAkreferralktokakpsychologistkwouldkbekprematurekbasedkonlykonkthekcomplaintkofkthe
kmother.kCompletingkakdevelopmentalkscreeningkwouldkbekverykappropriatekbutknotkthekinitialkr
esponse.kTheknursekwouldkcertainlykwantktokgetkmorekinformation,kbutkseparatingkthekchildkfro
mkthekmotherkisknotknecessarykatkthisktime.
OBJ: NCLEXkClientkNeedsNCategory:kHealthkPromotionkandkMaintenance
8. Ak17-year-
oldkgirlkiskhospitalizedkforkappendicitis,kandkherkmotherkasksktheknursekwhykshekisksokneedykan
dkactingklikekakchild.kThekbestkresponsekofktheknursekiskthatkinkthekhospital,kadolescents
a. havekseparationkanxiety.
b. rebelkagainstkrules.
c. regresskbecausekofkstress.
d. wantktokknowkeverything.
ANS:k C
Regressionktokankearlierkstagekofkdevelopmentkiskakcommonkresponsektokstress.kSeparationkanxi
etykiskmostkcommonkinkinfantskandktoddlers.kRebellionkagainstkhospitalkruleskiskusuallyknotkanki
ssuekifkthekadolescentkunderstandskthekruleskandkwouldknotkcreatekchildlikekbehaviors.kAnkadol
escentkmaykwantktok“knowkeverything”kwithktheirklogicalkthinkingkandkdeductivekreasoning,kb
utkthatkwouldknotkexplainkwhyktheykwouldkactklikekakchild.
OBJ: NCLEXkClientkNeedskCategory:kHealthkPromotionkandkMaintenance
WWW.NURSYLAB.COM
k k
Giddens: Concepts for Nursing Practice, 3rd Edition
k k k k k k
MULTIPLEkCHOICE
1. Theknursekmanagerkofkakpediatrickclinickcouldkconfirmkthatktheknewknursekrecognizedkthekp
urposekofkthekHEADSSkAdolescentkRiskkProfilekwhenktheknewknursekrespondskthatkitkiskus
edktokassesskforkneedskrelatedkto
a. anticipatorykguidance.
b. low-riskkadolescents.
c. physicalkdevelopment.
d. sexualkdevelopment.
ANS:k A
ThekHEADSSkAdolescentkRiskkProfilekiskakpsychosocialkassessmentkscreeningktoolkwhichkas
sesseskhome,keducation,kactivities,kdrugs,ksex,kandksuicidekforkthekpurposekofkidentifyingkhigh
-riskkadolescentskandkthekneedkforkanticipatorykguidance.kItkiskusedktokidentifykhigh-
risk,knotklow-risk,kadolescents.kPhysicalkdevelopmentkiskassessedkwithkanthropometrickdata.
Sexualkdevelopmentkiskassessedkusingkphysicalkexamination.
OBJ: NCLEXkClientkNeedskCategory:kHealthkPromotionkandkMaintenance
2. Theknursekpreparingkakteachingkplankforkakpreschoolerkknowskthat,kaccordingktokPiaget,ktheke
xpectedkstagekofkdevelopmentkforkakpreschoolerkis
a. concretekoperational.
b. formalkoperational. N
c. preoperational.
d. sensorimotor.
ANS:k C
Thekexpectedkstagekofkdevelopmentkforkakpreschoolerk(3–4kyearskold)kiskpre-
operational.kConcretekoperationalkdescribeskthekthinkingkofkakschool-agekchildk(7–
11kyearskold).kFormalkoperationalkdescribeskthekthinkingkofkankindividualkafterkaboutk11kyearsko
fkage.kSensorimotorkdescribeskthekearliestkpatternkofkthinkingkfromkbirthktok2kyearskold.
OBJ: NCLEXkClientkNeedskCategory:kHealthkPromotionkandkMaintenance
3. Thekschoolknursektalkingkwithkakhighkschoolkclasskaboutkthekdifferencekbetweenkgrowthkandkd
evelopmentkwouldkbestkdescribekgrowthkas
a. processeskbykwhichkearlykcellskspecialize.
b. psychosocialkandkcognitivekchanges.
c. qualitativekchangeskassociatedkwithkaging.
d. quantitativekchangeskinksizekorkweight.k
ANS:k D
, Growthkiskakquantitativekchangekinkwhichkankincreasekinkcellknumberkandksizekresultskinkankincr
easekinkoverallksizekorkweightkofkthekbodykorkanykofkitskparts.kThekprocesseskbykwhichkearlykcel
lskspecializekarekreferredktokaskdifferentiation.kPsychosocialkandkcognitivekchangeskarekreferre
dktokaskdevelopment.kQualitativekchangeskassociatedkwithkagingkarekreferredktokaskmaturation.
OBJ: NCLEXkClientkNeedskCategory:kHealthkPromotionkandkMaintenance
4. ThekmostkappropriatekresponsekofktheknursekwhenkakmotherkaskskwhatkthekDenverkIIkdoeskiskt
hatkit
a. cankdiagnosekdevelopmentalkdisabilities.
b. identifieskakneedkforkphysicalktherapy.
c. iskakdevelopmentalkscreeningktool.
d. provideskakframeworkkforkhealthkteaching.
ANS:k C
ThekDenverkIIkiskthekmostkcommonlykusedkmeasurekofkdevelopmentalkstatuskusedkbykhealthcare
kprofessionals;kitkiskakscreeningktool.kScreeningktoolskdoknotkprovidekakdiagnosis.kDiagnosiskrequ
ireskakthoroughkneurodevelopmentkhistorykandkphysicalkexamination.
Developmentalkdelay,kwhichkisksuggestedkbykscreening,kiskaksymptom,knotkakdiagnosis.kTheknee
dkforkanyktherapykwouldkbekidentifiedkwithkakcomprehensivekevaluation,knotkakscreeningktool.kS
omekproviderskusekthekDenverkIIkaskakframeworkkforkteachingkaboutkexpectedkdevelopment,kbut
kthiskisknotkthekprimarykpurposekofkthektool.
OBJ: NCLEXkClientkNeedskCategory:kHealthkPromotionkandkMaintenance
5. Tokplankearlykinterventionka n Nd kcarekforkankinfantkwithkDownksyndrome,ktheknursekconsiderskk
nowledgekofkotherkphysicalkdevelopmentkexemplarsksuchkas
a. cerebralkpalsy.
b. autism.
c. attention-deficit/hyperactivitykdisorderk(ADHD).
d. failurektokthrive.
ANS:k D
Failurektokthrivekiskalsokakphysicalkdevelopmentkexemplar.kCerebralkpalsykiskankexemplarkofkm
otor/developmentalkdelay.kAutismkiskankexemplarkofksocial/emotionalkdevelopmentalkdelay.k
ADHDkiskankexemplarkofkakcognitivekdisorder.
OBJ: NCLEXkClientkNeedskCategory:kHealthkPromotionkandkMaintenance
6. Tokplankearlykinterventionkandkcarekforkakchildkwithkakdevelopmentalkdelay,ktheknursekwouldkc
onsiderkknowledgekofkthekconceptskmostksignificantlykimpactedkbykdevelopment,kincluding
a. culture.
b. environment.
c. functionalkstatus.
d. nutrition.
kANS:k C
, Functionkiskonekofkthekconceptskmostksignificantlykimpactedkbykdevelopment.kOtherskincludeks
ensory-
perceptual,kcognition,kmobility,kreproduction,kandksexuality.kKnowledgekofkthesekconceptskca
nkhelpktheknursekanticipatekareaskthatkneedktokbekaddressed.kCulturekiskakconceptkthatkiskconside
redktoksignificantlykaffectkdevelopment;kthekdifferencekiskthekconceptskthatkaffectkdevelopment
karekthosekthatkrepresentkmajorkinfluencingkfactorsk(causes);khencekdeterminationkofkdevelopm
entkwouldkbekthekfocuskofkpreventivekinterventions.kEnvironmentkiskconsideredktoksignificantl
ykaffectkdevelopment.kNutritionkiskconsideredktoksignificantlykaffectkdevelopment.
OBJ: NCLEXkClientkNeedskCategory:kHealthkPromotionkandkMaintenance
7. Akmotherkcomplainsktoktheknursekatkthekpediatrickclinickthatkherk4-year-
oldkchildkalwaysktalksktokherktoyskandkmakeskupkstories.kThekmotherkwantskherkchildktokhavekak
psychologicalkevaluation.kTheknurse’skbestkinitialkresponsekiskto
a. referkthekchildktokakpsychologistkimmediately.
b. explainkthatkplayingkmakekbelievekisknormalkatkthiskage.
c. completekakdevelopmentalkscreeningkusingkakvalidatedktool.
d. separatekthekchildkfromkthekmotherktokgetkmorekinformation.
ANS:k B
Bykthekendkofkthekfourthkyear,kitkiskexpectedkthatkakchildkwillkengagekinkfantasy,ksokthiskisknormal
katkthiskage.kAkreferralktokakpsychologistkwouldkbekprematurekbasedkonlykonkthekcomplaintkofkthe
kmother.kCompletingkakdevelopmentalkscreeningkwouldkbekverykappropriatekbutknotkthekinitialkr
esponse.kTheknursekwouldkcertainlykwantktokgetkmorekinformation,kbutkseparatingkthekchildkfro
mkthekmotherkisknotknecessarykatkthisktime.
OBJ: NCLEXkClientkNeedsNCategory:kHealthkPromotionkandkMaintenance
8. Ak17-year-
oldkgirlkiskhospitalizedkforkappendicitis,kandkherkmotherkasksktheknursekwhykshekisksokneedykan
dkactingklikekakchild.kThekbestkresponsekofktheknursekiskthatkinkthekhospital,kadolescents
a. havekseparationkanxiety.
b. rebelkagainstkrules.
c. regresskbecausekofkstress.
d. wantktokknowkeverything.
ANS:k C
Regressionktokankearlierkstagekofkdevelopmentkiskakcommonkresponsektokstress.kSeparationkanxi
etykiskmostkcommonkinkinfantskandktoddlers.kRebellionkagainstkhospitalkruleskiskusuallyknotkanki
ssuekifkthekadolescentkunderstandskthekruleskandkwouldknotkcreatekchildlikekbehaviors.kAnkadol
escentkmaykwantktok“knowkeverything”kwithktheirklogicalkthinkingkandkdeductivekreasoning,kb
utkthatkwouldknotkexplainkwhyktheykwouldkactklikekakchild.
OBJ: NCLEXkClientkNeedskCategory:kHealthkPromotionkandkMaintenance
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