kk
,Concept 1: Development
kk kk
Test Bank
kk kk
MULTIPLE CHOICE kk
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized
kk kk kk kk kk kk kk kk kk kk kk kk kk
the purpose of the HEADSS Adolescent Risk Profile when the new nurse responds
kk kk kk kk kk kk kk kk kk kk kk kk kk
that it is used to assess for needs related to
kk kk kk kk kk kk kk kk kk kk
a. anticipatory guidance. kk
b. low-risk adolescents. kk
c. physical development. kk
d. sexual development. kk
ANS: k k A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
kk kk kk kk kk kk kk kk kk kk kk
assesses home, education, activities, drugs, sex, and suicide for the purpose of
kk kk kk kk kk kk kk kk kk kk kk kk
identifying high-risk adolescents and the need for anticipatory guidance. It is used to
kk kk kk kk kk kk kk kk kk kk kk kk kk
identify high- risk, not low-risk, adolescents. Physical development is assessed with
kk kk k k kk kk kk kk kk kk kk kk
anthropometric data. Sexual development is assessed using physical examination.
kk kk kk kk kk kk kk kk kk
REF: 6 OBJ: kk kk NCLEX® Client Needs Category: Health Promotion and Maintenance
kk kk kk kk kk kk kk
2. The nurse preparing a teaching plan for a preschooler knows that, according to
kk kk kk kk kk kk kk kk kk kk kk kk
Piaget, the expected stage of development for a preschooler is
kk kk kk kk kk kk kk kk kk kk
a. concrete operational. kk
b. formal operational. kk
c. preoperational.
d. sensorimotor.
ANS: k k C
The expected stage of development for a preschooler (3 to 4 years old) is
kk kk kk kk kk kk kk kk kk kk kk kk kk
preoperational. Concrete operational describes the thinking of a school-age child (7 to
kk kk kk kk kk kk kk kk kk kk kk kk
11 years old).
kk kk kk
Formal operational describes the thinking of an individual after about 11 years of age.
kk kk kk kk kk kk kk kk kk kk kk kk kk
Sensorimotor describes the earliest pattern of thinking from birth to 2 years old.
kk kk kk kk kk kk kk kk kk kk kk kk kk
REF: 5 OBJ: kk kk NCLEX® Client Needs Category: Health Promotion and Maintenance
kk kk kk kk kk kk kk
3. The school nurse talking with a high school class about the difference between
kk kk kk kk kk kk kk kk kk kk kk kk
kk growth and development would best describe growth as
kk kk kk kk kk kk kk
a. processes by which early cells specialize. kk kk kk kk kk
b. psychosocial and cognitive changes. kk kk kk
c. qualitative changes associated with aging. kk kk kk kk
d. quantitative changes in size or weight. kk kk kk kk kk
ANS: k k D
Growth is a quantitative change in which an increase in cell number and size results in
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
an increase in overall size or weight of the body or any of its parts. The processes by
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
which early cells specialize are referred to as differentiation. Psychosocial and
kk kk kk kk kk kk kk kk kk kk kk
cognitive changes are referred to as development. Qualitative changes associated with
kk kk kk kk kk kk kk kk kk kk kk
aging are referred to as maturation.
kk kk kk kk kk kk
, REF: 2 OBJ: kk kk NCLEX® Client Needs Category: Health Promotion and Maintenance
kk kk kk kk kk kk kk
4. The most appropriate response of the nurse when a mother asks what the
kk kk kk kk kk kk kk kk kk kk kk kk
Denver II does is that it
kk kk kk kk kk kk
a. can diagnose developmental disabilities.
kk kk kk
b. identifies a need for physical therapy. kk kk kk kk kk
c. is a developmental screening tool.
kk kk kk kk
d. provides a framework for health teaching. kk kk kk kk kk
ANS: k k C
The Denver II is the most commonly used measure of developmental status used by
kk kk kk kk kk kk kk kk kk kk kk kk kk
health care professionals; it is a screening tool. Screening tools do not provide a
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
diagnosis.
kk
Diagnosis requires a thorough neurodevelopment history and physical examination.
kk kk kk kk kk kk kk kk
Developmental delay, which is suggested by screening, is a symptom, not a
kk kk kk kk kk kk kk kk kk kk kk kk
diagnosis. The need for any therapy would be identified with a comprehensive
kk kk kk kk kk kk kk kk kk kk kk kk
evaluation, not a screening tool. Some providers use the Denver II as a framework
kk kk kk k k kk kk kk kk kk kk kk kk kk kk
for teaching about expected development, but this is not the primary purpose of
kk kk kk kk kk kk kk kk kk kk kk kk kk
the tool.
kk kk
REF: 4 OBJ: kk kk NCLEX® Client Needs Category: Health Promotion and Maintenance
kk kk kk kk kk kk kk
5. To plan early intervention and care for an infant with Downxsyndrome, the
kk kk kk kk kk kk kk kk kk kk kk
nurse considers knowledge of other physical development exemplars such
kk kk kk kk kk kk kk kk kk
as
kk
a. cerebral palsy. kk
b. failure to thrive. kk kk
c. fetal alcohol syndrome. kk kk
d. hydrocephaly.
ANS: k k D
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar
kk kk kk kk kk kk kk kk kk kk kk
of adaptive developmental delay. Failure to thrive is anxexemplar of social/emotional
kk kk kk kk kk kk kk kk kk kk kk
developmental delay. Fetal alcohol syndrome is an exemplar of cognitive
kk kk kk kk kk kk kk kk kk kk
developmental delay.
kk kk
REF: 9 OBJ: kk kk NCLEX® ClientxNeeds Category: Health Promotion and Maintenance
kk kk kk kk kk kk
6. To plan early intervention and care for a child with a developmental delay, the
kk kk kk kk kk kk kk kk kk kk kk kk kk
nurse would consider xknowledgexof the concepts most significantly impacted by
kk kk kk k kk kk kk kk kk kk
development, including
kk kk
a. culture.
b. environment.
c. functional status. kk
d. nutrition.
ANS: k k C
, Function is one of the concepts most significantly impacted by development. Others
kk kk kk kk kk kk kk kk kk kk kk
k include sensory-perceptual, cognition, mobility, reproduction, and sexuality.
k kk kk kk kk kk kk
Knowledge of these concepts can help the nurse anticipate areas that need to be
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
addressed. Culture is a concept that is considered to significantly affect development;
kk kk kk kk kk kk kk kk kk kk kk kk
the difference is the concepts that affect development are those that represent
kk kk kk kk kk kk kk kk kk kk kk kk
major influencing factors (causes), hence determination of development and would
kk kk kk kk kk kk kk kk kk kk
be the focus of preventive interventions. Environment is considered to significantly
kk kk kk kk kk kk kk kk kk kk kk
affect development. Nutrition is considered to significantly affect development.
kk kk kk kk kk kk kk kk kk
REF: 1 OBJ: kk kk NCLEX® Client Needs Category: Health Promotion and Maintenance
kk kk kk kk kk kk kk
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
talks to her toys and makes up stories. The mother wants her child to have a
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
psychologic evaluation.
kk kk
The nurse’s best initial response is to
kk kk kk kk kk kk
a. refer the child to a psychologist.kk kk kk kk kk
b. explain that playing make believe with dolls and people is normal at this age.
kk kk kk kk kk kk kk kk kk kk kk kk kk
c. complete a developmental screening. kk kk kk
d. separate the child from the mother to get more information.
kk kk kk kk kk kk kk kk kk
ANS: k k B
By the end of the fourth year, it is expected that a child will xengage in fantasy, xso xthis
kk kk kk kk kk kk kk kk kk kk kk kk kk k kk kk k k
is normal at this age. A referral to a psychologist would bexpremature based only on
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
the complaint of the mother. Completing a developmental screening wouldxbexvery
kk kk kk kk kk kk kk kk kk kk
appropriate but not the initial response. The nursexwould certainly want xto get more
kk kk kk kk kk kk kk kk kk kk kk kk kk
information, but separating the child from the mother is notxnecessary at this time.
kk kk kk kk kk kk kk kk kk kk kk kk kk
REF: 5 OBJ: k k k k NCLEX® Client NeedsxCategory: HealthxPromotion and Maintenance
kk kk kk kk kk
8. A 17-year-old girl is hospitalized for appendicitis, and herxmother asks the nurse why
kk kk kk kk kk kk kk kk kk kk kk kk
she is so needy and acting like a child. Thexbest responsexofxthe nurse is that in the
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
hospital, adolescents
kk kk
a. have separation anxiety. kk kk
b. rebel against rules. kk kk
c. regress because of stress. kk kk kk
d. want to know everything. kk kk kk
ANS: k k C
Regression to an earlier stage of development is a common response to stress.
kk kk kk kk kk kk kk kk kk kk kk kk
Separation anxiety is most xcommon inxinfants and toddlers. Rebellion against hospital
kk kk kk kk kk kk kk kk kk kk kk
rules is usually notxan issue xif the adolescent xunderstands the rules and would not
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
create childlike behaviors. An adolescent xmay want to “know everything” with their
kk kk kk kk kk kk kk kk kk kk kk kk
logical thinking and deductive reasoning, xbut that would not explain why they would
kk kk kk kk kk k kk kk kk kk kk kk kk
act like a child.
kk kk kk kk
REF: 4 OBJ: kk kk NCLEX® Client Needs Category: Health Promotion and Maintenance
kk kk kk kk kk kk kk
,Concept 1: Development
kk kk
Test Bank
kk kk
MULTIPLE CHOICE kk
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized
kk kk kk kk kk kk kk kk kk kk kk kk kk
the purpose of the HEADSS Adolescent Risk Profile when the new nurse responds
kk kk kk kk kk kk kk kk kk kk kk kk kk
that it is used to assess for needs related to
kk kk kk kk kk kk kk kk kk kk
a. anticipatory guidance. kk
b. low-risk adolescents. kk
c. physical development. kk
d. sexual development. kk
ANS: k k A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
kk kk kk kk kk kk kk kk kk kk kk
assesses home, education, activities, drugs, sex, and suicide for the purpose of
kk kk kk kk kk kk kk kk kk kk kk kk
identifying high-risk adolescents and the need for anticipatory guidance. It is used to
kk kk kk kk kk kk kk kk kk kk kk kk kk
identify high- risk, not low-risk, adolescents. Physical development is assessed with
kk kk k k kk kk kk kk kk kk kk kk
anthropometric data. Sexual development is assessed using physical examination.
kk kk kk kk kk kk kk kk kk
REF: 6 OBJ: kk kk NCLEX® Client Needs Category: Health Promotion and Maintenance
kk kk kk kk kk kk kk
2. The nurse preparing a teaching plan for a preschooler knows that, according to
kk kk kk kk kk kk kk kk kk kk kk kk
Piaget, the expected stage of development for a preschooler is
kk kk kk kk kk kk kk kk kk kk
a. concrete operational. kk
b. formal operational. kk
c. preoperational.
d. sensorimotor.
ANS: k k C
The expected stage of development for a preschooler (3 to 4 years old) is
kk kk kk kk kk kk kk kk kk kk kk kk kk
preoperational. Concrete operational describes the thinking of a school-age child (7 to
kk kk kk kk kk kk kk kk kk kk kk kk
11 years old).
kk kk kk
Formal operational describes the thinking of an individual after about 11 years of age.
kk kk kk kk kk kk kk kk kk kk kk kk kk
Sensorimotor describes the earliest pattern of thinking from birth to 2 years old.
kk kk kk kk kk kk kk kk kk kk kk kk kk
REF: 5 OBJ: kk kk NCLEX® Client Needs Category: Health Promotion and Maintenance
kk kk kk kk kk kk kk
3. The school nurse talking with a high school class about the difference between
kk kk kk kk kk kk kk kk kk kk kk kk
kk growth and development would best describe growth as
kk kk kk kk kk kk kk
a. processes by which early cells specialize. kk kk kk kk kk
b. psychosocial and cognitive changes. kk kk kk
c. qualitative changes associated with aging. kk kk kk kk
d. quantitative changes in size or weight. kk kk kk kk kk
ANS: k k D
Growth is a quantitative change in which an increase in cell number and size results in
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
an increase in overall size or weight of the body or any of its parts. The processes by
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
which early cells specialize are referred to as differentiation. Psychosocial and
kk kk kk kk kk kk kk kk kk kk kk
cognitive changes are referred to as development. Qualitative changes associated with
kk kk kk kk kk kk kk kk kk kk kk
aging are referred to as maturation.
kk kk kk kk kk kk
, REF: 2 OBJ: kk kk NCLEX® Client Needs Category: Health Promotion and Maintenance
kk kk kk kk kk kk kk
4. The most appropriate response of the nurse when a mother asks what the
kk kk kk kk kk kk kk kk kk kk kk kk
Denver II does is that it
kk kk kk kk kk kk
a. can diagnose developmental disabilities.
kk kk kk
b. identifies a need for physical therapy. kk kk kk kk kk
c. is a developmental screening tool.
kk kk kk kk
d. provides a framework for health teaching. kk kk kk kk kk
ANS: k k C
The Denver II is the most commonly used measure of developmental status used by
kk kk kk kk kk kk kk kk kk kk kk kk kk
health care professionals; it is a screening tool. Screening tools do not provide a
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
diagnosis.
kk
Diagnosis requires a thorough neurodevelopment history and physical examination.
kk kk kk kk kk kk kk kk
Developmental delay, which is suggested by screening, is a symptom, not a
kk kk kk kk kk kk kk kk kk kk kk kk
diagnosis. The need for any therapy would be identified with a comprehensive
kk kk kk kk kk kk kk kk kk kk kk kk
evaluation, not a screening tool. Some providers use the Denver II as a framework
kk kk kk k k kk kk kk kk kk kk kk kk kk kk
for teaching about expected development, but this is not the primary purpose of
kk kk kk kk kk kk kk kk kk kk kk kk kk
the tool.
kk kk
REF: 4 OBJ: kk kk NCLEX® Client Needs Category: Health Promotion and Maintenance
kk kk kk kk kk kk kk
5. To plan early intervention and care for an infant with Downxsyndrome, the
kk kk kk kk kk kk kk kk kk kk kk
nurse considers knowledge of other physical development exemplars such
kk kk kk kk kk kk kk kk kk
as
kk
a. cerebral palsy. kk
b. failure to thrive. kk kk
c. fetal alcohol syndrome. kk kk
d. hydrocephaly.
ANS: k k D
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar
kk kk kk kk kk kk kk kk kk kk kk
of adaptive developmental delay. Failure to thrive is anxexemplar of social/emotional
kk kk kk kk kk kk kk kk kk kk kk
developmental delay. Fetal alcohol syndrome is an exemplar of cognitive
kk kk kk kk kk kk kk kk kk kk
developmental delay.
kk kk
REF: 9 OBJ: kk kk NCLEX® ClientxNeeds Category: Health Promotion and Maintenance
kk kk kk kk kk kk
6. To plan early intervention and care for a child with a developmental delay, the
kk kk kk kk kk kk kk kk kk kk kk kk kk
nurse would consider xknowledgexof the concepts most significantly impacted by
kk kk kk k kk kk kk kk kk kk
development, including
kk kk
a. culture.
b. environment.
c. functional status. kk
d. nutrition.
ANS: k k C
, Function is one of the concepts most significantly impacted by development. Others
kk kk kk kk kk kk kk kk kk kk kk
k include sensory-perceptual, cognition, mobility, reproduction, and sexuality.
k kk kk kk kk kk kk
Knowledge of these concepts can help the nurse anticipate areas that need to be
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
addressed. Culture is a concept that is considered to significantly affect development;
kk kk kk kk kk kk kk kk kk kk kk kk
the difference is the concepts that affect development are those that represent
kk kk kk kk kk kk kk kk kk kk kk kk
major influencing factors (causes), hence determination of development and would
kk kk kk kk kk kk kk kk kk kk
be the focus of preventive interventions. Environment is considered to significantly
kk kk kk kk kk kk kk kk kk kk kk
affect development. Nutrition is considered to significantly affect development.
kk kk kk kk kk kk kk kk kk
REF: 1 OBJ: kk kk NCLEX® Client Needs Category: Health Promotion and Maintenance
kk kk kk kk kk kk kk
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
talks to her toys and makes up stories. The mother wants her child to have a
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
psychologic evaluation.
kk kk
The nurse’s best initial response is to
kk kk kk kk kk kk
a. refer the child to a psychologist.kk kk kk kk kk
b. explain that playing make believe with dolls and people is normal at this age.
kk kk kk kk kk kk kk kk kk kk kk kk kk
c. complete a developmental screening. kk kk kk
d. separate the child from the mother to get more information.
kk kk kk kk kk kk kk kk kk
ANS: k k B
By the end of the fourth year, it is expected that a child will xengage in fantasy, xso xthis
kk kk kk kk kk kk kk kk kk kk kk kk kk k kk kk k k
is normal at this age. A referral to a psychologist would bexpremature based only on
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
the complaint of the mother. Completing a developmental screening wouldxbexvery
kk kk kk kk kk kk kk kk kk kk
appropriate but not the initial response. The nursexwould certainly want xto get more
kk kk kk kk kk kk kk kk kk kk kk kk kk
information, but separating the child from the mother is notxnecessary at this time.
kk kk kk kk kk kk kk kk kk kk kk kk kk
REF: 5 OBJ: k k k k NCLEX® Client NeedsxCategory: HealthxPromotion and Maintenance
kk kk kk kk kk
8. A 17-year-old girl is hospitalized for appendicitis, and herxmother asks the nurse why
kk kk kk kk kk kk kk kk kk kk kk kk
she is so needy and acting like a child. Thexbest responsexofxthe nurse is that in the
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
hospital, adolescents
kk kk
a. have separation anxiety. kk kk
b. rebel against rules. kk kk
c. regress because of stress. kk kk kk
d. want to know everything. kk kk kk
ANS: k k C
Regression to an earlier stage of development is a common response to stress.
kk kk kk kk kk kk kk kk kk kk kk kk
Separation anxiety is most xcommon inxinfants and toddlers. Rebellion against hospital
kk kk kk kk kk kk kk kk kk kk kk
rules is usually notxan issue xif the adolescent xunderstands the rules and would not
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
create childlike behaviors. An adolescent xmay want to “know everything” with their
kk kk kk kk kk kk kk kk kk kk kk kk
logical thinking and deductive reasoning, xbut that would not explain why they would
kk kk kk kk kk k kk kk kk kk kk kk kk
act like a child.
kk kk kk kk
REF: 4 OBJ: kk kk NCLEX® Client Needs Category: Health Promotion and Maintenance
kk kk kk kk kk kk kk
