,Concept01:Development
b b
Giddens:ConceptsforNursingPractice,3rdEdition
b b b b b b
MULTIPLE CHOICE b
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
b b b b b b b b b b b b b b
purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is used to
b b b b b b b b b b b b b b b b b
assess for needs related to
b b b b b
a. anticipatoryguidance. b
b. low-risk adolescents. b
c. physicaldevelopment. b
d. sexual development. b
ANS: A b
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
b b b b b b b b b b b
assesses home, education, activities, drugs, sex, and suicide for the purpose of identifying high-
b b b b b b b b b b b b b b
risk adolescents and the need for anticipatory guidance. It isused to identifyhigh-risk, not low-
b b b b b b b b b b b b b b b
risk, adolescents. Physical development is assessed with anthropometric data.
b b b b b b b b
Sexual development isassessed using physical examination.
b b b b b b
OBJ: NCLEXClient NeedsCategory:HealthPromotion andMaintenance b b b b b b b
2. The nursepreparing ateaching plan for a preschoolerknowsthat, according to Piaget, the
b b b b b b b b b b b b b b
expected stage of development for a preschooler is
b b b b b b b b
a. concreteoperational. b
b. formaloperational. N b
c. preoperational.
d. sensorimotor.
ANS: C b
The expected stage of development for a preschooler (3–4 years old) is pre-operational. Concrete
b b b b b b b b b b b b b
operational describes the thinking of a school-age child (7–11 years old). Formal operational
b b b b b b b b b b b b b
describesthe thinking of an individualafter about 11 years of age. Sensorimotor describes the
b b b b b b b b b b b b b b b
earliest pattern of thinking from birth to 2 years old.
b b b b b b b b b b
OBJ: NCLEXClient NeedsCategory:Health Promotion andMaintenance b b b b b b b
3. Theschool nurse talking witha high school classabout the differencebetween growth and
b b b b b b b b b b b b b b
development would best describe growth as
b b b b b b
a. processes bywhich early cells specialize. b b b b b
b. psychosocial and cognitivechanges. b b b
c. qualitative changes associatedwith aging. b b b b
d. quantitativechangesinsizeorweight. b b b b b
b ANS: D b
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, Growth is a quantitative change in which an increase in cell number and size results in an increase
b b b b b b b b b b b b b b b b b
in overall size or weight of the body or any of its parts. The processes by which early cells specialize
b b b b b b b b b b b b b b b b b b b b
are referred to as differentiation. Psychosocial and cognitive changes arereferredto as
b b b b b b b b b b b b b
development. Qualitative changes associated with aging arereferred toas maturation.
b b b b b b b b b b b
OBJ: NCLEXClient NeedsCategory:HealthPromotion andMaintenance b b b b b b b
4. The most appropriate response of the nurse when a mother askswhat the Denver II doesis that it
b b b b b b b b b b b b b b b b b b
a. can diagnosedevelopmental disabilities.
b b b
b. identifies aneed for physical therapy. b b b b b
c. isa developmental screening tool.
b b b b
d. providesa framework for health teaching. b b b b b
ANS: C b
The Denver II is the most commonly used measure of developmental status used by healthcare
b b b b b b b b b b b b b b
professionals;it is a screeningtool. Screening tools do not provide adiagnosis. Diagnosis requires a
b b b b b b b b b b b b b b b b
thorough neurodevelopment history and physical examination.
b b b b b b
Developmental delay, which issuggested by screening, isa symptom, not a diagnosis. The need for b b b b b b b b b b b b b b b
any therapy would be identified with a comprehensive evaluation, not a screening tool. Some
b b b b b b b b b b b b b b
providers use the Denver II as a framework for teaching about expected development, but this is not
b b b b b b b b b b b b b b b b b
the primary purpose of the tool.
b b b b b b
OBJ: NCLEXClient NeedsCategory: HealthPromotion andMaintenance b b b b b b b
5. Toplanearlyinterventiona n Nd careforaninfantwithDownsyndrome,thenurseconsiders
b b b b b b b b b b b b b b
knowledge of other physical development exemplars such as
b b b b b b b b
a. cerebralpalsy. b
b. autism.
c. attention-deficit/hyperactivitydisorder(ADHD). b b
d. failureto thrive. b b
ANS: D b
Failuretothriveis also a physicaldevelopment exemplar. Cerebralpalsy is anexemplar of
b b b b b b b b b b b b b b
motor/developmental delay. Autism is an exemplar of social/emotional developmental delay.
b b b b b b b b b b
ADHD is an exemplar of a cognitive disorder.
b b b b b b b b
OBJ: NCLEXClient NeedsCategory:HealthPromotion andMaintenance b b b b b b b
6. To plan early intervention and carefor a child with adevelopmental delay, the nurse would
b b b b b b b b b b b b b b b
considerknowledgeof theconcepts most significantlyimpactedby development,including
b b b b b b b b b b b
a. culture.
b. environment.
c. functional status. b
d. nutrition.
bANS: C b
, Function isone of theconceptsmost significantly impacted by development.Others include
b b b b b b b b b b b b
sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
b b b b b b b b b
concepts can help the nurse anticipate areas that need to be addressed. Culture is a concept that is
b b b b b b b b b b b b b b b b b b
considered to significantly affect development; the difference is the concepts that affect
b b b b b b b b b b b b
development are those that represent major influencing factors (causes); hence determination of
b b b b b b b b b b b b
development would be the focus of preventive interventions. Environment is considered to
b b b b b b b b b b b b
significantly affect development. Nutrition is considered to significantly affect development.
b b b b b b b b b b
OBJ: NCLEXClient NeedsCategory:HealthPromotion andMaintenance b b b b b b b
7. A mother complains to the nurse at the pediatric clinic thather 4-year-old child always talks to her
b b b b b b b b b b b b b b b b b
toys and makes up stories. The mother wants her child to have a psychological evaluation. The
b b b b b b b b b b b b b b b b
nurse’s best initial response is to
b b b b b b
a. refer the child to a psychologist immediately.b b b b b b
b. explain that playing makebelieveis normal at this age. b b b b b b b b b
c. completea developmental screening using a validated tool. b b b b b b b
d. separatethechild from the mother toget moreinformation. b b b b b b b b b
ANS: B b
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is normal at this
b b b b b b b b b b b b b b b b b b b b b b
age. A referral to a psychologist would be premature based only on the complaintof the mother.
b b b b b b b b b b b b b b b b b
Completing adevelopmental screening would be very appropriate but not the initial response. The
b b b b b b b b b b b b b b
nurse would certainly want to get more information, but separating the child from the mother is not
b b b b b b b b b b b b b b b b b
necessary at this time.
b b b b
OBJ: NCLEXClientNeedsNCategory: HealthPromotionandMaintenance b b b b b b
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so
b b b b b b b b b b b b b b b b
needy and acting like a child. The best response of the nurse is that in the hospital, adolescents
b b b b b b b b b b b b b b b b b b
a. haveseparation anxiety. b b
b. rebelagainst rules. b b
c. regress becauseof stress. b b b
d. want to know everything. b b b
ANS: C b
Regression to an earlier stage of development is a common response to stress. Separation anxiety is
b b b b b b b b b b b b b b b
most common in infants and toddlers. Rebellion against hospital rules is usually notan issue if the
b b b b b b b b b b b b b b b b b
adolescent understands the rulesand would not create childlike behaviors. An adolescent may
b b b b b b b b b b b b b
want to “know everything” with their logical thinking and deductive reasoning, but that would not
b b b b b b b b b b b b b b b
explain why they would act like a child.
b b b b b b b b
OBJ: NCLEXClient NeedsCategory:HealthPromotion andMaintenance b b b b b b b
WWW.NURSYLAB.COM
b b
Giddens:ConceptsforNursingPractice,3rdEdition
b b b b b b
MULTIPLE CHOICE b
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
b b b b b b b b b b b b b b
purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is used to
b b b b b b b b b b b b b b b b b
assess for needs related to
b b b b b
a. anticipatoryguidance. b
b. low-risk adolescents. b
c. physicaldevelopment. b
d. sexual development. b
ANS: A b
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
b b b b b b b b b b b
assesses home, education, activities, drugs, sex, and suicide for the purpose of identifying high-
b b b b b b b b b b b b b b
risk adolescents and the need for anticipatory guidance. It isused to identifyhigh-risk, not low-
b b b b b b b b b b b b b b b
risk, adolescents. Physical development is assessed with anthropometric data.
b b b b b b b b
Sexual development isassessed using physical examination.
b b b b b b
OBJ: NCLEXClient NeedsCategory:HealthPromotion andMaintenance b b b b b b b
2. The nursepreparing ateaching plan for a preschoolerknowsthat, according to Piaget, the
b b b b b b b b b b b b b b
expected stage of development for a preschooler is
b b b b b b b b
a. concreteoperational. b
b. formaloperational. N b
c. preoperational.
d. sensorimotor.
ANS: C b
The expected stage of development for a preschooler (3–4 years old) is pre-operational. Concrete
b b b b b b b b b b b b b
operational describes the thinking of a school-age child (7–11 years old). Formal operational
b b b b b b b b b b b b b
describesthe thinking of an individualafter about 11 years of age. Sensorimotor describes the
b b b b b b b b b b b b b b b
earliest pattern of thinking from birth to 2 years old.
b b b b b b b b b b
OBJ: NCLEXClient NeedsCategory:Health Promotion andMaintenance b b b b b b b
3. Theschool nurse talking witha high school classabout the differencebetween growth and
b b b b b b b b b b b b b b
development would best describe growth as
b b b b b b
a. processes bywhich early cells specialize. b b b b b
b. psychosocial and cognitivechanges. b b b
c. qualitative changes associatedwith aging. b b b b
d. quantitativechangesinsizeorweight. b b b b b
b ANS: D b
WWW.NURSYLAB.COM
, Growth is a quantitative change in which an increase in cell number and size results in an increase
b b b b b b b b b b b b b b b b b
in overall size or weight of the body or any of its parts. The processes by which early cells specialize
b b b b b b b b b b b b b b b b b b b b
are referred to as differentiation. Psychosocial and cognitive changes arereferredto as
b b b b b b b b b b b b b
development. Qualitative changes associated with aging arereferred toas maturation.
b b b b b b b b b b b
OBJ: NCLEXClient NeedsCategory:HealthPromotion andMaintenance b b b b b b b
4. The most appropriate response of the nurse when a mother askswhat the Denver II doesis that it
b b b b b b b b b b b b b b b b b b
a. can diagnosedevelopmental disabilities.
b b b
b. identifies aneed for physical therapy. b b b b b
c. isa developmental screening tool.
b b b b
d. providesa framework for health teaching. b b b b b
ANS: C b
The Denver II is the most commonly used measure of developmental status used by healthcare
b b b b b b b b b b b b b b
professionals;it is a screeningtool. Screening tools do not provide adiagnosis. Diagnosis requires a
b b b b b b b b b b b b b b b b
thorough neurodevelopment history and physical examination.
b b b b b b
Developmental delay, which issuggested by screening, isa symptom, not a diagnosis. The need for b b b b b b b b b b b b b b b
any therapy would be identified with a comprehensive evaluation, not a screening tool. Some
b b b b b b b b b b b b b b
providers use the Denver II as a framework for teaching about expected development, but this is not
b b b b b b b b b b b b b b b b b
the primary purpose of the tool.
b b b b b b
OBJ: NCLEXClient NeedsCategory: HealthPromotion andMaintenance b b b b b b b
5. Toplanearlyinterventiona n Nd careforaninfantwithDownsyndrome,thenurseconsiders
b b b b b b b b b b b b b b
knowledge of other physical development exemplars such as
b b b b b b b b
a. cerebralpalsy. b
b. autism.
c. attention-deficit/hyperactivitydisorder(ADHD). b b
d. failureto thrive. b b
ANS: D b
Failuretothriveis also a physicaldevelopment exemplar. Cerebralpalsy is anexemplar of
b b b b b b b b b b b b b b
motor/developmental delay. Autism is an exemplar of social/emotional developmental delay.
b b b b b b b b b b
ADHD is an exemplar of a cognitive disorder.
b b b b b b b b
OBJ: NCLEXClient NeedsCategory:HealthPromotion andMaintenance b b b b b b b
6. To plan early intervention and carefor a child with adevelopmental delay, the nurse would
b b b b b b b b b b b b b b b
considerknowledgeof theconcepts most significantlyimpactedby development,including
b b b b b b b b b b b
a. culture.
b. environment.
c. functional status. b
d. nutrition.
bANS: C b
, Function isone of theconceptsmost significantly impacted by development.Others include
b b b b b b b b b b b b
sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
b b b b b b b b b
concepts can help the nurse anticipate areas that need to be addressed. Culture is a concept that is
b b b b b b b b b b b b b b b b b b
considered to significantly affect development; the difference is the concepts that affect
b b b b b b b b b b b b
development are those that represent major influencing factors (causes); hence determination of
b b b b b b b b b b b b
development would be the focus of preventive interventions. Environment is considered to
b b b b b b b b b b b b
significantly affect development. Nutrition is considered to significantly affect development.
b b b b b b b b b b
OBJ: NCLEXClient NeedsCategory:HealthPromotion andMaintenance b b b b b b b
7. A mother complains to the nurse at the pediatric clinic thather 4-year-old child always talks to her
b b b b b b b b b b b b b b b b b
toys and makes up stories. The mother wants her child to have a psychological evaluation. The
b b b b b b b b b b b b b b b b
nurse’s best initial response is to
b b b b b b
a. refer the child to a psychologist immediately.b b b b b b
b. explain that playing makebelieveis normal at this age. b b b b b b b b b
c. completea developmental screening using a validated tool. b b b b b b b
d. separatethechild from the mother toget moreinformation. b b b b b b b b b
ANS: B b
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is normal at this
b b b b b b b b b b b b b b b b b b b b b b
age. A referral to a psychologist would be premature based only on the complaintof the mother.
b b b b b b b b b b b b b b b b b
Completing adevelopmental screening would be very appropriate but not the initial response. The
b b b b b b b b b b b b b b
nurse would certainly want to get more information, but separating the child from the mother is not
b b b b b b b b b b b b b b b b b
necessary at this time.
b b b b
OBJ: NCLEXClientNeedsNCategory: HealthPromotionandMaintenance b b b b b b
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so
b b b b b b b b b b b b b b b b
needy and acting like a child. The best response of the nurse is that in the hospital, adolescents
b b b b b b b b b b b b b b b b b b
a. haveseparation anxiety. b b
b. rebelagainst rules. b b
c. regress becauseof stress. b b b
d. want to know everything. b b b
ANS: C b
Regression to an earlier stage of development is a common response to stress. Separation anxiety is
b b b b b b b b b b b b b b b
most common in infants and toddlers. Rebellion against hospital rules is usually notan issue if the
b b b b b b b b b b b b b b b b b
adolescent understands the rulesand would not create childlike behaviors. An adolescent may
b b b b b b b b b b b b b
want to “know everything” with their logical thinking and deductive reasoning, but that would not
b b b b b b b b b b b b b b b
explain why they would act like a child.
b b b b b b b b
OBJ: NCLEXClient NeedsCategory:HealthPromotion andMaintenance b b b b b b b
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