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Giddens Concepts for Nursing Practice 3rd
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Edition Test Bank
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All Chapters includes Rationales| A+ Graded
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Concept 01: Development
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MULTIPLE CHOICE
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
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purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is used to
assess for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
ANSWER: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
assesses home, education, activities, drugs, sex, and suicide for the purpose of identifying high-
risk adolescents and the need for anticipatory guidance. It is used to identify high-risk, not low-
risk, adolescents. Physical development is assessed with anthropometric data.
2.The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the
expected stage of development for a preschooler is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
ANSWER: C
The expected stage of development for a preschooler (3–4 years old) is pre-operational. Concrete
operational describes the thinking of a school-age child (7–11 years old). Formal operational
describes the thinking of an individual after about 11 years of age. Sensorimotor describes the
earliest pattern of thinking from birth to 2 years old.
3.The school nurse talking with a high school class about the difference between growth and
development would best describe growth as
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
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d. quantitative changes in size or weight.
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ANSWER: D
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Growth is a quantitative change in which an increase in cell number and size results in an
increase in overall size or weight of the body or any of its parts. The processes by which early
cells specialize are referred to as differentiation. Psychosocial and cognitive changes are referred
to as development. Qualitative changes associated with aging are referred to as maturation.
4.The most appropriate response of the nurse when a mother asks what the Denver II does is that
it
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy.
c. is a developmental screening tool.
d. provides a framework for health teaching.
ANSWER: C
The Denver II is the most commonly used measure of developmental status used by healthcare
professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis
requires a thorough neurodevelopment history and physical examination.
Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. The need
for any therapy would be identified with a comprehensive evaluation, not a screening tool. Some
providers use the Denver II as a framework for teaching about expected development, but this is
not the primary purpose of the tool.
5.To plan early intervention and care for an infant with Down syndrome, the nurse considers
knowledge of other physical development exemplars such as
a. cerebral palsy.
b. autism.
c. attention-deficit/hyperactivity disorder (ADHD).
d. failure to thrive.
ANSWER: D
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Failure to thrive is also a physical development exemplar. Cerebral palsy is an exemplar of
motor/developmental delay. Autism is an exemplar of social/emotional developmental delay.
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ADHD is an exemplar of a cognitive disorder.
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6.To plan early intervention and care for a child with a developmental delay, the nurse would
consider knowledge of the concepts most significantly impacted by development, including
a. culture.
b. environment.
c. functional status.
d. nutrition.
ANSWER: C
Function is one of the concepts most significantly impacted by development. Others include
sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
concepts can help the nurse anticipate areas that need to be addressed. Culture is a concept that is
considered to significantly affect development; the difference is the concepts that affect
development are those that represent major influencing factors (causes); hence determination of
development would be the focus of preventive interventions. Environment is considered to
significantly affect development. Nutrition is considered to significantly affect development.
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always
talks to her toys and makes up stories. The mother wants her child to have a psychological
evaluation. The nurse’s best initial response is to
a. refer the child to a psychologist immediately.
b. explain that playing make believe is normal at this age.
c. complete a developmental screening using a validated tool.
d. separate the child from the mother to get more information.
ANSWER: B
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is normal
at this age. A referral to a psychologist would be premature based only on the complaint of the
mother. Completing a developmental screening would be very appropriate but not the initial
4|Page
1|Page
ch
Giddens Concepts for Nursing Practice 3rd
Gu
Edition Test Bank
ru
All Chapters includes Rationales| A+ Graded
1|Page
,Te
2|Page
ch
Concept 01: Development
Gu
MULTIPLE CHOICE
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
ru
purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is used to
assess for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
ANSWER: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
assesses home, education, activities, drugs, sex, and suicide for the purpose of identifying high-
risk adolescents and the need for anticipatory guidance. It is used to identify high-risk, not low-
risk, adolescents. Physical development is assessed with anthropometric data.
2.The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the
expected stage of development for a preschooler is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
ANSWER: C
The expected stage of development for a preschooler (3–4 years old) is pre-operational. Concrete
operational describes the thinking of a school-age child (7–11 years old). Formal operational
describes the thinking of an individual after about 11 years of age. Sensorimotor describes the
earliest pattern of thinking from birth to 2 years old.
3.The school nurse talking with a high school class about the difference between growth and
development would best describe growth as
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
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,Te
3|Page
ch
d. quantitative changes in size or weight.
Gu
ANSWER: D
ru
Growth is a quantitative change in which an increase in cell number and size results in an
increase in overall size or weight of the body or any of its parts. The processes by which early
cells specialize are referred to as differentiation. Psychosocial and cognitive changes are referred
to as development. Qualitative changes associated with aging are referred to as maturation.
4.The most appropriate response of the nurse when a mother asks what the Denver II does is that
it
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy.
c. is a developmental screening tool.
d. provides a framework for health teaching.
ANSWER: C
The Denver II is the most commonly used measure of developmental status used by healthcare
professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis
requires a thorough neurodevelopment history and physical examination.
Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. The need
for any therapy would be identified with a comprehensive evaluation, not a screening tool. Some
providers use the Denver II as a framework for teaching about expected development, but this is
not the primary purpose of the tool.
5.To plan early intervention and care for an infant with Down syndrome, the nurse considers
knowledge of other physical development exemplars such as
a. cerebral palsy.
b. autism.
c. attention-deficit/hyperactivity disorder (ADHD).
d. failure to thrive.
ANSWER: D
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ch 4|Page
Failure to thrive is also a physical development exemplar. Cerebral palsy is an exemplar of
motor/developmental delay. Autism is an exemplar of social/emotional developmental delay.
Gu
ADHD is an exemplar of a cognitive disorder.
ru
6.To plan early intervention and care for a child with a developmental delay, the nurse would
consider knowledge of the concepts most significantly impacted by development, including
a. culture.
b. environment.
c. functional status.
d. nutrition.
ANSWER: C
Function is one of the concepts most significantly impacted by development. Others include
sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
concepts can help the nurse anticipate areas that need to be addressed. Culture is a concept that is
considered to significantly affect development; the difference is the concepts that affect
development are those that represent major influencing factors (causes); hence determination of
development would be the focus of preventive interventions. Environment is considered to
significantly affect development. Nutrition is considered to significantly affect development.
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always
talks to her toys and makes up stories. The mother wants her child to have a psychological
evaluation. The nurse’s best initial response is to
a. refer the child to a psychologist immediately.
b. explain that playing make believe is normal at this age.
c. complete a developmental screening using a validated tool.
d. separate the child from the mother to get more information.
ANSWER: B
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is normal
at this age. A referral to a psychologist would be premature based only on the complaint of the
mother. Completing a developmental screening would be very appropriate but not the initial
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