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Concept 01: Development
f f f f
Giddens: Concepts for Nursing
f f f f f f f f Practice, f f 3rd f f Edition
MULTIPLE f f CHOICE
1. The nurse manager of a pediatric clinic could confirm that the new
f f f f f f f f f f f f f f f f f f f f f f
nurse recogni zed them purpose of the HEADSS Adolescent Risk Profile when the
f f ff ff f f ff ff ff ff ff ff ff ff ff
new nurse re sponds that it is used
ff ff to assess for needs related
ff ff f f f f f f f f f f f f f f f f f f
fto f
a. anticipatory guidance. f f
b. low-risk adolescents. f f
c. physical development. f f
d. sexual development. f f
ANS: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment
f f f f f f f f f f f f f f f f
screening tool which assesses home, education, activities, drugs, sex,
f f f f ff f f f f f f f f f f f f
and suicide for the purpos e of identifying high-
f f f f f f f f f f ff f f f f f f
risk adolescents and the need for anticipatory guidance. It is used to
f f f f f f f f f f f f f f f f f f f f f f
identify hig h-risk, not low-
f f f f ff f f f f
risk, adolescents. Physical development is assessed with anthropometric
f f f f f f f f ff f f f f
data. Sexual development is assessed using physical examination.
f f ff f f f f f f f f f f f f
OBJ: NCLEX f f Client f f Needs f f Category: f f Health f f Promotion f f and f f Maintenance
2. The nurse preparing a teaching plan for a preschooler knows that,
f f f f f f f f f f f f f f f f f f f f
according t o Piaget, the expected stage of development for a
f f f f f f ff f f f f f f f f f f f f f f
preschooler is
f f f f
a. concrete operational. f f
b. formal operational. N f f
c. preoperational.
d. sensorimotor.
ANS: C
The expected stage of development for a preschooler (3–4 years old) is
f f f f f f f f f f f f f f f f f f f f f f
pre- operational. Concrete operational describes the thinking of a
f f ff f f f f f f f f f f f f f f
school-age child (7– 11 years old). Formal operational describes the
f f f f f f ff ff f f f f f f f f f f
thinking of an individual after abo ut 11 years of age. Sensorimotor
f f f f f f f f f f f f ff f f ff f f f f f f
describes the earliest pattern of thinking from bir th to 2 years old.
f f f f f f f f f f f f f f f f ff f f f f f f f f
OBJ: NCLEX f f Client f f Needs f f Category: f f Health f f Promotion f f and f f Maintenance
3. The school nurse talking with a high school class about the
f f f f f f f f f f f f f f f f f f f f
difference betwee n growth and development would best describe
f f f f f f ff f f f f f f f f f f
growth as
f f f f
a. processes by which early cells specialize. f f f f f f f f f f
b. psychosocial and cognitive changes. f f f f f f
c. qualitative changes associated with aging. f f f f f f f f
d. quantitative changes in size f f f f f f
f f o r weight. ANS: D
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Growth is a quantitative change in which an increase in cell number
f f f f f f f f f f f f f f f f f f f f f f
and size
f f f f
results in an increase in overall size or weight of the body or any
f f f f f f f f f f f f f f f f f f f f f f f f f f
of its parts. The processes by which early cells specialize are referred to
f f f f f f f f ff f f f f f f f f f f f f f f f f
as differentiation.
f f f f
Psychosocial and cognitive changes are referred to as development. f f f f f f f f f f f f f f f f
Qualitative cha nges associated with aging are referred to as maturation.
f f ff ff f f f f f f f f f f f f f f f f
OBJ: NCLEX f f Client f f Needs f f Category: f f Health f f Promotion f f and f f Maintenance
4. The most appropriate response of the nurse when
f f f f f f f f f f f f f f f f a mother asks f f f f
what the Denve r II does is that it
f f f f f f ff f f f f f f f f f f
a. can diagnose developmental disabilities.
f f f f f f
b. identifies a need for physical therapy. f f f f f f f f f f
c. is a developmental screening tool.
f f f f f f f f
d. provides a framework for health teaching. f f f f f f f f f f
ANS: C
The Denver II fis the
f most commonly used measure of f f f f f f f f f f f f f f f f
f fdevelopmental status use d by healthcare professionals; it is a f f f f ff ff f f f f f f f f f f
screening tool. Screening tools do not provide a diagnosis. Diagnosis
f f f f f f f f f f f f f f ff ff ff
requires a thorough neurodevelopment history and physical e xamination.
ff ff ff ff ff ff ff ff ff
Developmental delay, which is suggested by screening, is a symptom, not a f f f f f f f f f f f f f f f f f f f f f f
diagnosis. The need for any therapy would be identified with a comprehensive
f f ff ff f f ff ff ff f f ff f f ff ff
evaluation, not a scr eening tool. Some providers use the Denver II as a framework
ff ff ff ff ff ff ff f f ff ff ff ff ff ff ff
for teaching about expecte d development, but this is not the primary
ff ff ff ff ff f f f f f f f f f f f f f f
f purpose of the tool.
f f f f f f f
OBJ: NCLEX f f Client f f Needs f f Category: f f Health f f Promotion f f and f f Maintenance
5. To plan early intervention a n N
f f d care for an infant with Down
f f f f f f ff ff f f f f f f f f f f f f
syndrome, the nu rse considers knowledge of other physical development
f f f f f f ff ff f f f f f f f f f f
exemplars such as
f f f f f f
a. cerebral palsy. f f
b. autism.
c. attention-deficit/hyperactivity disorder (ADHD). f f f f
d. failure to thrive. f f f f
ANS: D f f f f
Failure to thrive is also a physical development exemplar. Cerebral palsy
f f f f f f f f f f f f f f f f f f f f
is an ex emplar of motor/developmental delay. Autism is an exemplar of
f f f f ff ff f f f f f f f f f f f f f f f f
social/emotional developmental delay. ADHD is an exemplar of a
f f ff f f f f f f f f f f f f f f
cognitive disorder.
f f f f
OBJ: NCLEX f f Client f f Needs f f Category: f f Health f f Promotion f f and f f Maintenance
6. To plan early intervention and care for a child with a developmental
f f f f f f f f f f f f f f f f f f f f f f
delay, the nurse would consider knowledge of the concepts most significantly
f f f f ff ff ff ff ff ff ff ff ff
impacted by d evelopment, including
ff ff ff ff f f
a. culture.
b. environment.
c. functional status. f f
d. nutrition.
ANS: f f C
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Material
Concept 01: Development
f f f f
Giddens: Concepts for Nursing
f f f f f f f f Practice, f f 3rd f f Edition
MULTIPLE f f CHOICE
1. The nurse manager of a pediatric clinic could confirm that the new
f f f f f f f f f f f f f f f f f f f f f f
nurse recogni zed them purpose of the HEADSS Adolescent Risk Profile when the
f f ff ff f f ff ff ff ff ff ff ff ff ff
new nurse re sponds that it is used
ff ff to assess for needs related
ff ff f f f f f f f f f f f f f f f f f f
fto f
a. anticipatory guidance. f f
b. low-risk adolescents. f f
c. physical development. f f
d. sexual development. f f
ANS: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment
f f f f f f f f f f f f f f f f
screening tool which assesses home, education, activities, drugs, sex,
f f f f ff f f f f f f f f f f f f
and suicide for the purpos e of identifying high-
f f f f f f f f f f ff f f f f f f
risk adolescents and the need for anticipatory guidance. It is used to
f f f f f f f f f f f f f f f f f f f f f f
identify hig h-risk, not low-
f f f f ff f f f f
risk, adolescents. Physical development is assessed with anthropometric
f f f f f f f f ff f f f f
data. Sexual development is assessed using physical examination.
f f ff f f f f f f f f f f f f
OBJ: NCLEX f f Client f f Needs f f Category: f f Health f f Promotion f f and f f Maintenance
2. The nurse preparing a teaching plan for a preschooler knows that,
f f f f f f f f f f f f f f f f f f f f
according t o Piaget, the expected stage of development for a
f f f f f f ff f f f f f f f f f f f f f f
preschooler is
f f f f
a. concrete operational. f f
b. formal operational. N f f
c. preoperational.
d. sensorimotor.
ANS: C
The expected stage of development for a preschooler (3–4 years old) is
f f f f f f f f f f f f f f f f f f f f f f
pre- operational. Concrete operational describes the thinking of a
f f ff f f f f f f f f f f f f f f
school-age child (7– 11 years old). Formal operational describes the
f f f f f f ff ff f f f f f f f f f f
thinking of an individual after abo ut 11 years of age. Sensorimotor
f f f f f f f f f f f f ff f f ff f f f f f f
describes the earliest pattern of thinking from bir th to 2 years old.
f f f f f f f f f f f f f f f f ff f f f f f f f f
OBJ: NCLEX f f Client f f Needs f f Category: f f Health f f Promotion f f and f f Maintenance
3. The school nurse talking with a high school class about the
f f f f f f f f f f f f f f f f f f f f
difference betwee n growth and development would best describe
f f f f f f ff f f f f f f f f f f
growth as
f f f f
a. processes by which early cells specialize. f f f f f f f f f f
b. psychosocial and cognitive changes. f f f f f f
c. qualitative changes associated with aging. f f f f f f f f
d. quantitative changes in size f f f f f f
f f o r weight. ANS: D
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Material
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Material
Growth is a quantitative change in which an increase in cell number
f f f f f f f f f f f f f f f f f f f f f f
and size
f f f f
results in an increase in overall size or weight of the body or any
f f f f f f f f f f f f f f f f f f f f f f f f f f
of its parts. The processes by which early cells specialize are referred to
f f f f f f f f ff f f f f f f f f f f f f f f f f
as differentiation.
f f f f
Psychosocial and cognitive changes are referred to as development. f f f f f f f f f f f f f f f f
Qualitative cha nges associated with aging are referred to as maturation.
f f ff ff f f f f f f f f f f f f f f f f
OBJ: NCLEX f f Client f f Needs f f Category: f f Health f f Promotion f f and f f Maintenance
4. The most appropriate response of the nurse when
f f f f f f f f f f f f f f f f a mother asks f f f f
what the Denve r II does is that it
f f f f f f ff f f f f f f f f f f
a. can diagnose developmental disabilities.
f f f f f f
b. identifies a need for physical therapy. f f f f f f f f f f
c. is a developmental screening tool.
f f f f f f f f
d. provides a framework for health teaching. f f f f f f f f f f
ANS: C
The Denver II fis the
f most commonly used measure of f f f f f f f f f f f f f f f f
f fdevelopmental status use d by healthcare professionals; it is a f f f f ff ff f f f f f f f f f f
screening tool. Screening tools do not provide a diagnosis. Diagnosis
f f f f f f f f f f f f f f ff ff ff
requires a thorough neurodevelopment history and physical e xamination.
ff ff ff ff ff ff ff ff ff
Developmental delay, which is suggested by screening, is a symptom, not a f f f f f f f f f f f f f f f f f f f f f f
diagnosis. The need for any therapy would be identified with a comprehensive
f f ff ff f f ff ff ff f f ff f f ff ff
evaluation, not a scr eening tool. Some providers use the Denver II as a framework
ff ff ff ff ff ff ff f f ff ff ff ff ff ff ff
for teaching about expecte d development, but this is not the primary
ff ff ff ff ff f f f f f f f f f f f f f f
f purpose of the tool.
f f f f f f f
OBJ: NCLEX f f Client f f Needs f f Category: f f Health f f Promotion f f and f f Maintenance
5. To plan early intervention a n N
f f d care for an infant with Down
f f f f f f ff ff f f f f f f f f f f f f
syndrome, the nu rse considers knowledge of other physical development
f f f f f f ff ff f f f f f f f f f f
exemplars such as
f f f f f f
a. cerebral palsy. f f
b. autism.
c. attention-deficit/hyperactivity disorder (ADHD). f f f f
d. failure to thrive. f f f f
ANS: D f f f f
Failure to thrive is also a physical development exemplar. Cerebral palsy
f f f f f f f f f f f f f f f f f f f f
is an ex emplar of motor/developmental delay. Autism is an exemplar of
f f f f ff ff f f f f f f f f f f f f f f f f
social/emotional developmental delay. ADHD is an exemplar of a
f f ff f f f f f f f f f f f f f f
cognitive disorder.
f f f f
OBJ: NCLEX f f Client f f Needs f f Category: f f Health f f Promotion f f and f f Maintenance
6. To plan early intervention and care for a child with a developmental
f f f f f f f f f f f f f f f f f f f f f f
delay, the nurse would consider knowledge of the concepts most significantly
f f f f ff ff ff ff ff ff ff ff ff
impacted by d evelopment, including
ff ff ff ff f f
a. culture.
b. environment.
c. functional status. f f
d. nutrition.
ANS: f f C
