,Concept 01: Development
MK MK
Giddens: Concepts for Nursing Practice, 3rd Edition
MK MK MK MK MK MK
MULTIPLE CHOICE MK
1. The nurse manager of a pediatric clinic could confirm that the new nurse recog
MK MK MK MK MK MK MK MK MK MK MK MK MK
nized the purpose of the HEADSS Adolescent Risk Profile when the new nurse
MK MK MK MK MK MK MK MK MK MK MK MK
responds that it is used to assess for needs related to
MK MK MK MK MK MK MK MK MK MK MK
a. anticipatory guidance. MK
b. low-risk adolescents. MK
c. physical development. MK
d. sexual development. MK
ANS: A M K
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool
MK MK MK MK MK MK MK MK MK MK MK
which assesses home, education, activities, drugs, sex, and suicide for the purpose
MK MK MK MK MK MK MK MK MK MK MK MK
of identifying high-
MK MK
risk adolescents and the need for anticipatory guidance. It is used to identify high-
MK MK MK MK MK MK MK MK MK MK MK MK MK
risk, not low-
MK MK
risk, adolescents. Physical development is assessed with anthropometric data.
MK MK MK MK MK MK MK MK
Sexual development is assessed using physical examination.
MK MK MK MK MK MK
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
MK MK MK MK MK MK MK
2. The nurse preparing a teaching plan for a preschooler knows that, according to P
MK MK MK MK MK MK MK MK MK MK MK MK MK
iaget, the expected stage of development for a preschooler is
MK MK MK MK MK MK MK MK MK
a. concrete operational. MK
b. formal operational. N MK
c. preoperational.
d. sensorimotor.
ANS: C M K
The expected stage of development for a preschooler (3–4 years old) is pre-
MK MK MK MK MK MK MK MK MK MK MK MK
operational. Concrete operational describes the thinking of a school-age child (7–
MK MK MK MK MK MK MK MK MK MK
11 years old). Formal operational describes the thinking of an individual after about
MK MK MK MK MK MK MK MK MK MK MK MK MK
11 years of age. Sensorimotor describes the earliest pattern of thinking from birth to
MK MK MK MK MK MK MK MK MK MK MK MK MK
2 years old.
MK MK MK
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
MK MK MK MK MK MK MK
3. The school nurse talking with a high school class about the difference between gr
MK MK MK MK MK MK MK MK MK MK MK MK MK
owth and development would best describe growth as
MK MK MK MK MK MK MK
a. processes by which early cells specialize.
MK MK MK MK MK
b. psychosocial and cognitive changes. MK MK MK
c. qualitative changes associated with aging.
MK MK MK MK
d. quantitative changes in size or wei MK MK MK MK MK
ght. ANS: DMK M K
WWW.NURSYLAB.COM
, Growth is a quantitative change in which an increase in cell number and size resu
MK MK MK MK MK MK MK MK MK MK MK MK MK MK
lts in an increase in overall size or weight of the body or any of its parts. The p
MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK
rocesses by which early cells specialize are referred to as differentiation. Psychosoci
MK MK MK MK MK MK MK MK MK MK MK
al and cognitive changes are referred to as development. Qualitative changes associa
MK MK MK MK MK MK MK MK MK MK MK
ted with aging are referred to as maturation.
MK MK MK MK MK MK MK
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
MK MK MK MK MK MK MK
4. The most appropriate response of the nurse when a mother asks what the Denver
MK MK MK MK MK MK MK MK MK MK MK MK MK M
KII does is that it
MK MK MK MK
a. can diagnose developmental disabilities.
MK MK MK
b. identifies a need for physical therapy. MK MK MK MK MK
c. is a developmental screening tool.
MK MK MK MK
d. provides a framework for health teaching.
MK MK MK MK MK
ANS: C M K
The Denver II is the most commonly used measure of developmental status used by
MK MK MK MK MK MK MK MK MK MK MK MK MK
MKhealthcare professionals; it is a screening tool. Screening tools do not provide a dia
MK MK MK MK MK MK MK MK MK MK MK MK MK
gnosis. Diagnosis requires a thorough neurodevelopment history and physical examina
MK MK MK MK MK MK MK MK MK
tion.
Developmental delay, which is suggested by screening, is a symptom, not a diagnosi
MK MK MK MK MK MK MK MK MK MK MK MK
s. The need for any therapy would be identified with a comprehensive evaluation, n
MK MK MK MK MK MK MK MK MK MK MK MK MK
ot a screening tool. Some providers use the Denver II as a framework for teaching
MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK
about expected development, but this is not the primary purpose of the tool.
MK MK MK MK MK MK MK MK MK MK MK MK
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
MK MK MK MK MK MK MK
5. To plan early intervention a n Nd care for an infant with Down syndrome, the nurse c
MK MK MK MK MK MK MK MK MK MK MK MK MK MK
onsiders knowledge of other physical development exemplars such as
MK MK MK MK MK MK MK MK
a. cerebral palsy. MK
b. autism.
c. attention-deficit/hyperactivity disorder (ADHD). MK MK
d. failure to thrive. MK MK
ANS: D M K
Failure to thrive is also a physical development exemplar. Cerebral palsy is an exe
MK MK MK MK MK MK MK MK MK MK MK MK MK
mplar of motor/developmental delay. Autism is an exemplar of social/emotional dev
MK MK MK MK MK MK MK MK MK MK
elopmental delay. ADHD is an exemplar of a cognitive disorder.
MK MK MK MK MK MK MK MK MK
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
MK MK MK MK MK MK MK
6. To plan early intervention and care for a child with a developmental delay, the nu
MK MK MK MK MK MK MK MK MK MK MK MK MK MK
rse would consider knowledge of the concepts most significantly impacted by devel
MK MK MK MK MK MK MK MK MK MK MK
opment, including MK
a. culture.
b. environment.
c. functional status. MK
d. nutrition.
MK ANS: C M K
, Function is one of the concepts most significantly impacted by development. Others
MK MK MK MK MK MK MK MK MK MK MK M
Kinclude sensory- MK
perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these con
MK MK MK MK MK MK MK MK MK
cepts can help the nurse anticipate areas that need to be addressed. Culture is a c
MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK
oncept that is considered to significantly affect development; the difference is the c
MK MK MK MK MK MK MK MK MK MK MK MK
oncepts that affect development are those that represent major influencing factors (c
MK MK MK MK MK MK MK MK MK MK MK
auses); hence determination of development would be the focus of preventive interv
MK MK MK MK MK MK MK MK MK MK MK
entions. Environment is considered to significantly affect development. Nutrition is
MK MK MK MK MK MK MK MK MK MK
considered to significantly affect development.
MK MK MK MK
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
MK MK MK MK MK MK MK
7. A mother complains to the nurse at the pediatric clinic that her 4-year-
MK MK MK MK MK MK MK MK MK MK MK MK
old child always talks to her toys and makes up stories. The mother wants her chi
MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK
ld to have a psychological evaluation. The nurse’s best initial response is to
MK MK MK MK MK MK MK MK MK MK MK MK
a. refer the child to a psychologist immediately.
MK MK MK MK MK MK
b. explain that playing make believe is normal at this age.
MK MK MK MK MK MK MK MK MK
c. complete a developmental screening using a validated tool.
MK MK MK MK MK MK MK
d. separate the child from the mother to get more information.
MK MK MK MK MK MK MK MK MK
ANS: B M K
By the end of the fourth year, it is expected that a child will engage in fantasy, s
MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK
o this is normal at this age. A referral to a psychologist would be premature based
MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK M
only on the complaint of the mother. Completing a developmental screening would
K MK MK MK MK MK MK MK MK MK MK MK MK
be very appropriate but not the initial response. The nurse would certainly want to
MK MK MK MK MK MK MK MK MK MK MK MK MK MK
get more information, but separating the child from the mother is not necessary at t
MK MK MK MK MK MK MK MK MK MK MK MK MK MK
his time.MK
OBJ: NCLEX Client NeedsNCategory: Health Promotion and Maintenance
MK MK MK MK MK MK
8. A 17-year-
MK
old girl is hospitalized for appendicitis, and her mother asks the nurse why she is
MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK
so needy and acting like a child. The best response of the nurse is that in the ho
MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK
spital, adolescents
MK
a. have separation anxiety.
MK MK
b. rebel against rules. MK MK
c. regress because of stress. MK MK MK
d. want to know everything.
MK MK MK
ANS: C M K
Regression to an earlier stage of development is a common response to stress. Sepa
MK MK MK MK MK MK MK MK MK MK MK MK MK
ration anxiety is most common in infants and toddlers. Rebellion against hospital ru
MK MK MK MK MK MK MK MK MK MK MK MK
les is usually not an issue if the adolescent understands the rules and would not cr
MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK
eate childlike behaviors. An adolescent may want to “know everything” with their l
MK MK MK MK MK MK MK MK MK MK MK MK
ogical thinking and deductive reasoning, but that would not explain why they woul
MK MK MK MK MK MK MK MK MK MK MK MK
d act like a child.
MK MK MK MK
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
MK MK MK MK MK MK MK
WWW.NURSYLAB.COM
MK MK
Giddens: Concepts for Nursing Practice, 3rd Edition
MK MK MK MK MK MK
MULTIPLE CHOICE MK
1. The nurse manager of a pediatric clinic could confirm that the new nurse recog
MK MK MK MK MK MK MK MK MK MK MK MK MK
nized the purpose of the HEADSS Adolescent Risk Profile when the new nurse
MK MK MK MK MK MK MK MK MK MK MK MK
responds that it is used to assess for needs related to
MK MK MK MK MK MK MK MK MK MK MK
a. anticipatory guidance. MK
b. low-risk adolescents. MK
c. physical development. MK
d. sexual development. MK
ANS: A M K
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool
MK MK MK MK MK MK MK MK MK MK MK
which assesses home, education, activities, drugs, sex, and suicide for the purpose
MK MK MK MK MK MK MK MK MK MK MK MK
of identifying high-
MK MK
risk adolescents and the need for anticipatory guidance. It is used to identify high-
MK MK MK MK MK MK MK MK MK MK MK MK MK
risk, not low-
MK MK
risk, adolescents. Physical development is assessed with anthropometric data.
MK MK MK MK MK MK MK MK
Sexual development is assessed using physical examination.
MK MK MK MK MK MK
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
MK MK MK MK MK MK MK
2. The nurse preparing a teaching plan for a preschooler knows that, according to P
MK MK MK MK MK MK MK MK MK MK MK MK MK
iaget, the expected stage of development for a preschooler is
MK MK MK MK MK MK MK MK MK
a. concrete operational. MK
b. formal operational. N MK
c. preoperational.
d. sensorimotor.
ANS: C M K
The expected stage of development for a preschooler (3–4 years old) is pre-
MK MK MK MK MK MK MK MK MK MK MK MK
operational. Concrete operational describes the thinking of a school-age child (7–
MK MK MK MK MK MK MK MK MK MK
11 years old). Formal operational describes the thinking of an individual after about
MK MK MK MK MK MK MK MK MK MK MK MK MK
11 years of age. Sensorimotor describes the earliest pattern of thinking from birth to
MK MK MK MK MK MK MK MK MK MK MK MK MK
2 years old.
MK MK MK
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
MK MK MK MK MK MK MK
3. The school nurse talking with a high school class about the difference between gr
MK MK MK MK MK MK MK MK MK MK MK MK MK
owth and development would best describe growth as
MK MK MK MK MK MK MK
a. processes by which early cells specialize.
MK MK MK MK MK
b. psychosocial and cognitive changes. MK MK MK
c. qualitative changes associated with aging.
MK MK MK MK
d. quantitative changes in size or wei MK MK MK MK MK
ght. ANS: DMK M K
WWW.NURSYLAB.COM
, Growth is a quantitative change in which an increase in cell number and size resu
MK MK MK MK MK MK MK MK MK MK MK MK MK MK
lts in an increase in overall size or weight of the body or any of its parts. The p
MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK
rocesses by which early cells specialize are referred to as differentiation. Psychosoci
MK MK MK MK MK MK MK MK MK MK MK
al and cognitive changes are referred to as development. Qualitative changes associa
MK MK MK MK MK MK MK MK MK MK MK
ted with aging are referred to as maturation.
MK MK MK MK MK MK MK
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
MK MK MK MK MK MK MK
4. The most appropriate response of the nurse when a mother asks what the Denver
MK MK MK MK MK MK MK MK MK MK MK MK MK M
KII does is that it
MK MK MK MK
a. can diagnose developmental disabilities.
MK MK MK
b. identifies a need for physical therapy. MK MK MK MK MK
c. is a developmental screening tool.
MK MK MK MK
d. provides a framework for health teaching.
MK MK MK MK MK
ANS: C M K
The Denver II is the most commonly used measure of developmental status used by
MK MK MK MK MK MK MK MK MK MK MK MK MK
MKhealthcare professionals; it is a screening tool. Screening tools do not provide a dia
MK MK MK MK MK MK MK MK MK MK MK MK MK
gnosis. Diagnosis requires a thorough neurodevelopment history and physical examina
MK MK MK MK MK MK MK MK MK
tion.
Developmental delay, which is suggested by screening, is a symptom, not a diagnosi
MK MK MK MK MK MK MK MK MK MK MK MK
s. The need for any therapy would be identified with a comprehensive evaluation, n
MK MK MK MK MK MK MK MK MK MK MK MK MK
ot a screening tool. Some providers use the Denver II as a framework for teaching
MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK
about expected development, but this is not the primary purpose of the tool.
MK MK MK MK MK MK MK MK MK MK MK MK
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
MK MK MK MK MK MK MK
5. To plan early intervention a n Nd care for an infant with Down syndrome, the nurse c
MK MK MK MK MK MK MK MK MK MK MK MK MK MK
onsiders knowledge of other physical development exemplars such as
MK MK MK MK MK MK MK MK
a. cerebral palsy. MK
b. autism.
c. attention-deficit/hyperactivity disorder (ADHD). MK MK
d. failure to thrive. MK MK
ANS: D M K
Failure to thrive is also a physical development exemplar. Cerebral palsy is an exe
MK MK MK MK MK MK MK MK MK MK MK MK MK
mplar of motor/developmental delay. Autism is an exemplar of social/emotional dev
MK MK MK MK MK MK MK MK MK MK
elopmental delay. ADHD is an exemplar of a cognitive disorder.
MK MK MK MK MK MK MK MK MK
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
MK MK MK MK MK MK MK
6. To plan early intervention and care for a child with a developmental delay, the nu
MK MK MK MK MK MK MK MK MK MK MK MK MK MK
rse would consider knowledge of the concepts most significantly impacted by devel
MK MK MK MK MK MK MK MK MK MK MK
opment, including MK
a. culture.
b. environment.
c. functional status. MK
d. nutrition.
MK ANS: C M K
, Function is one of the concepts most significantly impacted by development. Others
MK MK MK MK MK MK MK MK MK MK MK M
Kinclude sensory- MK
perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these con
MK MK MK MK MK MK MK MK MK
cepts can help the nurse anticipate areas that need to be addressed. Culture is a c
MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK
oncept that is considered to significantly affect development; the difference is the c
MK MK MK MK MK MK MK MK MK MK MK MK
oncepts that affect development are those that represent major influencing factors (c
MK MK MK MK MK MK MK MK MK MK MK
auses); hence determination of development would be the focus of preventive interv
MK MK MK MK MK MK MK MK MK MK MK
entions. Environment is considered to significantly affect development. Nutrition is
MK MK MK MK MK MK MK MK MK MK
considered to significantly affect development.
MK MK MK MK
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
MK MK MK MK MK MK MK
7. A mother complains to the nurse at the pediatric clinic that her 4-year-
MK MK MK MK MK MK MK MK MK MK MK MK
old child always talks to her toys and makes up stories. The mother wants her chi
MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK
ld to have a psychological evaluation. The nurse’s best initial response is to
MK MK MK MK MK MK MK MK MK MK MK MK
a. refer the child to a psychologist immediately.
MK MK MK MK MK MK
b. explain that playing make believe is normal at this age.
MK MK MK MK MK MK MK MK MK
c. complete a developmental screening using a validated tool.
MK MK MK MK MK MK MK
d. separate the child from the mother to get more information.
MK MK MK MK MK MK MK MK MK
ANS: B M K
By the end of the fourth year, it is expected that a child will engage in fantasy, s
MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK
o this is normal at this age. A referral to a psychologist would be premature based
MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK M
only on the complaint of the mother. Completing a developmental screening would
K MK MK MK MK MK MK MK MK MK MK MK MK
be very appropriate but not the initial response. The nurse would certainly want to
MK MK MK MK MK MK MK MK MK MK MK MK MK MK
get more information, but separating the child from the mother is not necessary at t
MK MK MK MK MK MK MK MK MK MK MK MK MK MK
his time.MK
OBJ: NCLEX Client NeedsNCategory: Health Promotion and Maintenance
MK MK MK MK MK MK
8. A 17-year-
MK
old girl is hospitalized for appendicitis, and her mother asks the nurse why she is
MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK
so needy and acting like a child. The best response of the nurse is that in the ho
MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK
spital, adolescents
MK
a. have separation anxiety.
MK MK
b. rebel against rules. MK MK
c. regress because of stress. MK MK MK
d. want to know everything.
MK MK MK
ANS: C M K
Regression to an earlier stage of development is a common response to stress. Sepa
MK MK MK MK MK MK MK MK MK MK MK MK MK
ration anxiety is most common in infants and toddlers. Rebellion against hospital ru
MK MK MK MK MK MK MK MK MK MK MK MK
les is usually not an issue if the adolescent understands the rules and would not cr
MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK
eate childlike behaviors. An adolescent may want to “know everything” with their l
MK MK MK MK MK MK MK MK MK MK MK MK
ogical thinking and deductive reasoning, but that would not explain why they woul
MK MK MK MK MK MK MK MK MK MK MK MK
d act like a child.
MK MK MK MK
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
MK MK MK MK MK MK MK
WWW.NURSYLAB.COM
