,Concept 01: Development
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Giddens: Concepts for Nursing Practice, 4th Edition
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MULTIPLE CHOICE C/
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized t
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hepurpose of the HEADSS Adolescent Risk Profile when the new nurse responds that
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it isused to assess for needs related to
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a. anticipatory guidance. C/
b. low-risk adolescents. C/
c. physical development. C/
d. sexual development. C/
ANS: A C /
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
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assesses home, education, activities, drugs, sex, and suicide for the purpose of identifyin
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g high-risk adolescents and the need for anticipatory guidance. It is used to identify high-
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risk,not low-risk, adolescents. Physical development is assessed with anthropometric data.
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Sexual development is assessed using physical examination.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance C/ C/ C/ C/ C/ C/ C/
2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, t
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heexpected stage of development for a preschooler is
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a. concrete operational. C/
b. formal operational. N C/
c. preoperational.
d. sensorimotor.
ANS: C C /
The expected stage of development for a preschooler (3–4 years old) is pre-
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operational. Concrete operational describes the thinking of a school-age child (7–
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11 years old). Formal operational describes the thinking of an individual after about 11 ye
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ars of age. Sensorimotordescribes the earliest pattern of thinking from birth to 2 years old.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance C/ C/ C/ C/ C/ C/ C/
3. The school nurse talking with a high school class about the difference between growth a
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nddevelopment would best describe growth as
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a. processes by which early cells specialize. C/ C/ C/ C/ C/
b. psychosocial and cognitive changes. C/ C/ C/
c. qualitative changes associated with aging. C/ C/ C/ C/
d. quantitative changes in size or weigh C/ C/ C/ C/ C/
t.ANS: D
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, Growth is a quantitative change in which an increase in cell number and size results in a
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n increase in overall size or weight of the body or any of its parts. The processes by whi
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ch early cells specialize are referred to as differentiation. Psychosocial and cognitive cha
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nges are referred to as development. Qualitative changes associated with aging are referr
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ed to asmaturation.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance C/ C/ C/ C/ C/ C/ C/
4. The most appropriate response of the nurse when a mother asks what the Denver II doe
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s isthat it
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a. can diagnose developmental disabilities.
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b. identifies a need for physical therapy. C/ C/ C/ C/ C/
c. is a developmental screening tool.
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d. provides a framework for health teaching. C/ C/ C/ C/ C/
ANS: C C /
The Denver II is the most commonly used measure of developmental status used by he
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althcare professionals; it is a screening tool. Screening tools do not provide a diagnosis.
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Diagnosis requires a thorough neurodevelopment history and physical examination.
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Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. T
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heneed for any therapy would be identified with a comprehensive evaluation, not a scree
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ningtool. Some providers use the Denver II as a framework for teaching about expected
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development, but this is not the primary purpose of the tool. C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance C/ C/ C/ C/ C/ C/ C/
5. To plan early intervention anN
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rs knowledge of other physical development exemplars such as
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a. cerebral palsy. C/
b. autism.
c. attention-deficit/hyperactivity disorder (ADHD). C/ C/
d. failure to thrive. C/ C/
ANS: D C /
Failure to thrive is also a physical development exemplar. Cerebral palsy is an exemplar
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ofmotor/developmental delay. Autism is an exemplar of social/emotional developmental
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delay. ADHD is an exemplar of a cognitive disorder.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance C/ C/ C/ C/ C/ C/ C/
6. To plan early intervention and care for a child with a developmental delay, the nurse wo
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uldconsider knowledge of the concepts most significantly impacted by development, inclu
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ding
a. culture.
b. environment.
c. functional status. C/
d. nutrition. C
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ANS: C C /