Test bank for Concepts for Nursing Practice
3rd Edition by Jean Foret Giddens 9780323581936
Chapter 1-57 Complete
,Concept 1:
Development Test Bank
MULTIPLE CHOICE
1. The Nurse Manager Of A Pediatric Clinic Could Confirm That The New Nurse
Recognized The 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.
ANS; 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. Sexual Development Is Assessed Using Physical
Examination.
REFERENCE:6 OBJECTIVE:NCLEX® Client Needs Category: Health Promotion And Maintenance
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.
ANS; C
The Expected Stage Of Development For A Preschooler (3 To 4 Years Old) Is
Preoperational. Concrete Operational Describes The Thinking Of A School-Age Child (7
To 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.
REFERENCE:5 OBJECTIVE:NCLEX® Client Needs Category: Health Promotion And Maintenance
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.
d. Quantitative Changes In Size Or Weight.
ANS; D
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.
, REFERENCE:2 OBJECTIVE:NCLEX® Client Needs Category: Health Promotion And Maintenance
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.
ANS; C
The Denver II Is The Most Commonly Used Measure Of Developmental Status Used By
Health Care 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.
REFERENCE:4 OBJECTIVE:NCLEX® Client Needs Category: Health Promotion And Maintenance
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. Failure To Thrive.
c. Fetal Alcohol Syndrome.
d. Hydrocephaly.
ANS; D
Hydrocephaly Is Also A Physical Development Exemplar. Cerebral Palsy Is An
Exemplar Of Adaptive Developmental Delay. Failure To Thrive Is An Exemplar Of
Social/Emotional Developmental Delay. Fetal Alcohol Syndrome Is An Exemplar Of
Cognitive Developmental Delay.
REFERENCE:9 OBJECTIVE:NCLEX® Client Needs Category: Health Promotion And Maintenance
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.
ANS; 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 And Would Be The
Focus Of Preventive Interventions. Environment Is Considered To Significantly Affect
Development. Nutrition Is Considered To Significantly Affect Development.
REFERENCE:1 OBJECTIVE:NCLEX® Client Needs Category: Health Promotion And Maintenance
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 Psychologic Evaluation.
The Nurse’s Best Initial Response Is To
a. Refer The Child To A Psychologist.
b. Explain That Playing Make Believe With Dolls And People Is Normal At This Age.
c. Complete A Developmental Screening.
d. Separate The Child From The Mother To Get More Information.
ANS; 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 Response. The Nurse Would Certainly Want To
Get More Information, But Separating The Child From The Mother Is Not Necessary At
This Time.
REFERENCE:5 OBJECTIVE:NCLEX® Client Needs Category: Health Promotion And Maintenance
8. A 17-Year-Old Girl Is Hospitalized For Appendicitis, And Her Mother Asks The Nurse
Why She Is So Needy And Acting Like A Child. The Best Response Of The Nurse Is That In
The Hospital,
Adolescents
a. Have Separation Anxiety.
b. Rebel Against Rules.
c. Regress Because Of Stress.
d. Want To Know Everything.
ANS; C
Regression To An Earlier Stage Of Development Is A Common Response To Stress.
Separation Anxiety Is Most Common In Infants And Toddlers. Rebellion Against
Hospital Rules Is Usually Not An Issue If The Adolescent Understands The Rules And
Would Not Create Childlike Behaviors. An Adolescent May Want To “Know
Everything” With Their Logical Thinking And Deductive Reasoning, But That Would
Not Explain Why They Would Act Like A Child.
REFERENCE:4 OBJECTIVE:NCLEX® Client Needs Category: Health Promotion And Maintenance
3rd Edition by Jean Foret Giddens 9780323581936
Chapter 1-57 Complete
,Concept 1:
Development Test Bank
MULTIPLE CHOICE
1. The Nurse Manager Of A Pediatric Clinic Could Confirm That The New Nurse
Recognized The 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.
ANS; 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. Sexual Development Is Assessed Using Physical
Examination.
REFERENCE:6 OBJECTIVE:NCLEX® Client Needs Category: Health Promotion And Maintenance
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.
ANS; C
The Expected Stage Of Development For A Preschooler (3 To 4 Years Old) Is
Preoperational. Concrete Operational Describes The Thinking Of A School-Age Child (7
To 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.
REFERENCE:5 OBJECTIVE:NCLEX® Client Needs Category: Health Promotion And Maintenance
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.
d. Quantitative Changes In Size Or Weight.
ANS; D
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.
, REFERENCE:2 OBJECTIVE:NCLEX® Client Needs Category: Health Promotion And Maintenance
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.
ANS; C
The Denver II Is The Most Commonly Used Measure Of Developmental Status Used By
Health Care 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.
REFERENCE:4 OBJECTIVE:NCLEX® Client Needs Category: Health Promotion And Maintenance
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. Failure To Thrive.
c. Fetal Alcohol Syndrome.
d. Hydrocephaly.
ANS; D
Hydrocephaly Is Also A Physical Development Exemplar. Cerebral Palsy Is An
Exemplar Of Adaptive Developmental Delay. Failure To Thrive Is An Exemplar Of
Social/Emotional Developmental Delay. Fetal Alcohol Syndrome Is An Exemplar Of
Cognitive Developmental Delay.
REFERENCE:9 OBJECTIVE:NCLEX® Client Needs Category: Health Promotion And Maintenance
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.
ANS; 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 And Would Be The
Focus Of Preventive Interventions. Environment Is Considered To Significantly Affect
Development. Nutrition Is Considered To Significantly Affect Development.
REFERENCE:1 OBJECTIVE:NCLEX® Client Needs Category: Health Promotion And Maintenance
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 Psychologic Evaluation.
The Nurse’s Best Initial Response Is To
a. Refer The Child To A Psychologist.
b. Explain That Playing Make Believe With Dolls And People Is Normal At This Age.
c. Complete A Developmental Screening.
d. Separate The Child From The Mother To Get More Information.
ANS; 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 Response. The Nurse Would Certainly Want To
Get More Information, But Separating The Child From The Mother Is Not Necessary At
This Time.
REFERENCE:5 OBJECTIVE:NCLEX® Client Needs Category: Health Promotion And Maintenance
8. A 17-Year-Old Girl Is Hospitalized For Appendicitis, And Her Mother Asks The Nurse
Why She Is So Needy And Acting Like A Child. The Best Response Of The Nurse Is That In
The Hospital,
Adolescents
a. Have Separation Anxiety.
b. Rebel Against Rules.
c. Regress Because Of Stress.
d. Want To Know Everything.
ANS; C
Regression To An Earlier Stage Of Development Is A Common Response To Stress.
Separation Anxiety Is Most Common In Infants And Toddlers. Rebellion Against
Hospital Rules Is Usually Not An Issue If The Adolescent Understands The Rules And
Would Not Create Childlike Behaviors. An Adolescent May Want To “Know
Everything” With Their Logical Thinking And Deductive Reasoning, But That Would
Not Explain Why They Would Act Like A Child.
REFERENCE:4 OBJECTIVE:NCLEX® Client Needs Category: Health Promotion And Maintenance
