Test Bank Concepts for Nursing Practice (3RD
Ed) by Jean Giddens 2024 STUVIA
, Concept 01: Development
Giddens: Concepts for Nursing Practice, 3rd Edition
The pediatric clinic nurse manager can verify that a new nurse understands the purpose of the HEADSS
Adolescent Risk Profile when the new nurse explains it is used to assess:
a. The need for anticipatory guidance.
b. Adolescents with minimal risk factors.
c. Physical development.
d. Sexual development.
Answer: A
The HEADSS Adolescent Risk Profile is a psychosocial screening tool that examines home environment,
education, activities, drug use, sexuality, and mental health to identify adolescents at risk and determine the need
for anticipatory guidance. It focuses on high-risk adolescents rather than those with low risk. Physical
development is measured with growth data, while sexual development is assessed during physical exams.
NCLEX Client Needs Category: Health Promotion and Maintenance
When planning teaching for a preschool child, the nurse recognizes that, according to Piaget, the correct
developmental stage is:
a. Concrete operational.
b. Formal operational.
c. Preoperational.
d. Sensorimotor.
Answer: C
Children ages 3–4 are in Piaget’s preoperational stage. The concrete operational stage refers to ages 7–11, while
the formal operational stage begins at about age 11. The sensorimotor stage occurs from birth through age 2.
NCLEX Client Needs Category: Health Promotion and Maintenance
When explaining growth and development to high school students, the school nurse best defines growth as:
a. The process by which early cells specialize.
b. Changes in psychosocial and cognitive skills.
c. Qualitative changes that happen with aging.
d. Quantitative changes in size or weight.
Answer: D
Growth refers to measurable changes such as increases in height or weight caused by cell multiplication.
Differentiation is when early cells become specialized. Development involves psychosocial and cognitive changes,
while maturation refers to qualitative age-related changes.
,NCLEX Client Needs Category: Health Promotion and Maintenance
When a mother asks what the Denver II test measures, the nurse’s best reply is that it:
a. Diagnoses developmental disabilities.
b. Identifies the need for physical therapy.
c. Is a developmental screening tool.
d. Provides a guideline for health teaching.
Answer: C
The Denver II is used to screen for developmental progress in children, not to diagnose disabilities. A diagnosis
requires full developmental history and physical assessment. While it can be used to discuss development, its main
purpose is screening.
NCLEX Client Needs Category: Health Promotion and Maintenance
In planning early intervention for an infant with Down syndrome, the nurse also considers other physical
developmental concerns, such as:
a. Cerebral palsy.
b. Autism.
c. Attention-deficit/hyperactivity disorder (ADHD).
d. Failure to thrive.
Answer: D
Failure to thrive is a physical developmental concern. Cerebral palsy is linked to motor delays, autism to
social/emotional challenges, and ADHD to cognitive concerns.
NCLEX Client Needs Category: Health Promotion and Maintenance
When creating a care plan for a child with a developmental delay, the nurse focuses on which area of development
is most affected, such as:
a. Culture.
b. Environment.
c. Functional status.
d. Nutrition.
Answer: C
Function is a primary aspect affected by development, including cognition, mobility, sensory-perceptual ability,
reproduction, and sexuality. While culture, nutrition, and environment influence development, function directly
reflects developmental progress and guides interventions.
NCLEX Client Needs Category: Health Promotion and Maintenance
A mother tells the nurse her 4-year-old often talks to toys and creates imaginary stories, and she wonders if an
evaluation is needed. The nurse’s most appropriate initial response is:
, a. Refer the child to a psychologist immediately.
b. Reassure her that pretend play is normal for this age.
c. Do a developmental screening with a tool.
d. Speak to the child separately for more details.
Answer: B
Fantasy and make-believe play are expected at age 4. A referral is not needed based on this behavior alone.
Screening may be helpful but is not the first step. Separating the child from the mother is unnecessary.
NCLEX Client Needs Category: Health Promotion and Maintenance
A 17-year-old hospitalized with appendicitis behaves childishly, and her mother is concerned. The nurse explains
that adolescents in the hospital often:
a. Experience separation anxiety.
b. Rebel against rules.
c. Regress under stress.
d. Want detailed information.
Answer: C
Adolescents often regress when stressed or ill. Separation anxiety is more common in infants and toddlers.
Rebellion and seeking information occur but do not explain childish behavior.
NCLEX Client Needs Category: Health Promotion and Maintenance
During a developmental assessment, the nurse expects a toddler to engage in which type of play?
a. Cooperative play
b. Parallel play
c. Competitive play
d. Solitary play
Answer: B
Toddlers show parallel play—playing near others but not with them. Cooperative play occurs in preschool and
school-age children. Competitive play is typical of older children. Solitary play is more common in infants.
NCLEX Client Needs Category: Health Promotion and Maintenance
When parents ask why toddlers often say "no," the nurse explains this behavior is:
a. Defiance that must be corrected.
b. A sign of a speech delay.
c. A normal way of asserting independence.
d. Emotional distress.
Answer: C
Saying "no" is a developmental milestone reflecting autonomy and independence. It is not necessarily defiance. A
speech delay involves difficulty forming words, not frequent use of "no." Emotional distress may alter behavior,
Ed) by Jean Giddens 2024 STUVIA
, Concept 01: Development
Giddens: Concepts for Nursing Practice, 3rd Edition
The pediatric clinic nurse manager can verify that a new nurse understands the purpose of the HEADSS
Adolescent Risk Profile when the new nurse explains it is used to assess:
a. The need for anticipatory guidance.
b. Adolescents with minimal risk factors.
c. Physical development.
d. Sexual development.
Answer: A
The HEADSS Adolescent Risk Profile is a psychosocial screening tool that examines home environment,
education, activities, drug use, sexuality, and mental health to identify adolescents at risk and determine the need
for anticipatory guidance. It focuses on high-risk adolescents rather than those with low risk. Physical
development is measured with growth data, while sexual development is assessed during physical exams.
NCLEX Client Needs Category: Health Promotion and Maintenance
When planning teaching for a preschool child, the nurse recognizes that, according to Piaget, the correct
developmental stage is:
a. Concrete operational.
b. Formal operational.
c. Preoperational.
d. Sensorimotor.
Answer: C
Children ages 3–4 are in Piaget’s preoperational stage. The concrete operational stage refers to ages 7–11, while
the formal operational stage begins at about age 11. The sensorimotor stage occurs from birth through age 2.
NCLEX Client Needs Category: Health Promotion and Maintenance
When explaining growth and development to high school students, the school nurse best defines growth as:
a. The process by which early cells specialize.
b. Changes in psychosocial and cognitive skills.
c. Qualitative changes that happen with aging.
d. Quantitative changes in size or weight.
Answer: D
Growth refers to measurable changes such as increases in height or weight caused by cell multiplication.
Differentiation is when early cells become specialized. Development involves psychosocial and cognitive changes,
while maturation refers to qualitative age-related changes.
,NCLEX Client Needs Category: Health Promotion and Maintenance
When a mother asks what the Denver II test measures, the nurse’s best reply is that it:
a. Diagnoses developmental disabilities.
b. Identifies the need for physical therapy.
c. Is a developmental screening tool.
d. Provides a guideline for health teaching.
Answer: C
The Denver II is used to screen for developmental progress in children, not to diagnose disabilities. A diagnosis
requires full developmental history and physical assessment. While it can be used to discuss development, its main
purpose is screening.
NCLEX Client Needs Category: Health Promotion and Maintenance
In planning early intervention for an infant with Down syndrome, the nurse also considers other physical
developmental concerns, such as:
a. Cerebral palsy.
b. Autism.
c. Attention-deficit/hyperactivity disorder (ADHD).
d. Failure to thrive.
Answer: D
Failure to thrive is a physical developmental concern. Cerebral palsy is linked to motor delays, autism to
social/emotional challenges, and ADHD to cognitive concerns.
NCLEX Client Needs Category: Health Promotion and Maintenance
When creating a care plan for a child with a developmental delay, the nurse focuses on which area of development
is most affected, such as:
a. Culture.
b. Environment.
c. Functional status.
d. Nutrition.
Answer: C
Function is a primary aspect affected by development, including cognition, mobility, sensory-perceptual ability,
reproduction, and sexuality. While culture, nutrition, and environment influence development, function directly
reflects developmental progress and guides interventions.
NCLEX Client Needs Category: Health Promotion and Maintenance
A mother tells the nurse her 4-year-old often talks to toys and creates imaginary stories, and she wonders if an
evaluation is needed. The nurse’s most appropriate initial response is:
, a. Refer the child to a psychologist immediately.
b. Reassure her that pretend play is normal for this age.
c. Do a developmental screening with a tool.
d. Speak to the child separately for more details.
Answer: B
Fantasy and make-believe play are expected at age 4. A referral is not needed based on this behavior alone.
Screening may be helpful but is not the first step. Separating the child from the mother is unnecessary.
NCLEX Client Needs Category: Health Promotion and Maintenance
A 17-year-old hospitalized with appendicitis behaves childishly, and her mother is concerned. The nurse explains
that adolescents in the hospital often:
a. Experience separation anxiety.
b. Rebel against rules.
c. Regress under stress.
d. Want detailed information.
Answer: C
Adolescents often regress when stressed or ill. Separation anxiety is more common in infants and toddlers.
Rebellion and seeking information occur but do not explain childish behavior.
NCLEX Client Needs Category: Health Promotion and Maintenance
During a developmental assessment, the nurse expects a toddler to engage in which type of play?
a. Cooperative play
b. Parallel play
c. Competitive play
d. Solitary play
Answer: B
Toddlers show parallel play—playing near others but not with them. Cooperative play occurs in preschool and
school-age children. Competitive play is typical of older children. Solitary play is more common in infants.
NCLEX Client Needs Category: Health Promotion and Maintenance
When parents ask why toddlers often say "no," the nurse explains this behavior is:
a. Defiance that must be corrected.
b. A sign of a speech delay.
c. A normal way of asserting independence.
d. Emotional distress.
Answer: C
Saying "no" is a developmental milestone reflecting autonomy and independence. It is not necessarily defiance. A
speech delay involves difficulty forming words, not frequent use of "no." Emotional distress may alter behavior,
