,Concept v 01: v Development
Giddens: v Concepts v for v Nursing v Practice, v 3rd v Edition
MULTIPLE v CHOICE
1. The vnurse vmanager vof va v pediatric v clinic v could v confirm v that v the v new
v nurse vrecognized vthe vpurpose vof vthe vHEADSS vAdolescent v Risk v Profile v when
v the v new vnurse v responds v that v it v is vused v to v vassess v vfor v needs vrelated vto
a. anticipatory v guidance.
b. low-risk v adolescents.
c. physical v development.
d. sexual v development.
ANS: A
The vHEADSS vAdolescent vRisk vProfile vis va vpsychosocial vassessment v screening
v tool vwhich vassesses vhome, veducation, v activities, v drugs, v sex, v and v suicide
v for v the v purposevof videntifying vhigh-risk vadolescents v and v the v need v for
v anticipatory v guidance. v It v is vused vto videntify vhigh-risk, v not v low-risk,
v adolescents. v Physical v development v is vassessed vwith vanthropometric vdata.
Sexual v development v is v assessed v using v physical v examination.
OBJ: NCLEX v Client v Needs v Category: v Health v Promotion v and v Maintenance
2. The v nurse v preparing va v teaching v plan v for v a v preschooler v knows v that,
v according v tovPiaget, v the v expected vstage vof vdevelopment vfor v a vpreschooler
vis
a. concrete v operational.
b. formal v operational. N
c. preoperational.
d. sensorimotor.
ANS: C
The vexpected vstage vof vdevelopment vfor v a v preschooler v (3–4 v years v old) v is
v pre- voperational. vConcrete voperational vdescribes vthe vthinking v of v a v school-age
v child v (7–11 vyears vold). vFormal voperational vdescribes vthe vthinking vof v an
v individual v after v about v 11vyears vof vage. vSensorimotor vdescribes vthe vearliest
v pattern v of v thinking v from v birth v to v 2 vyears vold.
OBJ: NCLEX v Client v Needs v Category: v Health v Promotion v and v Maintenance
3. The v school v nurse v talking v with v a v high v school v class v about v the
v difference v betweenvgrowth v and v vdevelopment vwould v best vdescribe v growth
vas
a. processes v by v which v early v cells v specialize.
b. psychosocial v and v cognitive v changes.
c. qualitative v changes v associated v with v aging.
d. quantitative vchanges vin vsize
vorvweight. v ANS: D
WWW.NURSYLAB.COM
, Growth vis v a v quantitative v vchange v in v which v an v increase v in v cell v number v and
v size
results vin van vincrease vin voverall vsize vor vweight vof vthe vbody vor vany vof vits v parts.
v Thevprocesses vby vwhich v early vcells v specialize v vare v referred vto vas
v differentiation.
Psychosocial vand v cognitive v changes vare v referred v to v as v development.
v Qualitativevchanges v associated v with v aging v are v referred v to v as v maturation.
OBJ: NCLEX v Client v Needs v Category: v Health v Promotion v and v Maintenance
4. The v most v appropriate v response v of v the v nurse v when va v mother v asks v what
v the v DenvervII v does v is v that v it
a. can v diagnose v developmental v disabilities.
b. identifies v a v need v for v physical v therapy.
c. is v a v developmental v screening v tool.
d. provides v a v framework v for v health v teaching.
ANS: C
The v Denver v II v is v the v most v commonly v used v measure v of v developmental
v status v used vby v healthcare v professionals; v it v is v a v screening v tool. v Screening
v tools v do v not v provide v avdiagnosis. vDiagnosis vrequires va vthorough
vneurodevelopment vhistory vand vphysical vexamination.
Developmental v delay, v which v is v suggested v by v screening, v is v a v symptom, v not
v a v diagnosis. vThe vneed vfor vany vtherapy vwould vbe videntified vwith va vcomprehensive
vevaluation, vnot va vscreening vtool. vSome vproviders vuse vthe vDenver vII vas va vframework
vfor vteaching v about vexpected vdevelopment, vbut v this v is v vnot v the v primary vpurpose
vof v the v tool.
OBJ: v NCLEX v Client v Needs v Category: v Health v Promotion v and v Maintenance
5. To v vplan v vearly v vintervention v va vnvNd v v care v vfor v an v vinfant v vwith v vDown v
vsyndrome, v vthe v vnurse vconsiders vknowledge vof v other v vphysical v vdevelopment
vexemplars vsuch v as
a. cerebral v palsy.
b. autism.
c. attention-deficit/hyperactivity v disorder v (ADHD).
d. failure v to v thrive.
ANS: v D
Failure vto vthrive vis valso va vphysical vdevelopment v exemplar. v Cerebral v palsy v is
v an vexemplar vof vmotor/developmental vdelay. vAutism vis van vexemplar vof
vsocial/emotionalvdevelopmental v delay. v ADHD vis van v exemplar v of va vcognitive
vdisorder.
OBJ: v NCLEX v Client v Needs v Category: v Health v Promotion v and v Maintenance
6. To vplan vearly vintervention vand vcare vfor v a vchild v with v a vdevelopmental
v delay, v the vnurse vwould vconsider vknowledge vof vthe vconcepts vmost
vsignificantly vimpacted vby vdevelopment, v including
a. culture.
b. environment.
c. functional v status.
d. nutrition.
vANS: v C
, Function v is v one v of v the v concepts v most v significantly v impacted v by v development.
v Othersvinclude v sensory-perceptual, vcognition, v mobility, v reproduction, vand v sexuality.
Knowledge vof vthese vconcepts vcan vhelp vthe vnurse vanticipate vareas vthat vneed vto vbe
vaddressed. vCulture vis va v concept v that v is v considered v to v significantly v affect
vdevelopment; vthe vdifference vis vthe vconcepts vthat vaffect vdevelopment vare vthose
vthatvrepresent vmajor vinfluencing vfactors v(causes); vhence vdetermination vof
v development vwould vbe vthe vfocus vof vpreventive vinterventions. vEnvironment vis
vconsidered vto vsignificantly vaffect vdevelopment. vNutrition vis vconsidered vto
vsignificantly vaffect vdevelopment.
OBJ: NCLEX v Client v Needs v Category: v Health v Promotion v and v Maintenance
7. A vmother vcomplains vto v the v nurse v at v the v pediatric v clinic v that v her v 4-year-
old v child valways vtalks v to v her v toys v and v makes v up v stories. v The v mother
v wants v her v child v to v haveva vpsychological vevaluation. vThe v nurse’s vbest v initial
vresponse v is v vto
a. refer v the v child v to v a v psychologist v immediately.
b. explain v that v playing v make v believe v is v normal v at v this v age.
c. complete v a v developmental v screening v vusing v a v validated v tool.
d. separate v the v child v from v the v mother v to v get v more v information.
ANS: B
By vthe vend vof vthe vfourth v year, v it v is v expected v that v a v child v will v engage
v in v fantasy, v sovthis vis vnormal vat v this v age. v A v referral v to v a v psychologist
v would v be v premature v based vonly von vthe v complaint v of v the v mother.
v Completing v a v developmental v screening v would vbe vvery vappropriate vbut v not
v the v initial v response. v The v nurse v would v certainly v want v to vget vmore
vinformation, vbut v separating v the v child v from v the v mother v is v not v necessary
v at vthis v time.
OBJ: NCLEX v Client v NeedsNCategory: v Health v Promotion v and v Maintenance
8. A v17-year-old vgirl vis vhospitalized vfor vappendicitis, vand v her v mother v asks v the
v nurse vwhy vshe vis vso vneedy v and v acting v like v a v child. v The v best vresponse
v of v the v nurse v is vthat v in v the v vhospital, v adolescents
a. have v separation v anxiety.
b. rebel v against v rules.
c. regress v because v of v stress.
d. want v to v know v everything.
ANS: C
Regression vto van vearlier vstage vof vdevelopment v is v a v common v response v to
v stress. vSeparation v anxiety v is v most v common v in v infants v and v toddlers.
v Rebellion v against vhospital vrules vis vusually v not v an v issue v if v the v adolescent
v understands v the v rules v and vwould v not v create v childlike v behaviors. v vAn
v adolescent vmay v vwant v to v “know v everything”vwith vtheir vlogical vthinking vand
vdeductive vreasoning, v but v that v would v not v explain v whyvthey vwould v act v like
v a v child.
OBJ: NCLEX v Client v Needs v Category: v Health v Promotion v and v Maintenance
WWW.NURSYLAB.COM
Giddens: v Concepts v for v Nursing v Practice, v 3rd v Edition
MULTIPLE v CHOICE
1. The vnurse vmanager vof va v pediatric v clinic v could v confirm v that v the v new
v nurse vrecognized vthe vpurpose vof vthe vHEADSS vAdolescent v Risk v Profile v when
v the v new vnurse v responds v that v it v is vused v to v vassess v vfor v needs vrelated vto
a. anticipatory v guidance.
b. low-risk v adolescents.
c. physical v development.
d. sexual v development.
ANS: A
The vHEADSS vAdolescent vRisk vProfile vis va vpsychosocial vassessment v screening
v tool vwhich vassesses vhome, veducation, v activities, v drugs, v sex, v and v suicide
v for v the v purposevof videntifying vhigh-risk vadolescents v and v the v need v for
v anticipatory v guidance. v It v is vused vto videntify vhigh-risk, v not v low-risk,
v adolescents. v Physical v development v is vassessed vwith vanthropometric vdata.
Sexual v development v is v assessed v using v physical v examination.
OBJ: NCLEX v Client v Needs v Category: v Health v Promotion v and v Maintenance
2. The v nurse v preparing va v teaching v plan v for v a v preschooler v knows v that,
v according v tovPiaget, v the v expected vstage vof vdevelopment vfor v a vpreschooler
vis
a. concrete v operational.
b. formal v operational. N
c. preoperational.
d. sensorimotor.
ANS: C
The vexpected vstage vof vdevelopment vfor v a v preschooler v (3–4 v years v old) v is
v pre- voperational. vConcrete voperational vdescribes vthe vthinking v of v a v school-age
v child v (7–11 vyears vold). vFormal voperational vdescribes vthe vthinking vof v an
v individual v after v about v 11vyears vof vage. vSensorimotor vdescribes vthe vearliest
v pattern v of v thinking v from v birth v to v 2 vyears vold.
OBJ: NCLEX v Client v Needs v Category: v Health v Promotion v and v Maintenance
3. The v school v nurse v talking v with v a v high v school v class v about v the
v difference v betweenvgrowth v and v vdevelopment vwould v best vdescribe v growth
vas
a. processes v by v which v early v cells v specialize.
b. psychosocial v and v cognitive v changes.
c. qualitative v changes v associated v with v aging.
d. quantitative vchanges vin vsize
vorvweight. v ANS: D
WWW.NURSYLAB.COM
, Growth vis v a v quantitative v vchange v in v which v an v increase v in v cell v number v and
v size
results vin van vincrease vin voverall vsize vor vweight vof vthe vbody vor vany vof vits v parts.
v Thevprocesses vby vwhich v early vcells v specialize v vare v referred vto vas
v differentiation.
Psychosocial vand v cognitive v changes vare v referred v to v as v development.
v Qualitativevchanges v associated v with v aging v are v referred v to v as v maturation.
OBJ: NCLEX v Client v Needs v Category: v Health v Promotion v and v Maintenance
4. The v most v appropriate v response v of v the v nurse v when va v mother v asks v what
v the v DenvervII v does v is v that v it
a. can v diagnose v developmental v disabilities.
b. identifies v a v need v for v physical v therapy.
c. is v a v developmental v screening v tool.
d. provides v a v framework v for v health v teaching.
ANS: C
The v Denver v II v is v the v most v commonly v used v measure v of v developmental
v status v used vby v healthcare v professionals; v it v is v a v screening v tool. v Screening
v tools v do v not v provide v avdiagnosis. vDiagnosis vrequires va vthorough
vneurodevelopment vhistory vand vphysical vexamination.
Developmental v delay, v which v is v suggested v by v screening, v is v a v symptom, v not
v a v diagnosis. vThe vneed vfor vany vtherapy vwould vbe videntified vwith va vcomprehensive
vevaluation, vnot va vscreening vtool. vSome vproviders vuse vthe vDenver vII vas va vframework
vfor vteaching v about vexpected vdevelopment, vbut v this v is v vnot v the v primary vpurpose
vof v the v tool.
OBJ: v NCLEX v Client v Needs v Category: v Health v Promotion v and v Maintenance
5. To v vplan v vearly v vintervention v va vnvNd v v care v vfor v an v vinfant v vwith v vDown v
vsyndrome, v vthe v vnurse vconsiders vknowledge vof v other v vphysical v vdevelopment
vexemplars vsuch v as
a. cerebral v palsy.
b. autism.
c. attention-deficit/hyperactivity v disorder v (ADHD).
d. failure v to v thrive.
ANS: v D
Failure vto vthrive vis valso va vphysical vdevelopment v exemplar. v Cerebral v palsy v is
v an vexemplar vof vmotor/developmental vdelay. vAutism vis van vexemplar vof
vsocial/emotionalvdevelopmental v delay. v ADHD vis van v exemplar v of va vcognitive
vdisorder.
OBJ: v NCLEX v Client v Needs v Category: v Health v Promotion v and v Maintenance
6. To vplan vearly vintervention vand vcare vfor v a vchild v with v a vdevelopmental
v delay, v the vnurse vwould vconsider vknowledge vof vthe vconcepts vmost
vsignificantly vimpacted vby vdevelopment, v including
a. culture.
b. environment.
c. functional v status.
d. nutrition.
vANS: v C
, Function v is v one v of v the v concepts v most v significantly v impacted v by v development.
v Othersvinclude v sensory-perceptual, vcognition, v mobility, v reproduction, vand v sexuality.
Knowledge vof vthese vconcepts vcan vhelp vthe vnurse vanticipate vareas vthat vneed vto vbe
vaddressed. vCulture vis va v concept v that v is v considered v to v significantly v affect
vdevelopment; vthe vdifference vis vthe vconcepts vthat vaffect vdevelopment vare vthose
vthatvrepresent vmajor vinfluencing vfactors v(causes); vhence vdetermination vof
v development vwould vbe vthe vfocus vof vpreventive vinterventions. vEnvironment vis
vconsidered vto vsignificantly vaffect vdevelopment. vNutrition vis vconsidered vto
vsignificantly vaffect vdevelopment.
OBJ: NCLEX v Client v Needs v Category: v Health v Promotion v and v Maintenance
7. A vmother vcomplains vto v the v nurse v at v the v pediatric v clinic v that v her v 4-year-
old v child valways vtalks v to v her v toys v and v makes v up v stories. v The v mother
v wants v her v child v to v haveva vpsychological vevaluation. vThe v nurse’s vbest v initial
vresponse v is v vto
a. refer v the v child v to v a v psychologist v immediately.
b. explain v that v playing v make v believe v is v normal v at v this v age.
c. complete v a v developmental v screening v vusing v a v validated v tool.
d. separate v the v child v from v the v mother v to v get v more v information.
ANS: B
By vthe vend vof vthe vfourth v year, v it v is v expected v that v a v child v will v engage
v in v fantasy, v sovthis vis vnormal vat v this v age. v A v referral v to v a v psychologist
v would v be v premature v based vonly von vthe v complaint v of v the v mother.
v Completing v a v developmental v screening v would vbe vvery vappropriate vbut v not
v the v initial v response. v The v nurse v would v certainly v want v to vget vmore
vinformation, vbut v separating v the v child v from v the v mother v is v not v necessary
v at vthis v time.
OBJ: NCLEX v Client v NeedsNCategory: v Health v Promotion v and v Maintenance
8. A v17-year-old vgirl vis vhospitalized vfor vappendicitis, vand v her v mother v asks v the
v nurse vwhy vshe vis vso vneedy v and v acting v like v a v child. v The v best vresponse
v of v the v nurse v is vthat v in v the v vhospital, v adolescents
a. have v separation v anxiety.
b. rebel v against v rules.
c. regress v because v of v stress.
d. want v to v know v everything.
ANS: C
Regression vto van vearlier vstage vof vdevelopment v is v a v common v response v to
v stress. vSeparation v anxiety v is v most v common v in v infants v and v toddlers.
v Rebellion v against vhospital vrules vis vusually v not v an v issue v if v the v adolescent
v understands v the v rules v and vwould v not v create v childlike v behaviors. v vAn
v adolescent vmay v vwant v to v “know v everything”vwith vtheir vlogical vthinking vand
vdeductive vreasoning, v but v that v would v not v explain v whyvthey vwould v act v like
v a v child.
OBJ: NCLEX v Client v Needs v Category: v Health v Promotion v and v Maintenance
WWW.NURSYLAB.COM
