,Concept.01:.Development
Giddens:.Concepts.for.Nursing.Practice,.3rd.Edition
MULTIPLE.CHOICE
1. The.nurse.manager.of.a.pediatric.clinic.could.confirm.that.the.new.nurse.recognized.the.pu
rpose.of.the.HEADSS.Adolescent.Risk.Profile.when.the.new.nurse.responds.that.it.is.used.
to.review.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.revi
ews.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.reviewed.with.anthropometric.data.
Sexual.development.is.reviewed.using.physical.examination.
OBJ: NCLEX.Client.Needs.Category:.Health.Promotion.and.Maintenance
2. The.nurse.preparing.a.teaching.plan.for.a.preschooler.knows.that,.according.to.Piaget,.the.ex
pected.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.(3–4.years.old).is.pre-
operational..Concrete.operational.describes.the.thinking.of.a.school-age.child.(7–
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.
OBJ: NCLEX.Client.Needs.Category:.Health.Promotion.and.Maintenance
3. The.school.nurse.talking.with.a.high.school.class.about.the.difference.between.growth.and.de
velopment.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.incre
ase.in.overall.size.or.weight.of.the.body.or.any.of.its.parts..The.processes.by.which.early.cells.s
pecialize.are.referred.to.as.differentiation..Psychosocial.and.cognitive.changes.are.referred.to.
as.development..Qualitative.changes.associated.with.aging.are.referred.to.as.maturation.
OBJ: 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.tha
t.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.healthcar
e.professionals;.it.is.a.screening.tool..Screening.tools.do.not.provide.a.diagnosis..Diagnosis.req
uires.a.thorough.neurodevelopment.history.and.physical.examination.
Developmental.delay,.which.is.suggested.by.screening,.is.a.symptom,.not.a.diagnosis..The.nee
d.for.any.therapy.would.be.identified.with.a.comprehensive.evaluation,.not.a.screening.tool..S
ome.providers.use.the.Denver.II.as.a.framework.for.teaching.about.expected.development,.but
.this.is.not.the.primary.purpose.of.the.tool.
OBJ: NCLEX.Client.Needs.Category:.Health.Promotion.and.Maintenance
5. To.plan.early.intervention.a n Nd .U
caRreSfIoN
r.aGnTinBf.
anCt OwMith.Down.syndrome,.the.nurse.considers.k
nowledge.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.adapt
ive.developmental.delay..Failure.to.thrive.is.an.exemplar.of.social/emotional.developmental.d
elay..Fetal.alcohol.syndrome.is.an.exemplar.of.cognitive.developmental.delay.
OBJ: 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.co
nsider.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.se
nsory-
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.considere
d.to.significantly.affect.development;.the.difference.is.the.concepts.that.affect.development.ar
e.those.that.represent.major.influencing.factors.(causes);.hence.determination.of.development.
would.be.the.focus.of.preventive.interventions..Environment.is.considered.to.significantly.aff
ect.development..Nutrition.is.considered.to.significantly.affect.development.
OBJ: 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.ps
ychological.evaluation..The.nurse‘s.best.initial.response.is.to
a. refer.the.child.to.a.psychologist.immediately.
b. explain.that.playing.make.believe.is.normal.at.this.age.
c. complete.a.developmental.screening.using.a.validated.tool.
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.re
sponse..The.nurse.would.certainly.want.to.get.more.information,.but.separating.the.child.from
.the.mother.is.not.necessary.at.this.time.
OBJ: NCLEX. Client. NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotion . 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.anxie
ty.is.most.common.in.infants.and.toddlers..Rebellion.against.hospital.rules.is.usually.not.an.iss
ue.if.the.adolescent.understands.the.rules.and.would.not.create.childlike.behaviors..An.adolesce
nt.may.want.to.―know.everything‖.with.their.logical.thinking.and.deductive.reasoning,.but.that.
would.not.explain.why.they.would.act.like.a.child.
OBJ: NCLEX.Client.Needs.Category:.Health.Promotion.and.Maintenance
Giddens:.Concepts.for.Nursing.Practice,.3rd.Edition
MULTIPLE.CHOICE
1. The.nurse.manager.of.a.pediatric.clinic.could.confirm.that.the.new.nurse.recognized.the.pu
rpose.of.the.HEADSS.Adolescent.Risk.Profile.when.the.new.nurse.responds.that.it.is.used.
to.review.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.revi
ews.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.reviewed.with.anthropometric.data.
Sexual.development.is.reviewed.using.physical.examination.
OBJ: NCLEX.Client.Needs.Category:.Health.Promotion.and.Maintenance
2. The.nurse.preparing.a.teaching.plan.for.a.preschooler.knows.that,.according.to.Piaget,.the.ex
pected.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.(3–4.years.old).is.pre-
operational..Concrete.operational.describes.the.thinking.of.a.school-age.child.(7–
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.
OBJ: NCLEX.Client.Needs.Category:.Health.Promotion.and.Maintenance
3. The.school.nurse.talking.with.a.high.school.class.about.the.difference.between.growth.and.de
velopment.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.incre
ase.in.overall.size.or.weight.of.the.body.or.any.of.its.parts..The.processes.by.which.early.cells.s
pecialize.are.referred.to.as.differentiation..Psychosocial.and.cognitive.changes.are.referred.to.
as.development..Qualitative.changes.associated.with.aging.are.referred.to.as.maturation.
OBJ: 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.tha
t.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.healthcar
e.professionals;.it.is.a.screening.tool..Screening.tools.do.not.provide.a.diagnosis..Diagnosis.req
uires.a.thorough.neurodevelopment.history.and.physical.examination.
Developmental.delay,.which.is.suggested.by.screening,.is.a.symptom,.not.a.diagnosis..The.nee
d.for.any.therapy.would.be.identified.with.a.comprehensive.evaluation,.not.a.screening.tool..S
ome.providers.use.the.Denver.II.as.a.framework.for.teaching.about.expected.development,.but
.this.is.not.the.primary.purpose.of.the.tool.
OBJ: NCLEX.Client.Needs.Category:.Health.Promotion.and.Maintenance
5. To.plan.early.intervention.a n Nd .U
caRreSfIoN
r.aGnTinBf.
anCt OwMith.Down.syndrome,.the.nurse.considers.k
nowledge.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.adapt
ive.developmental.delay..Failure.to.thrive.is.an.exemplar.of.social/emotional.developmental.d
elay..Fetal.alcohol.syndrome.is.an.exemplar.of.cognitive.developmental.delay.
OBJ: 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.co
nsider.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.se
nsory-
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.considere
d.to.significantly.affect.development;.the.difference.is.the.concepts.that.affect.development.ar
e.those.that.represent.major.influencing.factors.(causes);.hence.determination.of.development.
would.be.the.focus.of.preventive.interventions..Environment.is.considered.to.significantly.aff
ect.development..Nutrition.is.considered.to.significantly.affect.development.
OBJ: 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.ps
ychological.evaluation..The.nurse‘s.best.initial.response.is.to
a. refer.the.child.to.a.psychologist.immediately.
b. explain.that.playing.make.believe.is.normal.at.this.age.
c. complete.a.developmental.screening.using.a.validated.tool.
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.re
sponse..The.nurse.would.certainly.want.to.get.more.information,.but.separating.the.child.from
.the.mother.is.not.necessary.at.this.time.
OBJ: NCLEX. Client. NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotion . 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.anxie
ty.is.most.common.in.infants.and.toddlers..Rebellion.against.hospital.rules.is.usually.not.an.iss
ue.if.the.adolescent.understands.the.rules.and.would.not.create.childlike.behaviors..An.adolesce
nt.may.want.to.―know.everything‖.with.their.logical.thinking.and.deductive.reasoning,.but.that.
would.not.explain.why.they.would.act.like.a.child.
OBJ: NCLEX.Client.Needs.Category:.Health.Promotion.and.Maintenance
