Giddens:5 6 Concepts5 6 for5 6 Nursing5 6 Practice,5 6 3rd5 6 Edition
MULTIPLE5 6 CHOICE
1. The5 6 nurse5 6 manager5 6 of5 6 a5 6 pediatric5 6 clinic5 6 could5 6 confirm5 6 that5 6 the5 6 n
ew5 6 nurse5 6 recog56nized5 6 thepurpose5 6 of5 6 the5 6 HEADSS5 6 Adolescent5 6 Risk5 6 Pr
ofile5 6 when5 6 the5 6 new5 6 nurse5 6 responds5 6 that5 6 it5 6 isuiused5 6 to5 6 assess5 6 for5 6 n
eeds5 6 related5 6 to
a. anticipatory5 6 guidance.
b. low-risk5 6 adolescents.
c. physical5 6 development.
d. sexual5 6 development.
ANS:5 6 5 6 A
The56HEADSS56Adolescent56Risk56Profile56is56a56psychosocial56assessment56screening56
tool5 6 which5 6 assesses5 6 home,5 6 education,5 6 activities,5 6 drugs,5 6 sex,5 6 and5 6 suicide
5 6 for5 6 the5 6 purpose5 6 of5 6 identifying5 6 high-
risk5 6 adolescents5 6 and5 6 the5 6 need5 6 for5 6 anticipatory5 6 guidance.5 6 It5 6 is5 6 used5 6 to5 6
identify5 6 high-56risk,56not5 6 low-
risk,56adolescents.56Physical56development56is56assessed56with56anthropometric56d
ata.56Sexual5 6 development5 6 is5 6 assessed5 6 using5 6 physical5 6 examination.
OBJ:5 6 5 6 NCLEX5 6 Client5 6 Needs5 6 Category:5 6 Health5 6 Promotion5 6 and5 6 Maintenance
2. The5 6 nurse5 6 preparing5 6 a5 6 teaching5 6 plan5 6 for5 6 a5 6 preschooler5 6 knows5 6 that,5 6
according5 6 to5 6 P56iaget,5 6 theexpected5 6 stage5 6 of5 6 development5 6 for5 6 a5 6 presc
hooler5 6 is
a. concrete5 6 operational.
b. formal5 6 operational. N
c. preoperational.
d. sensorimotor.
ANS:5 6 5 6 C
The5 6 expected5 6 stage5 6 of5 6 development5 6 for5 6 a5 6 preschooler5 6 (3–
45 6 years5 6 old)5 6 is5 6 pre-
5 6 operational.5 6 Concrete5 6 operational5 6 describes5 6 the5 6 thinking5 6 of5 6 a5 6 school-
age5 6 child5 6 (7–
115 6 years5 6 old).5 6 Formal5 6 operational5 6 describes5 6 the5 6 thinking5 6 of5 6 an5 6 individu
al5 6 after5 6 about
115 6 years5 6 of5 6 age.5 6 Sensorimotordescribes5 6 the5 6 earliest5 6 pattern5 6 of5 6 thinkin
g5 6 from5 6 birth5 6 t56o5 6 25 6 years5 6 old.
OBJ: NCLEX5 6 Client5 6 Needs5 6 Category:5 6 Health5 6 Promotion5 6 and5 6 Maintenance
3. The5 6 school5 6 nurse5 6 talking5 6 with5 6 a5 6 high5 6 school5 6 class5 6 about5 6 the5 6 differenc
e5 6 between5 6 gr5 6 owth5 6 anddevelopment5 6 would5 6 best5 6 describe5 6 growth5 6 as
a. processes5 6 by5 6 which5 6 early5 6 cells5 6 specialize.
b. psychosocial5 6 and5 6 cognitive5 6 changes.
c. qualitative5 6 changes5 6 associated5 6 with5 6 aging.
d. quantitative5 6 changes5 6 in5 6 size5 6 or
5 6 wei56ght.56ANS: D
,WWW.NURSYLAB.COM
, Growth5 6 is5 6 a5 6 quantitative5 6 change5 6 in5 6 which5 6 an5 6 increase5 6 in5 6 cell5 6 num
ber5 6 and5 6 size5 6 resu56lts5 6 in5 6 an5 6 increase5 6 in5 6 overall5 6 size5 6 or5 6 weight5 6 o
f5 6 the5 6 body5 6 or5 6 any5 6 of5 6 its5 6 parts.5 6 The5 6 p56rocesses5 6 by5 6 which5 6 early5 6
cells5 6 specialize5 6 are5 6 referred5 6 to5 6 as5 6 differentiation.5 6 Psychoso5 6 cial5 6 and5 6 cogn
itive5 6 changes5 6 are5 6 referred5 6 to5 6 as5 6 development.5 6 Qualitative5 6 changes5 6 asso5 6 ci
ated5 6 with5 6 aging5 6 are5 6 referred5 6 to5 6 asmaturation.
OBJ: NCLEX5 6 Client5 6 Needs5 6 Category:5 6 Health5 6 Promotion5 6 and5 6 Maintenance
4. The5 6 most5 6 appropriate5 6 response5 6 of5 6 the5 6 nurse5 6 when5 6 a5 6 mother5 6 asks5 6 wha
t5 6 the5 6 Denver
II5 6 does5 6 isthat5 6 it
a. can5 6 diagnose5 6 developmental5 6 disabilities.
b. identifies5 6 a5 6 need5 6 for5 6 physical5 6 therapy.
c. is5 6 a5 6 developmental5 6 screening5 6 tool.
d. provides5 6 a5 6 framework5 6 for5 6 health5 6 teaching.
ANS: C
The5 6 Denver5 6 II5 6 is5 6 the5 6 most5 6 commonly5 6 used5 6 measure5 6 of5 6 developme
ntal5 6 status5 6 used56by5 6 healthcare5 6 professionals;5 6 it5 6 is5 6 a5 6 screening5 6 tool.
5 6 Screening5 6 tools5 6 do5 6 not5 6 provide56a5 6 diagnosis.56Diagnosis5 6 requires5 6 a5 6 th
orough5 6 neurodevelopment5 6 history5 6 and5 6 physical5 6 e56xamination.
Developmental5 6 delay,5 6 which5 6 is5 6 suggested5 6 by5 6 screening,5 6 is5 6 a5 6 symptom,5 6 n
ot5 6 a5 6 diagn5 6 osis.5 6 Theneed5 6 for5 6 any5 6 therapy5 6 would5 6 be5 6 identified5 6 with
5 6 a5 6 comprehensive5 6 evaluation
,5 6 not5 6 a5 6 screeningtool.5 6 Some5 6 providers5 6 use5 6 the5 6 Denver5 6 II5 6 as5 6 a5 6 fra
mework5 6 for5 6 teach56ing5 6 about5 6 expected5 6 development,5 6 but5 6 this5 6 is5 6 not5
6 the5 6 primary5 6 purpose5 6 of5 6 the5 6 tool.
OBJ: NCLEX5 6 Client5 6 Needs5 6 Category:5 6 Health5 6 Promotion5 6 and5 6 Maintenance
5. To5 6 plan5 6 early5 6 intervention5 6 a n Nd 5 6 care5 6 for5 6 an5 6 infant5 6 with5 6 Down5 6 syndr
ome,5 6 the5 6 nurse56considers5 6 knowledge5 6 of5 6 other5 6 physical5 6 development5 6 exe
mplars5 6 such5 6 as
a. cerebral5 6 palsy.
b. autism.
c. attention-deficit/hyperactivity5 6 disorder5 6 (ADHD).
d. failure5 6 to5 6 thrive.
ANS: D
Failure5 6 to5 6 thrive5 6 is5 6 also5 6 a5 6 physical5 6 development5 6 exemplar.5 6 Cerebral5 6 palsy
5 6 is5 6 an5 6 exe56mplar5 6 ofmotor/developmental5 6 delay.5 6 Autism5 6 is5 6 an5 6 exemplar5 6 of5
6 social/emotional5 6 dev5 6 elopmental5 6 delay.5 6 ADHD5 6 is5 6 an5 6 exemplar5 6 of5 6 a5 6 co
gnitive5 6 disorder.
OBJ: NCLEX5 6 Client5 6 Needs5 6 Category:5 6 Health5 6 Promotion5 6 and5 6 Maintenance
6. To5 6 plan5 6 early5 6 intervention5 6 and5 6 care5 6 for5 6 a5 6 child5 6 with5 6 a5 6 developmental5
6 delay,5 6 the5 6 nu5 6 rse56wouldconsider56knowledge56of56the56concepts56most56significant
ly56impacted56by56develo56pment,5 6 including
a. culture.
b. environment.
c. functional5 6 status.
d. nutrition.
56ANS: C