,Conceptm 01:m Development
Giddens:m Concepts m for m Nursing m Practice,m 3rdm Edition
MULTIPLEm CHOICE
1. Them nursem managerm of m am pediatricm clinicm could m confirmm that m them newm nursemrecogni
zed m them purposem of m them HEADSSm Adolescent m Riskm Profilem whenm them new mnursem re
spondsm that m it m ism used m tom assessm form needsm related m to
a. anticipatorym guidance.
b. low-riskm adolescents.
c. physicalm development.
d. sexualm development.
ANS: A
Them HEADSSm Adolescent m Riskm Profilem ism am psychosocialm assessment m screeningm tool
mwhichm assessesm home,m education,m activities,m drugs,m sex,m and m suicidem form them purpos
em of m identifyingm high-
riskm adolescentsm and m them need m form anticipatorym guidance.m It m ism used m tom identifym hig
h-risk,m not m low-
risk,m adolescents.m Physicalm development m ismassessed m withm anthropometricm data.
Sexualm development m ism assessed m usingm physicalm examination.
OBJ: NCLEX m Client m Needsm Category:m Healthm Promotionm and m Maintenance
2. Them nursem preparingm am teachingm planm form am preschoolerm knowsm that,m accordingm t
omPiaget,m them expected m stagem of m development m form am preschoolerm is
a. concretem operational.
b. formalm operational. N
c. preoperational.
d. sensorimotor.
ANS: C
Them expected m stagem of m development m form am preschoolerm (3–4m yearsm old)m ism pre-
m operational.m Concretem operationalm describesm them thinkingm of m am school-agem child m (7–
11myearsm old).m Formalm operationalm describesm them thinkingm of m anm individualm afterm abo
ut m 11myearsm of m age.m Sensorimotorm describesm them earliest m patternm of m thinkingm fromm bir
thm tom 2m yearsm old.
OBJ: NCLEX m Client m Needsm Category:m Healthm Promotionm and m Maintenance
3. Them schoolm nursem talkingm withm am highm schoolm classm about m them differencem betwee
nmgrowthm and m development m would m best m describem growthm as
a. processesm bym whichm earlym cellsm specialize.
b. psychosocialm and m cognitivem changes.
c. qualitativem changesm associated m withm aging.
d. quantitativem changesm inm sizem o
rmweight.m ANS: D
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, Growthm ism am quantitativem changem inm whichm anm increasem inm cellm numberm and m size
resultsm inm anm increasem inm overallm sizem orm weight m of m them bodym orm anym of m itsm parts.m The
mprocessesm bym whichm earlym cellsm specializem arem referred m tom asm differentiation.
Psychosocialm and m cognitivem changesm arem referred m tom asm development.m Qualitativemcha
ngesm associated m withm agingm arem referred m tom asm maturation.
OBJ: NCLEX m Client m Needsm Category:m Healthm Promotionm and m Maintenance
4. Them mostm appropriatem responsem of m them nursem whenm am motherm asksm what m them Denve
rm II m doesm ism that m it
a. canm diagnosem developmentalm disabilities.
b. identifiesm am need m form physicalm therapy.
c. ism am developmentalm screeningm tool.
d. providesm am frameworkm form healthm teaching.
ANS: C
Them Denverm II m ism them most m commonlym used m measurem of m developmentalm statusm use
d mbym healthcarem professionals;m it m ism am screeningm tool.m Screeningm toolsm dom not m provide
m amdiagnosis.m Diagnosism requiresm am thoroughm neurodevelopment m historym and m physicalme
xamination.
Developmentalm delay,m whichm ism suggested m bym screening,m ism am symptom,m not m am diagnosis.
mThemneed mformanymtherapymwould mbemidentified mwithmamcomprehensivemevaluation,mnot mamscr
eeningmtool.mSome mprovidersmusemthemDenvermII masmamframeworkmformteachingmabout mexpecte
d m development,m but m thism ism not m them primarym purposem of m them tool.
OBJ:m m NCLEX m Client m Needsm Category:m Healthm Promotionm and m Maintenance
5. Tom planm earlym interventionm amnmN
d m carem form anm infant m withm Downm syndrome,m them nu
rsemconsidersm knowledgem of m otherm physicalm development m exemplarsm suchm as
a. cerebralm palsy.
b. autism.
c. attention-deficit/hyperactivitym disorderm (ADHD).
d. failurem tom thrive.
ANS:m m D
Failurem tom thrivem ism alsom am physicalm development m exemplar.m Cerebralm palsym ism anm ex
emplarm of m motor/developmentalm delay.m Autismm ism anm exemplarm of m social/emotionalm
developmentalm delay.m ADHD m ism anm exemplarm of m am cognitivem disorder.
OBJ:m m NCLEX m Client m Needsm Category:m Healthm Promotionm and m Maintenance
6. Tom planm earlym interventionm and m carem form am child m withm am developmentalm delay,m the
mnursemwould mconsidermknowledgemof mthemconceptsmmost msignificantlym impacted mbymd
evelopment,m including
a. culture.
b. environment.
c. functionalm status.
d. nutrition.
mANS:m C
, Functionm ism onem of m them conceptsm most m significantlym impacted m bym development.m Othersminc
ludem sensory-perceptual,m cognition,m mobility,m reproduction,m and m sexuality.
Knowledgem of m thesem conceptsm canm helpm them nursem anticipatem areasm that m need m tom bem
addressed.m Culturem ism am concept m that m ism considered m tom significantlym affect mdevelopm
ent;m them differencem ism them conceptsm that m affect m development m arem thosem that mrepresent
m majorm influencingm factorsm (causes);m hencem determinationm of m development mwould m be
m them focusm of m preventivem interventions.m Environment m ism considered m tomsignificantlym
affect m development.m Nutritionm ism considered m tom significantlym affect mdevelopment.
OBJ: NCLEX m Client m Needsm Category:m Healthm Promotionm and m Maintenance
7. Am motherm complainsm tom them nursem at m them pediatricm clinicm that m herm 4-year-
old m child m alwaysm talksm tom herm toysm and m makesm upm stories.m Them motherm wantsm herm c
hild m tom havemam psychologicalm evaluation.m Them nurse’sm bestm initialm responsem ism to
a. referm them child m tom am psychologist m immediately.
b. explainm that m playingm makem believem ism normalm at m thism age.
c. completem am developmentalm screeningm usingm am validated m tool.
d. separatem them child m fromm them motherm tom get m morem information.
ANS: B
Bym them end m of m them fourthm year,m it m ism expected m that m am child m willm engagem inm fantasy,
m somthism ism normalm at m thism age.m A m referralm tom am psychologist m would m bem prematurem ba
sed m onlym onm them complaint m of m them mother.m Completingm am developmentalm screeningm
would mbem verym appropriatem but m not m them initialm response.m Them nursem would m certainlym w
ant m tom get m morem information,m but m separatingm them child m fromm them motherm ism not m neces
sarym at m thism time.
OBJ: NCLEX m Client m NeedsNCategory:m Healthm Promotionm and m Maintenance
8. Am 17-year-
old m girlm ism hospitalized m form appendicitis,m and m herm motherm asksm them nursemwhym she
m ism som needym and m actingm likem am child.m Them bestm responsem of m them nursem ismthat m inm
them hospital,m adolescents
a. havem separationm anxiety.
b. rebelm against m rules.
c. regressm becausem of m stress.
d. want m tom know m everything.
ANS: C
Regressionm tom anm earlierm stagem of m development m ism am commonm responsem tom stress.m Sepa
rationm anxietym ism most m commonm inm infantsm and m toddlers.m Rebellionm against mhospita
lm rulesm ism usuallym not m anm issuem if m them adolescent m understandsm them rulesm and m would m n
ot m createm childlikem behaviors.m Anm adolescent m maym want m tom “know m everything”mwithm t
heirm logicalm thinkingm and m deductivem reasoning,m but m that m would m not m explainm whym they
m would m act m likem am child.
OBJ: NCLEX m Client m Needsm Category:m Healthm Promotionm and m Maintenance
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Giddens:m Concepts m for m Nursing m Practice,m 3rdm Edition
MULTIPLEm CHOICE
1. Them nursem managerm of m am pediatricm clinicm could m confirmm that m them newm nursemrecogni
zed m them purposem of m them HEADSSm Adolescent m Riskm Profilem whenm them new mnursem re
spondsm that m it m ism used m tom assessm form needsm related m to
a. anticipatorym guidance.
b. low-riskm adolescents.
c. physicalm development.
d. sexualm development.
ANS: A
Them HEADSSm Adolescent m Riskm Profilem ism am psychosocialm assessment m screeningm tool
mwhichm assessesm home,m education,m activities,m drugs,m sex,m and m suicidem form them purpos
em of m identifyingm high-
riskm adolescentsm and m them need m form anticipatorym guidance.m It m ism used m tom identifym hig
h-risk,m not m low-
risk,m adolescents.m Physicalm development m ismassessed m withm anthropometricm data.
Sexualm development m ism assessed m usingm physicalm examination.
OBJ: NCLEX m Client m Needsm Category:m Healthm Promotionm and m Maintenance
2. Them nursem preparingm am teachingm planm form am preschoolerm knowsm that,m accordingm t
omPiaget,m them expected m stagem of m development m form am preschoolerm is
a. concretem operational.
b. formalm operational. N
c. preoperational.
d. sensorimotor.
ANS: C
Them expected m stagem of m development m form am preschoolerm (3–4m yearsm old)m ism pre-
m operational.m Concretem operationalm describesm them thinkingm of m am school-agem child m (7–
11myearsm old).m Formalm operationalm describesm them thinkingm of m anm individualm afterm abo
ut m 11myearsm of m age.m Sensorimotorm describesm them earliest m patternm of m thinkingm fromm bir
thm tom 2m yearsm old.
OBJ: NCLEX m Client m Needsm Category:m Healthm Promotionm and m Maintenance
3. Them schoolm nursem talkingm withm am highm schoolm classm about m them differencem betwee
nmgrowthm and m development m would m best m describem growthm as
a. processesm bym whichm earlym cellsm specialize.
b. psychosocialm and m cognitivem changes.
c. qualitativem changesm associated m withm aging.
d. quantitativem changesm inm sizem o
rmweight.m ANS: D
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, Growthm ism am quantitativem changem inm whichm anm increasem inm cellm numberm and m size
resultsm inm anm increasem inm overallm sizem orm weight m of m them bodym orm anym of m itsm parts.m The
mprocessesm bym whichm earlym cellsm specializem arem referred m tom asm differentiation.
Psychosocialm and m cognitivem changesm arem referred m tom asm development.m Qualitativemcha
ngesm associated m withm agingm arem referred m tom asm maturation.
OBJ: NCLEX m Client m Needsm Category:m Healthm Promotionm and m Maintenance
4. Them mostm appropriatem responsem of m them nursem whenm am motherm asksm what m them Denve
rm II m doesm ism that m it
a. canm diagnosem developmentalm disabilities.
b. identifiesm am need m form physicalm therapy.
c. ism am developmentalm screeningm tool.
d. providesm am frameworkm form healthm teaching.
ANS: C
Them Denverm II m ism them most m commonlym used m measurem of m developmentalm statusm use
d mbym healthcarem professionals;m it m ism am screeningm tool.m Screeningm toolsm dom not m provide
m amdiagnosis.m Diagnosism requiresm am thoroughm neurodevelopment m historym and m physicalme
xamination.
Developmentalm delay,m whichm ism suggested m bym screening,m ism am symptom,m not m am diagnosis.
mThemneed mformanymtherapymwould mbemidentified mwithmamcomprehensivemevaluation,mnot mamscr
eeningmtool.mSome mprovidersmusemthemDenvermII masmamframeworkmformteachingmabout mexpecte
d m development,m but m thism ism not m them primarym purposem of m them tool.
OBJ:m m NCLEX m Client m Needsm Category:m Healthm Promotionm and m Maintenance
5. Tom planm earlym interventionm amnmN
d m carem form anm infant m withm Downm syndrome,m them nu
rsemconsidersm knowledgem of m otherm physicalm development m exemplarsm suchm as
a. cerebralm palsy.
b. autism.
c. attention-deficit/hyperactivitym disorderm (ADHD).
d. failurem tom thrive.
ANS:m m D
Failurem tom thrivem ism alsom am physicalm development m exemplar.m Cerebralm palsym ism anm ex
emplarm of m motor/developmentalm delay.m Autismm ism anm exemplarm of m social/emotionalm
developmentalm delay.m ADHD m ism anm exemplarm of m am cognitivem disorder.
OBJ:m m NCLEX m Client m Needsm Category:m Healthm Promotionm and m Maintenance
6. Tom planm earlym interventionm and m carem form am child m withm am developmentalm delay,m the
mnursemwould mconsidermknowledgemof mthemconceptsmmost msignificantlym impacted mbymd
evelopment,m including
a. culture.
b. environment.
c. functionalm status.
d. nutrition.
mANS:m C
, Functionm ism onem of m them conceptsm most m significantlym impacted m bym development.m Othersminc
ludem sensory-perceptual,m cognition,m mobility,m reproduction,m and m sexuality.
Knowledgem of m thesem conceptsm canm helpm them nursem anticipatem areasm that m need m tom bem
addressed.m Culturem ism am concept m that m ism considered m tom significantlym affect mdevelopm
ent;m them differencem ism them conceptsm that m affect m development m arem thosem that mrepresent
m majorm influencingm factorsm (causes);m hencem determinationm of m development mwould m be
m them focusm of m preventivem interventions.m Environment m ism considered m tomsignificantlym
affect m development.m Nutritionm ism considered m tom significantlym affect mdevelopment.
OBJ: NCLEX m Client m Needsm Category:m Healthm Promotionm and m Maintenance
7. Am motherm complainsm tom them nursem at m them pediatricm clinicm that m herm 4-year-
old m child m alwaysm talksm tom herm toysm and m makesm upm stories.m Them motherm wantsm herm c
hild m tom havemam psychologicalm evaluation.m Them nurse’sm bestm initialm responsem ism to
a. referm them child m tom am psychologist m immediately.
b. explainm that m playingm makem believem ism normalm at m thism age.
c. completem am developmentalm screeningm usingm am validated m tool.
d. separatem them child m fromm them motherm tom get m morem information.
ANS: B
Bym them end m of m them fourthm year,m it m ism expected m that m am child m willm engagem inm fantasy,
m somthism ism normalm at m thism age.m A m referralm tom am psychologist m would m bem prematurem ba
sed m onlym onm them complaint m of m them mother.m Completingm am developmentalm screeningm
would mbem verym appropriatem but m not m them initialm response.m Them nursem would m certainlym w
ant m tom get m morem information,m but m separatingm them child m fromm them motherm ism not m neces
sarym at m thism time.
OBJ: NCLEX m Client m NeedsNCategory:m Healthm Promotionm and m Maintenance
8. Am 17-year-
old m girlm ism hospitalized m form appendicitis,m and m herm motherm asksm them nursemwhym she
m ism som needym and m actingm likem am child.m Them bestm responsem of m them nursem ismthat m inm
them hospital,m adolescents
a. havem separationm anxiety.
b. rebelm against m rules.
c. regressm becausem of m stress.
d. want m tom know m everything.
ANS: C
Regressionm tom anm earlierm stagem of m development m ism am commonm responsem tom stress.m Sepa
rationm anxietym ism most m commonm inm infantsm and m toddlers.m Rebellionm against mhospita
lm rulesm ism usuallym not m anm issuem if m them adolescent m understandsm them rulesm and m would m n
ot m createm childlikem behaviors.m Anm adolescent m maym want m tom “know m everything”mwithm t
heirm logicalm thinkingm and m deductivem reasoning,m but m that m would m not m explainm whym they
m would m act m likem am child.
OBJ: NCLEX m Client m Needsm Category:m Healthm Promotionm and m Maintenance
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