, TESTeBANKeFOReCONCEPTSeFOReNURSINGePRACTICEe3RDeEDITIONeBYeGIDDENS
Concepte01:eDevelopment
Giddens:eConceptseforeNursingePractice,e3rdeEdition
MULTIPLEeCHOICE
1. Theenurseemanagereofeaepediatriceclinicecouldeconfirmethatetheenewenurseerecognizedet
heepurposeeofetheeHEADSSeAdolescenteRiskeProfileewhenetheenewenurseerespondsethat
eiteiseusedetoerevieweforeneedserelatedeto
a. anticipatoryeguidance.
b. low-riskeadolescents.
c. physicaledevelopment.
d. sexualedevelopment.
ANS:e A
TheeHEADSSeAdolescenteRiskeProfileeiseaepsychosocialeassessmentescreeningetoolewhiche
reviewsehome,eeducation,eactivities,edrugs,esex,eandesuicideeforetheepurposeeofeidentifyinge
high-riskeadolescentseandetheeneedeforeanticipatoryeguidance.eIteiseusedetoeidentifyehigh-
risk,enotelow-
risk,eadolescents.ePhysicaledevelopmenteisereviewedewitheanthropometricedata.
Sexualedevelopmenteisereviewedeusingephysicaleexamination.
OBJ: NCLEXeClienteNeedseCategory:eHealthePromotioneandeMaintenance
2. Theenurseepreparingeaeteachingeplaneforeaepreschoolereknowsethat,eaccordingetoePiaget,eth
eeexpectedestageeofedevelopmenteforeaepreschoolereis
a. concreteeoperational.
b. formaleoperational.
c. preoperational.
d. sensorimotor.
ANS:e C
Theeexpectedestageeofedevelopmenteforeaepreschoolere(3–4eyearseold)eisepre-
operational.eConcreteeoperationaledescribesetheethinkingeofeaeschool-ageechilde(7–
11eyearseold).eFormaleoperationaledescribesetheethinkingeofeaneindividualeaftereaboute11eye
arseofeage.eSensorimotoredescribesetheeearliestepatterneofethinkingefromebirthetoe2eyearseold
.
OBJ: NCLEXeClienteNeedseCategory:eHealthePromotioneandeMaintenance
3. Theeschoolenurseetalkingewitheaehigheschooleclasseaboutetheedifferenceebetweenegrowthean
dedevelopmentewouldebestedescribeegrowtheas
a. processesebyewhicheearlyecellsespecialize.
b. psychosocialeandecognitiveechanges.
c. qualitativeechangeseassociatedewitheaging.
d. quantitativeechangeseinesizeeoreweight
.eANS:e D
,TESTeBANKeFOReCONCEPTSeFOReNURSINGePRACTICEe3RDeEDITIONeBYeGIDDENS
Growtheiseaequantitativeechangeeinewhicheaneincreaseeinecellenumbereandesizeeresultseinean
eincreaseeineoverallesizeeoreweighteofetheebodyeoreanyeofeitseparts.eTheeprocessesebyewhiche
earlyecellsespecializeeareereferredetoeasedifferentiation.ePsychosocialeandecognitiveechanges
eareereferredetoeasedevelopment.eQualitativeechangeseassociatedewitheagingeareereferredetoea
sematuration.
OBJ: NCLEXeClienteNeedseCategory:eHealthePromotioneandeMaintenance
4. TheemosteappropriateeresponseeofetheenurseewheneaemothereasksewhatetheeDenvereIIedoese
isethateit
a. canediagnoseedevelopmentaledisabilities.
b. identifieseaeneedeforephysicaletherapy.
c. iseaedevelopmentalescreeningetool.
d. provideseaeframeworkeforehealtheteaching.
ANS:e C
TheeDenvereIIeisetheemostecommonlyeusedemeasureeofedevelopmentalestatuseusedebyehealt
hcareeprofessionals;eiteiseaescreeningetool.eScreeningetoolsedoenoteprovideeaediagnosis.eDiag
nosiserequireseaethorougheneurodevelopmentehistoryeandephysicaleexamination.
Developmentaledelay,ewhicheisesuggestedebyescreening,eiseaesymptom,enoteaediagnosis.eTh
eeneedeforeanyetherapyewouldebeeidentifiedewitheaecomprehensiveeevaluation,enoteaescreeni
ngetool.eSomeeproviderseuseetheeDenvereIIeaseaeframeworkeforeteachingeabouteexpectedede
velopment,ebutethiseisenotetheeprimaryepurposeeofetheetool.
OBJ: NCLEXeClienteNeedseCategory:eHealthePromotioneandeMaintenance
5. Toeplaneearlyeinterventionea n Nd eU
caRreSfIoN
reaGnTinBf.
anCt OwMitheDownesyndrome,etheenurseeconsider
seknowledgeeofeotherephysicaledevelopmenteexemplarsesucheas
a. cerebralepalsy.
b. failureetoethrive.
c. fetalealcoholesyndrome.
d. hydrocephaly.
ANS:e D
Hydrocephalyeisealsoeaephysicaledevelopmenteexemplar.eCerebralepalsyeiseaneexemplareofea
daptiveedevelopmentaledelay.eFailureetoethriveeiseaneexemplareofesocial/emotionaledevelop
mentaledelay.eFetalealcoholesyndromeeiseaneexemplareofecognitiveedevelopmentaledelay.
OBJ: NCLEXeClienteNeedseCategory:eHealthePromotioneandeMaintenance
6. Toeplaneearlyeinterventioneandecareeforeaechildewitheaedevelopmentaledelay,etheenurseewoul
deconsidereknowledgeeofetheeconceptsemostesignificantlyeimpactedebyedevelopment,einclud
ing
a. culture.
b. environment.
c. functionalestatus.
d. nutrition.
eANS:e C
, TESTeBANKeFOReCONCEPTSeFOReNURSINGePRACTICEe3RDeEDITIONeBYeGIDDENS
Functioneiseoneeofetheeconceptsemostesignificantlyeimpactedebyedevelopment.eOtherseinclud
eesensory-
perceptual,ecognition,emobility,ereproduction,eandesexuality.eKnowledgeeofetheseeconceptse
canehelpetheenurseeanticipateeareasethateneedetoebeeaddressed.eCultureeiseaeconceptethateisec
onsideredetoesignificantlyeaffectedevelopment;etheedifferenceeisetheeconceptsethateaffectedev
elopmenteareethoseethaterepresentemajoreinfluencingefactorse(causes);ehenceedeterminatione
ofedevelopmentewouldebeetheefocuseofepreventiveeinterventions.eEnvironmenteiseconsidered
etoesignificantlyeaffectedevelopment.eNutritioneiseconsideredetoesignificantlyeaffectedevelop
ment.
OBJ: NCLEXeClienteNeedseCategory:eHealthePromotioneandeMaintenance
7. Aemotherecomplainsetoetheenurseeatetheepediatriceclinicethatehere4-year-
oldechildealwaysetalksetoeheretoyseandemakeseupestories.eTheemotherewantseherechildetoehav
eeaepsychologicaleevaluation.eTheenurse’sebesteinitialeresponseeiseto
a. referetheechildetoeaepsychologisteimmediately.
b. explainethateplayingemakeebelieveeisenormaleatethiseage.
c. completeeaedevelopmentalescreeningeusingeaevalidatedetool.
d. separateetheechildefrometheemotheretoegetemoreeinformation.
ANS:e B
Byetheeendeofetheefourtheyear,eiteiseexpectedethateaechildewilleengageeinefantasy,esoethiseise
normaleatethiseage.eAereferraletoeaepsychologistewouldebeeprematureebasedeonlyeonetheeco
mplainteofetheemother.eCompletingeaedevelopmentalescreeningewouldebeeveryeappropriateeb
utenotetheeinitialeresponse.eTheenurseewouldecertainlyewantetoegetemoreeinformation,ebutese
paratingetheechildefrometheemothereisenotenecessaryeatethisetime.
OBJ: NCLEXe Cliente NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotion e ande Maintenance
8. Ae17-year-
oldegirleisehospitalizedeforeappendicitis,eandeheremothereasksetheenurseewhyesheeisesoeneedy
eandeactingelikeeaechild.eTheebesteresponseeofetheenurseeisethateinetheehospital,eadolescents
a. haveeseparationeanxiety.
b. rebeleagainsterules.
c. regressebecauseeofestress.
d. wantetoeknoweeverything.
ANS:e C
Regressionetoeaneearlierestageeofedevelopmenteiseaecommoneresponseetoestress.eSeparationea
nxietyeisemostecommoneineinfantseandetoddlers.eRebellioneagainstehospitaleruleseiseusuallye
noteaneissueeifetheeadolescenteunderstandsetheeruleseandewouldenotecreateechildlikeebehavior
s.eAneadolescentemayewantetoe“knoweeverything”ewithetheirelogicalethinkingeandedeductivee
reasoning,ebutethatewouldenoteexplainewhyetheyewouldeactelikeeaechild.
OBJ: NCLEXeClienteNeedseCategory:eHealthePromotioneandeMaintenance