Test Bank Concepts for Nursing Practice (4TH Ed) by Jean Giddens 2025 STUVIA

,Concept01:Development
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Giddens:ConceptsforNursingPractice,3rdEdition
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MULTIPLECHOICE i.




1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
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purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is used
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to assess for needs related to
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a. anticipatoryguidance. i.




b. low-risk adolescents. i.i




c. physicaldevelopment. i.i




d. sexualdevelopment. i.




ANS: A i . i




The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
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assesses home, education, activities, drugs, sex, and suicide for the purpose of identifying high-
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riskadolescentsand the needfor anticipatory guidance. Itisused to identifyhigh-risk, not low-
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risk, adolescents. Physical development is assessed with anthropometric data.
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Sexualdevelopment is assessed using physical examination.
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OBJ: NCLEXClientNeedsCategory:HealthPromotionand Maintenance i. i.i i. i.i i. i. i.




2. Thenursepreparing ateachingplan fora preschoolerknows that, according to Piaget,the
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expected stage of development for a preschooler is
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a. concreteoperational. i.




b. formaloperational. N i.




c. preoperational.
d. sensorimotor.
ANS: C i . i




The expected stage of development for a preschooler (3–4 years old) is pre-operational. Concrete
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operational describes the thinking of a school-age child (7–11 years old). Formal operational
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describesthe thinkingof an individualafter about11 years of age. Sensorimotor describes the
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earliest pattern of thinking from birth to 2 years old.
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OBJ: NCLEXClientNeedsCategory:Health Promotionand Maintenance i. i.i i. i.i i.i i. i.




3. Theschoolnursetalking witha high schoolclass aboutthe differencebetweengrowth and
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development would best describe growth as
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a. processesbywhichearly cellsspecialize. i. i. i. i.i i.i




b. psychosocialand cognitivechanges. i.i i.i i.




c. qualitativechanges associatedwith aging. i.i i.i i.i i.i




d. quantitativechangesinsizeorweight. i. i. i. i. i.




i.i ANS: D i . i




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, Growth is a quantitative change in which an increase in cell number and size results in an increase
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in overall size or weight of the body or any of its parts. The processes by which early cells
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specialize are referred to as differentiation. Psychosocial and cognitive changes arereferredto as
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development.Qualitativechangesassociated withaging arereferredto as maturation.
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OBJ: NCLEXClientNeedsCategory:HealthPromotionand Maintenance i. i.i i. i.i i. i. i.




4. Themost appropriate response of thenurse when a mother asks what theDenver IIdoes is that it
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a. can diagnosedevelopmental disabilities. i.i i.i i. i




b. identifiesaneed for physical therapy. i.i i. i.i i.i i.i




c. isa developmental screening tool. i.i i.i i.i i.i




d. providesaframework for health teaching. i.i i. i.i i. i i.i




ANS: C i . i




The Denver II is the most commonly used measure of developmental status used by healthcare
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professionals; itis a screeningtool. Screeningtools do notprovideadiagnosis. Diagnosis requires a
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thorough neurodevelopment history and physical examination.
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Developmental delay, which is suggested by screening,is a symptom, nota diagnosis. The need for i.i i.i i.i i.i i.i i.i i.i i.i i.i i.i i.i i.i i.i i.i i.i




any therapy would be identifiedwith a comprehensive evaluation, not a screening tool. Some
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providers use the Denver II as a framework for teaching about expected development, but this is
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not the primary purpose of the tool.
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OBJ: NCLEXClientNeedsCategory: HealthPromotionand Maintenance i. i. i. i.i i. i. i.




5. Toplanearlyinterventiona n Nd careforaninfantwithDownsyndrome,thenurseconsiders
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knowledge of other physical development exemplars such as
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a. cerebralpalsy. i.




b. autism.
c. attention-deficit/hyperactivitydisorder(ADHD). i. i.




d. failureto thrive. i. i.i




ANS: D i . i




Failuretothriveis also a physicaldevelopmentexemplar.Cerebralpalsy is an exemplarof
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motor/developmental delay. Autism is an exemplar of social/emotional developmental delay.
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ADHD is an exemplar of a cognitive disorder.
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OBJ: NCLEXClientNeedsCategory:HealthPromotionand Maintenance i. i.i i. i.i i. i. i.




6. To plan early intervention and carefor a child with a developmental delay, the nurse would
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considerknowledgeoftheconceptsmost significantlyimpactedby development,including
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a. culture.
b. environment.
c. functionalstatus. i.




d. nutrition.
i.i ANS: C i . i

, Functionisoneof the conceptsmost significantlyimpactedby development.Others include i.i i.i i.i i.i i.i i.i i.i i.i i.i i.i i.i i.i




sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
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concepts can help the nurse anticipate areas that need to be addressed. Culture is a concept that is
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considered to significantly affect development; the difference is the concepts that affect
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development are those that represent major influencing factors (causes); hence determination of
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development would be the focus of preventive interventions. Environment is considered to
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significantly affect development. Nutrition is considered to significantly affect development.
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OBJ: NCLEXClientNeedsCategory:HealthPromotionand Maintenance i. i.i i. i.i i. i. i.




7. A mothercomplains to the nurseat the pediatric clinicthat her4-year-old child always talks to her
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toys and makes up stories. The mother wants her child to have a psychological evaluation. The
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nurse’s best initial response is to
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a. referthechild to a psychologist immediately. i.i i.i i.i i.i i.i i.i




b. explain thatplaying makebelieveis normal at this age. i.i i.i i.i i. i.i i.i i.i i.i i.i




c. completeadevelopmental screening using a validated tool. i. i. i.i i.i i.i i.i i.i




d. separatethe child from the mother toget moreinformation. i. i.i i.i i.i i.i i.i i. i.i i.




ANS: B i . i




By the end of the fourth year, it is expected that a child will engage in fantasy, so this is normal at this
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age. A referral to a psychologist would be premature based only on the complaintof themother.
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Completingadevelopmental screeningwouldbe very appropriate but not the initial response. The
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nurse would certainly want to get more information, but separating the child from the mother is not
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necessary at this time.
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OBJ: NCLEXClientNeedsNCategory: HealthPromotionand Maintenance i. i. i.i i. i. i.i




8. A 17-year-old girl is hospitalizedforappendicitis,and her mother asks the nursewhy sheis so
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needy and acting like a child. The best response of the nurse is that in the hospital, adolescents
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a. haveseparation anxiety. i. i.i




b. rebelagainst rules. i. i.i




c. regressbecauseofstress. i. i. i.




d. want to know everything. i.i i.i i.i




ANS: C i . i




Regression to an earlier stage of development is a common response to stress. Separation anxiety i.i i. i i. i i.i i.i i .i i.i i.i i.i i.i i. i i. i i.i i.i




is most common in infants and toddlers. Rebellion against hospital rules is usually not an issue if
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the adolescentunderstandsthe rulesand wouldnot createchildlikebehaviors. An adolescent may
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want to “know everything” with their logical thinking and deductive reasoning, but that would
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not explain why they would act like a child.
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OBJ: NCLEXClientNeedsCategory:HealthPromotionand Maintenance i. i.i i. i.i i. i. i.




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