Latest, A+ Graded & 100% Verified
59 59 59 59 59
,Concept5901:59Development
Giddens:59Concepts59for59Nursing59Practice,593rd59Edition
MULTIPLE59CHOICE
1. The59nurse59manager59of59a59pediatric59clinic59could59confirm59that59the59new59nurse59r
ecognized59the59purpose59of59the59HEADSS59Adolescent59Risk59Profile59when59the59ne
w59nurse59responds59that59it59is59used59to59assess59for59needs59related59to
a. anticipatory59guidance.
b. low-risk59adolescents.
c. physical59development.
d. sexual59development.
ANS:5 9 A
The59HEADSS59Adolescent59Risk59Profile59is59a59psychosocial59assessment59screening59to
ol59which59assesses59home,59education,59activities,59drugs,59sex,59and59suicide59for59the59pu
rpose59of59identifying59high-
risk59adolescents59and59the59need59for59anticipatory59guidance.59It59is59used59to59identify59hi
gh-risk,59not59low-
risk,59adolescents.59Physical59development59is59assessed59with59anthropometric59data.
Sexual59development59is59assessed59using59physical59examination.
OBJ: NCLEX59Client59Needs59Category:59Health59Promotion59and59Maintenance
2. The59nurse59preparing59a59teaching59plan59for59a59preschooler59knows59that,59according59t
o59Piaget,59the59expected59stage59of59development59for59a59preschooler59is
a. concrete59operational.
b. formal59operational. N
c. preoperational.
d. sensorimotor.
ANS:5 9 C
The59expected59stage59of59development59for59a59preschooler59(3–459years59old)59is59pre-
operational.59Concrete59operational59describes59the59thinking59of59a59school-age59child59(7–
1159years59old).59Formal59operational59describes59the59thinking59of59an59individual59after59a
bout591159years59of59age.59Sensorimotor59describes59the59earliest59pattern59of59thinking59fro
m59birth59to59259years59old.
OBJ: NCLEX59Client59Needs59Category:59Health59Promotion59and59Maintenance
3. The59school59nurse59talking59with59a59high59school59class59about59the59difference59between
59growth59and59development59would59best59describe59growth59as
a. processes59by59which59early59cells59specialize.
b. psychosocial59and59cognitive59changes.
c. qualitative59changes59associated59with59aging.
d. quantitative59changes59in59size59or59we
ight.59ANS:5 9 D
WWW.NURSYLAB.COM
, Growth59is59a59quantitative59change59in59which59an59increase59in59cell59number59and59size59
results59in59an59increase59in59overall59size59or59weight59of59the59body59or59any59of59its59parts
.59The59processes59by59which59early59cells59specialize59are59referred59to59as59differentiation.
59Psychosocial59and59cognitive59changes59are59referred59to59as59development.59Qualitative59c
hanges59associated59with59aging59are59referred59to59as59maturation.
OBJ: NCLEX59Client59Needs59Category:59Health59Promotion59and59Maintenance
4. The59most59appropriate59response59of59the59nurse59when59a59mother59asks59what59the59Den
ver59II59does59is59that59it
a. can59diagnose59developmental59disabilities.
b. identifies59a59need59for59physical59therapy.
c. is59a59developmental59screening59tool.
d. provides59a59framework59for59health59teaching.
ANS:5 9 C
The59Denver59II59is59the59most59commonly59used59measure59of59developmental59status59use
d59by59healthcare59professionals;59it59is59a59screening59tool.59Screening59tools59do59not59prov
ide59a59diagnosis.59Diagnosis59requires59a59thorough59neurodevelopment59history59and59phy
sical59examination.
Developmental59delay,59which59is59suggested59by59screening,59is59a59symptom,59not59a59diag
nosis.59The59need59for59any59therapy59would59be59identified59with59a59comprehensive59evalu
ation,59not59a59screening59tool.59Some59providers59use59the59Denver59II59as59a59framework59
for59teaching59about59expected59development,59but59this59is59not59the59primary59purpose59of
59the59tool.
OBJ: NCLEX59Client59Needs59Category:59Health59Promotion59and59Maintenance
5. To59plan59early59intervention59a n Nd 59care59for59an59infant59with59Down59syndrome,59the59nur
se59considers59knowledge59of59other59physical59development59exemplars59such59as
a. cerebral59palsy.
b. autism.
c. attention-deficit/hyperactivity59disorder59(ADHD).
d. failure59to59thrive.
ANS:5 9 D
Failure59to59thrive59is59also59a59physical59development59exemplar.59Cerebral59palsy59is59an59
exemplar59of59motor/developmental59delay.59Autism59is59an59exemplar59of59social/emotion
al59developmental59delay.59ADHD59is59an59exemplar59of59a59cognitive59disorder.
OBJ: NCLEX59Client59Needs59Category:59Health59Promotion59and59Maintenance
6. To59plan59early59intervention59and59care59for59a59child59with59a59developmental59delay,59th
e59nurse59would59consider59knowledge59of59the59concepts59most59significantly59impacted59b
y59development,59including
a. culture.
b. environment.
c. functional59status.
d. nutrition.
59ANS:5 9 C
, Function59is59one59of59the59concepts59most59significantly59impacted59by59development.59Oth
ers59include59sensory-
perceptual,59cognition,59mobility,59reproduction,59and59sexuality.59Knowledge59of59these59c
oncepts59can59help59the59nurse59anticipate59areas59that59need59to59be59addressed.59Culture59i
s59a59concept59that59is59considered59to59significantly59affect59development;59the59difference5
9is59the59concepts59that59affect59development59are59those59that59represent59major59influencin
g59factors59(causes);59hence59determination59of59development59would59be59the59focus59of59p
reventive59interventions.59Environment59is59considered59to59significantly59affect59developm
ent.59Nutrition59is59considered59to59significantly59affect59development.
OBJ: NCLEX59Client59Needs59Category:59Health59Promotion59and59Maintenance
7. A59mother59complains59to59the59nurse59at59the59pediatric59clinic59that59her594-year-
old59child59always59talks59to59her59toys59and59makes59up59stories.59The59mother59wants59her
59child59to59have59a59psychological59evaluation.59The59nurse’s59best59initial59response59is59t
o
a. refer59the59child59to59a59psychologist59immediately.
b. explain59that59playing59make59believe59is59normal59at59this59age.
c. complete59a59developmental59screening59using59a59validated59tool.
d. separate59the59child59from59the59mother59to59get59more59information.
ANS:5 9 B
By59the59end59of59the59fourth59year,59it59is59expected59that59a59child59will59engage59in59fanta
sy,59so59this59is59normal59at59this59age.59A59referral59to59a59psychologist59would59be59premat
ure59based59only59on59the59complaint59of59the59mother.59Completing59a59developmental59scr
eening59would59be59very59appropriate59but59not59the59initial59response.59The59nurse59would5
9certainly59want59to59get59more59information,59but59separating59the59child59from59the59moth
er59is59not59necessary59at59this59time.
OBJ: NCLEX59Client59NeedsNCategory:59Health59Promotion59and59Maintenance
8. A5917-year-
old59girl59is59hospitalized59for59appendicitis,59and59her59mother59asks59the59nurse59why59she
59is59so59needy59and59acting59like59a59child.59The59best59response59of59the59nurse59is59that59i
n59the59hospital,59adolescents
a. have59separation59anxiety.
b. rebel59against59rules.
c. regress59because59of59stress.
d. want59to59know59everything.
ANS:5 9 C
Regression59to59an59earlier59stage59of59development59is59a59common59response59to59stress.59
Separation59anxiety59is59most59common59in59infants59and59toddlers.59Rebellion59against59ho
spital59rules59is59usually59not59an59issue59if59the59adolescent59understands59the59rules59and59
would59not59create59childlike59behaviors.59An59adolescent59may59want59to59“know59everythi
ng”59with59their59logical59thinking59and59deductive59reasoning,59but59that59would59not59expl
ain59why59they59would59act59like59a59child.
OBJ: NCLEX59Client59Needs59Category:59Health59Promotion59and59Maintenance
WWW.NURSYLAB.COM
59 59 59 59 59
,Concept5901:59Development
Giddens:59Concepts59for59Nursing59Practice,593rd59Edition
MULTIPLE59CHOICE
1. The59nurse59manager59of59a59pediatric59clinic59could59confirm59that59the59new59nurse59r
ecognized59the59purpose59of59the59HEADSS59Adolescent59Risk59Profile59when59the59ne
w59nurse59responds59that59it59is59used59to59assess59for59needs59related59to
a. anticipatory59guidance.
b. low-risk59adolescents.
c. physical59development.
d. sexual59development.
ANS:5 9 A
The59HEADSS59Adolescent59Risk59Profile59is59a59psychosocial59assessment59screening59to
ol59which59assesses59home,59education,59activities,59drugs,59sex,59and59suicide59for59the59pu
rpose59of59identifying59high-
risk59adolescents59and59the59need59for59anticipatory59guidance.59It59is59used59to59identify59hi
gh-risk,59not59low-
risk,59adolescents.59Physical59development59is59assessed59with59anthropometric59data.
Sexual59development59is59assessed59using59physical59examination.
OBJ: NCLEX59Client59Needs59Category:59Health59Promotion59and59Maintenance
2. The59nurse59preparing59a59teaching59plan59for59a59preschooler59knows59that,59according59t
o59Piaget,59the59expected59stage59of59development59for59a59preschooler59is
a. concrete59operational.
b. formal59operational. N
c. preoperational.
d. sensorimotor.
ANS:5 9 C
The59expected59stage59of59development59for59a59preschooler59(3–459years59old)59is59pre-
operational.59Concrete59operational59describes59the59thinking59of59a59school-age59child59(7–
1159years59old).59Formal59operational59describes59the59thinking59of59an59individual59after59a
bout591159years59of59age.59Sensorimotor59describes59the59earliest59pattern59of59thinking59fro
m59birth59to59259years59old.
OBJ: NCLEX59Client59Needs59Category:59Health59Promotion59and59Maintenance
3. The59school59nurse59talking59with59a59high59school59class59about59the59difference59between
59growth59and59development59would59best59describe59growth59as
a. processes59by59which59early59cells59specialize.
b. psychosocial59and59cognitive59changes.
c. qualitative59changes59associated59with59aging.
d. quantitative59changes59in59size59or59we
ight.59ANS:5 9 D
WWW.NURSYLAB.COM
, Growth59is59a59quantitative59change59in59which59an59increase59in59cell59number59and59size59
results59in59an59increase59in59overall59size59or59weight59of59the59body59or59any59of59its59parts
.59The59processes59by59which59early59cells59specialize59are59referred59to59as59differentiation.
59Psychosocial59and59cognitive59changes59are59referred59to59as59development.59Qualitative59c
hanges59associated59with59aging59are59referred59to59as59maturation.
OBJ: NCLEX59Client59Needs59Category:59Health59Promotion59and59Maintenance
4. The59most59appropriate59response59of59the59nurse59when59a59mother59asks59what59the59Den
ver59II59does59is59that59it
a. can59diagnose59developmental59disabilities.
b. identifies59a59need59for59physical59therapy.
c. is59a59developmental59screening59tool.
d. provides59a59framework59for59health59teaching.
ANS:5 9 C
The59Denver59II59is59the59most59commonly59used59measure59of59developmental59status59use
d59by59healthcare59professionals;59it59is59a59screening59tool.59Screening59tools59do59not59prov
ide59a59diagnosis.59Diagnosis59requires59a59thorough59neurodevelopment59history59and59phy
sical59examination.
Developmental59delay,59which59is59suggested59by59screening,59is59a59symptom,59not59a59diag
nosis.59The59need59for59any59therapy59would59be59identified59with59a59comprehensive59evalu
ation,59not59a59screening59tool.59Some59providers59use59the59Denver59II59as59a59framework59
for59teaching59about59expected59development,59but59this59is59not59the59primary59purpose59of
59the59tool.
OBJ: NCLEX59Client59Needs59Category:59Health59Promotion59and59Maintenance
5. To59plan59early59intervention59a n Nd 59care59for59an59infant59with59Down59syndrome,59the59nur
se59considers59knowledge59of59other59physical59development59exemplars59such59as
a. cerebral59palsy.
b. autism.
c. attention-deficit/hyperactivity59disorder59(ADHD).
d. failure59to59thrive.
ANS:5 9 D
Failure59to59thrive59is59also59a59physical59development59exemplar.59Cerebral59palsy59is59an59
exemplar59of59motor/developmental59delay.59Autism59is59an59exemplar59of59social/emotion
al59developmental59delay.59ADHD59is59an59exemplar59of59a59cognitive59disorder.
OBJ: NCLEX59Client59Needs59Category:59Health59Promotion59and59Maintenance
6. To59plan59early59intervention59and59care59for59a59child59with59a59developmental59delay,59th
e59nurse59would59consider59knowledge59of59the59concepts59most59significantly59impacted59b
y59development,59including
a. culture.
b. environment.
c. functional59status.
d. nutrition.
59ANS:5 9 C
, Function59is59one59of59the59concepts59most59significantly59impacted59by59development.59Oth
ers59include59sensory-
perceptual,59cognition,59mobility,59reproduction,59and59sexuality.59Knowledge59of59these59c
oncepts59can59help59the59nurse59anticipate59areas59that59need59to59be59addressed.59Culture59i
s59a59concept59that59is59considered59to59significantly59affect59development;59the59difference5
9is59the59concepts59that59affect59development59are59those59that59represent59major59influencin
g59factors59(causes);59hence59determination59of59development59would59be59the59focus59of59p
reventive59interventions.59Environment59is59considered59to59significantly59affect59developm
ent.59Nutrition59is59considered59to59significantly59affect59development.
OBJ: NCLEX59Client59Needs59Category:59Health59Promotion59and59Maintenance
7. A59mother59complains59to59the59nurse59at59the59pediatric59clinic59that59her594-year-
old59child59always59talks59to59her59toys59and59makes59up59stories.59The59mother59wants59her
59child59to59have59a59psychological59evaluation.59The59nurse’s59best59initial59response59is59t
o
a. refer59the59child59to59a59psychologist59immediately.
b. explain59that59playing59make59believe59is59normal59at59this59age.
c. complete59a59developmental59screening59using59a59validated59tool.
d. separate59the59child59from59the59mother59to59get59more59information.
ANS:5 9 B
By59the59end59of59the59fourth59year,59it59is59expected59that59a59child59will59engage59in59fanta
sy,59so59this59is59normal59at59this59age.59A59referral59to59a59psychologist59would59be59premat
ure59based59only59on59the59complaint59of59the59mother.59Completing59a59developmental59scr
eening59would59be59very59appropriate59but59not59the59initial59response.59The59nurse59would5
9certainly59want59to59get59more59information,59but59separating59the59child59from59the59moth
er59is59not59necessary59at59this59time.
OBJ: NCLEX59Client59NeedsNCategory:59Health59Promotion59and59Maintenance
8. A5917-year-
old59girl59is59hospitalized59for59appendicitis,59and59her59mother59asks59the59nurse59why59she
59is59so59needy59and59acting59like59a59child.59The59best59response59of59the59nurse59is59that59i
n59the59hospital,59adolescents
a. have59separation59anxiety.
b. rebel59against59rules.
c. regress59because59of59stress.
d. want59to59know59everything.
ANS:5 9 C
Regression59to59an59earlier59stage59of59development59is59a59common59response59to59stress.59
Separation59anxiety59is59most59common59in59infants59and59toddlers.59Rebellion59against59ho
spital59rules59is59usually59not59an59issue59if59the59adolescent59understands59the59rules59and59
would59not59create59childlike59behaviors.59An59adolescent59may59want59to59“know59everythi
ng”59with59their59logical59thinking59and59deductive59reasoning,59but59that59would59not59expl
ain59why59they59would59act59like59a59child.
OBJ: NCLEX59Client59Needs59Category:59Health59Promotion59and59Maintenance
WWW.NURSYLAB.COM
