Concept 1: Development
Test Bank
MULTIPLE CHOICE
1. TheGnurseGmanagerGofGaGpediatricGclinicGcouldGconfirmGthatGtheGnewGnurseGrecognizedGtheGpu
rposeGofGtheGHEADSSGAdolescentGRiskGProfileGwhenGtheGnewGnurseGrespondsGthatGitGisGusedGt
oGassessGforGneedsGrelatedGto
a. anticipatoryGguidance.
b. low-riskGadolescents.
c. physicalGdevelopment.
d. sexualGdevelopment.
ANS:GA
TheGHEADSSGAdolescentGRiskGProfileGisGaGpsychosocialGassessmentGscreeningGtoolGwhichGasses
sesGhome,Geducation,Gactivities,Gdrugs,Gsex,GandGsuicideGforGtheGpurposeGofGidentifyingGhigh-
riskGadolescentsGandGtheGneedGforGanticipatoryGguidance.GItGisGusedGtoGidentifyGhigh-
risk,GnotGlow-
risk,Gadolescents.GPhysicalGdevelopmentGisGassessedGwithGanthropometricGdata.GSexualGdevelo
pmentGisGassessedGusingGphysicalGexamination.
REF: 6 OBJ: NCLEX®GClientGNeedsGCategory:GHealthGPromotionGandGMaintenance
2. TheGnurseGpreparingGaGteachingGplanGforGaGpreschoolerGknowsGthat,GaccordingGtoGPiaget,GtheG
expectedGstageGofGdevelopmentGforGaGpreschoolerGis
a. concreteGoperational.
b. formalGoperational.
c. preoperational.
d. sensorimotor.
ANS:GC
TheGexpectedGstageGofGdevelopmentGforGaGpreschoolerG(3GtoG4GyearsGold)GisGpreoperational.GC
oncreteGoperationalGdescribesGtheGthinkingGofGaGschool-
ageGchildG(7GtoG11GyearsGold).GFormalGoperationalGdescribesGtheGthinkingGofGanGindividualGafter
GaboutG11GyearsGofGage.GSensorimotorGdescribesGtheGearliestGpatternGofGthinkingGfromGbirthGto
G2GyearsGold.
REF: 5 OBJ: NCLEX®GClientGNeedsGCategory:GHealthGPromotionGandGMaintenance
3. TheGschoolGnurseGtalkingGwithGaGhighGschoolGclassGaboutGtheGdifferenceGbetweenGgrowthGandG
developmentGwouldGbestGdescribeGgrowthGas
a. processesGbyGwhichGearlyGcellsGspecialize.
b. psychosocialGandGcognitiveGchanges.
c. qualitativeGchangesGassociatedGwithGaging.
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d. quantitativeGchangesGinGsizeGorGweight.
ANS:GD
GrowthGisGaGquantitativeGchangeGinGwhichGanGincreaseGinGcellGnumberGandGsizeGresultsGinGanGin
creaseGinGoverallGsizeGorGweightGofGtheGbodyGorGanyGofGitsGparts.GTheGprocessesGbyGwhichGearlyG
cellsGspecializeGareGreferredGtoGasGdifferentiation.GPsychosocialGandGcognitiveGchangesGareGref
erredGtoGasGdevelopment.GQualitativeGchangesGassociatedGwithGagingGareGreferredGtoGasGmatur
ation.
REF: 2 OBJ: NCLEX®GClientGNeedsGCategory:GHealthGPromotionGandGMaintenance
4. TheGmostGappropriateGresponseGofGtheGnurseGwhenGaGmotherGasksGwhatGtheGDenverGIIGdoesGis
GthatGit
a. canGdiagnoseGdevelopmentalGdisabilities.
b. identifiesGaGneedGforGphysicalGtherapy.
c. isGaGdevelopmentalGscreeningGtool.
d. providesGaGframeworkGforGhealthGteaching.
ANS:GC
TheGDenverGIIGisGtheGmostGcommonlyGusedGmeasureGofGdevelopmentalGstatusGusedGbyGhealthG
careGprofessionals;GitGisGaGscreeningGtool.GScreeningGtoolsGdoGnotGprovideGaGdiagnosis.GDiagnos
isGrequiresGaGthoroughGneurodevelopmentGhistoryGandGphysicalGexamination.GDevelopmentalG
delay,GwhichGisGsuggestedGbyGscreening,GisGaGsymptom,GnotGaGdiagnosis.GTheGneedGforGanyGther
apyGwouldGbeGidentifiedGwithGaGcomprehensiveGevaluation,GnotGaGscreeningGtool.GSomeGprovid
ersGuseGtheGDenverGIIGasGaGframeworkGforGteachingGaboutGexpectedGdevelopment,GbutGthisGisGn
otGtheGprimaryGpurposeGofGtheGtool.
REF: 4 OBJ: NCLEX®GClientGNeedsGCategory:GHealthGPromotionGandGMaintenance
5. ToGplanGearlyGinterventionGandGcareGforGanGinfantGwithGDownGsyndrome,GtheGnurseGconsidersG
knowledgeGofGotherGphysicalGdevelopmentGexemplarsGsuchGas
a. cerebralGpalsy.
b. failureGtoGthrive.
c. fetalGalcoholGsyndrome.
d. hydrocephaly.
ANS:GD
HydrocephalyGisGalsoGaGphysicalGdevelopmentGexemplar.GCerebralGpalsyGisGanGexemplarGofGada
ptiveGdevelopmentalGdelay.GFailureGtoGthriveGisGanGexemplarGofGsocial/emotionalGdevelopmen
talGdelay.GFetalGalcoholGsyndromeGisGanGexemplarGofGcognitiveGdevelopmentalGdelay.
REF: 9 OBJ: NCLEX®GClientGNeedsGCategory:GHealthGPromotionGandGMaintenance
6. ToGplanGearlyGinterventionGandGcareGforGaGchildGwithGaGdevelopmentalGdelay,GtheGnurseGwould
GconsiderGknowledgeGofGtheGconceptsGmostGsignificantlyGimpactedGbyGdevelopment,Gincluding
Ga. culture.
b. environment.
c. functionalGstatus.
d. nutrition.
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ANS:GC
FunctionGisGoneGofGtheGconceptsGmostGsignificantlyGimpactedGbyGdevelopment.GOthersGinclude
Gsensory-
perceptual,Gcognition,Gmobility,Greproduction,GandGsexuality.GKnowledgeGofGtheseGconceptsGc
anGhelpGtheGnurseGanticipateGareasGthatGneedGtoGbeGaddressed.GCultureGisGaGconceptGthatGisGco
nsideredGtoGsignificantlyGaffectGdevelopment;GtheGdifferenceGisGtheGconceptsGthatGaffectGdevel
opmentGareGthoseGthatGrepresentGmajorGinfluencingGfactorsG(causes),GhenceGdeterminationGof
GdevelopmentGandGwouldGbeGtheGfocusGofGpreventiveGinterventions.GEnvironmentGisGconsidere
dGtoGsignificantlyGaffectGdevelopment.GNutritionGisGconsideredGtoGsignificantlyGaffectGdevelop
ment.
REF: 1 OBJ: NCLEX®GClientGNeedsGCategory:GHealthGPromotionGandGMaintenance
7. AGmotherGcomplainsGtoGtheGnurseGatGtheGpediatricGclinicGthatGherG4-year-
oldGchildGalwaysGtalksGtoGherGtoysGandGmakesGupGstories.GTheGmotherGwantsGherGchildGtoGhave
GaGpsychologicGevaluation.G
TheGnurse’sGbestGinitialGresponseGisGto
a. referGtheGchildGtoGaGpsychologist.
b. explainGthatGplayingGmakeGbelieveGwithGdollsGandGpeopleGisGnormalGatGthisGage.
c. completeGaGdevelopmentalGscreening.
d. separateGtheGchildGfromGtheGmotherGtoGgetGmoreGinformation.
ANS:GB
ByGtheGendGofGtheGfourthGyear,GitGisGexpectedGthatGaGchildGwillGengageGinGfantasy,GsoGthisGisGnor
malGatGthisGage.GAGreferralGtoGaGpsychologistGwouldGbeGprematureGbasedGonlyGonGtheGcomplain
tGofGtheGmother.GCompletingGaGdevelopmentalGscreeningGwouldGbeGveryGappropriateGbutGnotGt
heGinitialGresponse.GTheGnurseGwouldGcertainlyGwantGtoGgetGmoreGinformation,GbutGseparatingG
theGchildGfromGtheGmotherGisGnotGnecessaryGatGthisGtime.
REF: 5 OBJ: NCLEX®GClientGNeedsGCategory:GHealthGPromotionGandGMaintenance
8. AG17-year-
oldGgirlGisGhospitalizedGforGappendicitis,GandGherGmotherGasksGtheGnurseGwhyGsheGisGsoGneedyG
andGactingGlikeGaGchild.GTheGbestGresponseGofGtheGnurseGisGthatGinGtheGhospital,GadolescentsGa.
haveGseparationGanxiety.
b. rebelGagainstGrules.
c. regressGbecauseGofGstress.
d. wantGtoGknowGeverything.
ANS:GC
RegressionGtoGanGearlierGstageGofGdevelopmentGisGaGcommonGresponseGtoGstress.GSeparationGa
nxietyGisGmostGcommonGinGinfantsGandGtoddlers.GRebellionGagainstGhospitalGrulesGisGusuallyGnot
GanGissueGifGtheGadolescentGunderstandsGtheGrulesGandGwouldGnotGcreateGchildlikeGbehaviors.GA
nGadolescentGmayGwantGtoG“knowGeverything”GwithGtheirGlogicalGthinkingGandGdeductiveGreaso
ning,GbutGthatGwouldGnotGexplainGwhyGtheyGwouldGactGlikeGaGchild.
REF: 4 OBJ: NCLEX®GClientGNeedsGCategory:GHealthGPromotionGandGMaintenance
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GG G
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