Test bank for Concepts for Nursing Practice 3rd
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Edition by Jean Foret Giddens 9780323581936
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Chapter 1-57 Complete
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,Concept 1: Development
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Test Bank
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MULTIPLE CHOICE xx
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized
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the purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it
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is used to assess for needs related to
xx xx xx xx xx xx xx xx
a. anticipatory guidance. xx
b. low-risk adolescents. xx
c. physical development. xx
d. sexual development. xx
ANS: A xx
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
xx xx xx xx xx xx xx xx xx xx xx
assesses home, education, activities, drugs, sex, and suicide for the purpose of
xx xx xx xx xx xx xx xx xx xx xx xx
identifying high-risk adolescents and the need for anticipatory guidance. It is used to
xx xx xx xx xx xx xx xx xx xx xx xx xx
identify high-risk, not low-risk, adolescents. Physical development is assessed with
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anthropometric data. Sexual development is assessed using physical examination.
xx xx xx xx xx xx xx xx xx
REF: xx xx 6 OBJ: x x NCLEX® Client Needs Category: Health Promotion and Maintenance
xx xx xx xx xx xx xx
2. The nurse preparing a teaching plan for a preschooler knows that, according to
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Piaget, the expected stage of development for a preschooler is
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a. concrete operational. xx
b. formal operational. xx
c. preoperational.
d. sensorimotor.
ANS: C xx
The expected stage of development for a preschooler (3 to 4 years old) is
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preoperational. Concrete operational describes the thinking of a school-age child (7 to
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11 years old). Formal operational describes the thinking of an individual after about 11
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years of age. Sensorimotor describes the earliest pattern of thinking from birth to 2
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years old.
xx xx
REF: xx xx 5 OBJ: x x NCLEX® Client Needs Category: Health Promotion and Maintenance
xx xx xx xx xx xx xx
3. The school nurse talking with a high school class about the difference between growth
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and development would best describe growth as
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a. processes by which early cells specialize. xx xx xx xx xx
b. psychosocial and cognitive changes. xx xx xx
c. qualitative changes associated with aging. xx xx xx xx
d. quantitative changes in size or weight. xx xx xx xx xx
ANS: D xx
Growth is a quantitative change in which an increase in cell number and size results in
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
an increase in overall size or weight of the body or any of its parts. The processes by
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
which early cells specialize are referred to as differentiation. Psychosocial and cognitive
xx xx xx xx xx xx xx xx xx xx xx xx
changes are referred to as development. Qualitative changes associated with aging are
xx xx xx xx xx xx xx xx xx xx xx xx
, referred to as maturation.
xx xx xx xx
, REF: xx xx 2 OBJ: x x NCLEX® Client Needs Category: Health Promotion and Maintenance
xx xx xx xx xx xx xx
4. The most appropriate response of the nurse when a mother asks what the Denver II
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
does is that it
xx xx xx xx
a. can diagnose developmental disabilities.
xx xx xx
b. identifies a need for physical therapy. xx xx xx xx xx
c. is a developmental screening tool.
xx xx xx xx
d. provides a framework for health teaching. xx xx xx xx xx
ANS: C xx
The Denver II is the most commonly used measure of developmental status used by
xx xx xx xx xx xx xx xx xx xx xx xx xx
health care professionals; it is a screening tool. Screening tools do not provide a
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
diagnosis. Diagnosis requires a thorough neurodevelopment history and physical
xx xx xx xx xx xx xx xx xx
examination. Developmental delay, which is suggested by screening, is a symptom, not
xx xx xx xx xx xx xx xx xx xx xx xx
a diagnosis. The need for any therapy would be identified with a comprehensive
xx xx xx xx xx xx xx xx xx xx xx xx xx
evaluation, not a screening tool. Some providers use the Denver II as a framework for
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
teaching about expected development, but this is not the primary purpose of the tool.
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
REF: xx xx 4 OBJ: x x NCLEX® Client Needs Category: Health Promotion and Maintenance
xx xx xx xx xx xx xx
5. To plan early intervention and care for an infant with Down syndrome, the nurse
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considers knowledge of other physical development exemplars such as
xx xx xx xx xx xx xx xx xx
a. cerebral palsy. xx
b. failure to thrive. xx xx
c. fetal alcohol syndrome. xx xx
d. hydrocephaly.
ANS: D xx
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
xx xx xx xx xx xx xx xx xx xx xx xx
adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
xx xx xx xx xx xx xx xx xx xx xx
developmental delay. Fetal alcohol syndrome is an exemplar of cognitive developmental
xx xx xx xx xx xx xx xx xx xx xx
delay.
xx
REF: xx xx 9 OBJ: x x NCLEX® Client Needs Category: Health Promotion and Maintenance
xx xx xx xx xx xx xx
6. To plan early intervention and care for a child with a developmental delay, the nurse
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
would consider knowledge of the concepts most significantly impacted by
xx xx xx xx xx xx xx xx xx xx
development, including
xx xx
a. culture.
b. environment.
c. functional status. xx
d. nutrition.
ANS: C xx
xx xx xx xx xx xx xx
Edition by Jean Foret Giddens 9780323581936
xx xx xx xx xx xx
Chapter 1-57 Complete
xx xx
,Concept 1: Development
xx xx
Test Bank
xx xx
MULTIPLE CHOICE xx
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized
xx xx xx xx xx xx xx xx xx xx xx xx xx
the purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
is used to assess for needs related to
xx xx xx xx xx xx xx xx
a. anticipatory guidance. xx
b. low-risk adolescents. xx
c. physical development. xx
d. sexual development. xx
ANS: A xx
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
xx xx xx xx xx xx xx xx xx xx xx
assesses home, education, activities, drugs, sex, and suicide for the purpose of
xx xx xx xx xx xx xx xx xx xx xx xx
identifying high-risk adolescents and the need for anticipatory guidance. It is used to
xx xx xx xx xx xx xx xx xx xx xx xx xx
identify high-risk, not low-risk, adolescents. Physical development is assessed with
xx xx xx xx xx xx xx xx xx xx
anthropometric data. Sexual development is assessed using physical examination.
xx xx xx xx xx xx xx xx xx
REF: xx xx 6 OBJ: x x NCLEX® Client Needs Category: Health Promotion and Maintenance
xx xx xx xx xx xx xx
2. The nurse preparing a teaching plan for a preschooler knows that, according to
xx xx xx xx xx xx xx xx xx xx xx xx
Piaget, the expected stage of development for a preschooler is
xx xx xx xx xx xx xx xx xx xx
a. concrete operational. xx
b. formal operational. xx
c. preoperational.
d. sensorimotor.
ANS: C xx
The expected stage of development for a preschooler (3 to 4 years old) is
xx xx xx xx xx xx xx xx xx xx xx xx xx
preoperational. Concrete operational describes the thinking of a school-age child (7 to
xx xx xx xx xx xx xx xx xx xx xx xx
11 years old). Formal operational describes the thinking of an individual after about 11
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
years of age. Sensorimotor describes the earliest pattern of thinking from birth to 2
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
years old.
xx xx
REF: xx xx 5 OBJ: x x NCLEX® Client Needs Category: Health Promotion and Maintenance
xx xx xx xx xx xx xx
3. The school nurse talking with a high school class about the difference between growth
xx xx xx xx xx xx xx xx xx xx xx xx xx
and development would best describe growth as
xx xx xx xx xx xx xx
a. processes by which early cells specialize. xx xx xx xx xx
b. psychosocial and cognitive changes. xx xx xx
c. qualitative changes associated with aging. xx xx xx xx
d. quantitative changes in size or weight. xx xx xx xx xx
ANS: D xx
Growth is a quantitative change in which an increase in cell number and size results in
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
an increase in overall size or weight of the body or any of its parts. The processes by
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
which early cells specialize are referred to as differentiation. Psychosocial and cognitive
xx xx xx xx xx xx xx xx xx xx xx xx
changes are referred to as development. Qualitative changes associated with aging are
xx xx xx xx xx xx xx xx xx xx xx xx
, referred to as maturation.
xx xx xx xx
, REF: xx xx 2 OBJ: x x NCLEX® Client Needs Category: Health Promotion and Maintenance
xx xx xx xx xx xx xx
4. The most appropriate response of the nurse when a mother asks what the Denver II
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
does is that it
xx xx xx xx
a. can diagnose developmental disabilities.
xx xx xx
b. identifies a need for physical therapy. xx xx xx xx xx
c. is a developmental screening tool.
xx xx xx xx
d. provides a framework for health teaching. xx xx xx xx xx
ANS: C xx
The Denver II is the most commonly used measure of developmental status used by
xx xx xx xx xx xx xx xx xx xx xx xx xx
health care professionals; it is a screening tool. Screening tools do not provide a
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
diagnosis. Diagnosis requires a thorough neurodevelopment history and physical
xx xx xx xx xx xx xx xx xx
examination. Developmental delay, which is suggested by screening, is a symptom, not
xx xx xx xx xx xx xx xx xx xx xx xx
a diagnosis. The need for any therapy would be identified with a comprehensive
xx xx xx xx xx xx xx xx xx xx xx xx xx
evaluation, not a screening tool. Some providers use the Denver II as a framework for
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
teaching about expected development, but this is not the primary purpose of the tool.
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
REF: xx xx 4 OBJ: x x NCLEX® Client Needs Category: Health Promotion and Maintenance
xx xx xx xx xx xx xx
5. To plan early intervention and care for an infant with Down syndrome, the nurse
xx xx xx xx xx xx xx xx xx xx xx xx xx
considers knowledge of other physical development exemplars such as
xx xx xx xx xx xx xx xx xx
a. cerebral palsy. xx
b. failure to thrive. xx xx
c. fetal alcohol syndrome. xx xx
d. hydrocephaly.
ANS: D xx
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
xx xx xx xx xx xx xx xx xx xx xx xx
adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
xx xx xx xx xx xx xx xx xx xx xx
developmental delay. Fetal alcohol syndrome is an exemplar of cognitive developmental
xx xx xx xx xx xx xx xx xx xx xx
delay.
xx
REF: xx xx 9 OBJ: x x NCLEX® Client Needs Category: Health Promotion and Maintenance
xx xx xx xx xx xx xx
6. To plan early intervention and care for a child with a developmental delay, the nurse
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
would consider knowledge of the concepts most significantly impacted by
xx xx xx xx xx xx xx xx xx xx
development, including
xx xx
a. culture.
b. environment.
c. functional status. xx
d. nutrition.
ANS: C xx