,Concept01:Development
/
m
Giddens: Concepts forNursing Practice,
7 a 7a 7a 7 a 3rdEdition7a
MULTIPLECHOICE
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
7a 7a 7a 7a 7a 7a 7a 7a 7a 7a 7a 7a 7a 7a
purposeofthe HEADSS AdolescentRiskProfile whenthenew nurserespondsthatit is used
7a 7a 7a 7a 7a /
m 7a
toassessforneedsrelatedto
7a
a. anticipatoryguidance.
b. low-riskadolescents.
c. physicaldevelopment. m/
d. sexualdevelopment.
ANS: A
TheHEADSSAdolescentRiskProfileisapsychosocialassessmentscreeningtoolwhich
7a 7a 7a
assesseshome,education,activities,drugs,sex,andsuicideforthepurposeofidentifying
7a 7a 7a 7a 7a 7a
high-riskadolescentsandtheneedforanticipatoryguidance.Itisusedtoidentifyhigh-risk,not
7a m
/ m
/ /
m m
/ 7a m/ m
/ m
/
low-risk,adolescents.Physicaldevelopmentisassessedwithanthropometricdata.
7a 7a 7a
Sexualdevelopmentisassessedusing physicalexamination. m
/ m/ 7a
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance
/
m m
/ /
m /
m /
m
2. Thenursepreparingateachingplanforapreschoolerknowsthat,accordingtoPiaget,the
/
m m/ /
m m
/ m
/
expectedstageofdevelopmentforapreschooleris
7a
a. concreteoperational. /
m
b. formaloperational. N /
m
c. preoperational.
d. sensorimotor.
ANS: C
Theexpected stage ofdevelopment forapreschooler(3–4yearsold)ispre-operational.Concrete
m/ 7a 7a 7a
operationaldescribesthethinkingofaschool-agechild(7–11yearsold).Formaloperational
7 a 7a 7a
describesthethinkingofanindividualafterabout11yearsofage.Sensorimotor
7 a m
/ m
/ m
/ m
/ m
/ /
m
describestheearliest patternofthinkingfrombirthto2yearsold.
7a 7a 7a 7a
OBJ: NCLEXClientNeedsCategory:Health PromotionandMaintenance
/
m m
/ m/ /
m
3. Theschoolnursetalking withahighschoolclassaboutthedifferencebetweengrowthand
/
m /
m /
m m/ m
/ m
/ /
m m
/ m
/ /
m /
m m
/
development would bestdescribegrowthas
7a m 7a
a. processesbywhichearlycellsspecialize. m
/ m
/
b. psychosocialandcognitivechanges. m
/ 7a
c. qualitativechangesassociatedwithaging. m
/
d. quantitativechangesinsizeorweight /
m /
m /
m /
m
. ANS: D 7a
WWW.NURSYLAB.COM
, Growthisa quantitativechangeinwhichanincreaseincellnumberandsizeresultsinan
m/ m/ m/ 7 a 7 a
7 increaseinoverallsizeorweightofthebody oranyof itsparts. The processesby which early
a m/ 7 a m/
7 cellsspecializeare referred toasdifferentiation.Psychosocialandcognitivechangesare
a m/ 7a 7a
referred toasdevelopment.Qualitativechangesassociatedwithagingarereferredtoas
7a m/ 7a m/ 7a m
/ m/
maturation.
7a
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance /
m m
/ /
m /
m /
m
4. Themostappropriateresponseofthenursewhen amotheraskswhattheDenver IIdoesis thatit
/
m 7 a /
m m
/ /
m 7 a /
m 7a
a. can diagnosedevelopmentaldisabilities.
m/ 7a
b. identifiesaneedforphysicaltherapy. m
/ /
m 7a 7a
c. isadevelopmental screening tool.
m/ m
/ 7a m/
d. providesaframeworkforhealthteaching. /
m m/ 7a
ANS: C
TheDenverIIis themostcommonlyusedmeasureofdevelopmentalstatususedbyhealthcare
7a 7a m/ 7a
professionals;itisascreeningtool.Screeningtoolsdonotprovideadiagnosis.Diagnosisrequires
7a /
m m
/ /
m 7a
athoroughneurodevelopmenthistoryandphysicalexamination.
7a
Developmentaldelay,whichissuggestedbyscreening,isa symptom,nota diagnosis.The need m/ m/ m
/ 7a
foranytherapywouldbeidentifiedwithacomprehensiveevaluation, notascreening tool. Some
7a m
/ m
/ m
/ m
/ m/ m
/ m
/ 7a 7a
providers use the Denver IIasaframeworkforteachingaboutexpecteddevelopment, butthis
7a m/ 7a 7a 7a
isnottheprimarypurposeofthetool.
7a
OBJ: 7 a 7 a NCLEXClientNeedsCategory:HealthPromotionandMaintenance
/
m /
m /
m m/ /
m
5. Toplanearlyinterventiona nNd careforaninfantwithDownsyndrome,the /
m 7 a
nurse considers knowledgeofotherphysicaldevelopmentexemplarssuchas
7a iu 7a
a. cerebralpalsy. /
m
b. autism.
c. attention-deficit/hyperactivity disorder (ADHD). 7a 7a
d. failuretothrive. /
m
ANS: D 7 a 7 a
Failuretothriveisalsoaphysicaldevelopmentexemplar.Cerebralpalsyisanexemplarof /
m m
/ /
m m
/ m
/ m
/
motor/developmentaldelay.Autismisanexemplarofsocial/emotionaldevelopmentaldelay.
7a 7a
ADHDisanexemplarofacognitivedisorder.
7a
OBJ: 7 a 7 a NCLEXClientNeedsCategory:HealthPromotionandMaintenance
/
m /
m /
m /
m /
m
6. Toplan earlyinterventionand careforachild withadevelopmentaldelay,thenursewould
m/ m/ m
/ m/ 7a 7a
considerknowledgeoftheconceptsmostsignificantlyimpactedbydevelopment,including
7a /
m m
/ /
m
a. culture.
b. environment.
c. functionalstatus. /
m
d. nutrition.
ANS: C
, Functionisoneoftheconceptsmostsignificantlyimpactedbydevelopment.Othersinclude
m
/ m/ /
m m/ m
/ /
m
sensory-perceptual,cognition,mobility,reproduction,andsexuality.Knowledgeofthese
7a 7a 7a 7a 7a 7a
conceptscanhelpthenurseanticipateareasthatneedtobeaddressed.Cultureis aconcept that is
7a 7a 7a m/ 7a m/
consideredtosignificantlyaffectdevelopment;thedifferenceistheconceptsthataffect
7 a 7a
developmentarethosethatrepresentmajorinfluencingfactors(causes);hencedetermination
7 a 7a
ofdevelopmentwouldbethefocusofpreventiveinterventions.
7a
Environmentisconsideredtosignificantlyaffectdevelopment.Nutritionisconsideredto 7a
significantlyaffectdevelopment.
7a
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance /
m m
/ /
m /
m
7. Amothercomplainstothenurseatthepediatric clinicthather4-year-old childalwaystalks toher m
/ /
m 7a m
/ 7a m
/ 7a
toysandmakesupstories. Themotherwantsherchildtohaveapsychologicalevaluation. The
7a 7a 7a
nurse‘sbestinitialresponseisto
7a 7a 7a 7a
a. referthechildtoapsychologist immediately. 7a
b. explainthatplayingmakebelieveisnormal at thisage. m
/ /
m m
/ 7a 7a 7a
c. completeadevelopmental screeningusingavalidated tool. /
m /
m 7a m/ 7a
d. separatethechildfromthemother toget moreinformation. /
m m/ 7a m/ /
m
ANS: B
Bytheend ofthefourthyear,itisexpectedthatachildwillengageinfantasy,sothisisnormalat
7a m/ 7a 7a 7a 7a
7 thisage.A referral toapsychologist wouldbepremature basedonlyonthecomplaintofthe
a 7a /
m /
m
7 mother.Completingadevelopmentalscreeningwouldbeveryappropriatebutnottheinitial
a /
m /
m m
/ 7a
response.Thenurse would certainlywanttoget more information,butseparatingthechild
7a 7a m/ 7a
7from themotherisnotnecessaryatthistime.
a m/ m/
OBJ: NCLEXClientNeedsNCategory: HealthPromotionandMaintenance m
/ 7a /
m m
/ m/
8. A17-year-oldgirlishospitalizedforappendicitis,and hermotherasksthenursewhysheis so m/ m/ m/ m/ 7a m/ 7a
needyand actinglikeachild.Thebest responseofthenurseisthatinthehospital,adolescents
7a m/ 7a 7a 7a 7a
a. haveseparationanxiety. /
m 7a
b. rebelagainstrules. /
m 7a
c. regressbecauseofstress. /
m /
m
d. wanttoknoweverything.
ANS: C
Regressiontoanearlierstageofdevelopmentisacommonresponsetostress.Separationanxiety 7a 7a
7 ismostcommonininfantsand toddlers.Rebellionagainst hospital rulesisusually notanissueif
a m/ 7a m
/ /
m
7theadolescentunderstandstherulesandwouldnotcreatechildlikebehaviors.Anadolescentmay
a m/ m
/ m
/ 7a 7a
want to―knoweverything‖with their logical thinkingand deductive reasoning,butthatwould
7a m/ 7a 7a 7a m/ 7a
not explainwhytheywouldactlikeachild.
7a m/ m/
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance /
m m
/ /
m /
m /
m
WWW.NURSYLAB.COM
/
m
Giddens: Concepts forNursing Practice,
7 a 7a 7a 7 a 3rdEdition7a
MULTIPLECHOICE
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
7a 7a 7a 7a 7a 7a 7a 7a 7a 7a 7a 7a 7a 7a
purposeofthe HEADSS AdolescentRiskProfile whenthenew nurserespondsthatit is used
7a 7a 7a 7a 7a /
m 7a
toassessforneedsrelatedto
7a
a. anticipatoryguidance.
b. low-riskadolescents.
c. physicaldevelopment. m/
d. sexualdevelopment.
ANS: A
TheHEADSSAdolescentRiskProfileisapsychosocialassessmentscreeningtoolwhich
7a 7a 7a
assesseshome,education,activities,drugs,sex,andsuicideforthepurposeofidentifying
7a 7a 7a 7a 7a 7a
high-riskadolescentsandtheneedforanticipatoryguidance.Itisusedtoidentifyhigh-risk,not
7a m
/ m
/ /
m m
/ 7a m/ m
/ m
/
low-risk,adolescents.Physicaldevelopmentisassessedwithanthropometricdata.
7a 7a 7a
Sexualdevelopmentisassessedusing physicalexamination. m
/ m/ 7a
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance
/
m m
/ /
m /
m /
m
2. Thenursepreparingateachingplanforapreschoolerknowsthat,accordingtoPiaget,the
/
m m/ /
m m
/ m
/
expectedstageofdevelopmentforapreschooleris
7a
a. concreteoperational. /
m
b. formaloperational. N /
m
c. preoperational.
d. sensorimotor.
ANS: C
Theexpected stage ofdevelopment forapreschooler(3–4yearsold)ispre-operational.Concrete
m/ 7a 7a 7a
operationaldescribesthethinkingofaschool-agechild(7–11yearsold).Formaloperational
7 a 7a 7a
describesthethinkingofanindividualafterabout11yearsofage.Sensorimotor
7 a m
/ m
/ m
/ m
/ m
/ /
m
describestheearliest patternofthinkingfrombirthto2yearsold.
7a 7a 7a 7a
OBJ: NCLEXClientNeedsCategory:Health PromotionandMaintenance
/
m m
/ m/ /
m
3. Theschoolnursetalking withahighschoolclassaboutthedifferencebetweengrowthand
/
m /
m /
m m/ m
/ m
/ /
m m
/ m
/ /
m /
m m
/
development would bestdescribegrowthas
7a m 7a
a. processesbywhichearlycellsspecialize. m
/ m
/
b. psychosocialandcognitivechanges. m
/ 7a
c. qualitativechangesassociatedwithaging. m
/
d. quantitativechangesinsizeorweight /
m /
m /
m /
m
. ANS: D 7a
WWW.NURSYLAB.COM
, Growthisa quantitativechangeinwhichanincreaseincellnumberandsizeresultsinan
m/ m/ m/ 7 a 7 a
7 increaseinoverallsizeorweightofthebody oranyof itsparts. The processesby which early
a m/ 7 a m/
7 cellsspecializeare referred toasdifferentiation.Psychosocialandcognitivechangesare
a m/ 7a 7a
referred toasdevelopment.Qualitativechangesassociatedwithagingarereferredtoas
7a m/ 7a m/ 7a m
/ m/
maturation.
7a
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance /
m m
/ /
m /
m /
m
4. Themostappropriateresponseofthenursewhen amotheraskswhattheDenver IIdoesis thatit
/
m 7 a /
m m
/ /
m 7 a /
m 7a
a. can diagnosedevelopmentaldisabilities.
m/ 7a
b. identifiesaneedforphysicaltherapy. m
/ /
m 7a 7a
c. isadevelopmental screening tool.
m/ m
/ 7a m/
d. providesaframeworkforhealthteaching. /
m m/ 7a
ANS: C
TheDenverIIis themostcommonlyusedmeasureofdevelopmentalstatususedbyhealthcare
7a 7a m/ 7a
professionals;itisascreeningtool.Screeningtoolsdonotprovideadiagnosis.Diagnosisrequires
7a /
m m
/ /
m 7a
athoroughneurodevelopmenthistoryandphysicalexamination.
7a
Developmentaldelay,whichissuggestedbyscreening,isa symptom,nota diagnosis.The need m/ m/ m
/ 7a
foranytherapywouldbeidentifiedwithacomprehensiveevaluation, notascreening tool. Some
7a m
/ m
/ m
/ m
/ m/ m
/ m
/ 7a 7a
providers use the Denver IIasaframeworkforteachingaboutexpecteddevelopment, butthis
7a m/ 7a 7a 7a
isnottheprimarypurposeofthetool.
7a
OBJ: 7 a 7 a NCLEXClientNeedsCategory:HealthPromotionandMaintenance
/
m /
m /
m m/ /
m
5. Toplanearlyinterventiona nNd careforaninfantwithDownsyndrome,the /
m 7 a
nurse considers knowledgeofotherphysicaldevelopmentexemplarssuchas
7a iu 7a
a. cerebralpalsy. /
m
b. autism.
c. attention-deficit/hyperactivity disorder (ADHD). 7a 7a
d. failuretothrive. /
m
ANS: D 7 a 7 a
Failuretothriveisalsoaphysicaldevelopmentexemplar.Cerebralpalsyisanexemplarof /
m m
/ /
m m
/ m
/ m
/
motor/developmentaldelay.Autismisanexemplarofsocial/emotionaldevelopmentaldelay.
7a 7a
ADHDisanexemplarofacognitivedisorder.
7a
OBJ: 7 a 7 a NCLEXClientNeedsCategory:HealthPromotionandMaintenance
/
m /
m /
m /
m /
m
6. Toplan earlyinterventionand careforachild withadevelopmentaldelay,thenursewould
m/ m/ m
/ m/ 7a 7a
considerknowledgeoftheconceptsmostsignificantlyimpactedbydevelopment,including
7a /
m m
/ /
m
a. culture.
b. environment.
c. functionalstatus. /
m
d. nutrition.
ANS: C
, Functionisoneoftheconceptsmostsignificantlyimpactedbydevelopment.Othersinclude
m
/ m/ /
m m/ m
/ /
m
sensory-perceptual,cognition,mobility,reproduction,andsexuality.Knowledgeofthese
7a 7a 7a 7a 7a 7a
conceptscanhelpthenurseanticipateareasthatneedtobeaddressed.Cultureis aconcept that is
7a 7a 7a m/ 7a m/
consideredtosignificantlyaffectdevelopment;thedifferenceistheconceptsthataffect
7 a 7a
developmentarethosethatrepresentmajorinfluencingfactors(causes);hencedetermination
7 a 7a
ofdevelopmentwouldbethefocusofpreventiveinterventions.
7a
Environmentisconsideredtosignificantlyaffectdevelopment.Nutritionisconsideredto 7a
significantlyaffectdevelopment.
7a
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance /
m m
/ /
m /
m
7. Amothercomplainstothenurseatthepediatric clinicthather4-year-old childalwaystalks toher m
/ /
m 7a m
/ 7a m
/ 7a
toysandmakesupstories. Themotherwantsherchildtohaveapsychologicalevaluation. The
7a 7a 7a
nurse‘sbestinitialresponseisto
7a 7a 7a 7a
a. referthechildtoapsychologist immediately. 7a
b. explainthatplayingmakebelieveisnormal at thisage. m
/ /
m m
/ 7a 7a 7a
c. completeadevelopmental screeningusingavalidated tool. /
m /
m 7a m/ 7a
d. separatethechildfromthemother toget moreinformation. /
m m/ 7a m/ /
m
ANS: B
Bytheend ofthefourthyear,itisexpectedthatachildwillengageinfantasy,sothisisnormalat
7a m/ 7a 7a 7a 7a
7 thisage.A referral toapsychologist wouldbepremature basedonlyonthecomplaintofthe
a 7a /
m /
m
7 mother.Completingadevelopmentalscreeningwouldbeveryappropriatebutnottheinitial
a /
m /
m m
/ 7a
response.Thenurse would certainlywanttoget more information,butseparatingthechild
7a 7a m/ 7a
7from themotherisnotnecessaryatthistime.
a m/ m/
OBJ: NCLEXClientNeedsNCategory: HealthPromotionandMaintenance m
/ 7a /
m m
/ m/
8. A17-year-oldgirlishospitalizedforappendicitis,and hermotherasksthenursewhysheis so m/ m/ m/ m/ 7a m/ 7a
needyand actinglikeachild.Thebest responseofthenurseisthatinthehospital,adolescents
7a m/ 7a 7a 7a 7a
a. haveseparationanxiety. /
m 7a
b. rebelagainstrules. /
m 7a
c. regressbecauseofstress. /
m /
m
d. wanttoknoweverything.
ANS: C
Regressiontoanearlierstageofdevelopmentisacommonresponsetostress.Separationanxiety 7a 7a
7 ismostcommonininfantsand toddlers.Rebellionagainst hospital rulesisusually notanissueif
a m/ 7a m
/ /
m
7theadolescentunderstandstherulesandwouldnotcreatechildlikebehaviors.Anadolescentmay
a m/ m
/ m
/ 7a 7a
want to―knoweverything‖with their logical thinkingand deductive reasoning,butthatwould
7a m/ 7a 7a 7a m/ 7a
not explainwhytheywouldactlikeachild.
7a m/ m/
OBJ: NCLEXClientNeedsCategory:HealthPromotionandMaintenance /
m m
/ /
m /
m /
m
WWW.NURSYLAB.COM
