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ty ty ty ty ty
,Conceptty01:tyDevelopment
Giddens:tyConceptstyfortyNursingtyPractice,ty3rdtyEdition
MULTIPLEtyCHOICE
1. Thetynursetymanagertyoftyatypediatrictyclinictycouldtyconfirmtythattythetynewtynursetyrecognize
dtythetypurposetyoftythetyHEADSStyAdolescenttyRisktyProfiletywhentythetynewtynursetyrespond
stythattyittyistyusedtytotyassesstyfortyneedstyrelatedtyto
a. anticipatorytyguidance.
b. low-risktyadolescents.
c. physicaltydevelopment.
d. sexualtydevelopment.
ANS:t y A
ThetyHEADSStyAdolescenttyRisktyProfiletyistyatypsychosocialtyassessmenttyscreeningtytooltywhi
chtyassessestyhome,tyeducation,tyactivities,tydrugs,tysex,tyandtysuicidetyfortythetypurposetyoftyident
ifyingtyhigh-
risktyadolescentstyandtythetyneedtyfortyanticipatorytyguidance.tyIttyistyusedtytotyidentifytyhigh-
risk,tynottylow-
risk,tyadolescents.tyPhysicaltydevelopmenttyistyassessedtywithtyanthropometrictydata.
Sexualtydevelopmenttyistyassessedtyusingtyphysicaltyexamination.
OBJ: NCLEXtyClienttyNeedstyCategory:tyHealthtyPromotiontyandtyMaintenance
2. Thetynursetypreparingtyatyteachingtyplantyfortyatypreschoolertyknowstythat,tyaccordingtytotyPiaget
,tythetyexpectedtystagetyoftydevelopmenttyfortyatypreschoolertyis
a. concretetyoperational.
b. formaltyoperational. N
c. preoperational.
d. sensorimotor.
ANS:t y C
Thetyexpectedtystagetyoftydevelopmenttyfortyatypreschoolerty(3–4tyyearstyold)tyistypre-
operational.tyConcretetyoperationaltydescribestythetythinkingtyoftyatyschool-agetychildty(7–
11tyyearstyold).tyFormaltyoperationaltydescribestythetythinkingtyoftyantyindividualtyaftertyaboutty11ty
yearstyoftyage.tySensorimotortydescribestythetyearliesttypatterntyoftythinkingtyfromtybirthtytoty2tyyear
styold.
OBJ: NCLEXtyClienttyNeedstyCategory:tyHealthtyPromotiontyandtyMaintenance
3. Thetyschooltynursetytalkingtywithtyatyhightyschooltyclasstyabouttythetydifferencetybetweentygrowtht
yandtydevelopmenttywouldtybesttydescribetygrowthtyas
a. processestybytywhichtyearlytycellstyspecialize.
b. psychosocialtyandtycognitivetychanges.
c. qualitativetychangestyassociatedtywithtyaging.
d. quantitativetychangestyintysizetyortyweigh
t.tyANS:t y D
WWW.NURSYLAB.COM
, Growthtyistyatyquantitativetychangetyintywhichtyantyincreasetyintycelltynumbertyandtysizetyresultstyint
yantyincreasetyintyoveralltysizetyortyweighttyoftythetybodytyortyanytyoftyitstyparts.tyThetyprocessestybyty
whichtyearlytycellstyspecializetyaretyreferredtytotyastydifferentiation.tyPsychosocialtyandtycognitivet
ychangestyaretyreferredtytotyastydevelopment.tyQualitativetychangestyassociatedtywithtyagingtyaretyre
ferredtytotyastymaturation.
OBJ: NCLEXtyClienttyNeedstyCategory:tyHealthtyPromotiontyandtyMaintenance
4. ThetymosttyappropriatetyresponsetyoftythetynursetywhentyatymothertyaskstywhattythetyDenvertyIItydo
estyistythattyit
a. cantydiagnosetydevelopmentaltydisabilities.
b. identifiestyatyneedtyfortyphysicaltytherapy.
c. istyatydevelopmentaltyscreeningtytool.
d. providestyatyframeworktyfortyhealthtyteaching.
ANS:t y C
ThetyDenvertyIItyistythetymosttycommonlytyusedtymeasuretyoftydevelopmentaltystatustyusedtybytyhe
althcaretyprofessionals;tyittyistyatyscreeningtytool.tyScreeningtytoolstydotynottyprovidetyatydiagnosis.ty
Diagnosistyrequirestyatythoroughtyneurodevelopmenttyhistorytyandtyphysicaltyexamination.
Developmentaltydelay,tywhichtyistysuggestedtybytyscreening,tyistyatysymptom,tynottyatydiagnosis.tyT
hetyneedtyfortyanytytherapytywouldtybetyidentifiedtywithtyatycomprehensivetyevaluation,tynottyatyscre
eningtytool.tySometyproviderstyusetythetyDenvertyIItyastyatyframeworktyfortyteachingtyabouttyexpect
edtydevelopment,tybuttythistyistynottythetyprimarytypurposetyoftythetytool.
OBJ: NCLEXtyClienttyNeedstyCategory:tyHealthtyPromotiontyandtyMaintenance
5. Totyplantyearlytyinterventiontya n Nd tycaretyfortyantyinfanttywithtyDowntysyndrome,tythetynursetyconsid
erstyknowledgetyoftyothertyphysicaltydevelopmenttyexemplarstysuchtyas
a. cerebraltypalsy.
b. autism.
c. attention-deficit/hyperactivitytydisorderty(ADHD).
d. failuretytotythrive.
ANS:t y D
Failuretytotythrivetyistyalsotyatyphysicaltydevelopmenttyexemplar.tyCerebraltypalsytyistyantyexempla
rtyoftymotor/developmentaltydelay.tyAutismtyistyantyexemplartyoftysocial/emotionaltydevelopmen
taltydelay.tyADHDtyistyantyexemplartyoftyatycognitivetydisorder.
OBJ: NCLEXtyClienttyNeedstyCategory:tyHealthtyPromotiontyandtyMaintenance
6. Totyplantyearlytyinterventiontyandtycaretyfortyatychildtywithtyatydevelopmentaltydelay,tythetynursety
wouldtyconsidertyknowledgetyoftythetyconceptstymosttysignificantlytyimpactedtybytydevelopment,t
yincluding
a. culture.
b. environment.
c. functionaltystatus.
d. nutrition.
ANS:t y C
ty
, Functiontyistyonetyoftythetyconceptstymosttysignificantlytyimpactedtybytydevelopment.tyOtherstyincl
udetysensory-
perceptual,tycognition,tymobility,tyreproduction,tyandtysexuality.tyKnowledgetyoftythesetyconcept
stycantyhelptythetynursetyanticipatetyareastythattyneedtytotybetyaddressed.tyCulturetyistyatyconcepttytha
ttyistyconsideredtytotysignificantlytyaffecttydevelopment;tythetydifferencetyistythetyconceptstythattyaf
fecttydevelopmenttyaretythosetythattyrepresenttymajortyinfluencingtyfactorsty(causes);tyhencetydete
rminationtyoftydevelopmenttywouldtybetythetyfocustyoftypreventivetyinterventions.tyEnvironmentty
istyconsideredtytotysignificantlytyaffecttydevelopment.tyNutritiontyistyconsideredtytotysignificantly
tyaffecttydevelopment.
OBJ: NCLEXtyClienttyNeedstyCategory:tyHealthtyPromotiontyandtyMaintenance
7. Atymothertycomplainstytotythetynursetyattythetypediatrictyclinictythattyherty4-year-
oldtychildtyalwaystytalkstytotyhertytoystyandtymakestyuptystories.tyThetymothertywantstyhertychildtytoty
havetyatypsychologicaltyevaluation.tyThetynurse’stybesttyinitialtyresponsetyistyto
a. refertythetychildtytotyatypsychologisttyimmediately.
b. explaintythattyplayingtymaketybelievetyistynormaltyattythistyage.
c. completetyatydevelopmentaltyscreeningtyusingtyatyvalidatedtytool.
d. separatetythetychildtyfromtythetymothertytotygettymoretyinformation.
ANS:t y B
Bytythetyendtyoftythetyfourthtyyear,tyittyistyexpectedtythattyatychildtywilltyengagetyintyfantasy,tysotythist
yistynormaltyattythistyage.tyAtyreferraltytotyatypsychologisttywouldtybetyprematuretybasedtyonlytyontyt
hetycomplainttyoftythetymother.tyCompletingtyatydevelopmentaltyscreeningtywouldtybetyverytyappro
priatetybuttynottythetyinitialtyresponse.tyThetynursetywouldtycertainlytywanttytotygettymoretyinformati
on,tybuttyseparatingtythetychildtyfromtythetymothertyistynottynecessarytyattythistytime.
OBJ: NCLEXtyClienttyNeedsNCategory:tyHealthtyPromotiontyandtyMaintenance
8. Aty17-year-
oldtygirltyistyhospitalizedtyfortyappendicitis,tyandtyhertymothertyaskstythetynursetywhytyshetyistysotyne
edytyandtyactingtyliketyatychild.tyThetybesttyresponsetyoftythetynursetyistythattyintythetyhospital,tyadol
escents
a. havetyseparationtyanxiety.
b. rebeltyagainsttyrules.
c. regresstybecausetyoftystress.
d. wanttytotyknowtyeverything.
ANS:t y C
Regressiontytotyantyearliertystagetyoftydevelopmenttyistyatycommontyresponsetytotystress.tySeparatio
ntyanxietytyistymosttycommontyintyinfantstyandtytoddlers.tyRebelliontyagainsttyhospitaltyrulestyistyus
uallytynottyantyissuetyiftythetyadolescenttyunderstandstythetyrulestyandtywouldtynottycreatetychildlikety
behaviors.tyAntyadolescenttymaytywanttytoty“knowtyeverything”tywithtytheirtylogicaltythinkingtyan
dtydeductivetyreasoning,tybuttythattywouldtynottyexplaintywhytytheytywouldtyacttyliketyatychild.
OBJ: NCLEXtyClienttyNeedstyCategory:tyHealthtyPromotiontyandtyMaintenance
WWW.NURSYLAB.COM
ty ty ty ty ty
,Conceptty01:tyDevelopment
Giddens:tyConceptstyfortyNursingtyPractice,ty3rdtyEdition
MULTIPLEtyCHOICE
1. Thetynursetymanagertyoftyatypediatrictyclinictycouldtyconfirmtythattythetynewtynursetyrecognize
dtythetypurposetyoftythetyHEADSStyAdolescenttyRisktyProfiletywhentythetynewtynursetyrespond
stythattyittyistyusedtytotyassesstyfortyneedstyrelatedtyto
a. anticipatorytyguidance.
b. low-risktyadolescents.
c. physicaltydevelopment.
d. sexualtydevelopment.
ANS:t y A
ThetyHEADSStyAdolescenttyRisktyProfiletyistyatypsychosocialtyassessmenttyscreeningtytooltywhi
chtyassessestyhome,tyeducation,tyactivities,tydrugs,tysex,tyandtysuicidetyfortythetypurposetyoftyident
ifyingtyhigh-
risktyadolescentstyandtythetyneedtyfortyanticipatorytyguidance.tyIttyistyusedtytotyidentifytyhigh-
risk,tynottylow-
risk,tyadolescents.tyPhysicaltydevelopmenttyistyassessedtywithtyanthropometrictydata.
Sexualtydevelopmenttyistyassessedtyusingtyphysicaltyexamination.
OBJ: NCLEXtyClienttyNeedstyCategory:tyHealthtyPromotiontyandtyMaintenance
2. Thetynursetypreparingtyatyteachingtyplantyfortyatypreschoolertyknowstythat,tyaccordingtytotyPiaget
,tythetyexpectedtystagetyoftydevelopmenttyfortyatypreschoolertyis
a. concretetyoperational.
b. formaltyoperational. N
c. preoperational.
d. sensorimotor.
ANS:t y C
Thetyexpectedtystagetyoftydevelopmenttyfortyatypreschoolerty(3–4tyyearstyold)tyistypre-
operational.tyConcretetyoperationaltydescribestythetythinkingtyoftyatyschool-agetychildty(7–
11tyyearstyold).tyFormaltyoperationaltydescribestythetythinkingtyoftyantyindividualtyaftertyaboutty11ty
yearstyoftyage.tySensorimotortydescribestythetyearliesttypatterntyoftythinkingtyfromtybirthtytoty2tyyear
styold.
OBJ: NCLEXtyClienttyNeedstyCategory:tyHealthtyPromotiontyandtyMaintenance
3. Thetyschooltynursetytalkingtywithtyatyhightyschooltyclasstyabouttythetydifferencetybetweentygrowtht
yandtydevelopmenttywouldtybesttydescribetygrowthtyas
a. processestybytywhichtyearlytycellstyspecialize.
b. psychosocialtyandtycognitivetychanges.
c. qualitativetychangestyassociatedtywithtyaging.
d. quantitativetychangestyintysizetyortyweigh
t.tyANS:t y D
WWW.NURSYLAB.COM
, Growthtyistyatyquantitativetychangetyintywhichtyantyincreasetyintycelltynumbertyandtysizetyresultstyint
yantyincreasetyintyoveralltysizetyortyweighttyoftythetybodytyortyanytyoftyitstyparts.tyThetyprocessestybyty
whichtyearlytycellstyspecializetyaretyreferredtytotyastydifferentiation.tyPsychosocialtyandtycognitivet
ychangestyaretyreferredtytotyastydevelopment.tyQualitativetychangestyassociatedtywithtyagingtyaretyre
ferredtytotyastymaturation.
OBJ: NCLEXtyClienttyNeedstyCategory:tyHealthtyPromotiontyandtyMaintenance
4. ThetymosttyappropriatetyresponsetyoftythetynursetywhentyatymothertyaskstywhattythetyDenvertyIItydo
estyistythattyit
a. cantydiagnosetydevelopmentaltydisabilities.
b. identifiestyatyneedtyfortyphysicaltytherapy.
c. istyatydevelopmentaltyscreeningtytool.
d. providestyatyframeworktyfortyhealthtyteaching.
ANS:t y C
ThetyDenvertyIItyistythetymosttycommonlytyusedtymeasuretyoftydevelopmentaltystatustyusedtybytyhe
althcaretyprofessionals;tyittyistyatyscreeningtytool.tyScreeningtytoolstydotynottyprovidetyatydiagnosis.ty
Diagnosistyrequirestyatythoroughtyneurodevelopmenttyhistorytyandtyphysicaltyexamination.
Developmentaltydelay,tywhichtyistysuggestedtybytyscreening,tyistyatysymptom,tynottyatydiagnosis.tyT
hetyneedtyfortyanytytherapytywouldtybetyidentifiedtywithtyatycomprehensivetyevaluation,tynottyatyscre
eningtytool.tySometyproviderstyusetythetyDenvertyIItyastyatyframeworktyfortyteachingtyabouttyexpect
edtydevelopment,tybuttythistyistynottythetyprimarytypurposetyoftythetytool.
OBJ: NCLEXtyClienttyNeedstyCategory:tyHealthtyPromotiontyandtyMaintenance
5. Totyplantyearlytyinterventiontya n Nd tycaretyfortyantyinfanttywithtyDowntysyndrome,tythetynursetyconsid
erstyknowledgetyoftyothertyphysicaltydevelopmenttyexemplarstysuchtyas
a. cerebraltypalsy.
b. autism.
c. attention-deficit/hyperactivitytydisorderty(ADHD).
d. failuretytotythrive.
ANS:t y D
Failuretytotythrivetyistyalsotyatyphysicaltydevelopmenttyexemplar.tyCerebraltypalsytyistyantyexempla
rtyoftymotor/developmentaltydelay.tyAutismtyistyantyexemplartyoftysocial/emotionaltydevelopmen
taltydelay.tyADHDtyistyantyexemplartyoftyatycognitivetydisorder.
OBJ: NCLEXtyClienttyNeedstyCategory:tyHealthtyPromotiontyandtyMaintenance
6. Totyplantyearlytyinterventiontyandtycaretyfortyatychildtywithtyatydevelopmentaltydelay,tythetynursety
wouldtyconsidertyknowledgetyoftythetyconceptstymosttysignificantlytyimpactedtybytydevelopment,t
yincluding
a. culture.
b. environment.
c. functionaltystatus.
d. nutrition.
ANS:t y C
ty
, Functiontyistyonetyoftythetyconceptstymosttysignificantlytyimpactedtybytydevelopment.tyOtherstyincl
udetysensory-
perceptual,tycognition,tymobility,tyreproduction,tyandtysexuality.tyKnowledgetyoftythesetyconcept
stycantyhelptythetynursetyanticipatetyareastythattyneedtytotybetyaddressed.tyCulturetyistyatyconcepttytha
ttyistyconsideredtytotysignificantlytyaffecttydevelopment;tythetydifferencetyistythetyconceptstythattyaf
fecttydevelopmenttyaretythosetythattyrepresenttymajortyinfluencingtyfactorsty(causes);tyhencetydete
rminationtyoftydevelopmenttywouldtybetythetyfocustyoftypreventivetyinterventions.tyEnvironmentty
istyconsideredtytotysignificantlytyaffecttydevelopment.tyNutritiontyistyconsideredtytotysignificantly
tyaffecttydevelopment.
OBJ: NCLEXtyClienttyNeedstyCategory:tyHealthtyPromotiontyandtyMaintenance
7. Atymothertycomplainstytotythetynursetyattythetypediatrictyclinictythattyherty4-year-
oldtychildtyalwaystytalkstytotyhertytoystyandtymakestyuptystories.tyThetymothertywantstyhertychildtytoty
havetyatypsychologicaltyevaluation.tyThetynurse’stybesttyinitialtyresponsetyistyto
a. refertythetychildtytotyatypsychologisttyimmediately.
b. explaintythattyplayingtymaketybelievetyistynormaltyattythistyage.
c. completetyatydevelopmentaltyscreeningtyusingtyatyvalidatedtytool.
d. separatetythetychildtyfromtythetymothertytotygettymoretyinformation.
ANS:t y B
Bytythetyendtyoftythetyfourthtyyear,tyittyistyexpectedtythattyatychildtywilltyengagetyintyfantasy,tysotythist
yistynormaltyattythistyage.tyAtyreferraltytotyatypsychologisttywouldtybetyprematuretybasedtyonlytyontyt
hetycomplainttyoftythetymother.tyCompletingtyatydevelopmentaltyscreeningtywouldtybetyverytyappro
priatetybuttynottythetyinitialtyresponse.tyThetynursetywouldtycertainlytywanttytotygettymoretyinformati
on,tybuttyseparatingtythetychildtyfromtythetymothertyistynottynecessarytyattythistytime.
OBJ: NCLEXtyClienttyNeedsNCategory:tyHealthtyPromotiontyandtyMaintenance
8. Aty17-year-
oldtygirltyistyhospitalizedtyfortyappendicitis,tyandtyhertymothertyaskstythetynursetywhytyshetyistysotyne
edytyandtyactingtyliketyatychild.tyThetybesttyresponsetyoftythetynursetyistythattyintythetyhospital,tyadol
escents
a. havetyseparationtyanxiety.
b. rebeltyagainsttyrules.
c. regresstybecausetyoftystress.
d. wanttytotyknowtyeverything.
ANS:t y C
Regressiontytotyantyearliertystagetyoftydevelopmenttyistyatycommontyresponsetytotystress.tySeparatio
ntyanxietytyistymosttycommontyintyinfantstyandtytoddlers.tyRebelliontyagainsttyhospitaltyrulestyistyus
uallytynottyantyissuetyiftythetyadolescenttyunderstandstythetyrulestyandtywouldtynottycreatetychildlikety
behaviors.tyAntyadolescenttymaytywanttytoty“knowtyeverything”tywithtytheirtylogicaltythinkingtyan
dtydeductivetyreasoning,tybuttythattywouldtynottyexplaintywhytytheytywouldtyacttyliketyatychild.
OBJ: NCLEXtyClienttyNeedstyCategory:tyHealthtyPromotiontyandtyMaintenance
WWW.NURSYLAB.COM