Test Bank - Concepts for Nursing Practice, 4th Edition (Jean Foret Giddens, 2024) Chapters 1-57 | All Chapters LATEST

Concept 01: Development
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Giddens: Concepts for Nursing Practice, 4th Edition
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,MULTIPLE CHOICE x@




1. The nurse manager of a pediatric clinic could confirm that the new nurse recogni
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zed the purpose of the HEADSS Adolescent Risk Profile when the new nurse res
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ponds that it is used to assess for needs related to
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a. anticipatory guidance. x@


b. low-risk adolescents. x@


c. physical development. x@


d. sexual development. x@




ANS: A x @


The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool w
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hich assesses home, education, activities, drugs, sex, and suicide for the purpose of i
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dentifying high- x@


risk adolescents and the need for anticipatory guidance. It is used to identify high-
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risk, not low- x@ x@


risk, adolescents. Physical development is assessed with anthropometric data.
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Sexual development is assessed using physical examination.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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2. The nurse preparing a teaching plan for a preschooler knows that, according to Pia
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get, the expected stage of development for a preschooler is
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a. concrete operational. x@


b. formal operational. N x@


c. preoperational.
d. sensorimotor.
ANS: C x @


The expected stage of development for a preschooler (3–4 years old) is pre-
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operational. Concrete operational describes the thinking of a school-age child (7–
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11 years old). Formal operational describes the thinking of an individual after about 1
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1 years of age. Sensorimotor describes the earliest pattern of thinking from birth to 2
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@years old. x@




OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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3. The school nurse talking with a high school class about the difference between gro
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wth and development would best describe growth as
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a. processes by which early cells specialize. x@ x@ x@ x@ x@


b. psychosocial and cognitive changes. x@ x@ x@


c. qualitative changes associated with aging. x@ x@ x@ x@


d. quantitative changes in size or weig x@ x@ x@ x@ x@




ht. ANS: D
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, Growth is a quantitative change in which an increase in cell number and size results
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@in an increase in overall size or weight of the body or any of its parts. The process
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es by which early cells specialize are referred to as differentiation. Psychosocial and
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cognitive changes are referred to as development. Qualitative changes associated with
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aging are referred to as maturation.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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4. The most appropriate response of the nurse when a mother asks what the Denver II
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@does is that it x@ x@ x@


a. can diagnose developmental disabilities.
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b. identifies a need for physical therapy. x@ x@ x@ x@ x@


c. is a developmental screening tool.
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d. provides a framework for health teaching.
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ANS: C x @


The Denver II is the most commonly used measure of developmental status used by
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healthcare professionals; it is a screening tool. Screening tools do not provide a diagno
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sis. Diagnosis requires a thorough neurodevelopment history and physical examination.
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Developmental delay, which is suggested by screening, is a symptom, not a diagnosis.
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@The need for any therapy would be identified with a comprehensive evaluation, not a
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@screening tool. Some providers use the Denver II as a framework for teaching about
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expected development, but this is not the primary purpose of the tool.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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5. To plan early intervention a n Nd care for an infant with Down syndrome, the nurse con
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siders knowledge of other physical development exemplars such as
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a. cerebral palsy. x@


b. autism.
c. attention-deficit/hyperactivity disorder (ADHD). x@ x@


d. failure to thrive. x@ x@




ANS: D x @


Failure to thrive is also a physical development exemplar. Cerebral palsy is an exem
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plar of motor/developmental delay. Autism is an exemplar of social/emotional develo
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pmental delay. ADHD is an exemplar of a cognitive disorder.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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6. To plan early intervention and care for a child with a developmental delay, the nurs
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e would consider knowledge of the concepts most significantly impacted by develop
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ment, including x@


a. culture.
b. environment.
c. functional status. x@


d. nutrition.
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, Function is one of the concepts most significantly impacted by development. Others i
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nclude sensory- x@


perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these conce
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pts can help the nurse anticipate areas that need to be addressed. Culture is a conce
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pt that is considered to significantly affect development; the difference is the concept
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s that affect development are those that represent major influencing factors (causes);
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hence determination of development would be the focus of preventive interventions.
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Environment is considered to significantly affect development. Nutrition is considered
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@to significantly affect development.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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7. A mother complains to the nurse at the pediatric clinic that her 4-year-
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old child always talks to her toys and makes up stories. The mother wants her child
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@to have a psychological evaluation. The nurse‘s best initial response is to
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a. refer the child to a psychologist immediately.
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b. explain that playing make believe is normal at this age.
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c. complete a developmental screening using a validated tool.
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d. separate the child from the mother to get more information.
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ANS: B x @


By the end of the fourth year, it is expected that a child will engage in fantasy, so t
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his is normal at this age. A referral to a psychologist would be premature based only
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@on the complaint of the mother. Completing a developmental screening would be very
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appropriate but not the initial response. The nurse would certainly want to get more
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information, but separating the child from the mother is not necessary at this time.
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OBJ: NCLEX Client NeedsNCategory: Health Promotion and Maintenance
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8. A 17-year-
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old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so
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x@needy and acting like a child. The best response of the nurse is that in the hospita
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l, adolescents
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a. have separation anxiety. x@ x@


b. rebel against rules. x@ x@


c. regress because of stress. x@ x@ x@


d. want to know everything. x@ x@ x@




ANS: C x @


Regression to an earlier stage of development is a common response to stress. Separa
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tion anxiety is most common in infants and toddlers. Rebellion against hospital rules
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is usually not an issue if the adolescent understands the rules and would not create c
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hildlike behaviors. An adolescent may want to ―know everything‖ with their logical t
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hinking and deductive reasoning, but that would not explain why they would act like
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@a child.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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