TEST BANK - Concepts for Nursing Practice
3rd Edition by Jean Foret Giddens
VERIFIED CHAPTERS 1-57 WITH
QUESTIONS AND 100% ACCURATE
ANSWERS
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, Concept 01: Development
MULTIPLE CHOICE
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the purpose of the
HEADSS Adolescent Risk Profile when the new nurse responds that it is used to assess for needs related
to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
ACCURATE ANSWER> A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which assesses home,
education, activities, drugs, sex, and suicide for the purpose of identifying high-risk adolescents and the
need for anticipatory guidance. It is used to identify high-risk, not low-risk, adolescents. Physical
development is assessed with anthropometric data.
Sexual development is assessed using physical examination.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the expected
stage of development for a preschooler is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
ACCURATE ANSWER> C
The expected stage of development for a preschooler (3–4 years old) is pre-operational. Concrete
operational describes the thinking of a school-age child (7–11 years old). Formal operational describes the
thinking of an individual after about 11 years of age. Sensorimotor describes the earliest pattern of
thinking from birth to 2 years old.
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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 growth and
development would best describe growth as
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight. ACCURATE ANSWER> D
Growth is a quantitative change in which an increase in cell number and size results in an increase in
overall size or weight of the body or any of its parts. The processes by which early cells specialize are
referred to as differentiation. Psychosocial and cognitive changes are referred to as development.
Qualitative changes associated with aging are referred to as maturation.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
4. The most appropriate response of the nurse when a mother asks what the Denver II does is that it
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy.
c. is a developmental screening tool.
d. provides a framework for health teaching.
ACCURATE ANSWER> C
The Denver II is the most commonly used measure of developmental status used by healthcare
professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis requires a
thorough neurodevelopment history and physical examination.
Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. The need for any
therapy would be identified with a comprehensive evaluation, not a screening tool. Some providers use
the Denver II as a framework for teaching about expected development, but this is not the primary
purpose of the tool.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
5. To plan early intervention and care for an infant with Down syndrome, the nurse considers knowledge
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of other physical development exemplars such as
a. cerebral palsy.
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, b. autism.
c. attention-deficit/hyperactivity disorder (ADHD).
d. failure to thrive.
ACCURATE ANSWER> D
Failure to thrive is also a physical development exemplar. Cerebral palsy is an exemplar of
motor/developmental delay. Autism is an exemplar of social/emotional developmental delay. ADHD is an
exemplar of a cognitive disorder.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
6. To plan early intervention and care for a child with a developmental delay, the nurse would consider
knowledge of the concepts most significantly impacted by development, including
a. culture.
b. environment.
c. functional status.
d. nutrition. ACCURATE ANSWER> C
Function is one of the concepts most significantly impacted by development. Others include sensory-
perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these concepts can help the
nurse anticipate areas that need to be addressed. Culture is a concept that is considered to significantly
affect development; the difference is the concepts that affect development are those that represent major
influencing factors (causes); hence determination of development would be the focus of preventive
interventions. Environment is considered to significantly affect development. Nutrition is considered to
significantly affect development.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks to her toys
and makes up stories. The mother wants her child to have a psychological evaluation. The nurse‘s best
initial response is to
a. refer the child to a psychologist immediately.
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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4|Page
c
3rd Edition by Jean Foret Giddens
VERIFIED CHAPTERS 1-57 WITH
QUESTIONS AND 100% ACCURATE
ANSWERS
Ar
ch
Do
1|Page
c
, Concept 01: Development
MULTIPLE CHOICE
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the purpose of the
HEADSS Adolescent Risk Profile when the new nurse responds that it is used to assess for needs related
to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
ACCURATE ANSWER> A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which assesses home,
education, activities, drugs, sex, and suicide for the purpose of identifying high-risk adolescents and the
need for anticipatory guidance. It is used to identify high-risk, not low-risk, adolescents. Physical
development is assessed with anthropometric data.
Sexual development is assessed using physical examination.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the expected
stage of development for a preschooler is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
ACCURATE ANSWER> C
The expected stage of development for a preschooler (3–4 years old) is pre-operational. Concrete
operational describes the thinking of a school-age child (7–11 years old). Formal operational describes the
thinking of an individual after about 11 years of age. Sensorimotor describes the earliest pattern of
thinking from birth to 2 years old.
Ar
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
ch
Do
2|Page
c
,3. The school nurse talking with a high school class about the difference between growth and
development would best describe growth as
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight. ACCURATE ANSWER> D
Growth is a quantitative change in which an increase in cell number and size results in an increase in
overall size or weight of the body or any of its parts. The processes by which early cells specialize are
referred to as differentiation. Psychosocial and cognitive changes are referred to as development.
Qualitative changes associated with aging are referred to as maturation.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
4. The most appropriate response of the nurse when a mother asks what the Denver II does is that it
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy.
c. is a developmental screening tool.
d. provides a framework for health teaching.
ACCURATE ANSWER> C
The Denver II is the most commonly used measure of developmental status used by healthcare
professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis requires a
thorough neurodevelopment history and physical examination.
Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. The need for any
therapy would be identified with a comprehensive evaluation, not a screening tool. Some providers use
the Denver II as a framework for teaching about expected development, but this is not the primary
purpose of the tool.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
5. To plan early intervention and care for an infant with Down syndrome, the nurse considers knowledge
Ar
of other physical development exemplars such as
a. cerebral palsy.
ch
Do
3|Page
c
, b. autism.
c. attention-deficit/hyperactivity disorder (ADHD).
d. failure to thrive.
ACCURATE ANSWER> D
Failure to thrive is also a physical development exemplar. Cerebral palsy is an exemplar of
motor/developmental delay. Autism is an exemplar of social/emotional developmental delay. ADHD is an
exemplar of a cognitive disorder.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
6. To plan early intervention and care for a child with a developmental delay, the nurse would consider
knowledge of the concepts most significantly impacted by development, including
a. culture.
b. environment.
c. functional status.
d. nutrition. ACCURATE ANSWER> C
Function is one of the concepts most significantly impacted by development. Others include sensory-
perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these concepts can help the
nurse anticipate areas that need to be addressed. Culture is a concept that is considered to significantly
affect development; the difference is the concepts that affect development are those that represent major
influencing factors (causes); hence determination of development would be the focus of preventive
interventions. Environment is considered to significantly affect development. Nutrition is considered to
significantly affect development.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks to her toys
and makes up stories. The mother wants her child to have a psychological evaluation. The nurse‘s best
initial response is to
a. refer the child to a psychologist immediately.
b. explain that playing make believe is normal at this age.
Ar
c. complete a developmental screening using a validated tool.
ch
d. separate the child from the mother to get more information.
Do
4|Page
c
