TEST BANK
bk b k
FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
bk bk bk bk bk bk bk bk
,Concept 01: Development
bk bk
Giddens: Concepts for Nursing Practice, 3rd Edition
bk bk bk bk bk bk
MULTIPLE CHOICE bk
1. The nurse manager of a pediatric clinic could confirm that the new nurse
bk bk bk bk bk bk bk bk bk bk bk bk
recognized the purpose of the HEADSS Adolescent Risk Profile when the new
bk bk bk bk bk bk bk bk bk bk bk bk
nurse responds that it is used to review for needs related to
bk bk bk bk bk bk bk bk bk bk bk bk
a. anticipatory guidance. bk
b. low-risk adolescents. bk
c. physical development. bk
d. sexual development. bk
ANS: A bk
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool
bk bk bk bk bk bk bk bk bk bk
which reviews home, education, activities, drugs, sex, and suicide for the purpose of
bk bk bk bk bk bk bk bk bk bk bk bk bk
identifying high-risk adolescents and the need for anticipatory guidance. It is used to
bk bk bk bk bk bk bk bk bk bk bk bk bk
identify high-risk, not low-risk, adolescents. Physical development is reviewed with
bk bk bk bk bk bk bk bk bk bk
anthropometric data.
bk bk
Sexual development is reviewed using physical examination.
bk bk bk bk bk bk
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
bk bk bk bk bk bk bk
2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget,
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the expected stage of development for a preschooler is
bk bk bk bk bk bk bk bk bk
a. concrete operational. bk
b. formal operational. bk
c. preoperational.
d. sensorimotor.
ANS: C bk
The expected stage of development for a preschooler (3–4 years old) is pre-
bk bk bk bk bk bk bk bk bk bk bk bk
operational. Concrete operational describes the thinking of a school-age child (7–11
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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.
bk bk
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
bk bk bk bk bk bk bk
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. bk bk bk bk bk
b. psychosocial and cognitive changes. bk bk bk
c. qualitative changes associated with aging. bk bk bk bk
d. quantitative changes in size or bk bk bk bk
weight. 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
bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk
processes by which early cells specialize are referred to as differentiation. Psychosocial
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and cognitive changes are referred to as development. Qualitative changes associated
bk bk bk bk bk bk bk bk bk bk bk
with aging are referred to as maturation.
bk bk bk bk bk bk bk
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
bk bk bk bk bk bk bk
4. The most appropriate response of the nurse when a mother asks what the Denver II
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
does is that it
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a. can diagnose developmental disabilities.
bk bk bk
b. identifies a need for physical therapy. bk bk bk bk bk
c. is a developmental screening tool.
bk bk bk bk
d. provides a framework for health teaching. bk bk bk bk bk
ANS: C bk
The Denver II is the most commonly used measure of developmental status used by
bk bk bk bk bk bk bk bk bk bk bk bk bk
healthcare professionals; it is a screening tool. Screening tools do not provide a
bk bk bk bk bk bk bk bk bk bk bk bk bk
diagnosis. Diagnosis requires a thorough neurodevelopment history and physical
bk bk bk bk bk bk bk bk bk
examination.
bk
Developmental delay, which is suggested by screening, is a symptom, not a diagnosis.
bk bk bk bk bk bk bk bk bk bk bk bk
The need for any therapy would be identified with a comprehensive evaluation, not a
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
screening tool. Some providers use the Denver II as a framework for teaching about
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
expected development, but this is not the primary purpose of the tool.
bk bk bk bk bk bk bk bk bk bk bk bk
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
bk bk bk bk bk bk bk
5. To plan early intervention a n Nd U
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r aGnTinBf.
anCt OwMith Down syndrome, the nurse
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considers knowledge of other physical development exemplars such as
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a. cerebral palsy. bk
b. failure to thrive. bk bk
c. fetal alcohol syndrome. bk bk
d. hydrocephaly.
ANS: D bk
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
bk bk bk bk bk bk bk bk bk bk bk bk
adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
bk bk bk bk bk bk bk bk bk bk bk
developmental delay. Fetal alcohol syndrome is an exemplar of cognitive developmental
bk bk bk bk bk bk bk bk bk bk bk
delay.
bk
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
bk bk bk bk bk bk bk
6. To plan early intervention and care for a child with a developmental delay, the nurse
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
would consider knowledge of the concepts most significantly impacted by development,
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including
bk
a. culture.
b. environment.
c. functional status. bk
d. nutrition.
ANS: C bk
, Function is one of the concepts most significantly impacted by development. Others
bk bk bk bk bk bk bk bk bk bk bk
include sensory-perceptual, cognition, mobility, reproduction, and sexuality.
bk bk bk bk bk bk bk
Knowledge of these concepts can help the nurse anticipate areas that need to be
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
addressed. Culture is a concept that is considered to significantly affect development;
bk bk bk bk bk bk bk bk bk bk bk bk
the difference is the concepts that affect development are those that represent major
bk bk bk bk bk bk bk bk bk bk bk bk bk
influencing factors (causes); hence determination of development would be the focus
bk bk bk bk bk bk bk bk bk bk bk
of preventive interventions. Environment is considered to significantly affect
bk bk bk bk bk bk bk bk bk
development. Nutrition is considered to significantly affect development.
bk bk bk bk bk bk bk bk
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
bk bk bk bk bk bk bk
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
talks to her toys and makes up stories. The mother wants her child to have a
bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk
psychological evaluation. The nurse’s best initial response is to
bk bk bk bk bk bk bk bk bk
a. refer the child to a psychologist immediately.
bk bk bk bk bk bk
b. explain that playing make believe is normal at this age.
bk bk bk bk bk bk bk bk bk
c. complete a developmental screening using a validated tool. bk bk bk bk bk bk bk
d. separate the child from the mother to get more information.
bk bk bk bk bk bk bk bk bk
ANS: B bk
By the end of the fourth year, it is expected that a child will engage in fantasy, so
bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk
this is normal at this age. A referral to a psychologist would be premature based
bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk
only on the complaint of the mother. Completing a developmental screening would be
bk bk bk bk bk bk bk bk bk bk bk bk bk
very appropriate but not the initial response. The nurse would certainly want to get
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
more information, but separating the child from the mother is not necessary at this
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
time.
bk
OBJ: NCLEX Client NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
b k o motion b k b k and Maintenance
b k
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why
bk bk bk bk bk bk bk bk bk bk bk bk bk
she is so needy and acting like a child. The best response of the nurse is that in the
bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk
hospital, adolescents
bk bk
a. have separation anxiety. bk bk
b. rebel against rules. bk bk
c. regress because of stress. bk bk bk
d. want to know everything. bk bk bk
ANS: C bk
Regression to an earlier stage of development is a common response to stress.
bk bk bk bk bk bk bk bk bk bk bk bk
Separation anxiety is most common in infants and toddlers. Rebellion against hospital
bk bk bk bk bk bk bk bk bk bk bk bk
rules is usually not an issue if the adolescent understands the rules and would not
bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk
create childlike behaviors. An adolescent may want to “know everything” with their
bk bk bk bk bk bk bk bk bk bk bk bk
logical thinking and deductive reasoning, but that would not explain why they would
bk bk bk bk bk bk bk bk bk bk bk bk bk
act like a child.
bk bk bk bk
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
bk bk bk bk bk bk bk
bk b k
FOR CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY GIDDENS
bk bk bk bk bk bk bk bk
,Concept 01: Development
bk bk
Giddens: Concepts for Nursing Practice, 3rd Edition
bk bk bk bk bk bk
MULTIPLE CHOICE bk
1. The nurse manager of a pediatric clinic could confirm that the new nurse
bk bk bk bk bk bk bk bk bk bk bk bk
recognized the purpose of the HEADSS Adolescent Risk Profile when the new
bk bk bk bk bk bk bk bk bk bk bk bk
nurse responds that it is used to review for needs related to
bk bk bk bk bk bk bk bk bk bk bk bk
a. anticipatory guidance. bk
b. low-risk adolescents. bk
c. physical development. bk
d. sexual development. bk
ANS: A bk
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool
bk bk bk bk bk bk bk bk bk bk
which reviews home, education, activities, drugs, sex, and suicide for the purpose of
bk bk bk bk bk bk bk bk bk bk bk bk bk
identifying high-risk adolescents and the need for anticipatory guidance. It is used to
bk bk bk bk bk bk bk bk bk bk bk bk bk
identify high-risk, not low-risk, adolescents. Physical development is reviewed with
bk bk bk bk bk bk bk bk bk bk
anthropometric data.
bk bk
Sexual development is reviewed using physical examination.
bk bk bk bk bk bk
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
bk bk bk bk bk bk bk
2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget,
bk bk bk bk bk bk bk bk bk bk bk bk bk
the expected stage of development for a preschooler is
bk bk bk bk bk bk bk bk bk
a. concrete operational. bk
b. formal operational. bk
c. preoperational.
d. sensorimotor.
ANS: C bk
The expected stage of development for a preschooler (3–4 years old) is pre-
bk bk bk bk bk bk bk bk bk bk bk bk
operational. Concrete operational describes the thinking of a school-age child (7–11
bk bk bk bk bk bk bk bk bk bk
years old). Formal operational describes the thinking of an individual after about 11
bk bk bk bk bk bk bk bk bk bk bk bk bk
years of age. Sensorimotor describes the earliest pattern of thinking from birth to 2
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
years old.
bk bk
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
bk bk bk bk bk bk bk
3. The school nurse talking with a high school class about the difference between growth
bk bk bk bk bk bk bk bk bk bk bk bk bk
and development would best describe growth as
bk bk bk bk bk bk bk
a. processes by which early cells specialize. bk bk bk bk bk
b. psychosocial and cognitive changes. bk bk bk
c. qualitative changes associated with aging. bk bk bk bk
d. quantitative changes in size or bk bk bk bk
weight. ANS: D
bk bk bk
, Growth is a quantitative change in which an increase in cell number and size results
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
in an increase in overall size or weight of the body or any of its parts. The
bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk
processes by which early cells specialize are referred to as differentiation. Psychosocial
bk bk bk bk bk bk bk bk bk bk bk bk
and cognitive changes are referred to as development. Qualitative changes associated
bk bk bk bk bk bk bk bk bk bk bk
with aging are referred to as maturation.
bk bk bk bk bk bk bk
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
bk bk bk bk bk bk bk
4. The most appropriate response of the nurse when a mother asks what the Denver II
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
does is that it
bk bk bk bk
a. can diagnose developmental disabilities.
bk bk bk
b. identifies a need for physical therapy. bk bk bk bk bk
c. is a developmental screening tool.
bk bk bk bk
d. provides a framework for health teaching. bk bk bk bk bk
ANS: C bk
The Denver II is the most commonly used measure of developmental status used by
bk bk bk bk bk bk bk bk bk bk bk bk bk
healthcare professionals; it is a screening tool. Screening tools do not provide a
bk bk bk bk bk bk bk bk bk bk bk bk bk
diagnosis. Diagnosis requires a thorough neurodevelopment history and physical
bk bk bk bk bk bk bk bk bk
examination.
bk
Developmental delay, which is suggested by screening, is a symptom, not a diagnosis.
bk bk bk bk bk bk bk bk bk bk bk bk
The need for any therapy would be identified with a comprehensive evaluation, not a
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
screening tool. Some providers use the Denver II as a framework for teaching about
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
expected development, but this is not the primary purpose of the tool.
bk bk bk bk bk bk bk bk bk bk bk bk
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
bk bk bk bk bk bk bk
5. To plan early intervention a n Nd U
bk bkcaRreSfIoN
r aGnTinBf.
anCt OwMith Down syndrome, the nurse
bk bk bk bk bk bk bk bk
considers knowledge of other physical development exemplars such as
bk bk bk bk bk bk bk bk bk
a. cerebral palsy. bk
b. failure to thrive. bk bk
c. fetal alcohol syndrome. bk bk
d. hydrocephaly.
ANS: D bk
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
bk bk bk bk bk bk bk bk bk bk bk bk
adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
bk bk bk bk bk bk bk bk bk bk bk
developmental delay. Fetal alcohol syndrome is an exemplar of cognitive developmental
bk bk bk bk bk bk bk bk bk bk bk
delay.
bk
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
bk bk bk bk bk bk bk
6. To plan early intervention and care for a child with a developmental delay, the nurse
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
would consider knowledge of the concepts most significantly impacted by development,
bk bk bk bk bk bk bk bk bk bk bk
including
bk
a. culture.
b. environment.
c. functional status. bk
d. nutrition.
ANS: C bk
, Function is one of the concepts most significantly impacted by development. Others
bk bk bk bk bk bk bk bk bk bk bk
include sensory-perceptual, cognition, mobility, reproduction, and sexuality.
bk bk bk bk bk bk bk
Knowledge of these concepts can help the nurse anticipate areas that need to be
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
addressed. Culture is a concept that is considered to significantly affect development;
bk bk bk bk bk bk bk bk bk bk bk bk
the difference is the concepts that affect development are those that represent major
bk bk bk bk bk bk bk bk bk bk bk bk bk
influencing factors (causes); hence determination of development would be the focus
bk bk bk bk bk bk bk bk bk bk bk
of preventive interventions. Environment is considered to significantly affect
bk bk bk bk bk bk bk bk bk
development. Nutrition is considered to significantly affect development.
bk bk bk bk bk bk bk bk
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
bk bk bk bk bk bk bk
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
talks to her toys and makes up stories. The mother wants her child to have a
bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk
psychological evaluation. The nurse’s best initial response is to
bk bk bk bk bk bk bk bk bk
a. refer the child to a psychologist immediately.
bk bk bk bk bk bk
b. explain that playing make believe is normal at this age.
bk bk bk bk bk bk bk bk bk
c. complete a developmental screening using a validated tool. bk bk bk bk bk bk bk
d. separate the child from the mother to get more information.
bk bk bk bk bk bk bk bk bk
ANS: B bk
By the end of the fourth year, it is expected that a child will engage in fantasy, so
bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk
this is normal at this age. A referral to a psychologist would be premature based
bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk
only on the complaint of the mother. Completing a developmental screening would be
bk bk bk bk bk bk bk bk bk bk bk bk bk
very appropriate but not the initial response. The nurse would certainly want to get
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
more information, but separating the child from the mother is not necessary at this
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
time.
bk
OBJ: NCLEX Client NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
b k o motion b k b k and Maintenance
b k
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why
bk bk bk bk bk bk bk bk bk bk bk bk bk
she is so needy and acting like a child. The best response of the nurse is that in the
bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk
hospital, adolescents
bk bk
a. have separation anxiety. bk bk
b. rebel against rules. bk bk
c. regress because of stress. bk bk bk
d. want to know everything. bk bk bk
ANS: C bk
Regression to an earlier stage of development is a common response to stress.
bk bk bk bk bk bk bk bk bk bk bk bk
Separation anxiety is most common in infants and toddlers. Rebellion against hospital
bk bk bk bk bk bk bk bk bk bk bk bk
rules is usually not an issue if the adolescent understands the rules and would not
bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk
create childlike behaviors. An adolescent may want to “know everything” with their
bk bk bk bk bk bk bk bk bk bk bk bk
logical thinking and deductive reasoning, but that would not explain why they would
bk bk bk bk bk bk bk bk bk bk bk bk bk
act like a child.
bk bk bk bk
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
bk bk bk bk bk bk bk
