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