TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 4TH
EDITION JEAN GIDDENS
,Concept 01: Development
Giddens: Concepts for Nursing Practice, 4th Edition
MULTIPLE CHOICE
1. The nursing attendant manager of a pediatric clinic could confirm that the new nursing
attendant recognized the purpose of the HEADSS Adolescent Risk Profile when the
new nursing attendant responds that it is used to review for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
ACCURATE CHOICE: A
Reasoning: The HEADSS Adolescent Risk Profile is a psychosocial assessment screening
tool which reviews 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 reviewed with
anthropometric data.
Sexual development is reviewed using physical examination.
OBJ: NCLEX hospital patient Needs Category: Health Promotion and Maintenance
2. The nursing attendant 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 CHOICE: C
Reasoning: 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.
OBJ: NCLEX hospital patient Needs Category: Health Promotion and Maintenance
3. The school nursing attendant 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 CHOICE: D
, Reasoning: 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 hospital patient Needs Category: Health Promotion and Maintenance
4. The most appropriate answer of the nursing attendant 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 CHOICE: C
Reasoning: 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 hospital patient Needs Category: Health Promotion and Maintenance
5. To plan early intervention and care for an infant with Down syndrome, the nursing
attendant considers knowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
ACCURATE CHOICE: D
Reasoning: Hydrocephaly is also a physical development exemplar. Cerebral palsy is an
exemplar of adaptive developmental delay. Failure to thrive is an exemplar of
social/emotional developmental delay. Fetal alcohol syndrome is an exemplar of cognitive
developmental delay.
OBJ: NCLEX hospital patient Needs Category: Health Promotion and Maintenance
6. To plan early intervention and care for a child with a developmental delay, the nursing
attendant would consider knowledge of the concepts most significantly impacted by
development, including
a. culture.
b. environment.
c. functional status.
d. nutrition.
ACCURAT
E CHOICE:
C
, Reasoning: 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 nursing attendant 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 hospital patient Needs Category: Health Promotion and Maintenance
7. A mother complains to the nursing attendant 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 nursing attendant ’s best initial answer is to
a. refer the child to a psychologist immediately.
b. explain that playing make believe is normal at this age.
c. complete a developmental screening using a validated tool.
d. separate the child from the mother to get more information.
ACCURATE CHOICE: B
Reasoning: By the end of the fourth year, it is expected that a child will engage in fantasy,
so this is normal at this age. A referral to a psychologist would be premature based only on
the complaint of the mother. Completing a developmental screening would be very
appropriate but not the initial answer . The nursing attendant would certainly want to get
more information, but separating the child from the mother is not necessary at this time.
OBJ: NCLEX hospital patient Needs Category: Health Promotion and Maintenance
8. A 17-year-old girl is health centerized for appendicitis, and her mother asks the nursing
attendant why she is so needy and acting like a child. The best answer of the nursing
attendant is that in the health center, adolescents
a. have separation anxiety.
b. rebel against rules.
c. regress because of stress.
d. want to know everything.
ACCURATE CHOICE: C
Reasoning: Regression to an earlier stage of development is a common answer to stress.
Separation anxiety is most common in infants and toddlers. Rebellion against health center
rules is usually not an issue if the adolescent understands the rules and would not create
childlike behaviors. An adolescent may want to “know everything” with their logical
thinking and deductive reasoning, but that would not explain why they would act like a
child.
OBJ: NCLEX hospital patient Needs Category: Health Promotion and Maintenance
EDITION JEAN GIDDENS
,Concept 01: Development
Giddens: Concepts for Nursing Practice, 4th Edition
MULTIPLE CHOICE
1. The nursing attendant manager of a pediatric clinic could confirm that the new nursing
attendant recognized the purpose of the HEADSS Adolescent Risk Profile when the
new nursing attendant responds that it is used to review for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
ACCURATE CHOICE: A
Reasoning: The HEADSS Adolescent Risk Profile is a psychosocial assessment screening
tool which reviews 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 reviewed with
anthropometric data.
Sexual development is reviewed using physical examination.
OBJ: NCLEX hospital patient Needs Category: Health Promotion and Maintenance
2. The nursing attendant 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 CHOICE: C
Reasoning: 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.
OBJ: NCLEX hospital patient Needs Category: Health Promotion and Maintenance
3. The school nursing attendant 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 CHOICE: D
, Reasoning: 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 hospital patient Needs Category: Health Promotion and Maintenance
4. The most appropriate answer of the nursing attendant 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 CHOICE: C
Reasoning: 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 hospital patient Needs Category: Health Promotion and Maintenance
5. To plan early intervention and care for an infant with Down syndrome, the nursing
attendant considers knowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
ACCURATE CHOICE: D
Reasoning: Hydrocephaly is also a physical development exemplar. Cerebral palsy is an
exemplar of adaptive developmental delay. Failure to thrive is an exemplar of
social/emotional developmental delay. Fetal alcohol syndrome is an exemplar of cognitive
developmental delay.
OBJ: NCLEX hospital patient Needs Category: Health Promotion and Maintenance
6. To plan early intervention and care for a child with a developmental delay, the nursing
attendant would consider knowledge of the concepts most significantly impacted by
development, including
a. culture.
b. environment.
c. functional status.
d. nutrition.
ACCURAT
E CHOICE:
C
, Reasoning: 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 nursing attendant 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 hospital patient Needs Category: Health Promotion and Maintenance
7. A mother complains to the nursing attendant 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 nursing attendant ’s best initial answer is to
a. refer the child to a psychologist immediately.
b. explain that playing make believe is normal at this age.
c. complete a developmental screening using a validated tool.
d. separate the child from the mother to get more information.
ACCURATE CHOICE: B
Reasoning: By the end of the fourth year, it is expected that a child will engage in fantasy,
so this is normal at this age. A referral to a psychologist would be premature based only on
the complaint of the mother. Completing a developmental screening would be very
appropriate but not the initial answer . The nursing attendant would certainly want to get
more information, but separating the child from the mother is not necessary at this time.
OBJ: NCLEX hospital patient Needs Category: Health Promotion and Maintenance
8. A 17-year-old girl is health centerized for appendicitis, and her mother asks the nursing
attendant why she is so needy and acting like a child. The best answer of the nursing
attendant is that in the health center, adolescents
a. have separation anxiety.
b. rebel against rules.
c. regress because of stress.
d. want to know everything.
ACCURATE CHOICE: C
Reasoning: Regression to an earlier stage of development is a common answer to stress.
Separation anxiety is most common in infants and toddlers. Rebellion against health center
rules is usually not an issue if the adolescent understands the rules and would not create
childlike behaviors. An adolescent may want to “know everything” with their logical
thinking and deductive reasoning, but that would not explain why they would act like a
child.
OBJ: NCLEX hospital patient Needs Category: Health Promotion and Maintenance
