Latest, A+ Graded & 100% Verified
f f f f f
,Concept 01: Development
f f
Giddens: Concepts for Nursing Practice, 3rd Edition
f f f f f f
MULTIPLE CHOICE f
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
f f f f f f f f f f f f f f
purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is
f f f f f f f f f f f f f f f
used to assess for needs related to
f f f f f f f
a. anticipatory guidance. f
b. low-risk adolescents. f
c. physical development. f
d. sexual development. f
ANS: A f
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
f f f f f f f f f f f
assesses home, education, activities, drugs, sex, and suicide for the purpose of identifying
f f f f f f f f f f f f f
high-risk adolescents and the need for anticipatory guidance. It is used to identify high-risk,
f f f f f f f f f f f f f f
not low-risk, adolescents. Physical development is assessed with anthropometric data.
f f f f f f f f f f
Sexual development is assessed using physical examination.
f f f f f f
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance f f f f f f f
2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the
f f f f f f f f f f f f f f
expected stage of development for a preschooler is
f f f f f f f f
a. concrete operational. f
b. formal operational. N f
c. preoperational.
d. sensorimotor.
ANS: C f
The expected stage of development for a preschooler (3–4 years old) is pre-operational.
f f f f f f f f f f f f
Concrete operational describes the thinking of a school-age child (7–11 years old). Formal
f f f f f f f f f f f f f
operational describes the thinking of an individual after about 11 years of age. Sensorimotor
f f f f f f f f f f f f f f
describes the earliest pattern of thinking from birth to 2 years old.
f f f f f f f f f f f f
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance f f f f f f f
3. The school nurse talking with a high school class about the difference between growth and
f f f f f f f f f f f f f f
development would best describe growth as
f f f f f f
a. processes by which early cells specialize. f f f f f
b. psychosocial and cognitive changes. f f f
c. qualitative changes associated with aging. f f f f
d. quantitative changes in size or weight. f f f f f
fANS: D f
WWW.NURSYLAB.COM
, Growth is a quantitative change in which an increase in cell number and size results in an
f f f f f f f f f f f f f f f f
increase in overall size or weight of the body or any of its parts. The processes by which early
f f f f f f f f f f f f f f f f f f f
cells specialize are referred to as differentiation. Psychosocial and cognitive changes are
f f f f f f f f f f f f
referred to as development. Qualitative changes associated with aging are referred to as
f f f f f f f f f f f f f
maturation.
f
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance f f f f f f f
4. The most appropriate response of the nurse when a mother asks what the Denver II does is
f f f f f f f f f f f f f f f f
that it
f f
a. can diagnose developmental disabilities.
f f f
b. identifies a need for physical therapy. f f f f f
c. is a developmental screening tool.
f f f f
d. provides a framework for health teaching. f f f f f
ANS: C f
The Denver II is the most commonly used measure of developmental status used by
f f f f f f f f f f f f f
healthcare professionals; it is a screening tool. Screening tools do not provide a diagnosis.
f f f f f f f f f f f f f f
Diagnosis requires a thorough neurodevelopment history and physical examination.
f f f f f f f f f
Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. Thef f f f f f f f f f f f f
need for any therapy would be identified with a comprehensive evaluation, not a screening
f f f f f f f f f f f f f f
tool. Some providers use the Denver II as a framework for teaching about expected
f f f f f f f f f f f f f f
development, but this is not the primary purpose of the tool.
f f f f f f f f f f f
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance f f f f f f f
5. To plan early intervention a n Nd care for an infant with Down syndrome, the nurse considers
f f f f f f f f f f f f f f
knowledge of other physical development exemplars such as
f f f f f f f f
a. cerebral palsy. f
b. autism.
c. attention-deficit/hyperactivity disorder (ADHD). f f
d. failure to thrive. f f
ANS: D f
Failure to thrive is also a physical development exemplar. Cerebral palsy is an exemplar of
f f f f f f f f f f f f f f
motor/developmental delay. Autism is an exemplar of social/emotional developmental
f f f f f f f f f
delay. ADHD is an exemplar of a cognitive disorder.
f f f f f f f f f
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance f f f f f f f
6. To plan early intervention and care for a child with a developmental delay, the nurse would
f f f f f f f f f f f f f f f
consider knowledge of the concepts most significantly impacted by development, including
f f f f f f f f f f f
a. culture.
b. environment.
c. functional status. f
d. nutrition.
fANS: C f
, Function is one of the concepts most significantly impacted by development. Others include
f f f f f f f f f f f f
sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
f f f f f f f f f
concepts can help the nurse anticipate areas that need to be addressed. Culture is a concept
f f f f f f f f f f f f f f f f
that is considered to significantly affect development; the difference is the concepts that
f f f f f f f f f f f f f
affect development are those that represent major influencing factors (causes); hence
f f f f f f f f f f f
determination of development would be the focus of preventive interventions. Environment
f f f f f f f f f f f
is considered to significantly affect development. Nutrition is considered to significantly
f f f f f f f f f f f
affect development.
f f
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance f f f f f f f
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks to
f f f f f f f f f f f f f f f f
her toys and makes up stories. The mother wants her child to have a psychological
f f f f f f f f f f f f f f f
evaluation. The nurse‘s best initial response is to
f f f f f f f f
a. refer the child to a psychologist immediately.
f f f f f f
b. explain that playing make believe is normal at this age. f f f f f f f f f
c. complete a developmental screening using a validated tool. f f f f f f f
d. separate the child from the mother to get more information. f f f f f f f f f
ANS: B f
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is
f f f f f f f f f f f f f f f f f f f
normal at this age. A referral to a psychologist would be premature based only on the
f f f f f f f f f f f f f f f f
complaint of the mother. Completing a developmental screening would be very appropriate
f f f f f f f f f f f f
but not the initial response. The nurse would certainly want to get more information, but
f f f f f f f f f f f f f f f
separating the child from the mother is not necessary at this time.
f f f f f f f f f f f f
OBJ: NCLEX Client NeedsNCategory: Health Promotion and Maintenance f f f f f f
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so
f f f f f f f f f f f f f f f f
needy and acting like a child. The best response of the nurse is that in the hospital,
f f f f f f f f f f f f f f f f f
adolescents
f
a. have separation anxiety. f f
b. rebel against rules. f f
c. regress because of stress. f f f
d. want to know everything. f f f
ANS: C f
Regression to an earlier stage of development is a common response to stress. Separation
f f f f f f f f f f f f f
anxiety is most common in infants and toddlers. Rebellion against hospital rules is usually not
f f f f f f f f f f f f f f f
an issue if the adolescent understands the rules and would not create childlike behaviors. An
f f f f f f f f f f f f f f f
adolescent may want to ―know everything‖ with their logical thinking and deductive
f f f f f f f f f f f f
reasoning, but that would not explain why they would act like a child.
f f f f f f f f f f f f f
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance f f f f f f f
WWW.NURSYLAB.COM
f f f f f
,Concept 01: Development
f f
Giddens: Concepts for Nursing Practice, 3rd Edition
f f f f f f
MULTIPLE CHOICE f
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
f f f f f f f f f f f f f f
purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is
f f f f f f f f f f f f f f f
used to assess for needs related to
f f f f f f f
a. anticipatory guidance. f
b. low-risk adolescents. f
c. physical development. f
d. sexual development. f
ANS: A f
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
f f f f f f f f f f f
assesses home, education, activities, drugs, sex, and suicide for the purpose of identifying
f f f f f f f f f f f f f
high-risk adolescents and the need for anticipatory guidance. It is used to identify high-risk,
f f f f f f f f f f f f f f
not low-risk, adolescents. Physical development is assessed with anthropometric data.
f f f f f f f f f f
Sexual development is assessed using physical examination.
f f f f f f
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance f f f f f f f
2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the
f f f f f f f f f f f f f f
expected stage of development for a preschooler is
f f f f f f f f
a. concrete operational. f
b. formal operational. N f
c. preoperational.
d. sensorimotor.
ANS: C f
The expected stage of development for a preschooler (3–4 years old) is pre-operational.
f f f f f f f f f f f f
Concrete operational describes the thinking of a school-age child (7–11 years old). Formal
f f f f f f f f f f f f f
operational describes the thinking of an individual after about 11 years of age. Sensorimotor
f f f f f f f f f f f f f f
describes the earliest pattern of thinking from birth to 2 years old.
f f f f f f f f f f f f
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance f f f f f f f
3. The school nurse talking with a high school class about the difference between growth and
f f f f f f f f f f f f f f
development would best describe growth as
f f f f f f
a. processes by which early cells specialize. f f f f f
b. psychosocial and cognitive changes. f f f
c. qualitative changes associated with aging. f f f f
d. quantitative changes in size or weight. f f f f f
fANS: D f
WWW.NURSYLAB.COM
, Growth is a quantitative change in which an increase in cell number and size results in an
f f f f f f f f f f f f f f f f
increase in overall size or weight of the body or any of its parts. The processes by which early
f f f f f f f f f f f f f f f f f f f
cells specialize are referred to as differentiation. Psychosocial and cognitive changes are
f f f f f f f f f f f f
referred to as development. Qualitative changes associated with aging are referred to as
f f f f f f f f f f f f f
maturation.
f
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance f f f f f f f
4. The most appropriate response of the nurse when a mother asks what the Denver II does is
f f f f f f f f f f f f f f f f
that it
f f
a. can diagnose developmental disabilities.
f f f
b. identifies a need for physical therapy. f f f f f
c. is a developmental screening tool.
f f f f
d. provides a framework for health teaching. f f f f f
ANS: C f
The Denver II is the most commonly used measure of developmental status used by
f f f f f f f f f f f f f
healthcare professionals; it is a screening tool. Screening tools do not provide a diagnosis.
f f f f f f f f f f f f f f
Diagnosis requires a thorough neurodevelopment history and physical examination.
f f f f f f f f f
Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. Thef f f f f f f f f f f f f
need for any therapy would be identified with a comprehensive evaluation, not a screening
f f f f f f f f f f f f f f
tool. Some providers use the Denver II as a framework for teaching about expected
f f f f f f f f f f f f f f
development, but this is not the primary purpose of the tool.
f f f f f f f f f f f
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance f f f f f f f
5. To plan early intervention a n Nd care for an infant with Down syndrome, the nurse considers
f f f f f f f f f f f f f f
knowledge of other physical development exemplars such as
f f f f f f f f
a. cerebral palsy. f
b. autism.
c. attention-deficit/hyperactivity disorder (ADHD). f f
d. failure to thrive. f f
ANS: D f
Failure to thrive is also a physical development exemplar. Cerebral palsy is an exemplar of
f f f f f f f f f f f f f f
motor/developmental delay. Autism is an exemplar of social/emotional developmental
f f f f f f f f f
delay. ADHD is an exemplar of a cognitive disorder.
f f f f f f f f f
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance f f f f f f f
6. To plan early intervention and care for a child with a developmental delay, the nurse would
f f f f f f f f f f f f f f f
consider knowledge of the concepts most significantly impacted by development, including
f f f f f f f f f f f
a. culture.
b. environment.
c. functional status. f
d. nutrition.
fANS: C f
, Function is one of the concepts most significantly impacted by development. Others include
f f f f f f f f f f f f
sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
f f f f f f f f f
concepts can help the nurse anticipate areas that need to be addressed. Culture is a concept
f f f f f f f f f f f f f f f f
that is considered to significantly affect development; the difference is the concepts that
f f f f f f f f f f f f f
affect development are those that represent major influencing factors (causes); hence
f f f f f f f f f f f
determination of development would be the focus of preventive interventions. Environment
f f f f f f f f f f f
is considered to significantly affect development. Nutrition is considered to significantly
f f f f f f f f f f f
affect development.
f f
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance f f f f f f f
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks to
f f f f f f f f f f f f f f f f
her toys and makes up stories. The mother wants her child to have a psychological
f f f f f f f f f f f f f f f
evaluation. The nurse‘s best initial response is to
f f f f f f f f
a. refer the child to a psychologist immediately.
f f f f f f
b. explain that playing make believe is normal at this age. f f f f f f f f f
c. complete a developmental screening using a validated tool. f f f f f f f
d. separate the child from the mother to get more information. f f f f f f f f f
ANS: B f
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is
f f f f f f f f f f f f f f f f f f f
normal at this age. A referral to a psychologist would be premature based only on the
f f f f f f f f f f f f f f f f
complaint of the mother. Completing a developmental screening would be very appropriate
f f f f f f f f f f f f
but not the initial response. The nurse would certainly want to get more information, but
f f f f f f f f f f f f f f f
separating the child from the mother is not necessary at this time.
f f f f f f f f f f f f
OBJ: NCLEX Client NeedsNCategory: Health Promotion and Maintenance f f f f f f
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so
f f f f f f f f f f f f f f f f
needy and acting like a child. The best response of the nurse is that in the hospital,
f f f f f f f f f f f f f f f f f
adolescents
f
a. have separation anxiety. f f
b. rebel against rules. f f
c. regress because of stress. f f f
d. want to know everything. f f f
ANS: C f
Regression to an earlier stage of development is a common response to stress. Separation
f f f f f f f f f f f f f
anxiety is most common in infants and toddlers. Rebellion against hospital rules is usually not
f f f f f f f f f f f f f f f
an issue if the adolescent understands the rules and would not create childlike behaviors. An
f f f f f f f f f f f f f f f
adolescent may want to ―know everything‖ with their logical thinking and deductive
f f f f f f f f f f f f
reasoning, but that would not explain why they would act like a child.
f f f f f f f f f f f f f
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance f f f f f f f
WWW.NURSYLAB.COM
