Stuvia.comg-
gThegMarketplacegtogBuygandgSellgyourgStudygMaterial
Concept 1: Development T
g g g
est Bank
g
MULTIPLEgCHOICE
1. Thegnursegmanagergofgagpediatricgclinicgcouldgconfirmgthatgthegnewgnursegrecognizedgthegpurpo
segofgthegHEADSSgAdolescentgRiskgProfilegwhengthegnewgnursegrespondsgthatgitgisgusedgtogasse
ssgforgneedsgrelatedgto
a. anticipatorygguidance.
b. low-riskgadolescents.
c. physicalgdevelopment.
d. sexualgdevelopment.
ANS:g A
ThegHEADSSgAdolescentgRiskgProfilegisgagpsychosocialgassessmentgscreeninggtoolgwhichgasse
ssesghome,geducation,gactivities,gdrugs,gsex,gandgsuicidegforgthegpurposegofgidentifyingghigh-
riskgadolescentsgandgthegneedgforganticipatorygguidance.gItgisgusedgtogidentifyghigh-
risk,gnotglow-
risk,gadolescents.gPhysicalgdevelopmentgisgassessedgwithganthropometricgdata.gSexualgdevelop
mentgisgassessedgusinggphysicalgexamination.
REF:g g 6 OBJ:g g NCLEX®gClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
2. Thegnursegpreparinggagteachinggplangforgagpreschoolergknowsgthat,gaccordinggtogPiaget,gthege
xpectedgstagegofgdevelopmentgforgagpreschoolergis
a. concretegoperational.
b. formalgoperational.
c. preoperational.
d. sensorimotor.
ANS:g C
Thegexpectedgstagegofgdevelopmentgforgagpreschoolerg(3gtog4gyearsgold)gisgpreoperational.gConc
retegoperationalgdescribesgthegthinkinggofgagschool-
agegchildg(7gtog11gyearsgold).gFormalgoperationalgdescribesgthegthinkinggofgangindividualgafterga
boutg11gyearsgofgage.gSensorimotorgdescribesgthegearliestgpatterngofgthinkinggfromgbirthgtog2gyea
rsgold.
REF:g g 5 OBJ:g g NCLEX®gClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
3. Thegschoolgnursegtalkinggwithgaghighgschoolgclassgaboutgthegdifferencegbetweenggrowthgandgd
evelopmentgwouldgbestgdescribeggrowthgas
a. processesgbygwhichgearlygcellsgspecialize.
b. psychosocialgandgcognitivegchanges.
c. qualitativegchangesgassociatedgwithgaging.
d. quantitativegchangesgingsizegorgweight.
ANS:g D
Growthgisgagquantitativegchangegingwhichgangincreasegingcellgnumbergandgsizegresultsgingangincrea
segingoverallgsizegorgweightgofgthegbodygorganygofgitsgparts.gThegprocessesgbygwhichgearlygcellsgspe
cializegaregreferredgtogasgdifferentiation.gPsychosocialgandgcognitivegchangesgaregreferredgtogasgd
evelopment.gQualitativegchangesgassociatedgwithgaginggaregreferredgtogasgmaturation.
Thisgstudygsourcegwasgdownloadedgbyg100000825474529gfromgCourseHero.comgong05-11-2021g09:53:33gGMTg-05:00
https://www.coursehero.com/file/15116825/c1/
DoDwonwlonalodaeddedbyb:yS:goAprhiaiheg|gaabbbieiekcalyin1@
2@
gm
gmaila.cilo
.cm
om
Distributiongofgthisgdocumentgisgillegal
, Stuvia.comg-
gThegMarketplacegtogBuygandgSellgyourgStudygMaterial
REF:g g 2 OBJ:g g NCLEX®gClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
4. ThegmostgappropriategresponsegofgthegnursegwhengagmothergasksgwhatgthegDenvergIIgdoesgisgt
hatgit
a. cangdiagnosegdevelopmentalgdisabilities.
b. identifiesgagneedgforgphysicalgtherapy.
c. isgagdevelopmentalgscreeninggtool.
d. providesgagframeworkgforghealthgteaching.
ANS:g C
ThegDenvergIIgisgthegmostgcommonlygusedgmeasuregofgdevelopmentalgstatusgusedgbyghealthgcareg
professionals;gitgisgagscreeninggtool.gScreeninggtoolsgdognotgprovidegagdiagnosis.gDiagnosisgrequir
esgagthoroughgneurodevelopmentghistorygandgphysicalgexamination.gDevelopmentalgdelay,gwhic
hgisgsuggestedgbygscreening,gisgagsymptom,gnotgagdiagnosis.gThegneedgforganygtherapygwouldgbegi
dentifiedgwithgagcomprehensivegevaluation,gnotgagscreeninggtool.gSomegprovidersgusegthegDenve
rgIIgasgagframeworkgforgteachinggaboutgexpectedgdevelopment,gbutgthisgisgnotgthegprimarygpurpos
egofgthegtool.
REF:g g 4 OBJ:g g NCLEX®gClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
5. TogplangearlyginterventiongandgcaregforganginfantgwithgDowngsyndrome,gthegnursegconsidersgk
nowledgegofgothergphysicalgdevelopmentgexemplarsgsuchgas
a. cerebralgpalsy.
b. failuregtogthrive.
c. fetalgalcoholgsyndrome.
d. hydrocephaly.
ANS:g D
Hydrocephalygisgalsogagphysicalgdevelopmentgexemplar.gCerebralgpalsygisgangexemplargofgadapt
ivegdevelopmentalgdelay.gFailuregtogthrivegisgangexemplargofgsocial/emotionalgdevelopmentalgd
elay.gFetalgalcoholgsyndromegisgangexemplargofgcognitivegdevelopmentalgdelay.
REF:g g 9 OBJ:g g NCLEX®gClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
6. Togplangearlyginterventiongandgcaregforgagchildgwithgagdevelopmentalgdelay,gthegnursegwouldgc
onsidergknowledgegofgthegconceptsgmostgsignificantlygimpactedgbygdevelopment,gincluding
a. culture.
b. environment.
c. functionalgstatus.
d. nutrition.
ANS:g C
Thisgstudygsourcegwasgdownloadedgbyg100000825474529gfromgCourseHero.comgong05-11-2021g09:53:33gGMTg-05:00
https://www.coursehero.com/file/15116825/c1/
DoDwonwlonalodaeddedbyb:yS:goAprhiaiheg|gaabbbieiekcalyin1@
2@
gm
gmaila.cilo
.cm
om
Distributiongofgthisgdocumentgisgillegal
, Stuvia.comg-
gThegMarketplacegtogBuygandgSellgyourgStudygMaterial
Functiongisgonegofgthegconceptsgmostgsignificantlygimpactedgbygdevelopment.gOthersgincludegse
nsory-
perceptual,gcognition,gmobility,greproduction,gandgsexuality.gKnowledgegofgthesegconceptsgcang
helpgthegnurseganticipategareasgthatgneedgtogbegaddressed.gCulturegisgagconceptgthatgisgconsideredg
togsignificantlygaffectgdevelopment;gthegdifferencegisgthegconceptsgthatgaffectgdevelopmentgaregth
osegthatgrepresentgmajorginfluencinggfactorsg(causes),ghencegdeterminationgofgdevelopmentgandg
wouldgbegthegfocusgofgpreventiveginterventions.gEnvironmentgisgconsideredgtogsignificantlygaffe
ctgdevelopment.gNutritiongisgconsideredgtogsignificantlygaffectgdevelopment.
REF:g g 1 OBJ:g g NCLEX®gClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
7. Agmothergcomplainsgtogthegnursegatgthegpediatricgclinicgthatgherg4-year-
oldgchildgalwaysgtalksgtoghergtoysgandgmakesgupgstories.gThegmothergwantsghergchildgtoghavegagps
ychologicgevaluation.
Thegnurse’sgbestginitialgresponsegisgto
a. refergthegchildgtogagpsychologist.
b. explaingthatgplayinggmakegbelievegwithgdollsgandgpeoplegisgnormalgatgthisgage.
c. completegagdevelopmentalgscreening.
d. separategthegchildgfromgthegmothergtoggetgmoreginformation.
ANS:g B
Bygthegendgofgthegfourthgyear,gitgisgexpectedgthatgagchildgwillgengagegingfantasy,gsogthisgisgnormal
gatgthisgage.gAgreferralgtogagpsychologistgwouldgbegprematuregbasedgonlygongthegcomplaintgofgthe
gmother.gCompletinggagdevelopmentalgscreeninggwouldgbegverygappropriategbutgnotgtheginitialgre
sponse.gThegnursegwouldgcertainlygwantgtoggetgmoreginformation,gbutgseparatinggthegchildgfromg
thegmothergisgnotgnecessarygatgthisgtime.
REF:g g 5 OBJ:g g NCLEX®gClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
8. Ag17-year-
oldggirlgisghospitalizedgforgappendicitis,gandghergmothergasksgthegnursegwhygshegisgsogneedygandga
ctingglikegagchild.gThegbestgresponsegofgthegnursegisgthatgingtheghospital,gadolescents
a. havegseparationganxiety.
b. rebelgagainstgrules.
c. regressgbecausegofgstress.
d. wantgtogknowgeverything.
ANS:g C
Regressiongtogangearliergstagegofgdevelopmentgisgagcommongresponsegtogstress.gSeparationganxiet
ygisgmostgcommonginginfantsgandgtoddlers.gRebelliongagainstghospitalgrulesgisgusuallygnotgangissue
gifgthegadolescentgunderstandsgthegrulesgandgwouldgnotgcreategchildlikegbehaviors.gAngadolescentg
maygwantgtog“knowgeverything”gwithgtheirglogicalgthinkinggandgdeductivegreasoning,gbutgthatgw
ouldgnotgexplaingwhygtheygwouldgactglikegagchild.
REF:g g 4 OBJ:g g NCLEX®gClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
Thisgstudygsourcegwasgdownloadedgbyg100000825474529gfromgCourseHero.comgong05-11-2021g09:53:33gGMTg-05:00
DoDwonwlonalodaeddedbyb:yS:goAprhiaiheg|gaabbbieiekcalyin1@
2@
gm
gmaila.cilo
.cm
om
Distributiongofgthisgdocumentgisgillegal
, Stuvia.comg-
gThegMarketplacegtogBuygandgSellgyourgStudygMaterial
https://www.coursehero.com/file/15116825/c1/
DoDwonwlonalodaeddedbyb:yS:goAprhiaiheg|gaabbbieiekcalyin1@
2@
gm
gmaila.cilo
.cm
om
Distributiongofgthisgdocumentgisgillegal
gThegMarketplacegtogBuygandgSellgyourgStudygMaterial
Concept 1: Development T
g g g
est Bank
g
MULTIPLEgCHOICE
1. Thegnursegmanagergofgagpediatricgclinicgcouldgconfirmgthatgthegnewgnursegrecognizedgthegpurpo
segofgthegHEADSSgAdolescentgRiskgProfilegwhengthegnewgnursegrespondsgthatgitgisgusedgtogasse
ssgforgneedsgrelatedgto
a. anticipatorygguidance.
b. low-riskgadolescents.
c. physicalgdevelopment.
d. sexualgdevelopment.
ANS:g A
ThegHEADSSgAdolescentgRiskgProfilegisgagpsychosocialgassessmentgscreeninggtoolgwhichgasse
ssesghome,geducation,gactivities,gdrugs,gsex,gandgsuicidegforgthegpurposegofgidentifyingghigh-
riskgadolescentsgandgthegneedgforganticipatorygguidance.gItgisgusedgtogidentifyghigh-
risk,gnotglow-
risk,gadolescents.gPhysicalgdevelopmentgisgassessedgwithganthropometricgdata.gSexualgdevelop
mentgisgassessedgusinggphysicalgexamination.
REF:g g 6 OBJ:g g NCLEX®gClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
2. Thegnursegpreparinggagteachinggplangforgagpreschoolergknowsgthat,gaccordinggtogPiaget,gthege
xpectedgstagegofgdevelopmentgforgagpreschoolergis
a. concretegoperational.
b. formalgoperational.
c. preoperational.
d. sensorimotor.
ANS:g C
Thegexpectedgstagegofgdevelopmentgforgagpreschoolerg(3gtog4gyearsgold)gisgpreoperational.gConc
retegoperationalgdescribesgthegthinkinggofgagschool-
agegchildg(7gtog11gyearsgold).gFormalgoperationalgdescribesgthegthinkinggofgangindividualgafterga
boutg11gyearsgofgage.gSensorimotorgdescribesgthegearliestgpatterngofgthinkinggfromgbirthgtog2gyea
rsgold.
REF:g g 5 OBJ:g g NCLEX®gClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
3. Thegschoolgnursegtalkinggwithgaghighgschoolgclassgaboutgthegdifferencegbetweenggrowthgandgd
evelopmentgwouldgbestgdescribeggrowthgas
a. processesgbygwhichgearlygcellsgspecialize.
b. psychosocialgandgcognitivegchanges.
c. qualitativegchangesgassociatedgwithgaging.
d. quantitativegchangesgingsizegorgweight.
ANS:g D
Growthgisgagquantitativegchangegingwhichgangincreasegingcellgnumbergandgsizegresultsgingangincrea
segingoverallgsizegorgweightgofgthegbodygorganygofgitsgparts.gThegprocessesgbygwhichgearlygcellsgspe
cializegaregreferredgtogasgdifferentiation.gPsychosocialgandgcognitivegchangesgaregreferredgtogasgd
evelopment.gQualitativegchangesgassociatedgwithgaginggaregreferredgtogasgmaturation.
Thisgstudygsourcegwasgdownloadedgbyg100000825474529gfromgCourseHero.comgong05-11-2021g09:53:33gGMTg-05:00
https://www.coursehero.com/file/15116825/c1/
DoDwonwlonalodaeddedbyb:yS:goAprhiaiheg|gaabbbieiekcalyin1@
2@
gm
gmaila.cilo
.cm
om
Distributiongofgthisgdocumentgisgillegal
, Stuvia.comg-
gThegMarketplacegtogBuygandgSellgyourgStudygMaterial
REF:g g 2 OBJ:g g NCLEX®gClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
4. ThegmostgappropriategresponsegofgthegnursegwhengagmothergasksgwhatgthegDenvergIIgdoesgisgt
hatgit
a. cangdiagnosegdevelopmentalgdisabilities.
b. identifiesgagneedgforgphysicalgtherapy.
c. isgagdevelopmentalgscreeninggtool.
d. providesgagframeworkgforghealthgteaching.
ANS:g C
ThegDenvergIIgisgthegmostgcommonlygusedgmeasuregofgdevelopmentalgstatusgusedgbyghealthgcareg
professionals;gitgisgagscreeninggtool.gScreeninggtoolsgdognotgprovidegagdiagnosis.gDiagnosisgrequir
esgagthoroughgneurodevelopmentghistorygandgphysicalgexamination.gDevelopmentalgdelay,gwhic
hgisgsuggestedgbygscreening,gisgagsymptom,gnotgagdiagnosis.gThegneedgforganygtherapygwouldgbegi
dentifiedgwithgagcomprehensivegevaluation,gnotgagscreeninggtool.gSomegprovidersgusegthegDenve
rgIIgasgagframeworkgforgteachinggaboutgexpectedgdevelopment,gbutgthisgisgnotgthegprimarygpurpos
egofgthegtool.
REF:g g 4 OBJ:g g NCLEX®gClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
5. TogplangearlyginterventiongandgcaregforganginfantgwithgDowngsyndrome,gthegnursegconsidersgk
nowledgegofgothergphysicalgdevelopmentgexemplarsgsuchgas
a. cerebralgpalsy.
b. failuregtogthrive.
c. fetalgalcoholgsyndrome.
d. hydrocephaly.
ANS:g D
Hydrocephalygisgalsogagphysicalgdevelopmentgexemplar.gCerebralgpalsygisgangexemplargofgadapt
ivegdevelopmentalgdelay.gFailuregtogthrivegisgangexemplargofgsocial/emotionalgdevelopmentalgd
elay.gFetalgalcoholgsyndromegisgangexemplargofgcognitivegdevelopmentalgdelay.
REF:g g 9 OBJ:g g NCLEX®gClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
6. Togplangearlyginterventiongandgcaregforgagchildgwithgagdevelopmentalgdelay,gthegnursegwouldgc
onsidergknowledgegofgthegconceptsgmostgsignificantlygimpactedgbygdevelopment,gincluding
a. culture.
b. environment.
c. functionalgstatus.
d. nutrition.
ANS:g C
Thisgstudygsourcegwasgdownloadedgbyg100000825474529gfromgCourseHero.comgong05-11-2021g09:53:33gGMTg-05:00
https://www.coursehero.com/file/15116825/c1/
DoDwonwlonalodaeddedbyb:yS:goAprhiaiheg|gaabbbieiekcalyin1@
2@
gm
gmaila.cilo
.cm
om
Distributiongofgthisgdocumentgisgillegal
, Stuvia.comg-
gThegMarketplacegtogBuygandgSellgyourgStudygMaterial
Functiongisgonegofgthegconceptsgmostgsignificantlygimpactedgbygdevelopment.gOthersgincludegse
nsory-
perceptual,gcognition,gmobility,greproduction,gandgsexuality.gKnowledgegofgthesegconceptsgcang
helpgthegnurseganticipategareasgthatgneedgtogbegaddressed.gCulturegisgagconceptgthatgisgconsideredg
togsignificantlygaffectgdevelopment;gthegdifferencegisgthegconceptsgthatgaffectgdevelopmentgaregth
osegthatgrepresentgmajorginfluencinggfactorsg(causes),ghencegdeterminationgofgdevelopmentgandg
wouldgbegthegfocusgofgpreventiveginterventions.gEnvironmentgisgconsideredgtogsignificantlygaffe
ctgdevelopment.gNutritiongisgconsideredgtogsignificantlygaffectgdevelopment.
REF:g g 1 OBJ:g g NCLEX®gClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
7. Agmothergcomplainsgtogthegnursegatgthegpediatricgclinicgthatgherg4-year-
oldgchildgalwaysgtalksgtoghergtoysgandgmakesgupgstories.gThegmothergwantsghergchildgtoghavegagps
ychologicgevaluation.
Thegnurse’sgbestginitialgresponsegisgto
a. refergthegchildgtogagpsychologist.
b. explaingthatgplayinggmakegbelievegwithgdollsgandgpeoplegisgnormalgatgthisgage.
c. completegagdevelopmentalgscreening.
d. separategthegchildgfromgthegmothergtoggetgmoreginformation.
ANS:g B
Bygthegendgofgthegfourthgyear,gitgisgexpectedgthatgagchildgwillgengagegingfantasy,gsogthisgisgnormal
gatgthisgage.gAgreferralgtogagpsychologistgwouldgbegprematuregbasedgonlygongthegcomplaintgofgthe
gmother.gCompletinggagdevelopmentalgscreeninggwouldgbegverygappropriategbutgnotgtheginitialgre
sponse.gThegnursegwouldgcertainlygwantgtoggetgmoreginformation,gbutgseparatinggthegchildgfromg
thegmothergisgnotgnecessarygatgthisgtime.
REF:g g 5 OBJ:g g NCLEX®gClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
8. Ag17-year-
oldggirlgisghospitalizedgforgappendicitis,gandghergmothergasksgthegnursegwhygshegisgsogneedygandga
ctingglikegagchild.gThegbestgresponsegofgthegnursegisgthatgingtheghospital,gadolescents
a. havegseparationganxiety.
b. rebelgagainstgrules.
c. regressgbecausegofgstress.
d. wantgtogknowgeverything.
ANS:g C
Regressiongtogangearliergstagegofgdevelopmentgisgagcommongresponsegtogstress.gSeparationganxiet
ygisgmostgcommonginginfantsgandgtoddlers.gRebelliongagainstghospitalgrulesgisgusuallygnotgangissue
gifgthegadolescentgunderstandsgthegrulesgandgwouldgnotgcreategchildlikegbehaviors.gAngadolescentg
maygwantgtog“knowgeverything”gwithgtheirglogicalgthinkinggandgdeductivegreasoning,gbutgthatgw
ouldgnotgexplaingwhygtheygwouldgactglikegagchild.
REF:g g 4 OBJ:g g NCLEX®gClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
Thisgstudygsourcegwasgdownloadedgbyg100000825474529gfromgCourseHero.comgong05-11-2021g09:53:33gGMTg-05:00
DoDwonwlonalodaeddedbyb:yS:goAprhiaiheg|gaabbbieiekcalyin1@
2@
gm
gmaila.cilo
.cm
om
Distributiongofgthisgdocumentgisgillegal
, Stuvia.comg-
gThegMarketplacegtogBuygandgSellgyourgStudygMaterial
https://www.coursehero.com/file/15116825/c1/
DoDwonwlonalodaeddedbyb:yS:goAprhiaiheg|gaabbbieiekcalyin1@
2@
gm
gmaila.cilo
.cm
om
Distributiongofgthisgdocumentgisgillegal
