TEST BANK FOR CONCEPTS FOR NURSING PRACTICE (3RD
ED) BY JEAN GIDDENS| COMPLETE GUIDE ALL CHAPTERS
2024| GRADED A+
Concept 01: Development
Giddens: Concepts for Nursing Practice, 3rd Edition
MULTIPLE CHOICE
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is
used to review for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
ANS: A
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 Client Needs Category: Health Promotion and Maintenance
2. The nurse 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.
ANS: C
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 Client Needs Category: Health Promotion and Maintenance
3. The school nurse 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.
ANS: D
, 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 Client Needs Category: Health Promotion and Maintenance
4. The most appropriate response of the nurse 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.
ANS: C
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 Client Needs Category: Health Promotion and Maintenance
5. To plan early intervention a n Nd U
caRreSfIoN
r aGnTinBf.
anCt OwMith Down syndrome, the nurse considers
knowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
ANS: D
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 Client Needs Category: Health Promotion and Maintenance
6. To plan early intervention and care for a child with a developmental delay, the nurse would
consider knowledge of the concepts most significantly impacted by development, including
a. culture.
b. environment.
c. functional status.
d. nutrition.
ANS: C
, Function is one of the concepts most significantly impacted by Bdevelopment. BOthers
Binclude B sensory-perceptual, Bcognition, B mobility, B reproduction, Band B sexuality. B Knowledge
Bof Bthese Bconcepts Bcan B help Bthe B nurse Banticipate Bareas Bthat Bneed Bto Bbe Baddressed. BCulture
B is B a Bconcept Bthat Bis Bconsidered Bto Bsignificantly B affect Bdevelopment; Bthe Bdifference B is Bthe
Bconcepts Bthat Baffect Bdevelopment Bare Bthose Bthat Brepresent B major B influencing B factors
B(causes); B hence Bdetermination Bof Bdevelopment Bwould B be Bthe B focus Bof Bpreventive
B interventions. BEnvironment B is Bconsidered Bto Bsignificantly Baffect Bdevelopment. BNutrition
B is B considered Bto Bsignificantly Baffect Bdevelopment.
OBJ: NCLEX BClient BNeeds BCategory: BHealth BPromotion Band BMaintenance
7. A Bmother Bcomplains Bto Bthe Bnurse Bat Bthe Bpediatric Bclinic Bthat Bher B4-year-old Bchild Balways
Btalks Bto Bher Btoys Band B makes Bup B stories. BThe B mother Bwants B her Bchild Bto Bhave Ba
Bpsychological Bevaluation. BThe B nurse’s Bbest B initial Bresponse B is Bto
a. refer Bthe Bchild Bto Ba Bpsychologist Bimmediately.
b. explain Bthat Bplaying Bmake Bbelieve Bis Bnormal Bat Bthis Bage.
c. complete Ba Bdevelopmental Bscreening Busing Ba Bvalidated Btool.
d. separate Bthe Bchild Bfrom Bthe Bmother Bto Bget Bmore Binformation.
ANS: B B
By Bthe Bend Bof Bthe Bfourth Byear, Bit Bis Bexpected Bthat Ba Bchild Bwill Bengage Bin Bfantasy, Bso Bthis
B is B normal Bat Bthis Bage. B A Breferral Bto Ba Bpsychologist Bwould B be Bpremature Bbased Bonly Bon
Bthe Bcomplaint Bof Bthe Bmother. BCompleting Ba Bdevelopmental Bscreening Bwould Bbe Bvery
Bappropriate Bbut Bnot Bthe B initial Bresponse. BThe B nurse Bwould Bcertainly Bwant Bto Bget Bmore
B information, B but Bseparating Bthe Bchild B from Bthe B mother B is B not Bnecessary Bat Bthis Btime.
OBJ: NCLEX B Client B NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotion B and B Maintenance
8. A B17-year-old Bgirl Bis Bhospitalized Bfor Bappendicitis, Band Bher Bmother Basks Bthe Bnurse Bwhy
Bshe Bis Bso Bneedy Band Bacting B like Ba Bchild. BThe Bbest Bresponse Bof Bthe B nurse B is Bthat B in Bthe
Bhospital, Badolescents
a. have Bseparation Banxiety.
b. rebel Bagainst Brules.
c. regress Bbecause Bof Bstress.
d. want Bto Bknow Beverything.
ANS: B C
Regression Bto Ban Bearlier Bstage Bof Bdevelopment Bis Ba Bcommon Bresponse Bto Bstress.
BSeparation Banxiety B is B most Bcommon B in B infants Band Btoddlers. BRebellion Bagainst Bhospital
Brules B is Busually B not Ban Bissue Bif Bthe Badolescent Bunderstands Bthe Brules Band Bwould Bnot Bcreate
Bchildlike Bbehaviors. B An Badolescent B may Bwant Bto B“know Beverything” Bwith Btheir B logical
Bthinking Band Bdeductive Breasoning, Bbut Bthat Bwould Bnot Bexplain Bwhy Bthey Bwould Bact B like Ba
Bchild.
OBJ: NCLEX BClient BNeeds BCategory: BHealth BPromotion Band BMaintenance
ED) BY JEAN GIDDENS| COMPLETE GUIDE ALL CHAPTERS
2024| GRADED A+
Concept 01: Development
Giddens: Concepts for Nursing Practice, 3rd Edition
MULTIPLE CHOICE
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is
used to review for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
ANS: A
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 Client Needs Category: Health Promotion and Maintenance
2. The nurse 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.
ANS: C
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 Client Needs Category: Health Promotion and Maintenance
3. The school nurse 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.
ANS: D
, 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 Client Needs Category: Health Promotion and Maintenance
4. The most appropriate response of the nurse 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.
ANS: C
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 Client Needs Category: Health Promotion and Maintenance
5. To plan early intervention a n Nd U
caRreSfIoN
r aGnTinBf.
anCt OwMith Down syndrome, the nurse considers
knowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
ANS: D
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 Client Needs Category: Health Promotion and Maintenance
6. To plan early intervention and care for a child with a developmental delay, the nurse would
consider knowledge of the concepts most significantly impacted by development, including
a. culture.
b. environment.
c. functional status.
d. nutrition.
ANS: C
, Function is one of the concepts most significantly impacted by Bdevelopment. BOthers
Binclude B sensory-perceptual, Bcognition, B mobility, B reproduction, Band B sexuality. B Knowledge
Bof Bthese Bconcepts Bcan B help Bthe B nurse Banticipate Bareas Bthat Bneed Bto Bbe Baddressed. BCulture
B is B a Bconcept Bthat Bis Bconsidered Bto Bsignificantly B affect Bdevelopment; Bthe Bdifference B is Bthe
Bconcepts Bthat Baffect Bdevelopment Bare Bthose Bthat Brepresent B major B influencing B factors
B(causes); B hence Bdetermination Bof Bdevelopment Bwould B be Bthe B focus Bof Bpreventive
B interventions. BEnvironment B is Bconsidered Bto Bsignificantly Baffect Bdevelopment. BNutrition
B is B considered Bto Bsignificantly Baffect Bdevelopment.
OBJ: NCLEX BClient BNeeds BCategory: BHealth BPromotion Band BMaintenance
7. A Bmother Bcomplains Bto Bthe Bnurse Bat Bthe Bpediatric Bclinic Bthat Bher B4-year-old Bchild Balways
Btalks Bto Bher Btoys Band B makes Bup B stories. BThe B mother Bwants B her Bchild Bto Bhave Ba
Bpsychological Bevaluation. BThe B nurse’s Bbest B initial Bresponse B is Bto
a. refer Bthe Bchild Bto Ba Bpsychologist Bimmediately.
b. explain Bthat Bplaying Bmake Bbelieve Bis Bnormal Bat Bthis Bage.
c. complete Ba Bdevelopmental Bscreening Busing Ba Bvalidated Btool.
d. separate Bthe Bchild Bfrom Bthe Bmother Bto Bget Bmore Binformation.
ANS: B B
By Bthe Bend Bof Bthe Bfourth Byear, Bit Bis Bexpected Bthat Ba Bchild Bwill Bengage Bin Bfantasy, Bso Bthis
B is B normal Bat Bthis Bage. B A Breferral Bto Ba Bpsychologist Bwould B be Bpremature Bbased Bonly Bon
Bthe Bcomplaint Bof Bthe Bmother. BCompleting Ba Bdevelopmental Bscreening Bwould Bbe Bvery
Bappropriate Bbut Bnot Bthe B initial Bresponse. BThe B nurse Bwould Bcertainly Bwant Bto Bget Bmore
B information, B but Bseparating Bthe Bchild B from Bthe B mother B is B not Bnecessary Bat Bthis Btime.
OBJ: NCLEX B Client B NeedsNCUaRteSgI
o rNy:GHTeBal.thCPOrM
omotion B and B Maintenance
8. A B17-year-old Bgirl Bis Bhospitalized Bfor Bappendicitis, Band Bher Bmother Basks Bthe Bnurse Bwhy
Bshe Bis Bso Bneedy Band Bacting B like Ba Bchild. BThe Bbest Bresponse Bof Bthe B nurse B is Bthat B in Bthe
Bhospital, Badolescents
a. have Bseparation Banxiety.
b. rebel Bagainst Brules.
c. regress Bbecause Bof Bstress.
d. want Bto Bknow Beverything.
ANS: B C
Regression Bto Ban Bearlier Bstage Bof Bdevelopment Bis Ba Bcommon Bresponse Bto Bstress.
BSeparation Banxiety B is B most Bcommon B in B infants Band Btoddlers. BRebellion Bagainst Bhospital
Brules B is Busually B not Ban Bissue Bif Bthe Badolescent Bunderstands Bthe Brules Band Bwould Bnot Bcreate
Bchildlike Bbehaviors. B An Badolescent B may Bwant Bto B“know Beverything” Bwith Btheir B logical
Bthinking Band Bdeductive Breasoning, Bbut Bthat Bwould Bnot Bexplain Bwhy Bthey Bwould Bact B like Ba
Bchild.
OBJ: NCLEX BClient BNeeds BCategory: BHealth BPromotion Band BMaintenance
