,Concept 01: Development
hj hj
Giddens: Concepts for Nursing Practice, 3rd Edition
hj hj hj hj hj hj
MULTIPLEhjCHOICE
1. Thehjnursehjmanagerhjofhjahjpediatrichjclinichjcouldhjconfirmhjthathjthehjnewhjnursehjrecognizedhjt
hehjpurposehjofhjthehjHEADSShjAdolescenthjRiskhjProfilehjwhenhjthehjnewhjnursehjrespondshjtha
thjithjishjusedhjtohjassesshjforhjneedshjrelatedhjto
a. anticipatoryhjguidance.
b. low-riskhjadolescents.
c. physicalhjdevelopment.
d. sexualhjdevelopment.
ANS:h j A
ThehjHEADSShjAdolescenthjRiskhjProfilehjishjahjpsychosocialhjassessmenthjscreeninghjtoolhjwhich
hjassesseshjhome,hjeducation,hjactivities,hjdrugs,hjsex,hjandhjsuicidehjforhjthehjpurposehjofhjidentifyin
ghjhigh-riskhjadolescentshjandhjthehjneedhjforhjanticipatoryhjguidance.hjIthjishjusedhjtohjidentifyhjhigh-
risk,hjnothjlow-
risk,hjadolescents.hjPhysicalhjdevelopmenthjishjassessedhjwithhjanthropometrichjdata.
Sexualhjdevelopmenthjishjassessedhjusinghjphysicalhjexamination.
OBJ: NCLEXhjClienthjNeedshjCategory:hjHealthhjPromotionhjandhjMaintenance
2. Thehjnursehjpreparinghjahjteachinghjplanhjforhjahjpreschoolerhjknowshjthat,hjaccordinghjtohjPiaget,hjt
hehjexpectedhjstagehjofhjdevelopmenthjforhjahjpreschoolerhjis
a. concretehjoperational.
b. formalhjoperational. N
c. preoperational.
d. sensorimotor.
ANS:h j C
Thehjexpectedhjstagehjofhjdevelopmenthjforhjahjpreschoolerhj(3–4hjyearshjold)hjishjpre-
operational.hjConcretehjoperationalhjdescribeshjthehjthinkinghjofhjahjschool-agehjchildhj(7–
11hjyearshjold).hjFormalhjoperationalhjdescribeshjthehjthinkinghjofhjanhjindividualhjafterhjabouthj11hjyea
rshjofhjage.hjSensorimotorhjdescribeshjthehjearliesthjpatternhjofhjthinkinghjfromhjbirthhjtohj2hjyearshjold.
OBJ: NCLEXhjClienthjNeedshjCategory:hjHealthhjPromotionhjandhjMaintenance
3. Thehjschoolhjnursehjtalkinghjwithhjahjhighhjschoolhjclasshjabouthjthehjdifferencehjbetweenhjgrowthhja
ndhjdevelopmenthjwouldhjbesthjdescribehjgrowthhjas
a. processeshjbyhjwhichhjearlyhjcellshjspecialize.
b. psychosocialhjandhjcognitivehjchanges.
c. qualitativehjchangeshjassociatedhjwithhjaging.
d. quantitativehjchangeshjinhjsizehjorhjweight
.hjANS:h j D
, Growthhjishjahjquantitativehjchangehjinhjwhichhjanhjincreasehjinhjcellhjnumberhjandhjsizehjresultshjinhja
nhjincreasehjinhjoverallhjsizehjorhjweighthjofhjthehjbodyhjorhjanyhjofhjitshjparts.hjThehjprocesseshjbyhjwhi
chhjearlyhjcellshjspecializehjarehjreferredhjtohjashjdifferentiation.hjPsychosocialhjandhjcognitivehjchan
geshjarehjreferredhjtohjashjdevelopment.hjQualitativehjchangeshjassociatedhjwithhjaginghjarehjreferredhj
tohjashjmaturation.
OBJ: NCLEXhjClienthjNeedshjCategory:hjHealthhjPromotionhjandhjMaintenance
4. ThehjmosthjappropriatehjresponsehjofhjthehjnursehjwhenhjahjmotherhjaskshjwhathjthehjDenverhjIIhjdoes
hjishjthathjit
a. canhjdiagnosehjdevelopmentalhjdisabilities.
b. identifieshjahjneedhjforhjphysicalhjtherapy.
c. ishjahjdevelopmentalhjscreeninghjtool.
d. provideshjahjframeworkhjforhjhealthhjteaching.
ANS:h j C
ThehjDenverhjIIhjishjthehjmosthjcommonlyhjusedhjmeasurehjofhjdevelopmentalhjstatushjusedhjbyhjhealth
carehjprofessionals;hjithjishjahjscreeninghjtool.hjScreeninghjtoolshjdohjnothjprovidehjahjdiagnosis.hjDiagn
osishjrequireshjahjthoroughhjneurodevelopmenthjhistoryhjandhjphysicalhjexamination.
Developmentalhjdelay,hjwhichhjishjsuggestedhjbyhjscreening,hjishjahjsymptom,hjnothjahjdiagnosis.hjThehj
needhjforhjanyhjtherapyhjwouldhjbehjidentifiedhjwithhjahjcomprehensivehjevaluation,hjnothjahjscreeningh
jtool.hjSomehjprovidershjusehjthehjDenverhjIIhjashjahjframeworkhjforhjteachinghjabouthjexpectedhjdevelo
pment,hjbuthjthishjishjnothjthehjprimaryhjpurposehjofhjthehjtool.
OBJ: NCLEXhjClienthjNeedshjCategory:hjHealthhjPromotionhjandhjMaintenance
5. Tohjplanhjearlyhjinterventionhja n Nd hjcarehjforhjanhjinfanthjwithhjDownhjsyndrome,hjthehjnursehjconsider
shjknowledgehjofhjotherhjphysicalhjdevelopmenthjexemplarshjsuchhjas
a. cerebralhjpalsy.
b. autism.
c. attention-deficit/hyperactivityhjdisorderhj(ADHD).
d. failurehjtohjthrive.
ANS:h j D
Failurehjtohjthrivehjishjalsohjahjphysicalhjdevelopmenthjexemplar.hjCerebralhjpalsyhjishjanhjexemplarhjo
fhjmotor/developmentalhjdelay.hjAutismhjishjanhjexemplarhjofhjsocial/emotionalhjdevelopmentalhjd
elay.hjADHDhjishjanhjexemplarhjofhjahjcognitivehjdisorder.
OBJ: NCLEXhjClienthjNeedshjCategory:hjHealthhjPromotionhjandhjMaintenance
6. Tohjplanhjearlyhjinterventionhjandhjcarehjforhjahjchildhjwithhjahjdevelopmentalhjdelay,hjthehjnursehjwo
uldhjconsiderhjknowledgehjofhjthehjconceptshjmosthjsignificantlyhjimpactedhjbyhjdevelopment,hjincl
uding
a. culture.
b. environment.
c. functionalhjstatus.
d. nutrition.
ANS:h j C
hj
, Functionhjishjonehjofhjthehjconceptshjmosthjsignificantlyhjimpactedhjbyhjdevelopment.hjOthershjinclu
dehjsensory-
perceptual,hjcognition,hjmobility,hjreproduction,hjandhjsexuality.hjKnowledgehjofhjthesehjconceptsh
jcanhjhelphjthehjnursehjanticipatehjareashjthathjneedhjtohjbehjaddressed.hjCulturehjishjahjconcepthjthathjishj
consideredhjtohjsignificantlyhjaffecthjdevelopment;hjthehjdifferencehjishjthehjconceptshjthathjaffecthjd
evelopmenthjarehjthosehjthathjrepresenthjmajorhjinfluencinghjfactorshj(causes);hjhencehjdeterminati
onhjofhjdevelopmenthjwouldhjbehjthehjfocushjofhjpreventivehjinterventions.hjEnvironmenthjishjconsid
eredhjtohjsignificantlyhjaffecthjdevelopment.hjNutritionhjishjconsideredhjtohjsignificantlyhjaffecthjde
velopment.
OBJ: NCLEXhjClienthjNeedshjCategory:hjHealthhjPromotionhjandhjMaintenance
7. Ahjmotherhjcomplainshjtohjthehjnursehjathjthehjpediatrichjclinichjthathjherhj4-year-
oldhjchildhjalwayshjtalkshjtohjherhjtoyshjandhjmakeshjuphjstories.hjThehjmotherhjwantshjherhjchildhjtohjha
vehjahjpsychologicalhjevaluation.hjThehjnurse’shjbesthjinitialhjresponsehjishjto
a. referhjthehjchildhjtohjahjpsychologisthjimmediately.
b. explainhjthathjplayinghjmakehjbelievehjishjnormalhjathjthishjage.
c. completehjahjdevelopmentalhjscreeninghjusinghjahjvalidatedhjtool.
d. separatehjthehjchildhjfromhjthehjmotherhjtohjgethjmorehjinformation.
ANS:h j B
Byhjthehjendhjofhjthehjfourthhjyear,hjithjishjexpectedhjthathjahjchildhjwillhjengagehjinhjfantasy,hjsohjthishjishjn
ormalhjathjthishjage.hjAhjreferralhjtohjahjpsychologisthjwouldhjbehjprematurehjbasedhjonlyhjonhjthehjcomp
lainthjofhjthehjmother.hjCompletinghjahjdevelopmentalhjscreeninghjwouldhjbehjveryhjappropriatehjbuthjn
othjthehjinitialhjresponse.hjThehjnursehjwouldhjcertainlyhjwanthjtohjgethjmorehjinformation,hjbuthjsepara
tinghjthehjchildhjfromhjthehjmotherhjishjnothjnecessaryhjathjthishjtime.
OBJ: NCLEXhjClienthjNeedsNCategory:hjHealthhjPromotionhjandhjMaintenance
8. Ahj17-year-
oldhjgirlhjishjhospitalizedhjforhjappendicitis,hjandhjherhjmotherhjaskshjthehjnursehjwhyhjshehjishjsohjneed
yhjandhjactinghjlikehjahjchild.hjThehjbesthjresponsehjofhjthehjnursehjishjthathjinhjthehjhospital,hjadolescen
ts
a. havehjseparationhjanxiety.
b. rebelhjagainsthjrules.
c. regresshjbecausehjofhjstress.
d. wanthjtohjknowhjeverything.
ANS:h j C
Regressionhjtohjanhjearlierhjstagehjofhjdevelopmenthjishjahjcommonhjresponsehjtohjstress.hjSeparationhj
anxietyhjishjmosthjcommonhjinhjinfantshjandhjtoddlers.hjRebellionhjagainsthjhospitalhjruleshjishjusually
hjnothjanhjissuehjifhjthehjadolescenthjunderstandshjthehjruleshjandhjwouldhjnothjcreatehjchildlikehjbehavio
rs.hjAnhjadolescenthjmayhjwanthjtohj“knowhjeverything”hjwithhjtheirhjlogicalhjthinkinghjandhjdeductiv
ehjreasoning,hjbuthjthathjwouldhjnothjexplainhjwhyhjtheyhjwouldhjacthjlikehjahjchild.
OBJ: NCLEXhjClienthjNeedshjCategory:hjHealthhjPromotionhjandhjMaintenance
WWW.NURSYLAB.COM
hj hj
Giddens: Concepts for Nursing Practice, 3rd Edition
hj hj hj hj hj hj
MULTIPLEhjCHOICE
1. Thehjnursehjmanagerhjofhjahjpediatrichjclinichjcouldhjconfirmhjthathjthehjnewhjnursehjrecognizedhjt
hehjpurposehjofhjthehjHEADSShjAdolescenthjRiskhjProfilehjwhenhjthehjnewhjnursehjrespondshjtha
thjithjishjusedhjtohjassesshjforhjneedshjrelatedhjto
a. anticipatoryhjguidance.
b. low-riskhjadolescents.
c. physicalhjdevelopment.
d. sexualhjdevelopment.
ANS:h j A
ThehjHEADSShjAdolescenthjRiskhjProfilehjishjahjpsychosocialhjassessmenthjscreeninghjtoolhjwhich
hjassesseshjhome,hjeducation,hjactivities,hjdrugs,hjsex,hjandhjsuicidehjforhjthehjpurposehjofhjidentifyin
ghjhigh-riskhjadolescentshjandhjthehjneedhjforhjanticipatoryhjguidance.hjIthjishjusedhjtohjidentifyhjhigh-
risk,hjnothjlow-
risk,hjadolescents.hjPhysicalhjdevelopmenthjishjassessedhjwithhjanthropometrichjdata.
Sexualhjdevelopmenthjishjassessedhjusinghjphysicalhjexamination.
OBJ: NCLEXhjClienthjNeedshjCategory:hjHealthhjPromotionhjandhjMaintenance
2. Thehjnursehjpreparinghjahjteachinghjplanhjforhjahjpreschoolerhjknowshjthat,hjaccordinghjtohjPiaget,hjt
hehjexpectedhjstagehjofhjdevelopmenthjforhjahjpreschoolerhjis
a. concretehjoperational.
b. formalhjoperational. N
c. preoperational.
d. sensorimotor.
ANS:h j C
Thehjexpectedhjstagehjofhjdevelopmenthjforhjahjpreschoolerhj(3–4hjyearshjold)hjishjpre-
operational.hjConcretehjoperationalhjdescribeshjthehjthinkinghjofhjahjschool-agehjchildhj(7–
11hjyearshjold).hjFormalhjoperationalhjdescribeshjthehjthinkinghjofhjanhjindividualhjafterhjabouthj11hjyea
rshjofhjage.hjSensorimotorhjdescribeshjthehjearliesthjpatternhjofhjthinkinghjfromhjbirthhjtohj2hjyearshjold.
OBJ: NCLEXhjClienthjNeedshjCategory:hjHealthhjPromotionhjandhjMaintenance
3. Thehjschoolhjnursehjtalkinghjwithhjahjhighhjschoolhjclasshjabouthjthehjdifferencehjbetweenhjgrowthhja
ndhjdevelopmenthjwouldhjbesthjdescribehjgrowthhjas
a. processeshjbyhjwhichhjearlyhjcellshjspecialize.
b. psychosocialhjandhjcognitivehjchanges.
c. qualitativehjchangeshjassociatedhjwithhjaging.
d. quantitativehjchangeshjinhjsizehjorhjweight
.hjANS:h j D
, Growthhjishjahjquantitativehjchangehjinhjwhichhjanhjincreasehjinhjcellhjnumberhjandhjsizehjresultshjinhja
nhjincreasehjinhjoverallhjsizehjorhjweighthjofhjthehjbodyhjorhjanyhjofhjitshjparts.hjThehjprocesseshjbyhjwhi
chhjearlyhjcellshjspecializehjarehjreferredhjtohjashjdifferentiation.hjPsychosocialhjandhjcognitivehjchan
geshjarehjreferredhjtohjashjdevelopment.hjQualitativehjchangeshjassociatedhjwithhjaginghjarehjreferredhj
tohjashjmaturation.
OBJ: NCLEXhjClienthjNeedshjCategory:hjHealthhjPromotionhjandhjMaintenance
4. ThehjmosthjappropriatehjresponsehjofhjthehjnursehjwhenhjahjmotherhjaskshjwhathjthehjDenverhjIIhjdoes
hjishjthathjit
a. canhjdiagnosehjdevelopmentalhjdisabilities.
b. identifieshjahjneedhjforhjphysicalhjtherapy.
c. ishjahjdevelopmentalhjscreeninghjtool.
d. provideshjahjframeworkhjforhjhealthhjteaching.
ANS:h j C
ThehjDenverhjIIhjishjthehjmosthjcommonlyhjusedhjmeasurehjofhjdevelopmentalhjstatushjusedhjbyhjhealth
carehjprofessionals;hjithjishjahjscreeninghjtool.hjScreeninghjtoolshjdohjnothjprovidehjahjdiagnosis.hjDiagn
osishjrequireshjahjthoroughhjneurodevelopmenthjhistoryhjandhjphysicalhjexamination.
Developmentalhjdelay,hjwhichhjishjsuggestedhjbyhjscreening,hjishjahjsymptom,hjnothjahjdiagnosis.hjThehj
needhjforhjanyhjtherapyhjwouldhjbehjidentifiedhjwithhjahjcomprehensivehjevaluation,hjnothjahjscreeningh
jtool.hjSomehjprovidershjusehjthehjDenverhjIIhjashjahjframeworkhjforhjteachinghjabouthjexpectedhjdevelo
pment,hjbuthjthishjishjnothjthehjprimaryhjpurposehjofhjthehjtool.
OBJ: NCLEXhjClienthjNeedshjCategory:hjHealthhjPromotionhjandhjMaintenance
5. Tohjplanhjearlyhjinterventionhja n Nd hjcarehjforhjanhjinfanthjwithhjDownhjsyndrome,hjthehjnursehjconsider
shjknowledgehjofhjotherhjphysicalhjdevelopmenthjexemplarshjsuchhjas
a. cerebralhjpalsy.
b. autism.
c. attention-deficit/hyperactivityhjdisorderhj(ADHD).
d. failurehjtohjthrive.
ANS:h j D
Failurehjtohjthrivehjishjalsohjahjphysicalhjdevelopmenthjexemplar.hjCerebralhjpalsyhjishjanhjexemplarhjo
fhjmotor/developmentalhjdelay.hjAutismhjishjanhjexemplarhjofhjsocial/emotionalhjdevelopmentalhjd
elay.hjADHDhjishjanhjexemplarhjofhjahjcognitivehjdisorder.
OBJ: NCLEXhjClienthjNeedshjCategory:hjHealthhjPromotionhjandhjMaintenance
6. Tohjplanhjearlyhjinterventionhjandhjcarehjforhjahjchildhjwithhjahjdevelopmentalhjdelay,hjthehjnursehjwo
uldhjconsiderhjknowledgehjofhjthehjconceptshjmosthjsignificantlyhjimpactedhjbyhjdevelopment,hjincl
uding
a. culture.
b. environment.
c. functionalhjstatus.
d. nutrition.
ANS:h j C
hj
, Functionhjishjonehjofhjthehjconceptshjmosthjsignificantlyhjimpactedhjbyhjdevelopment.hjOthershjinclu
dehjsensory-
perceptual,hjcognition,hjmobility,hjreproduction,hjandhjsexuality.hjKnowledgehjofhjthesehjconceptsh
jcanhjhelphjthehjnursehjanticipatehjareashjthathjneedhjtohjbehjaddressed.hjCulturehjishjahjconcepthjthathjishj
consideredhjtohjsignificantlyhjaffecthjdevelopment;hjthehjdifferencehjishjthehjconceptshjthathjaffecthjd
evelopmenthjarehjthosehjthathjrepresenthjmajorhjinfluencinghjfactorshj(causes);hjhencehjdeterminati
onhjofhjdevelopmenthjwouldhjbehjthehjfocushjofhjpreventivehjinterventions.hjEnvironmenthjishjconsid
eredhjtohjsignificantlyhjaffecthjdevelopment.hjNutritionhjishjconsideredhjtohjsignificantlyhjaffecthjde
velopment.
OBJ: NCLEXhjClienthjNeedshjCategory:hjHealthhjPromotionhjandhjMaintenance
7. Ahjmotherhjcomplainshjtohjthehjnursehjathjthehjpediatrichjclinichjthathjherhj4-year-
oldhjchildhjalwayshjtalkshjtohjherhjtoyshjandhjmakeshjuphjstories.hjThehjmotherhjwantshjherhjchildhjtohjha
vehjahjpsychologicalhjevaluation.hjThehjnurse’shjbesthjinitialhjresponsehjishjto
a. referhjthehjchildhjtohjahjpsychologisthjimmediately.
b. explainhjthathjplayinghjmakehjbelievehjishjnormalhjathjthishjage.
c. completehjahjdevelopmentalhjscreeninghjusinghjahjvalidatedhjtool.
d. separatehjthehjchildhjfromhjthehjmotherhjtohjgethjmorehjinformation.
ANS:h j B
Byhjthehjendhjofhjthehjfourthhjyear,hjithjishjexpectedhjthathjahjchildhjwillhjengagehjinhjfantasy,hjsohjthishjishjn
ormalhjathjthishjage.hjAhjreferralhjtohjahjpsychologisthjwouldhjbehjprematurehjbasedhjonlyhjonhjthehjcomp
lainthjofhjthehjmother.hjCompletinghjahjdevelopmentalhjscreeninghjwouldhjbehjveryhjappropriatehjbuthjn
othjthehjinitialhjresponse.hjThehjnursehjwouldhjcertainlyhjwanthjtohjgethjmorehjinformation,hjbuthjsepara
tinghjthehjchildhjfromhjthehjmotherhjishjnothjnecessaryhjathjthishjtime.
OBJ: NCLEXhjClienthjNeedsNCategory:hjHealthhjPromotionhjandhjMaintenance
8. Ahj17-year-
oldhjgirlhjishjhospitalizedhjforhjappendicitis,hjandhjherhjmotherhjaskshjthehjnursehjwhyhjshehjishjsohjneed
yhjandhjactinghjlikehjahjchild.hjThehjbesthjresponsehjofhjthehjnursehjishjthathjinhjthehjhospital,hjadolescen
ts
a. havehjseparationhjanxiety.
b. rebelhjagainsthjrules.
c. regresshjbecausehjofhjstress.
d. wanthjtohjknowhjeverything.
ANS:h j C
Regressionhjtohjanhjearlierhjstagehjofhjdevelopmenthjishjahjcommonhjresponsehjtohjstress.hjSeparationhj
anxietyhjishjmosthjcommonhjinhjinfantshjandhjtoddlers.hjRebellionhjagainsthjhospitalhjruleshjishjusually
hjnothjanhjissuehjifhjthehjadolescenthjunderstandshjthehjruleshjandhjwouldhjnothjcreatehjchildlikehjbehavio
rs.hjAnhjadolescenthjmayhjwanthjtohj“knowhjeverything”hjwithhjtheirhjlogicalhjthinkinghjandhjdeductiv
ehjreasoning,hjbuthjthathjwouldhjnothjexplainhjwhyhjtheyhjwouldhjacthjlikehjahjchild.
OBJ: NCLEXhjClienthjNeedshjCategory:hjHealthhjPromotionhjandhjMaintenance
WWW.NURSYLAB.COM
