,Concept 1:Development
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zTest Bank
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MULTIPLE CHOICE z
1. The nurse manager of a pediatric clinic could confirm that the new
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nurse recognized the purpose of the HEADSS Adolescent Risk Profile when the new
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nurse responds that it is used to assess for needs related to
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a. anticipatory guidance. z
b. low-risk adolescents. z
c. physical development. z
d. sexual development. z
ANS: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening
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tool which assesses home, education, activities, drugs, sex, and suicide for
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the purpose of identifying high-risk adolescents and the need for
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anticipatory guidance. It is used to identify high-risk, not low-risk,
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adolescents. Physical development is assessed with anthropometric data. Sexual
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development is assessed using physical examination.
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REF: 6 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
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2. The nurse preparing a teaching plan for a preschooler knows that, according
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z to Piaget, the expected stage of development for a preschooler is
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a. concrete operational. z
b. formal operational. z
c. preoperational.
d. sensorimotor.
ANS: C
The expected stage of development for a preschooler (3 to 4 years
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old) is preoperational. Concrete operational describes the thinking of a school-
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age child (7 to 11 years old). Formal operational describes the thinking of an
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individual after about 11 years of age. Sensorimotor describes the earliest
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pattern of thinking from birth to 2 years old.
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REF: 5 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
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3. The school nurse talking with a high school class about the difference
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between growth and development would best describe growth
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as z
a. processes by which early cells specialize. z z z z z
b. psychosocial and cognitive changes. z z z
c. qualitative changes associated with aging. z z z z
d. quantitative changes in size or weight. z z z z z
ANS: D
Growth is a quantitative change in which an increase in cell number
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and size results in an increase in overall size or weight of the body or
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any of its parts. The processes by which early cells specialize are referred
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to as differentiation. Psychosocial and cognitive changes are referred to as
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development. Qualitative changes associated with aging are
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,referred to as maturation.
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, REF: 2 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
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4. The most appropriate response of the nurse when a mother asks what
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z the Denver II does is that it
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a. can diagnose developmental disabilities.
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b. identifies a need for physical therapy. z z z z z
c. is a developmental screening tool.
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d. provides a framework for health teaching. z z z z z
ANS: C
The Denver II is the most commonly used measure of developmental
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status used by health care professionals; it is a screening tool. Screening
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tools do not provide a diagnosis. Diagnosis requires a thorough
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neurodevelopment history and physical
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examination. Developmental delay, which is suggested by screening, is a z z z z z z z z z
symptom, not a diagnosis. The need for any therapy would be identified
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with a comprehensive evaluation, not a screening tool. Some providers use
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the Denver II as a framework for teaching about expected development,
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but this is not the primary purpose of the tool.
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REF: 4 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
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5. To plan early intervention and care for an infant with Down syndrome,
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the nurse considers knowledge of other physical development exemplars
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such as
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a. cerebral palsy. z
b. failure to thrive. z z
c. fetal alcohol syndrome. z z
d. hydrocephaly.
ANS: D
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar z z z z z z z z z z z
of adaptive developmental delay. Failure to thrive is an exemplar of
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social/emotional developmental delay. Fetal alcohol syndrome is an exemplar of
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cognitive developmental delay.
z z z
REF: 9 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
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6. To plan early intervention and care for a child with a developmental delay, the
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nurse would consider knowledge of the concepts most significantly impacted by
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development, including
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a. culture.
b. environment.
c. functional status. z
d. nutrition.
ANS: C
z z
zTest Bank
z
MULTIPLE CHOICE z
1. The nurse manager of a pediatric clinic could confirm that the new
z z z z z z z z z z z
nurse recognized the purpose of the HEADSS Adolescent Risk Profile when the new
z z z z z z z z z z z z z
nurse responds that it is used to assess for needs related to
z z z z z z z z z z z z
a. anticipatory guidance. z
b. low-risk adolescents. z
c. physical development. z
d. sexual development. z
ANS: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening
z z z z z z z z z
tool which assesses home, education, activities, drugs, sex, and suicide for
z z z z z z z z z z z
the purpose of identifying high-risk adolescents and the need for
z z z z z z z z z z
anticipatory guidance. It is used to identify high-risk, not low-risk,
z z z z z z z z z z
adolescents. Physical development is assessed with anthropometric data. Sexual
z z z z z z z z z
development is assessed using physical examination.
z z z z z z
REF: 6 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
z z z z z z z
2. The nurse preparing a teaching plan for a preschooler knows that, according
z z z z z z z z z z z
z to Piaget, the expected stage of development for a preschooler is
z z z z z z z z z z
a. concrete operational. z
b. formal operational. z
c. preoperational.
d. sensorimotor.
ANS: C
The expected stage of development for a preschooler (3 to 4 years
z z z z z z z z z z z
old) is preoperational. Concrete operational describes the thinking of a school-
z z z z z z z z z z z
age child (7 to 11 years old). Formal operational describes the thinking of an
z z z z z z z z z z z z z
individual after about 11 years of age. Sensorimotor describes the earliest
z z z z z z z z z z z
pattern of thinking from birth to 2 years old.
z z z z z z z z z
REF: 5 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
z z z z z z z
3. The school nurse talking with a high school class about the difference
z z z z z z z z z z z
between growth and development would best describe growth
z z z z z z z z
as z
a. processes by which early cells specialize. z z z z z
b. psychosocial and cognitive changes. z z z
c. qualitative changes associated with aging. z z z z
d. quantitative changes in size or weight. z z z z z
ANS: D
Growth is a quantitative change in which an increase in cell number
z z z z z z z z z z z
and size results in an increase in overall size or weight of the body or
z z z z z z z z z z z z z z z
any of its parts. The processes by which early cells specialize are referred
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to as differentiation. Psychosocial and cognitive changes are referred to as
z z z z z z z z z z z
development. Qualitative changes associated with aging are
z z z z z z z
,referred to as maturation.
z z z
, REF: 2 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
z z z z z z z
4. The most appropriate response of the nurse when a mother asks what
z z z z z z z z z z z
z the Denver II does is that it
z z z z z z
a. can diagnose developmental disabilities.
z z z
b. identifies a need for physical therapy. z z z z z
c. is a developmental screening tool.
z z z z
d. provides a framework for health teaching. z z z z z
ANS: C
The Denver II is the most commonly used measure of developmental
z z z z z z z z z z
status used by health care professionals; it is a screening tool. Screening
z z z z z z z z z z z z
tools do not provide a diagnosis. Diagnosis requires a thorough
z z z z z z z z z z
neurodevelopment history and physical
z z z z
examination. Developmental delay, which is suggested by screening, is a z z z z z z z z z
symptom, not a diagnosis. The need for any therapy would be identified
z z z z z z z z z z z z
with a comprehensive evaluation, not a screening tool. Some providers use
z z z z z z z z z z z
the Denver II as a framework for teaching about expected development,
z z z z z z z z z z z
but this is not the primary purpose of the tool.
z z z z z z z z z z
REF: 4 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
z z z z z z z
5. To plan early intervention and care for an infant with Down syndrome,
z z z z z z z z z n z
the nurse considers knowledge of other physical development exemplars
z z z z z z z zn z
such as
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a. cerebral palsy. z
b. failure to thrive. z z
c. fetal alcohol syndrome. z z
d. hydrocephaly.
ANS: D
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar z z z z z z z z z z z
of adaptive developmental delay. Failure to thrive is an exemplar of
z z z zn z z z z z z z z
social/emotional developmental delay. Fetal alcohol syndrome is an exemplar of
z z z zn z n z z z z z
cognitive developmental delay.
z z z
REF: 9 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
z z z z z z z
6. To plan early intervention and care for a child with a developmental delay, the
z z n n zn z z z z z z z z z
nurse would consider knowledge of the concepts most significantly impacted by
z z z gg z z z z z z z
development, including
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a. culture.
b. environment.
c. functional status. z
d. nutrition.
ANS: C
