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