mm mm mm mm mm mm
mm mm mm mm mm mm mm
mm mm
,Concept 1: Development
ss ss
Test Bank
ss s s
MULTIPLE s s CHOICE
1. The s s nurse s s manager s s of s s a s s pediatric s s clinic s s could s s confirm s s that s s the s s new
ss nurse s s recognized s s the s s purpose ssof ssthe s s HEADSS ssAdolescent s s Risk s s Profile
s s when s s the s s new s s nurse ssresponds s s that s s it s s is s s used s s to s s assess s s for s s needs
s s related s s to
a. anticipatory s s guidance.
b. low-risk s s adolescents.
c. physical s s development.
d. sexual s s development.
ANS: s s ss A
The s s HEADSS s s Adolescent s s Risk s s Profile s s is s s a s s psychosocial s s assessment
s s screening s s tool sswhich s s assesses s s home, s s education, s s activities, s s drugs, s s sex,
s s and s s suicide s s for s s the s s purpose ssof s s identifying s s high-risk s s adolescents s s and
s s the s s need s s for s s anticipatory s s guidance. s s It s s is ssused s s to s s identify s s high-risk,
s s not s s low-risk, s s adolescents. s s Physical ssdevelopment s s is s s assessed sswith
s s anthropometric s s data. s s Sexual s s development s s is s s assessed s s using s s physical
ssexamination.
REF: 6 OBJ: NCLEX® s s Client s s Needs s s Category: s s Health s s Promotion s s and s s Maintenance
2. The s s nurse s s preparing s s a s s teaching s s plan s s for s s a s s preschooler s s knows s s that,
ss according s s to ssPiaget, s s the s s expected s s stage s s of s s development s s for s s a
s s preschooler s s is
a. concrete s s operational.
b. formal s s operational.
c. preoperational.
d. sensorimotor.
ANS: s s s s C
The s s expected s s stage s s of s s development s s for s s a s s preschooler s s (3 s s to s s 4 s s years s s old)
s s is sspreoperational. s s Concrete s s operational s s describes s s the s s thinking s s of ssa s s school-
age s s child s s (7 s s to ss11 s s years s s old). s s Formal s s operational s s describes s s the s s thinking
s s of s s an s s individual s s after s s about ss11 s s years s s of s s age. s s Sensorimotor s s describes
s s the s s earliest s s pattern s s of s s thinking s s from s s birth ssto s s 2 s s years s s old.
REF: 5 OBJ: NCLEX® s s Client s s Needs s s Category: s s Health s s Promotion s s and s s Maintenance
3. The s s school s s nurse s s talking s s with s s a s s high s s school ssclass s s about s s the
ss difference s s between ssgrowth s s and s s development s s would s s best s s describe
s s growth s s as
a. processes s s by s s which s s early s s cells s s specialize.
b. psychosocial s s and s s cognitive s s changes.
c. qualitative s s changes s s associated s s with s s aging.
d. quantitative s s changes s s in s s size s s or s s weight.
ANS: s s s s D
Growth s s is s s a s s quantitative s s change s s in s s which s s an s s increase s s in s s cell s s number
s s and s s size s s results ssin s s an s s increase s s in s s overall s s size s s or s s weight s s of s s the s s body
s s or s s any s s of s s its s s parts. s s The s s processes ssby s s which s s early s s cells s s specialize s s are
s s referred s s to s s as s s differentiation. s s Psychosocial s s and
,cognitive s s changes s s are s s referred s s to s s as s s development. s s Qualitative s s changes
s s associated sswith s s aging s s are s s referred s s to s s as s s maturation.
, REF: 2 OBJ: NCLEX® s s Client s s Needs s s Category: s s Health s s Promotion s s and s s Maintenance
4. The s s most s s appropriate s s response s s of s s the s s nurse s s when s s a s s mother s s asks s s what
ss the s s Denver ssII s s does s s is s s that s s it
a. can s s diagnose s s developmental s s disabilities.
b. identifies s s a s s need s s for s s physical s s therapy.
c. is s s a s s developmental s s screening s s tool.
d. provides s s a s s framework s s for s s health s s teaching.
ANS: s s s s C
The s s Denver s s II s s is s s the s s most s s commonly s s used s s measure s s of s s developmental
s s status s s used s s by sshealth s s care s s professionals; s s it s s is s s a s s screening s s tool.
s s Screening s s tools s s do s s not s s provide s s a ssdiagnosis. s s Diagnosis s s requires s s a
s s thorough s s neurodevelopment s s history s s and s s physical ssexamination. s s Developmental
s s delay, s s which s s is s s suggested s s by s s screening, s s is s s a s s symptom, ssnot s s a
s s diagnosis. s s The s s need s s for s s any s s therapy s s would s s be s s identified s s with s s a
s s comprehensive ssevaluation, s s not s s a s s screening s s tool. s s Some s s providers s s use
s s the s s Denver s s II s s as s s a s s framework ssfor s s teaching s s about s s expected
s s development, s s but s s this s s is s s not s s the s s primary s s purpose of s s the sstool.
mm
REF: 4 OBJ: NCLEX® s s Client s s Needs s s Category: s s Health s s Promotion s s and s s Maintenance
5. To s s plan s s early s s intervention s s and s s care s s for s s an s s infant s s with ssDown
syndrome, the s s nurse ssconsiders s s knowledge s s of s s other s s physical
ss mm
development exemplars s s such s s as
ss mm
a. cerebral s s palsy.
b. failure s s to s s thrive.
c. fetal s s alcohol s s syndrome.
d. hydrocephaly.
ANS: s s s s D
Hydrocephaly s s is s s also s s a s s physical ssdevelopment s s exemplar. s s Cerebral s s palsy ssis s s an
ssexemplar ssof s s adaptive s s developmental s s delay. s s Failure s s to s s thrive s s is s s an
s s exemplar s s of sssocial/emotional s s developmental ssdelay. Fetal ssalcohol sssyndrome s s is
mm
s s an s s exemplar s s of sscognitive s s developmental delay. mm
REF: 9 OBJ: NCLEX® s s Client Needs
mm s s Category: s s Health s s Promotion s s and s s Maintenance
6. To ssplan ssearly intervention and sscare ssfor ssa sschild sswith ssa ssdevelopmental ssdelay, ssthe
mm mm
nurse would consider ssknowledge ssof ssthe ssconcepts ssmost sssignificantly ssimpacted
ss mm mm
by ssdevelopment, s s including
ss
a. culture.
b. environment.
c. functional s s status.
d. nutrition.
ANS: s s s s C
mm mm mm mm mm mm mm
mm mm
,Concept 1: Development
ss ss
Test Bank
ss s s
MULTIPLE s s CHOICE
1. The s s nurse s s manager s s of s s a s s pediatric s s clinic s s could s s confirm s s that s s the s s new
ss nurse s s recognized s s the s s purpose ssof ssthe s s HEADSS ssAdolescent s s Risk s s Profile
s s when s s the s s new s s nurse ssresponds s s that s s it s s is s s used s s to s s assess s s for s s needs
s s related s s to
a. anticipatory s s guidance.
b. low-risk s s adolescents.
c. physical s s development.
d. sexual s s development.
ANS: s s ss A
The s s HEADSS s s Adolescent s s Risk s s Profile s s is s s a s s psychosocial s s assessment
s s screening s s tool sswhich s s assesses s s home, s s education, s s activities, s s drugs, s s sex,
s s and s s suicide s s for s s the s s purpose ssof s s identifying s s high-risk s s adolescents s s and
s s the s s need s s for s s anticipatory s s guidance. s s It s s is ssused s s to s s identify s s high-risk,
s s not s s low-risk, s s adolescents. s s Physical ssdevelopment s s is s s assessed sswith
s s anthropometric s s data. s s Sexual s s development s s is s s assessed s s using s s physical
ssexamination.
REF: 6 OBJ: NCLEX® s s Client s s Needs s s Category: s s Health s s Promotion s s and s s Maintenance
2. The s s nurse s s preparing s s a s s teaching s s plan s s for s s a s s preschooler s s knows s s that,
ss according s s to ssPiaget, s s the s s expected s s stage s s of s s development s s for s s a
s s preschooler s s is
a. concrete s s operational.
b. formal s s operational.
c. preoperational.
d. sensorimotor.
ANS: s s s s C
The s s expected s s stage s s of s s development s s for s s a s s preschooler s s (3 s s to s s 4 s s years s s old)
s s is sspreoperational. s s Concrete s s operational s s describes s s the s s thinking s s of ssa s s school-
age s s child s s (7 s s to ss11 s s years s s old). s s Formal s s operational s s describes s s the s s thinking
s s of s s an s s individual s s after s s about ss11 s s years s s of s s age. s s Sensorimotor s s describes
s s the s s earliest s s pattern s s of s s thinking s s from s s birth ssto s s 2 s s years s s old.
REF: 5 OBJ: NCLEX® s s Client s s Needs s s Category: s s Health s s Promotion s s and s s Maintenance
3. The s s school s s nurse s s talking s s with s s a s s high s s school ssclass s s about s s the
ss difference s s between ssgrowth s s and s s development s s would s s best s s describe
s s growth s s as
a. processes s s by s s which s s early s s cells s s specialize.
b. psychosocial s s and s s cognitive s s changes.
c. qualitative s s changes s s associated s s with s s aging.
d. quantitative s s changes s s in s s size s s or s s weight.
ANS: s s s s D
Growth s s is s s a s s quantitative s s change s s in s s which s s an s s increase s s in s s cell s s number
s s and s s size s s results ssin s s an s s increase s s in s s overall s s size s s or s s weight s s of s s the s s body
s s or s s any s s of s s its s s parts. s s The s s processes ssby s s which s s early s s cells s s specialize s s are
s s referred s s to s s as s s differentiation. s s Psychosocial s s and
,cognitive s s changes s s are s s referred s s to s s as s s development. s s Qualitative s s changes
s s associated sswith s s aging s s are s s referred s s to s s as s s maturation.
, REF: 2 OBJ: NCLEX® s s Client s s Needs s s Category: s s Health s s Promotion s s and s s Maintenance
4. The s s most s s appropriate s s response s s of s s the s s nurse s s when s s a s s mother s s asks s s what
ss the s s Denver ssII s s does s s is s s that s s it
a. can s s diagnose s s developmental s s disabilities.
b. identifies s s a s s need s s for s s physical s s therapy.
c. is s s a s s developmental s s screening s s tool.
d. provides s s a s s framework s s for s s health s s teaching.
ANS: s s s s C
The s s Denver s s II s s is s s the s s most s s commonly s s used s s measure s s of s s developmental
s s status s s used s s by sshealth s s care s s professionals; s s it s s is s s a s s screening s s tool.
s s Screening s s tools s s do s s not s s provide s s a ssdiagnosis. s s Diagnosis s s requires s s a
s s thorough s s neurodevelopment s s history s s and s s physical ssexamination. s s Developmental
s s delay, s s which s s is s s suggested s s by s s screening, s s is s s a s s symptom, ssnot s s a
s s diagnosis. s s The s s need s s for s s any s s therapy s s would s s be s s identified s s with s s a
s s comprehensive ssevaluation, s s not s s a s s screening s s tool. s s Some s s providers s s use
s s the s s Denver s s II s s as s s a s s framework ssfor s s teaching s s about s s expected
s s development, s s but s s this s s is s s not s s the s s primary s s purpose of s s the sstool.
mm
REF: 4 OBJ: NCLEX® s s Client s s Needs s s Category: s s Health s s Promotion s s and s s Maintenance
5. To s s plan s s early s s intervention s s and s s care s s for s s an s s infant s s with ssDown
syndrome, the s s nurse ssconsiders s s knowledge s s of s s other s s physical
ss mm
development exemplars s s such s s as
ss mm
a. cerebral s s palsy.
b. failure s s to s s thrive.
c. fetal s s alcohol s s syndrome.
d. hydrocephaly.
ANS: s s s s D
Hydrocephaly s s is s s also s s a s s physical ssdevelopment s s exemplar. s s Cerebral s s palsy ssis s s an
ssexemplar ssof s s adaptive s s developmental s s delay. s s Failure s s to s s thrive s s is s s an
s s exemplar s s of sssocial/emotional s s developmental ssdelay. Fetal ssalcohol sssyndrome s s is
mm
s s an s s exemplar s s of sscognitive s s developmental delay. mm
REF: 9 OBJ: NCLEX® s s Client Needs
mm s s Category: s s Health s s Promotion s s and s s Maintenance
6. To ssplan ssearly intervention and sscare ssfor ssa sschild sswith ssa ssdevelopmental ssdelay, ssthe
mm mm
nurse would consider ssknowledge ssof ssthe ssconcepts ssmost sssignificantly ssimpacted
ss mm mm
by ssdevelopment, s s including
ss
a. culture.
b. environment.
c. functional s s status.
d. nutrition.
ANS: s s s s C
