Test Bank
Concepts for Nursing Practice 3rd Edition
By Jean Giddens
3rd Edition
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,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 assess 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 assesses 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 assessed with anthropometric data.
Sexual development is assessed 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
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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
epr
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.
of
c. qualitative changes associated with aging.
d. quantitative changes in size or
weight. ANS: D
wiseprof
, 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.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
5. To plan early intervention a nNd care for an infant with Down syndrome, the
nurse considers knowledge of other physical development exemplars such
as
a. cerebral palsy.
b. autism.
c. attention-deficit/hyperactivity disorder (ADHD).
d. failure to thrive.
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ANS: D
Failure to thrive is also a physical development exemplar. Cerebral palsy is an
exemplar of motor/developmental delay. Autism is an exemplar of
social/emotional developmental delay. ADHD is an exemplar of a cognitive
disorder.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
of
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. wiseprof
, b. environment.
c. functional status.
d. nutritio
n. ANS: C
wis
epr
of
wiseprof
Concepts for Nursing Practice 3rd Edition
By Jean Giddens
3rd Edition
wis
epr
of
wiseprof
,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 assess 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 assesses 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 assessed with anthropometric data.
Sexual development is assessed 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
wis
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
epr
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.
of
c. qualitative changes associated with aging.
d. quantitative changes in size or
weight. ANS: D
wiseprof
, 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.
wis
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
5. To plan early intervention a nNd care for an infant with Down syndrome, the
nurse considers knowledge of other physical development exemplars such
as
a. cerebral palsy.
b. autism.
c. attention-deficit/hyperactivity disorder (ADHD).
d. failure to thrive.
epr
ANS: D
Failure to thrive is also a physical development exemplar. Cerebral palsy is an
exemplar of motor/developmental delay. Autism is an exemplar of
social/emotional developmental delay. ADHD is an exemplar of a cognitive
disorder.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
of
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. wiseprof
, b. environment.
c. functional status.
d. nutritio
n. ANS: C
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of
wiseprof
