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 t
Risk Profile when the new nurse responds that it is used to review 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 reviews ho
drugs, sex, and suicide for the purpose of identifying high-risk adolescents and the need for anticipat
identify high-risk, not low-risk, adolescents. Physical development is reviewed with anthropometric d
reviewed 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 s
preschooler is
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 ope
thinking of a school-age child (7–11 years old). Formal operational describes the thinking of an indiv
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 developm
growth as
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight.
ANS: D
Growth is a quantitative change in which an increase in cell number and size results in an increase in
body or any of its parts. The processes by which early cells specialize are referred to as differentiatio
cognitive changes are referred to as development. Qualitative changes associated with aging are refer
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 profe
tool. Screening tools do not provide a diagnosis. Diagnosis requires a thorough neurodevelopment hi
examination. Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. T
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 t
Risk Profile when the new nurse responds that it is used to review 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 reviews ho
drugs, sex, and suicide for the purpose of identifying high-risk adolescents and the need for anticipat
identify high-risk, not low-risk, adolescents. Physical development is reviewed with anthropometric d
reviewed 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 s
preschooler is
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 ope
thinking of a school-age child (7–11 years old). Formal operational describes the thinking of an indiv
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 developm
growth as
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight.
ANS: D
Growth is a quantitative change in which an increase in cell number and size results in an increase in
body or any of its parts. The processes by which early cells specialize are referred to as differentiatio
cognitive changes are referred to as development. Qualitative changes associated with aging are refer
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 profe
tool. Screening tools do not provide a diagnosis. Diagnosis requires a thorough neurodevelopment hi
examination. Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. T
