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Concept 1: Development
Test Bank
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
m
development is assessed using physical examination.
er as
co
REF: 6 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
eH w
o.
2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the
rs e
expected stage of development for a preschooler is
ou urc
a. concrete operational.
b. formal operational.
c. preoperational.
o
d. sensorimotor.
aC s
ANS: C
vi y re
The expected stage of development for a preschooler (3 to 4 years old) is preoperational.
Concrete operational describes the thinking of a school-age child (7 to 11 years old). Formal
operational describes the thinking of an individual after about 11 years of age. Sensorimotor
describes the earliest pattern of thinking from birth to 2 years old.
ed d
ar stu
REF: 5 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
is
a. processes by which early cells specialize.
Th
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight.
sh
ANS: D
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.
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REF: 2 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 health
care 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.
m
REF: 4 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
er as
co
5. To plan early intervention and care for an infant with Down syndrome, the nurse considers
eH w
knowledge of other physical development exemplars such as
a. cerebral palsy.
o.
b. failure to thrive.
rs e
ou urc
c. fetal alcohol syndrome.
d. hydrocephaly.
ANS: D
o
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
aC s
adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
vi y re
developmental delay. Fetal alcohol syndrome is an exemplar of cognitive developmental
delay.
REF: 9 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
ed d
ar stu
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.
b. environment.
is
c. functional status.
Th
d. nutrition.
ANS: C
sh
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Function is one of the concepts most significantly impacted by development. Others include
sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
concepts can help the nurse anticipate areas that need to be addressed. Culture is a concept
that is considered to significantly affect development; the difference is the concepts that affect
development are those that represent major influencing factors (causes), hence determination
of development and would be the focus of preventive interventions. Environment is
considered to significantly affect development. Nutrition is considered to significantly affect
development.
REF: 1 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks to
her toys and makes up stories. The mother wants her child to have a psychologic evaluation.
The nurse’s best initial response is to
a. refer the child to a psychologist.
b. explain that playing make believe with dolls and people is normal at this age.
c. complete a developmental screening.
d. separate the child from the mother to get more information.
m
ANS: B
er as
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is
co
normal at this age. A referral to a psychologist would be premature based only on the
eH w
complaint of the mother. Completing a developmental screening would be very appropriate
o.
but not the initial response. The nurse would certainly want to get more information, but
rs e
separating the child from the mother is not necessary at this time.
ou urc
REF: 5 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so
o
needy and acting like a child. The best response of the nurse is that in the hospital, adolescents
aC s
a. have separation anxiety.
vi y re
b. rebel against rules.
c. regress because of stress.
d. want to know everything.
ed d
ANS: C
ar stu
Regression to an earlier stage of development is a common response to stress. Separation
anxiety is most common in infants and toddlers. Rebellion against hospital rules is usually not
an issue if the adolescent understands the rules and would not create childlike behaviors. An
is
adolescent may want to “know everything” with their logical thinking and deductive
reasoning, but that would not explain why they would act like a child.
Th
REF: 4 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
sh
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Concept 1: Development
Test Bank
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
m
development is assessed using physical examination.
er as
co
REF: 6 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
eH w
o.
2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the
rs e
expected stage of development for a preschooler is
ou urc
a. concrete operational.
b. formal operational.
c. preoperational.
o
d. sensorimotor.
aC s
ANS: C
vi y re
The expected stage of development for a preschooler (3 to 4 years old) is preoperational.
Concrete operational describes the thinking of a school-age child (7 to 11 years old). Formal
operational describes the thinking of an individual after about 11 years of age. Sensorimotor
describes the earliest pattern of thinking from birth to 2 years old.
ed d
ar stu
REF: 5 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
is
a. processes by which early cells specialize.
Th
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight.
sh
ANS: D
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.
This study source was downloaded by 100000825474529 from CourseHero.com on 05-11-2021 09:53:33 GMT -05:00
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Downloaded by: Sophiie |
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,https://www.stuvia.com/
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REF: 2 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 health
care 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.
m
REF: 4 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
er as
co
5. To plan early intervention and care for an infant with Down syndrome, the nurse considers
eH w
knowledge of other physical development exemplars such as
a. cerebral palsy.
o.
b. failure to thrive.
rs e
ou urc
c. fetal alcohol syndrome.
d. hydrocephaly.
ANS: D
o
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
aC s
adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
vi y re
developmental delay. Fetal alcohol syndrome is an exemplar of cognitive developmental
delay.
REF: 9 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
ed d
ar stu
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.
b. environment.
is
c. functional status.
Th
d. nutrition.
ANS: C
sh
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https://www.coursehero.com/file/15116825/c1/
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Function is one of the concepts most significantly impacted by development. Others include
sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
concepts can help the nurse anticipate areas that need to be addressed. Culture is a concept
that is considered to significantly affect development; the difference is the concepts that affect
development are those that represent major influencing factors (causes), hence determination
of development and would be the focus of preventive interventions. Environment is
considered to significantly affect development. Nutrition is considered to significantly affect
development.
REF: 1 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks to
her toys and makes up stories. The mother wants her child to have a psychologic evaluation.
The nurse’s best initial response is to
a. refer the child to a psychologist.
b. explain that playing make believe with dolls and people is normal at this age.
c. complete a developmental screening.
d. separate the child from the mother to get more information.
m
ANS: B
er as
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is
co
normal at this age. A referral to a psychologist would be premature based only on the
eH w
complaint of the mother. Completing a developmental screening would be very appropriate
o.
but not the initial response. The nurse would certainly want to get more information, but
rs e
separating the child from the mother is not necessary at this time.
ou urc
REF: 5 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so
o
needy and acting like a child. The best response of the nurse is that in the hospital, adolescents
aC s
a. have separation anxiety.
vi y re
b. rebel against rules.
c. regress because of stress.
d. want to know everything.
ed d
ANS: C
ar stu
Regression to an earlier stage of development is a common response to stress. Separation
anxiety is most common in infants and toddlers. Rebellion against hospital rules is usually not
an issue if the adolescent understands the rules and would not create childlike behaviors. An
is
adolescent may want to “know everything” with their logical thinking and deductive
reasoning, but that would not explain why they would act like a child.
Th
REF: 4 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
sh
This study source was downloaded by 100000825474529 from CourseHero.com on 05-11-2021 09:53:33 GMT -05:00
https://www.coursehero.com/file/15116825/c1/
Downloaded by: Sophiie |
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