,Conceptk01:kDevelopment
Giddens:kConcepts kfor kNursing kPractice,k3rdkEdition
MULTIPLEkCHOICE
1. Thek nursek managerk of k ak pediatrick clinick could k confirmk that kthek newk nursek recognizedk thek p
urposek ofk thek HEADSSkAdolescent k Riskk Profilek whenk thek newk nursek respondsk thatk itk isk us
ed k tok assessk fork needsk related k to
a. anticipatoryk guidance.
b. low-riskk adolescents.
c. physicalk development.
d. sexualk development.
ANS:k A
Thek HEADSSk Adolescent k Riskk Profilek isk ak psychosocialk assessment k screeningk toolk whichk as
sessesk home,k education,k activities,k drugs,k sex,k and ksuicidek fork thek purposek ofkidentifyingk high
-riskk adolescentsk and k thek need k fork anticipatoryk guidance.k It k isk used k tok identifyk high-
risk,k not k low-risk,k adolescents.k Physicalk development k isk assessed k withk anthropometrick data.
Sexualk development k isk assessed k usingk physicalk examination.
OBJ: NCLEX k Client k Needsk Category:k Healthk Promotionk and k Maintenance
2. Thek nursek preparingk ak teachingk plank fork ak preschoolerk knowskthat,k accordingk tok Piaget,kthek e
xpected k stagek of k development k fork ak preschoolerk is
a. concretek operational.
b. formalk operational. N
c. preoperational.
d. sensorimotor.
ANS:k C
Thek expected k stagek of k development k fork ak preschoolerk (3–4k yearsk old)k isk pre-
operational.k Concretek operationalk describesk thek thinkingk of k ak school-agek child k (7–
11k yearsk old).k Formalk operationalk describesk thek thinkingk of kankindividualk afterk aboutk11kyearsk o
f k age.k Sensorimotork describesk thek earliest k patternk of k thinkingk fromk birthk tok 2k yearsk old.
OBJ: NCLEX k Client k Needsk Category:k Healthk Promotionk and k Maintenance
3. Thek schoolk nursek talkingk withk ak highk schoolk classk aboutk thekdifferencek betweenk growthkandkd
evelopment k would k best k describek growthk as
a. processesk byk whichk earlyk cellsk specialize.
b. psychosocialk and k cognitivek changes.
c. qualitativek changesk associated k withk aging.
d. quantitativek changesk ink sizek orkweight.k
ANS:k D
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, Growthk isk ak quantitativek changekink whichk ankincreasek ink cellk numberk and k sizek resultsk ink ankincr
easek ink overallk sizek ork weight k of k thek bodykork anykof kitsk parts.k Thek processesk byk whichk earlyk cel
lsk specializek arek referred k tok ask differentiation.kPsychosocialk and k cognitivek changesk arek referre
d k tok askdevelopment.kQualitativek changesk associated kwithk agingk arek referred k tok ask maturation.
OBJ: NCLEX k Client k Needsk Category:k Healthk Promotionk and k Maintenance
4. Thek mostkappropriatek responsek of k thek nursek whenkak motherk asksk what kthekDenverk IIk doesk isk t
hat k it
a. cank diagnosek developmentalk disabilities.
b. identifiesk ak need k fork physicalk therapy.
c. isk ak developmentalk screeningk tool.
d. providesk ak frameworkk fork healthk teaching.
ANS:k C
Thek Denverk II k isk thek most kcommonlyk used k measurek of kdevelopmentalk statuskused kbykhealthcare
k professionals;k it k isk ak screeningk tool.k Screeningk toolsk doknot kprovidekakdiagnosis.k Diagnosisk requ
iresk ak thoroughk neurodevelopment k historyk and k physicalk examination.
Developmentalk delay,k whichk isk suggested kbyk screening,k isk aksymptom,k not kakdiagnosis.k Thek nee
d k fork anyktherapyk would kbekidentifiedk withkak comprehensivek evaluation,k not k ak screeningk tool.k S
omek providersk usek thek Denverk IIk askak frameworkk forkteachingk aboutk expectedkdevelopment,k but
k thisk isk not k thek primaryk purposek of k thek tool.
OBJ: NCLEX k Client k Needsk Category:k Healthk Promotionk and k Maintenance
5. Tokplankearlykinterventionka n N d kcarekforkankinfant kwithkDownksyndrome,ktheknursekconsiderskk
nowledgek of k otherk physicalk development k exemplarsk suchk as
a. cerebralk palsy.
b. autism.
c. attention-deficit/hyperactivityk disorderk(ADHD).
d. failurektok thrive.
ANS:k D
Failurek tok thrivek isk alsok ak physicalk development k exemplar.k Cerebralk palsyk isk ank exemplark of km
otor/developmentalk delay.k Autismk isk ank exemplark of k social/emotionalk developmentalk delay.k
ADHDk isk ank exemplark of k ak cognitivek disorder.
OBJ: NCLEX k Client k Needsk Category:k Healthk Promotionk and k Maintenance
6. Tok plank earlyk interventionk and k carek fork akchild k withkak developmentalk delay,k thek nursek would kc
onsiderk knowledgek of k thek conceptsk most k significantlyk impacted k byk development,k including
a. culture.
b. environment.
c. functionalk status.
d. nutrition.
k ANS:k C
, Functionk isk onek of k thekconceptskmost k significantlyk impactedk bykdevelopment.k Otherskincludeks
ensory-
perceptual,k cognition,k mobility,k reproduction,k and k sexuality.k Knowledgekof kthesek conceptskca
nk helpk thek nursek anticipatek areask that kneedk tok bekaddressed.kCulturek isk akconcept kthatk isk conside
red k tok significantlyk affectk development;k thekdifferencek isk thekconceptskthatk affectk development
k arek thosek that k represent k majork influencingk factorsk(causes);k hencek determinationk of kdevelopm
ent k would k bek thek focusk ofkpreventivek interventions.k Environment k isk considered k tok significantl
yk affect k development.k Nutritionk isk considered k tok significantlyk affect k development.
OBJ: NCLEX k Client k Needsk Category:k Healthk Promotionk and k Maintenance
7. Ak motherk complainsk tok thek nursek at k thek pediatrick clinick that k herk 4-year-
old k child k alwaysk talksk tokherk toysk andkmakesk upk stories.k Thek motherk wantsk herkchild k tok havek ak
psychologicalk evaluation.k Thek nurse’sk bestkinitialk responsek isk to
a. referk thek child k tok ak psychologist k immediately.
b. explaink that k playingk makek believek isk normalk at k thisk age.
c. completek ak developmentalk screeningk usingk ak validated k tool.
d. separatek thek child k fromk thek motherk tok get k morek information.
ANS:k B
Byk thek end kof kthek fourthkyear,k it kisk expectedk that kakchild k willk engagek ink fantasy,k sok thisk isk normal
k at k thisk age.k A kreferralk tokak psychologist k wouldkbek prematurek based konlyk onkthek complaint k ofkthe
k mother.k Completingk ak developmentalk screeningk would kbek veryk appropriatek butk not k thek initialk r
esponse.k Thek nursek would k certainlyk want k tok get k morek information,k but k separatingk thek child k fro
mk thek motherk isk not k necessaryk at k thisk time.
OBJ: NCLEX kClient k NeedsNCategory:k Healthk Promotionk and k Maintenance
8. Ak 17-year-
old k girlk isk hospitalized k fork appendicitis,k and kherk motherkasksk theknursek whykshek isk sokneedyk an
d k actingk likek ak child.k Thek bestkresponsek of k thek nursek isk that k ink thek hospital,k adolescents
a. havek separationk anxiety.
b. rebelk against k rules.
c. regressk becausek of k stress.
d. want k tok knowk everything.
ANS:k C
Regressionk tok ank earlierk stagek of k development k isk akcommonk responsek tok stress.k Separationk anxi
etyk isk most k commonk ink infantsk and ktoddlers.k Rebellionk against k hospitalk rulesk isk usuallyk not k ank i
ssuek if k thek adolescent k understandsk thekrulesk and kwould knot k createk childlikek behaviors.k Ank adol
escent k mayk want k tok“know keverything”k withktheirk logicalk thinkingk and k deductivek reasoning,k b
ut k that k would k not k explaink whyk theyk would k act k likek ak child.
OBJ: NCLEX k Client k Needsk Category:k Healthk Promotionk and k Maintenance
WWW.NURSYLAB.COM
Giddens:kConcepts kfor kNursing kPractice,k3rdkEdition
MULTIPLEkCHOICE
1. Thek nursek managerk of k ak pediatrick clinick could k confirmk that kthek newk nursek recognizedk thek p
urposek ofk thek HEADSSkAdolescent k Riskk Profilek whenk thek newk nursek respondsk thatk itk isk us
ed k tok assessk fork needsk related k to
a. anticipatoryk guidance.
b. low-riskk adolescents.
c. physicalk development.
d. sexualk development.
ANS:k A
Thek HEADSSk Adolescent k Riskk Profilek isk ak psychosocialk assessment k screeningk toolk whichk as
sessesk home,k education,k activities,k drugs,k sex,k and ksuicidek fork thek purposek ofkidentifyingk high
-riskk adolescentsk and k thek need k fork anticipatoryk guidance.k It k isk used k tok identifyk high-
risk,k not k low-risk,k adolescents.k Physicalk development k isk assessed k withk anthropometrick data.
Sexualk development k isk assessed k usingk physicalk examination.
OBJ: NCLEX k Client k Needsk Category:k Healthk Promotionk and k Maintenance
2. Thek nursek preparingk ak teachingk plank fork ak preschoolerk knowskthat,k accordingk tok Piaget,kthek e
xpected k stagek of k development k fork ak preschoolerk is
a. concretek operational.
b. formalk operational. N
c. preoperational.
d. sensorimotor.
ANS:k C
Thek expected k stagek of k development k fork ak preschoolerk (3–4k yearsk old)k isk pre-
operational.k Concretek operationalk describesk thek thinkingk of k ak school-agek child k (7–
11k yearsk old).k Formalk operationalk describesk thek thinkingk of kankindividualk afterk aboutk11kyearsk o
f k age.k Sensorimotork describesk thek earliest k patternk of k thinkingk fromk birthk tok 2k yearsk old.
OBJ: NCLEX k Client k Needsk Category:k Healthk Promotionk and k Maintenance
3. Thek schoolk nursek talkingk withk ak highk schoolk classk aboutk thekdifferencek betweenk growthkandkd
evelopment k would k best k describek growthk as
a. processesk byk whichk earlyk cellsk specialize.
b. psychosocialk and k cognitivek changes.
c. qualitativek changesk associated k withk aging.
d. quantitativek changesk ink sizek orkweight.k
ANS:k D
WWW.NURSYLAB.COM
, Growthk isk ak quantitativek changekink whichk ankincreasek ink cellk numberk and k sizek resultsk ink ankincr
easek ink overallk sizek ork weight k of k thek bodykork anykof kitsk parts.k Thek processesk byk whichk earlyk cel
lsk specializek arek referred k tok ask differentiation.kPsychosocialk and k cognitivek changesk arek referre
d k tok askdevelopment.kQualitativek changesk associated kwithk agingk arek referred k tok ask maturation.
OBJ: NCLEX k Client k Needsk Category:k Healthk Promotionk and k Maintenance
4. Thek mostkappropriatek responsek of k thek nursek whenkak motherk asksk what kthekDenverk IIk doesk isk t
hat k it
a. cank diagnosek developmentalk disabilities.
b. identifiesk ak need k fork physicalk therapy.
c. isk ak developmentalk screeningk tool.
d. providesk ak frameworkk fork healthk teaching.
ANS:k C
Thek Denverk II k isk thek most kcommonlyk used k measurek of kdevelopmentalk statuskused kbykhealthcare
k professionals;k it k isk ak screeningk tool.k Screeningk toolsk doknot kprovidekakdiagnosis.k Diagnosisk requ
iresk ak thoroughk neurodevelopment k historyk and k physicalk examination.
Developmentalk delay,k whichk isk suggested kbyk screening,k isk aksymptom,k not kakdiagnosis.k Thek nee
d k fork anyktherapyk would kbekidentifiedk withkak comprehensivek evaluation,k not k ak screeningk tool.k S
omek providersk usek thek Denverk IIk askak frameworkk forkteachingk aboutk expectedkdevelopment,k but
k thisk isk not k thek primaryk purposek of k thek tool.
OBJ: NCLEX k Client k Needsk Category:k Healthk Promotionk and k Maintenance
5. Tokplankearlykinterventionka n N d kcarekforkankinfant kwithkDownksyndrome,ktheknursekconsiderskk
nowledgek of k otherk physicalk development k exemplarsk suchk as
a. cerebralk palsy.
b. autism.
c. attention-deficit/hyperactivityk disorderk(ADHD).
d. failurektok thrive.
ANS:k D
Failurek tok thrivek isk alsok ak physicalk development k exemplar.k Cerebralk palsyk isk ank exemplark of km
otor/developmentalk delay.k Autismk isk ank exemplark of k social/emotionalk developmentalk delay.k
ADHDk isk ank exemplark of k ak cognitivek disorder.
OBJ: NCLEX k Client k Needsk Category:k Healthk Promotionk and k Maintenance
6. Tok plank earlyk interventionk and k carek fork akchild k withkak developmentalk delay,k thek nursek would kc
onsiderk knowledgek of k thek conceptsk most k significantlyk impacted k byk development,k including
a. culture.
b. environment.
c. functionalk status.
d. nutrition.
k ANS:k C
, Functionk isk onek of k thekconceptskmost k significantlyk impactedk bykdevelopment.k Otherskincludeks
ensory-
perceptual,k cognition,k mobility,k reproduction,k and k sexuality.k Knowledgekof kthesek conceptskca
nk helpk thek nursek anticipatek areask that kneedk tok bekaddressed.kCulturek isk akconcept kthatk isk conside
red k tok significantlyk affectk development;k thekdifferencek isk thekconceptskthatk affectk development
k arek thosek that k represent k majork influencingk factorsk(causes);k hencek determinationk of kdevelopm
ent k would k bek thek focusk ofkpreventivek interventions.k Environment k isk considered k tok significantl
yk affect k development.k Nutritionk isk considered k tok significantlyk affect k development.
OBJ: NCLEX k Client k Needsk Category:k Healthk Promotionk and k Maintenance
7. Ak motherk complainsk tok thek nursek at k thek pediatrick clinick that k herk 4-year-
old k child k alwaysk talksk tokherk toysk andkmakesk upk stories.k Thek motherk wantsk herkchild k tok havek ak
psychologicalk evaluation.k Thek nurse’sk bestkinitialk responsek isk to
a. referk thek child k tok ak psychologist k immediately.
b. explaink that k playingk makek believek isk normalk at k thisk age.
c. completek ak developmentalk screeningk usingk ak validated k tool.
d. separatek thek child k fromk thek motherk tok get k morek information.
ANS:k B
Byk thek end kof kthek fourthkyear,k it kisk expectedk that kakchild k willk engagek ink fantasy,k sok thisk isk normal
k at k thisk age.k A kreferralk tokak psychologist k wouldkbek prematurek based konlyk onkthek complaint k ofkthe
k mother.k Completingk ak developmentalk screeningk would kbek veryk appropriatek butk not k thek initialk r
esponse.k Thek nursek would k certainlyk want k tok get k morek information,k but k separatingk thek child k fro
mk thek motherk isk not k necessaryk at k thisk time.
OBJ: NCLEX kClient k NeedsNCategory:k Healthk Promotionk and k Maintenance
8. Ak 17-year-
old k girlk isk hospitalized k fork appendicitis,k and kherk motherkasksk theknursek whykshek isk sokneedyk an
d k actingk likek ak child.k Thek bestkresponsek of k thek nursek isk that k ink thek hospital,k adolescents
a. havek separationk anxiety.
b. rebelk against k rules.
c. regressk becausek of k stress.
d. want k tok knowk everything.
ANS:k C
Regressionk tok ank earlierk stagek of k development k isk akcommonk responsek tok stress.k Separationk anxi
etyk isk most k commonk ink infantsk and ktoddlers.k Rebellionk against k hospitalk rulesk isk usuallyk not k ank i
ssuek if k thek adolescent k understandsk thekrulesk and kwould knot k createk childlikek behaviors.k Ank adol
escent k mayk want k tok“know keverything”k withktheirk logicalk thinkingk and k deductivek reasoning,k b
ut k that k would k not k explaink whyk theyk would k act k likek ak child.
OBJ: NCLEX k Client k Needsk Category:k Healthk Promotionk and k Maintenance
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