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ce 3rd Edition by Giddens
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Concept 1: Development
b b b
Test Bank
b
MULTIPLEbCHOICE
1. Thebnursebmanagerbofbabpediatricbclinicbcouldbconfirmbthatbthebnewbnursebrecognizedbthebpurpo
sebofbthebHEADSSbAdolescentbRiskbProfilebwhenbthebnewbnursebrespondsbthatbitbisbusedbtobasse
ssbforbneedsbrelatedbto
a. anticipatorybguidance.
b. low-riskbadolescents.
c. physicalbdevelopment.
d. sexualbdevelopment.
ANS:b A
ThebHEADSSbAdolescentbRiskbProfilebisbabpsychosocialbassessmentbscreeningbtoolbwhichbasse
ssesbhome,beducation,bactivities,bdrugs,bsex,bandbsuicidebforbthebpurposebofbidentifyingbhigh-
riskbadolescentsbandbthebneedbforbanticipatorybguidance.bItbisbusedbtobidentifybhigh-
risk,bnotblow-
risk,badolescents.bPhysicalbdevelopmentbisbassessedbwithbanthropometricbdata.bSexualbdevelop
mentbisbassessedbusingbphysicalbexamination.
REF:b b 6 OBJ:b b NCLEX®bClientbNeedsbCategory:bHealthbPromotionbandbMaintenance
2. Thebnursebpreparingbabteachingbplanbforbabpreschoolerbknowsbthat,baccordingbtobPiaget,bthebe
xpectedbstagebofbdevelopmentbforbabpreschoolerbis
a. concreteboperational.
b. formalboperational.
c. preoperational.
d. sensorimotor.
ANS:b C
Thebexpectedbstagebofbdevelopmentbforbabpreschoolerb(3btob4byearsbold)bisbpreoperational.bConc
reteboperationalbdescribesbthebthinkingbofbabschool-
agebchildb(7btob11byearsbold).bFormalboperationalbdescribesbthebthinkingbofbanbindividualbafterba
boutb11byearsbofbage.bSensorimotorbdescribesbthebearliestbpatternbofbthinkingbfrombbirthbtob2byea
rsbold.
REF:b b 5 OBJ:b b NCLEX®bClientbNeedsbCategory:bHealthbPromotionbandbMaintenance
3. Thebschoolbnursebtalkingbwithbabhighbschoolbclassbaboutbthebdifferencebbetweenbgrowthbandbd
evelopmentbwouldbbestbdescribebgrowthbas
a. processesbbybwhichbearlybcellsbspecialize.
b. psychosocialbandbcognitivebchanges.
c. qualitativebchangesbassociatedbwithbaging.
d. quantitativebchangesbinbsizeborbweight.
ANS:b D
Growthbisbabquantitativebchangebinbwhichbanbincreasebinbcellbnumberbandbsizebresultsbinbanbincrea
sebinboverallbsizeborbweightbofbthebbodyborbanybofbitsbparts.bThebprocessesbbybwhichbearlybcellsbspe
cializebarebreferredbtobasbdifferentiation.bPsychosocialbandbcognitivebchangesbarebreferredbtobasbd
evelopment.bQualitativebchangesbassociatedbwithbagingbarebreferredbtobasbmaturation.
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REF:b b 2 OBJ:b b NCLEX®bClientbNeedsbCategory:bHealthbPromotionbandbMaintenance
4. ThebmostbappropriatebresponsebofbthebnursebwhenbabmotherbasksbwhatbthebDenverbIIbdoesbisbt
hatbit
a. canbdiagnosebdevelopmentalbdisabilities.
b. identifiesbabneedbforbphysicalbtherapy.
c. isbabdevelopmentalbscreeningbtool.
d. providesbabframeworkbforbhealthbteaching.
ANS:b C
ThebDenverbIIbisbthebmostbcommonlybusedbmeasurebofbdevelopmentalbstatusbusedbbybhealthbcareb
professionals;bitbisbabscreeningbtool.bScreeningbtoolsbdobnotbprovidebabdiagnosis.bDiagnosisbrequir
esbabthoroughbneurodevelopmentbhistorybandbphysicalbexamination.bDevelopmentalbdelay,bwhic
hbisbsuggestedbbybscreening,bisbabsymptom,bnotbabdiagnosis.bThebneedbforbanybtherapybwouldbbebi
dentifiedbwithbabcomprehensivebevaluation,bnotbabscreeningbtool.bSomebprovidersbusebthebDenve
rbIIbasbabframeworkbforbteachingbaboutbexpectedbdevelopment,bbutbthisbisbnotbthebprimarybpurpos
ebofbthebtool.
REF:b b 4 OBJ:b b NCLEX®bClientbNeedsbCategory:bHealthbPromotionbandbMaintenance
5. TobplanbearlybinterventionbandbcarebforbanbinfantbwithbDownbsyndrome,bthebnursebconsidersbk
nowledgebofbotherbphysicalbdevelopmentbexemplarsbsuchbas
a. cerebralbpalsy.
b. failurebtobthrive.
c. fetalbalcoholbsyndrome.
d. hydrocephaly.
ANS:b D
Hydrocephalybisbalsobabphysicalbdevelopmentbexemplar.bCerebralbpalsybisbanbexemplarbofbadapt
ivebdevelopmentalbdelay.bFailurebtobthrivebisbanbexemplarbofbsocial/emotionalbdevelopmentalbd
elay.bFetalbalcoholbsyndromebisbanbexemplarbofbcognitivebdevelopmentalbdelay.
REF:b b 9 OBJ:b b NCLEX®bClientbNeedsbCategory:bHealthbPromotionbandbMaintenance
6. Tobplanbearlybinterventionbandbcarebforbabchildbwithbabdevelopmentalbdelay,bthebnursebwouldbc
onsiderbknowledgebofbthebconceptsbmostbsignificantlybimpactedbbybdevelopment,bincluding
a. culture.
b. environment.
c. functionalbstatus.
d. nutrition.
ANS:b C
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Functionbisbonebofbthebconceptsbmostbsignificantlybimpactedbbybdevelopment.bOthersbincludebse
nsory-
perceptual,bcognition,bmobility,breproduction,bandbsexuality.bKnowledgebofbthesebconceptsbcanb
helpbthebnursebanticipatebareasbthatbneedbtobbebaddressed.bCulturebisbabconceptbthatbisbconsideredb
tobsignificantlybaffectbdevelopment;bthebdifferencebisbthebconceptsbthatbaffectbdevelopmentbarebth
osebthatbrepresentbmajorbinfluencingbfactorsb(causes),bhencebdeterminationbofbdevelopmentbandb
wouldbbebthebfocusbofbpreventivebinterventions.bEnvironmentbisbconsideredbtobsignificantlybaffe
ctbdevelopment.bNutritionbisbconsideredbtobsignificantlybaffectbdevelopment.
REF:b b 1 OBJ:b b NCLEX®bClientbNeedsbCategory:bHealthbPromotionbandbMaintenance
7. Abmotherbcomplainsbtobthebnursebatbthebpediatricbclinicbthatbherb4-year-
oldbchildbalwaysbtalksbtobherbtoysbandbmakesbupbstories.bThebmotherbwantsbherbchildbtobhavebabps
ychologicbevaluation.
Thebnurse’sbbestbinitialbresponsebisbto
a. referbthebchildbtobabpsychologist.
b. explainbthatbplayingbmakebbelievebwithbdollsbandbpeoplebisbnormalbatbthisbage.
c. completebabdevelopmentalbscreening.
d. separatebthebchildbfrombthebmotherbtobgetbmorebinformation.
ANS:b B
Bybthebendbofbthebfourthbyear,bitbisbexpectedbthatbabchildbwillbengagebinbfantasy,bsobthisbisbnormal
batbthisbage.bAbreferral btobabpsychologistbwouldbbebprematurebbasedbonlybonbthebcomplaintbofbthe
bmother.bCompletingbabdevelopmental bscreeningbwouldbbebverybappropriatebbutbnotbthebinitialbre
sponse.bThebnursebwouldbcertainlybwantbtobgetbmorebinformation,bbutbseparatingbthebchildbfromb
thebmotherbisbnotbnecessarybatbthisbtime.
REF:b b 5 OBJ:b b NCLEX®bClientbNeedsbCategory:bHealthbPromotionbandbMaintenance
8. Ab17-year-
oldbgirlbisbhospitalizedbforbappendicitis,bandbherbmotherbasksbthebnursebwhybshebisbsobneedybandba
ctingblikebabchild.bThebbestbresponsebofbthebnursebisbthatbinbthebhospital,badolescents
a. havebseparationbanxiety.
b. rebelbagainstbrules.
c. regressbbecausebofbstress.
d. wantbtobknowbeverything.
ANS:b C
Regressionbtobanbearlierbstagebofbdevelopmentbisbabcommonbresponsebtobstress.bSeparationbanxiet
ybisbmostbcommonbinbinfantsbandbtoddlers.bRebellionbagainstbhospitalbrulesbisbusuallybnotbanbissue
bifbthebadolescent bunderstandsbthebrulesbandbwouldbnotbcreatebchildlikebbehaviors.bAnbadolescentb
maybwantbtob“knowbeverything”bwithbtheirblogicalbthinkingbandbdeductivebreasoning,bbutbthatbw
ouldbnotbexplainbwhybtheybwouldbactblikebabchild.
REF:b b 4 OBJ:b b NCLEX®bClientbNeedsbCategory:bHealthbPromotionbandbMaintenance
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