,Concept 01: Development
n n
Giddens: Concepts for Nursing Practice, 3rd Edition
n n n n n n
MULTIPLEn CHOICE
1. Thennursenmanagernofnan pediatricn clinicn couldn confirmn thatn then newn nursenrecognizedn
thenpurposenofnthenHEADSSnAdolescentn Riskn Profilen whenn then newnnursen respondsn t
hatn itn isnusedn tonnassessnnforn needsnrelatednto
a. anticipatoryn guidance.
b. low-riskn adolescents.
c. physicaln development.
d. sexualn development.
ANS: A
ThenHEADSSnAdolescentnRisknProfilenisnanpsychosocialnassessmentn screeningn toolnwhic
hnassessesnhome,neducation,n activities,n drugs,n sex,n andn suiciden forn then purposenofniden
tifyingnhigh-
risknadolescentsn andn then needn forn anticipatoryn guidance.n Itn isnusedntonidentifynhigh-
risk,n notn low-
risk,n adolescents.n Physicaln developmentn isnassessednwithnanthropometricndata.
Sexualn developmentn isn assessedn usingn physicaln examination.
OBJ: NCLEXn Clientn Needsn Category:n Healthn Promotionn andn Maintenance
2. Then nursen preparingnan teachingn plann forn an preschoolern knowsn that,n accordingn tonP
iaget,n then expectednstagenofndevelopmentnforn anpreschoolernis
a. concreten operational.
b. formaln operational. N
c. preoperational.
d. sensorimotor.
ANS: C
Thenexpectednstagenofndevelopmentnforn an preschoolern (3–4n yearsn old)n isn pre-
noperational.nConcretenoperationalndescribesnthenthinkingn ofn an school-agen childn (7–
11nyearsnold).nFormalnoperationalndescribesnthenthinkingnofn ann individualn aftern aboutn 11n
yearsnofnage.nSensorimotorndescribesnthenearliestn patternn ofn thinkingn fromn birthn ton 2nye
arsnold.
OBJ: NCLEXn Clientn Needsn Category:n Healthn Promotionn andn Maintenance
3. Then schooln nursen talkingn withn an highn schooln classn aboutn then differencen betweenng
rowthn andnndevelopmentnwouldn bestndescriben growthnas
a. processesn byn whichn earlyn cellsn specialize.
b. psychosocialn andn cognitiven changes.
c. qualitativen changesn associatedn withn aging.
d. quantitativenchangesninnsizenornw
eight.n ANS: D
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, Growthnisn an quantitativennchangen inn whichn ann increasen inn celln numbern andn size
resultsninnannincreaseninnoverallnsizenornweightnofnthenbodynornanynofnitsn parts.n Thenprocess
esnbynwhichn earlyncellsn specializennaren referredntonasn differentiation.
Psychosocialnandn cognitiven changesnaren referredn ton asn development.n Qualitativenchang
esn associatedn withn agingn aren referredn ton asn maturation.
OBJ: NCLEXn Clientn Needsn Category:n Healthn Promotionn andn Maintenance
4. Then mostn appropriaten responsen ofn then nursen whennan mothern asksn whatn then DenvernII
n doesn isn thatn it
a. cann diagnosen developmentaln disabilities.
b. identifiesn an needn forn physicaln therapy.
c. isn an developmentaln screeningn tool.
d. providesn an frameworkn forn healthn teaching.
ANS: C
Then Denvern IIn isn then mostn commonlyn usedn measuren ofn developmentaln statusn usednby
n healthcaren professionals;n itn isn an screeningn tool.n Screeningn toolsn don notn providen andia
gnosis.nDiagnosisnrequiresnanthoroughnneurodevelopmentnhistorynandnphysicalnexamination
.
Developmentaln delay,n whichn isn suggestedn byn screening,n isn an symptom,n notn an diagnosis.nT
henneednfornanyntherapynwouldnbenidentifiednwithnancomprehensivenevaluation,nnotnanscreening
ntool.nSomenprovidersnusenthenDenvern IInasnanframeworknfornteachingn aboutnexpectedn develop
ment,nbutn thisn isnnnotn then primarynpurposenofn then tool.
OBJ:n NCLEXn Clientn Needsn Category:n Healthn Promotionn andn Maintenance
5. TonnplannnearlynninterventionnnannnNdnn carennforn annninfantnnwithnnDownnnsyndrome,nnthennnursenco
nsidersnknowledgenofn othernnphysicalnndevelopmentnexemplarsnsuchn as
a. cerebraln palsy.
b. autism.
c. attention-deficit/hyperactivityn disordern (ADHD).
d. failuren ton thrive.
ANS:n D
Failurentonthrivenisnalsonanphysicalndevelopmentn exemplar.n Cerebraln palsyn isn annexempla
rnofnmotor/developmentalndelay.nAutismnisnannexemplarnofnsocial/emotionalndevelopmenta
lndelay.n ADHDnisnann exemplarn ofnancognitivendisorder.
OBJ:n NCLEXn Clientn Needsn Category:n Healthn Promotionn andn Maintenance
6. Tonplannearlyninterventionnandncarenforn anchildn withn andevelopmentaln delay,n thennurse
nwouldnconsidernknowledgenofnthenconceptsnmostnsignificantlynimpactednbyndevelopme
nt,n including
a. culture.
b. environment.
c. functionaln status.
d. nutrition.n
ANS:n C
, Functionn isn onen ofn then conceptsn mostn significantlyn impactedn byn development.n Othersninclud
en sensory-perceptual,ncognition,n mobility,n reproduction,nandn sexuality.
Knowledgenofnthesenconceptsncannhelpnthennursenanticipatenareasnthatnneedntonbenaddresse
d.nCulturenisnan conceptn thatn isn consideredn ton significantlyn affectndevelopment;nthendiff
erencenisnthenconceptsnthatnaffectndevelopmentnarenthosenthatnrepresentnmajorninfluencingnf
actorsn(causes);nhencendeterminationnofn developmentnwouldnbenthenfocusnofnpreventivenin
terventions.nEnvironmentnisnconsideredntonsignificantlynaffectndevelopment.nNutritionnisnc
onsideredntonsignificantlynaffectndevelopment.
OBJ: NCLEXn Clientn Needsn Category:n Healthn Promotionn andn Maintenance
7. Anmotherncomplainsnton then nursen atn then pediatricn clinicn thatn hern 4-year-
oldn childnalwaysntalksn ton hern toysn andn makesn upn stories.n Then mothern wantsn hern childn
ton havenanpsychologicalnevaluation.nThen nurse’snbestn initialnresponsen isnnto
a. refern then childn ton an psychologistn immediately.
b. explainn thatn playingn maken believen isn normaln atn thisn age.
c. completen an developmentaln screeningnnusingn an validatedn tool.
d. separaten then childn fromn then mothern ton getn moren information.
ANS: B
Bynthenendnofnthenfourthn year,n itn isn expectedn thatn an childn willn engagen inn fantasy,n sonthisni
snnormalnatn thisn age.n An referraln ton an psychologistn wouldn ben prematuren basednonlynonnt
hen complaintn ofn then mother.n Completingn an developmentaln screeningn wouldnbenverynap
propriatenbutn notn then initialn response.n Then nursen wouldn certainlyn wantn tongetnmoreninfo
rmation,nbutn separatingn then childn fromn then mothern isn notn necessaryn atnthisn time.
OBJ: NCLEXn Clientn NeedsNCategory:n Healthn Promotionn andn Maintenance
8. An17-year-
oldngirlnisnhospitalizednfornappendicitis,nandn hern mothern asksn then nursenwhynshenisnsonn
eedyn andn actingn liken an child.n Then bestnresponsen ofn then nursen isnthatn inn thennhospita
l,n adolescents
a. haven separationn anxiety.
b. rebeln againstn rules.
c. regressn becausen ofn stress.
d. wantn ton known everything.
ANS: C
Regressionntonannearliernstagenofndevelopmentn isn an commonn responsen ton stress.nSeparation
n anxietyn isn mostn commonn inn infantsn andn toddlers.n Rebellionn againstnhospitalnrulesnisnus
uallyn notn ann issuen ifn then adolescentn understandsn then rulesn andnwouldn notn createn childl
iken behaviors.nnAnn adolescentnmaynnwantn ton “known everything”nwithntheirnlogicalnthinking
nandndeductivenreasoning,n butn thatn wouldn notn explainn whyntheyn wouldn actn liken an child.
OBJ: NCLEXn Clientn Needsn Category:n Healthn Promotionn andn Maintenance
WWW.NURSYLAB.COM
n n
Giddens: Concepts for Nursing Practice, 3rd Edition
n n n n n n
MULTIPLEn CHOICE
1. Thennursenmanagernofnan pediatricn clinicn couldn confirmn thatn then newn nursenrecognizedn
thenpurposenofnthenHEADSSnAdolescentn Riskn Profilen whenn then newnnursen respondsn t
hatn itn isnusedn tonnassessnnforn needsnrelatednto
a. anticipatoryn guidance.
b. low-riskn adolescents.
c. physicaln development.
d. sexualn development.
ANS: A
ThenHEADSSnAdolescentnRisknProfilenisnanpsychosocialnassessmentn screeningn toolnwhic
hnassessesnhome,neducation,n activities,n drugs,n sex,n andn suiciden forn then purposenofniden
tifyingnhigh-
risknadolescentsn andn then needn forn anticipatoryn guidance.n Itn isnusedntonidentifynhigh-
risk,n notn low-
risk,n adolescents.n Physicaln developmentn isnassessednwithnanthropometricndata.
Sexualn developmentn isn assessedn usingn physicaln examination.
OBJ: NCLEXn Clientn Needsn Category:n Healthn Promotionn andn Maintenance
2. Then nursen preparingnan teachingn plann forn an preschoolern knowsn that,n accordingn tonP
iaget,n then expectednstagenofndevelopmentnforn anpreschoolernis
a. concreten operational.
b. formaln operational. N
c. preoperational.
d. sensorimotor.
ANS: C
Thenexpectednstagenofndevelopmentnforn an preschoolern (3–4n yearsn old)n isn pre-
noperational.nConcretenoperationalndescribesnthenthinkingn ofn an school-agen childn (7–
11nyearsnold).nFormalnoperationalndescribesnthenthinkingnofn ann individualn aftern aboutn 11n
yearsnofnage.nSensorimotorndescribesnthenearliestn patternn ofn thinkingn fromn birthn ton 2nye
arsnold.
OBJ: NCLEXn Clientn Needsn Category:n Healthn Promotionn andn Maintenance
3. Then schooln nursen talkingn withn an highn schooln classn aboutn then differencen betweenng
rowthn andnndevelopmentnwouldn bestndescriben growthnas
a. processesn byn whichn earlyn cellsn specialize.
b. psychosocialn andn cognitiven changes.
c. qualitativen changesn associatedn withn aging.
d. quantitativenchangesninnsizenornw
eight.n ANS: D
WWW.NURSYLAB.COM
, Growthnisn an quantitativennchangen inn whichn ann increasen inn celln numbern andn size
resultsninnannincreaseninnoverallnsizenornweightnofnthenbodynornanynofnitsn parts.n Thenprocess
esnbynwhichn earlyncellsn specializennaren referredntonasn differentiation.
Psychosocialnandn cognitiven changesnaren referredn ton asn development.n Qualitativenchang
esn associatedn withn agingn aren referredn ton asn maturation.
OBJ: NCLEXn Clientn Needsn Category:n Healthn Promotionn andn Maintenance
4. Then mostn appropriaten responsen ofn then nursen whennan mothern asksn whatn then DenvernII
n doesn isn thatn it
a. cann diagnosen developmentaln disabilities.
b. identifiesn an needn forn physicaln therapy.
c. isn an developmentaln screeningn tool.
d. providesn an frameworkn forn healthn teaching.
ANS: C
Then Denvern IIn isn then mostn commonlyn usedn measuren ofn developmentaln statusn usednby
n healthcaren professionals;n itn isn an screeningn tool.n Screeningn toolsn don notn providen andia
gnosis.nDiagnosisnrequiresnanthoroughnneurodevelopmentnhistorynandnphysicalnexamination
.
Developmentaln delay,n whichn isn suggestedn byn screening,n isn an symptom,n notn an diagnosis.nT
henneednfornanyntherapynwouldnbenidentifiednwithnancomprehensivenevaluation,nnotnanscreening
ntool.nSomenprovidersnusenthenDenvern IInasnanframeworknfornteachingn aboutnexpectedn develop
ment,nbutn thisn isnnnotn then primarynpurposenofn then tool.
OBJ:n NCLEXn Clientn Needsn Category:n Healthn Promotionn andn Maintenance
5. TonnplannnearlynninterventionnnannnNdnn carennforn annninfantnnwithnnDownnnsyndrome,nnthennnursenco
nsidersnknowledgenofn othernnphysicalnndevelopmentnexemplarsnsuchn as
a. cerebraln palsy.
b. autism.
c. attention-deficit/hyperactivityn disordern (ADHD).
d. failuren ton thrive.
ANS:n D
Failurentonthrivenisnalsonanphysicalndevelopmentn exemplar.n Cerebraln palsyn isn annexempla
rnofnmotor/developmentalndelay.nAutismnisnannexemplarnofnsocial/emotionalndevelopmenta
lndelay.n ADHDnisnann exemplarn ofnancognitivendisorder.
OBJ:n NCLEXn Clientn Needsn Category:n Healthn Promotionn andn Maintenance
6. Tonplannearlyninterventionnandncarenforn anchildn withn andevelopmentaln delay,n thennurse
nwouldnconsidernknowledgenofnthenconceptsnmostnsignificantlynimpactednbyndevelopme
nt,n including
a. culture.
b. environment.
c. functionaln status.
d. nutrition.n
ANS:n C
, Functionn isn onen ofn then conceptsn mostn significantlyn impactedn byn development.n Othersninclud
en sensory-perceptual,ncognition,n mobility,n reproduction,nandn sexuality.
Knowledgenofnthesenconceptsncannhelpnthennursenanticipatenareasnthatnneedntonbenaddresse
d.nCulturenisnan conceptn thatn isn consideredn ton significantlyn affectndevelopment;nthendiff
erencenisnthenconceptsnthatnaffectndevelopmentnarenthosenthatnrepresentnmajorninfluencingnf
actorsn(causes);nhencendeterminationnofn developmentnwouldnbenthenfocusnofnpreventivenin
terventions.nEnvironmentnisnconsideredntonsignificantlynaffectndevelopment.nNutritionnisnc
onsideredntonsignificantlynaffectndevelopment.
OBJ: NCLEXn Clientn Needsn Category:n Healthn Promotionn andn Maintenance
7. Anmotherncomplainsnton then nursen atn then pediatricn clinicn thatn hern 4-year-
oldn childnalwaysntalksn ton hern toysn andn makesn upn stories.n Then mothern wantsn hern childn
ton havenanpsychologicalnevaluation.nThen nurse’snbestn initialnresponsen isnnto
a. refern then childn ton an psychologistn immediately.
b. explainn thatn playingn maken believen isn normaln atn thisn age.
c. completen an developmentaln screeningnnusingn an validatedn tool.
d. separaten then childn fromn then mothern ton getn moren information.
ANS: B
Bynthenendnofnthenfourthn year,n itn isn expectedn thatn an childn willn engagen inn fantasy,n sonthisni
snnormalnatn thisn age.n An referraln ton an psychologistn wouldn ben prematuren basednonlynonnt
hen complaintn ofn then mother.n Completingn an developmentaln screeningn wouldnbenverynap
propriatenbutn notn then initialn response.n Then nursen wouldn certainlyn wantn tongetnmoreninfo
rmation,nbutn separatingn then childn fromn then mothern isn notn necessaryn atnthisn time.
OBJ: NCLEXn Clientn NeedsNCategory:n Healthn Promotionn andn Maintenance
8. An17-year-
oldngirlnisnhospitalizednfornappendicitis,nandn hern mothern asksn then nursenwhynshenisnsonn
eedyn andn actingn liken an child.n Then bestnresponsen ofn then nursen isnthatn inn thennhospita
l,n adolescents
a. haven separationn anxiety.
b. rebeln againstn rules.
c. regressn becausen ofn stress.
d. wantn ton known everything.
ANS: C
Regressionntonannearliernstagenofndevelopmentn isn an commonn responsen ton stress.nSeparation
n anxietyn isn mostn commonn inn infantsn andn toddlers.n Rebellionn againstnhospitalnrulesnisnus
uallyn notn ann issuen ifn then adolescentn understandsn then rulesn andnwouldn notn createn childl
iken behaviors.nnAnn adolescentnmaynnwantn ton “known everything”nwithntheirnlogicalnthinking
nandndeductivenreasoning,n butn thatn wouldn notn explainn whyntheyn wouldn actn liken an child.
OBJ: NCLEXn Clientn Needsn Category:n Healthn Promotionn andn Maintenance
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