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RACTICE 3RD EDITION BY JEAN GIDDENS
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| FULL CHAPTERS g g
Conceptg01:gDevelopment
Giddens:gConceptsgforgNursinggPractice,g3rdgEdition
MULTIPLEgCHOICE
1. Thegnursegmanagergofgagpediatricgclinicgcouldgconfirmgthatgthegnewgnursegrecognizedgth
egpurposegofgthegHEADSSgAdolescentgRiskgProfilegwhengthegnewgnursegrespondsgthatgi
tgisgusedgtogreviewgforgneedsgrelatedgto
a. anticipatorygguidance.
b. low-riskgadolescents.
c. physicalgdevelopment.
d. sexualgdevelopment.
ANS:g A
ThegHEADSSgAdolescentgRiskgProfilegisgagpsychosocialgassessmentgscreeninggtoolgwhich
greviewsghome,geducation,gactivities,gdrugs,gsex,gandgsuicidegforgthegpurposegofgidentifying
ghigh-riskgadolescentsgandgthegneedgforganticipatorygguidance.gItgisgusedgtogidentifyghigh-
risk,gnotglow-
risk,gadolescents.gPhysicalgdevelopmentgisgreviewedgwithganthropometricgdata.
Sexualgdevelopmentgisgreviewedgusinggphysicalgexamination.
OBJ: NCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
2. Thegnursegpreparinggagteachinggplangforgagpreschoolergknowsgthat,gaccordinggtogPiaget,gth
egexpectedgstagegofgdevelopmentgforgagpreschoolergis
a. concretegoperational.
b. formalgoperational.
c. preoperational.
d. sensorimotor.
ANS:g C
Thegexpectedgstagegofgdevelopmentgforgagpreschoolerg(3–4gyearsgold)gisgpre-
operational.gConcretegoperationalgdescribesgthegthinkinggofgagschool-agegchildg(7–
11gyearsgold).gFormalgoperationalgdescribesgthegthinkinggofgangindividualgaftergaboutg11gyea
rsgofgage.gSensorimotorgdescribesgthegearliestgpatterngofgthinkinggfromgbirthgtog2gyearsgold.
OBJ: NCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
3. Thegschoolgnursegtalkinggwithgaghighgschoolgclassgaboutgthegdifferencegbetweenggrowthgan
dgdevelopmentgwouldgbestgdescribeggrowthgas
a. processesgbygwhichgearlygcellsgspecialize.
b. psychosocialgandgcognitivegchanges.
c. qualitativegchangesgassociatedgwithgaging.
d. quantitativegchangesgingsizegorgweight.
,
,ANS:g D
, Growthgisgagquantitativegchangegingwhichgangincreasegingcellgnumbergandgsizegresultsgingan
gincreasegingoverall gsizegorgweightgofgthegbodygorganygofgitsgparts.gThegprocessesgbygwhich
gearlygcellsgspecializegaregreferredgtogasgdifferentiation.gPsychosocialgandgcognitivegchange
sgaregreferredgtogasgdevelopment.gQualitativegchangesgassociatedgwithgaginggaregreferredgtog
asgmaturation.
OBJ: NCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
4. ThegmostgappropriategresponsegofgthegnursegwhengagmothergasksgwhatgthegDenvergIIgdoesg
isgthatgit
a. cangdiagnosegdevelopmentalgdisabilities.
b. identifiesgagneedgforgphysicalgtherapy.
c. isgagdevelopmentalgscreeninggtool.
d. providesgagframeworkgforghealthgteaching.
ANS:g C
ThegDenvergIIgisgthegmostgcommonlygusedgmeasuregofgdevelopmentalgstatusgusedgbyghealt
hcaregprofessionals;gitgisgagscreeninggtool.gScreeninggtoolsgdognotgprovidegagdiagnosis.gDiag
nosisgrequiresgagthoroughgneurodevelopmentghistorygandgphysicalgexamination.
Developmentalgdelay,gwhichgisgsuggestedgbygscreening,gisgagsymptom,gnotgagdiagnosis.gThe
gneedgforganygtherapygwouldgbegidentifiedgwithgagcomprehensivegevaluation,gnotgagscreenin
ggtool.gSomegprovidersgusegthegDenvergIIgasgagframeworkgforgteachinggaboutgexpectedgdev
elopment,gbutgthisgisgnotgthegprimarygpurposegofgthegtool.
OBJ: NCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
5. TogplangearlyginterventiongagngNdg U
caRreSfIoN
rgaGnTinBf.
anCt OwMithgDowngsyndrome,gthegnursegconsider
sgknowledgegofgothergphysicalgdevelopmentgexemplarsgsuchgas
a. cerebralgpalsy.
b. failuregtogthrive.
c. fetalgalcoholgsyndrome.
d. hydrocephaly.
ANS:g D
Hydrocephalygisgalsogagphysicalgdevelopmentgexemplar.gCerebralgpalsygisgangexemplargofga
daptivegdevelopmentalgdelay.gFailuregtogthrivegisgangexemplargofgsocial/emotionalgdevelop
mentalgdelay.gFetalgalcoholgsyndromegisgangexemplargofgcognitivegdevelopmentalgdelay.
OBJ: NCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
6. Togplangearlyginterventiongandgcaregforgagchildgwithgagdevelopmentalgdelay,gthegnursegwoul
dgconsidergknowledgegofgthegconceptsgmostgsignificantlygimpactedgbygdevelopment,ginclud
ing
a. culture.
b. environment.
c. functionalgstatus.
d. nutrition.
ANS:g C
g