,Concept8601:86Development
Giddens:86Concepts86for86Nursing86Practice,863rd86Edition
MULTIPLE86CHOICE
1. The86nurse86manager86of86a86pediatric86clinic86could86confirm86that86the86new86nurse86reco
gnized86the86purpose86of86the86HEADSS86Adolescent86Risk86Profile86when86the86new86nu
rse86responds86that86it86is86used86to86assess86for86needs86related86to
a. anticipatory86guidance.
b. low-risk86adolescents.
c. physical86development.
d. sexual86development.
ANS:8 6 A
The86HEADSS86Adolescent86Risk86Profile86is86a86psychosocial86assessment86screening86tool8
6which86assesses86home,86education,86activities,86drugs,86sex,86and86suicide86for86the86purpos
e86of86identifying86high-
risk86adolescents86and86the86need86for86anticipatory86guidance.86It86is86used86to86identify86high
-risk,86not86low-
risk,86adolescents.86Physical86development86is86assessed86with86anthropometric86data.
Sexual86development86is86assessed86using86physical86examination.
OBJ: NCLEX86Client86Needs86Category:86Health86Promotion86and86Maintenance
2. The86nurse86preparing86a86teaching86plan86for86a86preschooler86knows86that,86according86to86
Piaget,86the86expected86stage86of86development86for86a86preschooler86is
a. concrete86operational.
b. formal86operational. N
c. preoperational.
d. sensorimotor.
ANS:8 6 C
The86expected86stage86of86development86for86a86preschooler86(3–486years86old)86is86pre-
operational.86Concrete86operational86describes86the86thinking86of86a86school-age86child86(7–
1186years86old).86Formal86operational86describes86the86thinking86of86an86individual86after86about
861186years86of86age.86Sensorimotor86describes86the86earliest86pattern86of86thinking86from86birth8
6to86286 years86old.
OBJ: NCLEX86Client86Needs86Category:86Health86Promotion86and86Maintenance
3. The86school86nurse86talking86with86a86high86school86class86about86the86difference86between86g
rowth86and86development86would86best86describe86growth86as
a. processes86by86which86early86cells86specialize.
b. psychosocial86and86cognitive86changes.
c. qualitative86changes86associated86with86aging.
d. quantitative86changes86in86size86or86wei
ght.86ANS:8 6 D
WWW.NURSYLAB.COM
, Growth86is86a86quantitative86change86in86which86an86increase86in86cell86number86and86size86res
ults86in86an86increase86in86overall86size86or86weight86of86the86body86or86any86of86its86parts.86The
86processes86by86which86early86cells86specialize86are86referred86to86as86differentiation.86Psych
osocial86and86cognitive86changes86are86referred86to86as86development.86Qualitative86changes86a
ssociated86with86aging86are86referred86to86as86maturation.
OBJ: NCLEX86Client86Needs86Category:86Health86Promotion86and86Maintenance
4. The86most86appropriate86response86of86the86nurse86when86a86mother86asks86what86the86Denve
r86II86does86is86that86it
a. can86diagnose86developmental86disabilities.
b. identifies86a86need86for86physical86therapy.
c. is86a86developmental86screening86tool.
d. provides86a86framework86for86health86teaching.
ANS:8 6 C
The86Denver86II86is86the86most86commonly86used86measure86of86developmental86status86used86
by86healthcare86professionals;86it86is86a86screening86tool.86Screening86tools86do86not86provide86a8
6diagnosis.86Diagnosis86requires86a86thorough86neurodevelopment86history86and86physical86exa
mination.
Developmental86delay,86which86is86suggested86by86screening,86is86a86symptom,86not86a86diagno
sis.86The86need86for86any86therapy86would86be86identified86with86a86comprehensive86evaluation,
86not86a86screening86tool.86Some86providers86use86the86Denver86 II86as86a86framework86for86teach
ing86about86expected86development,86but86this86is86not86the86primary86purpose86of86the86tool.
OBJ: NCLEX86Client86Needs86Category:86Health86Promotion86and86Maintenance
5. To86plan86early86intervention86a n Nd 86care86for86an86infant86with86Down86syndrome,86the86nurse86
considers86knowledge86of86other86physical86development86exemplars86such86as
a. cerebral86palsy.
b. autism.
c. attention-deficit/hyperactivity86disorder86(ADHD).
d. failure86to86thrive.
ANS:8 6 D
Failure86to86thrive86is86also86a86physical86development86exemplar.86Cerebral86palsy86is86an86ex
emplar86of86motor/developmental86delay.86Autism86is86an86exemplar86of86social/emotional86d
evelopmental86delay.86ADHD86is86an86exemplar86of86a86cognitive86disorder.
OBJ: NCLEX86Client86Needs86Category:86Health86Promotion86and86Maintenance
6. To86plan86early86intervention86and86care86for86a86child86with86a86developmental86delay,86the86
nurse86would86consider86knowledge86of86the86concepts86most86significantly86impacted86by86de
velopment,86including
a. culture.
b. environment.
c. functional86status.
d. nutrition.
ANS:8 6 C
86
, Function86is86one86of86the86concepts86most86significantly86impacted86by86development.86Other
s86include86sensory-
perceptual,86cognition,86mobility,86reproduction,86and86sexuality.86Knowledge86of86these86co
ncepts86can86help86the86nurse86anticipate86areas86that86need86to86be86addressed.86Culture86is86a8
6concept86that86is86considered86to86significantly86affect86development;86the86difference86is86th
e86concepts86that86affect86development86are86those86that86represent86major86influencing86facto
rs86(causes);86hence86determination86of86development86would86be86the86focus86of86preventive8
6interventions.86Environment86is86considered86to86significantly86affect86development.86Nutriti
on86is86considered86to86significantly86affect86development.
OBJ: NCLEX86Client86Needs86Category:86Health86Promotion86and86Maintenance
7. A86mother86complains86to86the86nurse86at86the86pediatric86clinic86that86her864-year-
old86child86always86talks86to86her86toys86and86makes86up86stories.86The86mother86wants86her86c
hild86to86have86a86psychological86evaluation.86The86nurse‘s86best86initial86response86is86to
a. refer86the86child86to86a86psychologist86immediately.
b. explain86that86playing86make86believe86is86normal86at86this86age.
c. complete86a86developmental86screening86using86a86validated86tool.
d. separate86the86child86from86the86mother86to86get86more86information.
ANS:8 6 B
By86the86end86of86the86fourth86year,86it86is86expected86that86a86child86will86engage86in86fantasy,86
so86this86is86normal86at86this86age.86A86referral86to86a86psychologist86would86be86premature86bas
ed86only86on86the86complaint86of86the86mother.86Completing86a86developmental86screening86wo
uld86be86very86appropriate86but86not86the86initial86response.86The86nurse86would86certainly86wa
nt86to86get86more86information,86but86separating86the86child86from86the86mother86is86not86necess
ary86at86this86time.
OBJ: NCLEX86Client86NeedsNCategory:86Health86Promotion86and86Maintenance
8. A8617-year-
old86girl86is86hospitalized86for86appendicitis,86and86her86mother86asks86the86nurse86why86she86i
s86so86needy86and86acting86like86a86child.86The86best86response86of86the86nurse86is86that86in86th
e86hospital,86adolescents
a. have86separation86anxiety.
b. rebel86against86rules.
c. regress86because86of86stress.
d. want86to86know86everything.
ANS:8 6 C
Regression86to86an86earlier86stage86of86development86is86a86common86response86to86stress.86Se
paration86anxiety86is86most86common86in86infants86and86toddlers.86Rebellion86against86hospital
86rules86is86usually86not86an86issue86if86the86adolescent86understands86the86rules86and86would86n
ot86create86childlike86behaviors.86An86adolescent86may86want86to86―know86everything‖86with86t
heir86logical86thinking86and86deductive86reasoning,86but86that86would86not86explain86why86they
86would86act86like86a86child.
OBJ: NCLEX86Client86Needs86Category:86Health86Promotion86and86Maintenance
WWW.NURSYLAB.COM
Giddens:86Concepts86for86Nursing86Practice,863rd86Edition
MULTIPLE86CHOICE
1. The86nurse86manager86of86a86pediatric86clinic86could86confirm86that86the86new86nurse86reco
gnized86the86purpose86of86the86HEADSS86Adolescent86Risk86Profile86when86the86new86nu
rse86responds86that86it86is86used86to86assess86for86needs86related86to
a. anticipatory86guidance.
b. low-risk86adolescents.
c. physical86development.
d. sexual86development.
ANS:8 6 A
The86HEADSS86Adolescent86Risk86Profile86is86a86psychosocial86assessment86screening86tool8
6which86assesses86home,86education,86activities,86drugs,86sex,86and86suicide86for86the86purpos
e86of86identifying86high-
risk86adolescents86and86the86need86for86anticipatory86guidance.86It86is86used86to86identify86high
-risk,86not86low-
risk,86adolescents.86Physical86development86is86assessed86with86anthropometric86data.
Sexual86development86is86assessed86using86physical86examination.
OBJ: NCLEX86Client86Needs86Category:86Health86Promotion86and86Maintenance
2. The86nurse86preparing86a86teaching86plan86for86a86preschooler86knows86that,86according86to86
Piaget,86the86expected86stage86of86development86for86a86preschooler86is
a. concrete86operational.
b. formal86operational. N
c. preoperational.
d. sensorimotor.
ANS:8 6 C
The86expected86stage86of86development86for86a86preschooler86(3–486years86old)86is86pre-
operational.86Concrete86operational86describes86the86thinking86of86a86school-age86child86(7–
1186years86old).86Formal86operational86describes86the86thinking86of86an86individual86after86about
861186years86of86age.86Sensorimotor86describes86the86earliest86pattern86of86thinking86from86birth8
6to86286 years86old.
OBJ: NCLEX86Client86Needs86Category:86Health86Promotion86and86Maintenance
3. The86school86nurse86talking86with86a86high86school86class86about86the86difference86between86g
rowth86and86development86would86best86describe86growth86as
a. processes86by86which86early86cells86specialize.
b. psychosocial86and86cognitive86changes.
c. qualitative86changes86associated86with86aging.
d. quantitative86changes86in86size86or86wei
ght.86ANS:8 6 D
WWW.NURSYLAB.COM
, Growth86is86a86quantitative86change86in86which86an86increase86in86cell86number86and86size86res
ults86in86an86increase86in86overall86size86or86weight86of86the86body86or86any86of86its86parts.86The
86processes86by86which86early86cells86specialize86are86referred86to86as86differentiation.86Psych
osocial86and86cognitive86changes86are86referred86to86as86development.86Qualitative86changes86a
ssociated86with86aging86are86referred86to86as86maturation.
OBJ: NCLEX86Client86Needs86Category:86Health86Promotion86and86Maintenance
4. The86most86appropriate86response86of86the86nurse86when86a86mother86asks86what86the86Denve
r86II86does86is86that86it
a. can86diagnose86developmental86disabilities.
b. identifies86a86need86for86physical86therapy.
c. is86a86developmental86screening86tool.
d. provides86a86framework86for86health86teaching.
ANS:8 6 C
The86Denver86II86is86the86most86commonly86used86measure86of86developmental86status86used86
by86healthcare86professionals;86it86is86a86screening86tool.86Screening86tools86do86not86provide86a8
6diagnosis.86Diagnosis86requires86a86thorough86neurodevelopment86history86and86physical86exa
mination.
Developmental86delay,86which86is86suggested86by86screening,86is86a86symptom,86not86a86diagno
sis.86The86need86for86any86therapy86would86be86identified86with86a86comprehensive86evaluation,
86not86a86screening86tool.86Some86providers86use86the86Denver86 II86as86a86framework86for86teach
ing86about86expected86development,86but86this86is86not86the86primary86purpose86of86the86tool.
OBJ: NCLEX86Client86Needs86Category:86Health86Promotion86and86Maintenance
5. To86plan86early86intervention86a n Nd 86care86for86an86infant86with86Down86syndrome,86the86nurse86
considers86knowledge86of86other86physical86development86exemplars86such86as
a. cerebral86palsy.
b. autism.
c. attention-deficit/hyperactivity86disorder86(ADHD).
d. failure86to86thrive.
ANS:8 6 D
Failure86to86thrive86is86also86a86physical86development86exemplar.86Cerebral86palsy86is86an86ex
emplar86of86motor/developmental86delay.86Autism86is86an86exemplar86of86social/emotional86d
evelopmental86delay.86ADHD86is86an86exemplar86of86a86cognitive86disorder.
OBJ: NCLEX86Client86Needs86Category:86Health86Promotion86and86Maintenance
6. To86plan86early86intervention86and86care86for86a86child86with86a86developmental86delay,86the86
nurse86would86consider86knowledge86of86the86concepts86most86significantly86impacted86by86de
velopment,86including
a. culture.
b. environment.
c. functional86status.
d. nutrition.
ANS:8 6 C
86
, Function86is86one86of86the86concepts86most86significantly86impacted86by86development.86Other
s86include86sensory-
perceptual,86cognition,86mobility,86reproduction,86and86sexuality.86Knowledge86of86these86co
ncepts86can86help86the86nurse86anticipate86areas86that86need86to86be86addressed.86Culture86is86a8
6concept86that86is86considered86to86significantly86affect86development;86the86difference86is86th
e86concepts86that86affect86development86are86those86that86represent86major86influencing86facto
rs86(causes);86hence86determination86of86development86would86be86the86focus86of86preventive8
6interventions.86Environment86is86considered86to86significantly86affect86development.86Nutriti
on86is86considered86to86significantly86affect86development.
OBJ: NCLEX86Client86Needs86Category:86Health86Promotion86and86Maintenance
7. A86mother86complains86to86the86nurse86at86the86pediatric86clinic86that86her864-year-
old86child86always86talks86to86her86toys86and86makes86up86stories.86The86mother86wants86her86c
hild86to86have86a86psychological86evaluation.86The86nurse‘s86best86initial86response86is86to
a. refer86the86child86to86a86psychologist86immediately.
b. explain86that86playing86make86believe86is86normal86at86this86age.
c. complete86a86developmental86screening86using86a86validated86tool.
d. separate86the86child86from86the86mother86to86get86more86information.
ANS:8 6 B
By86the86end86of86the86fourth86year,86it86is86expected86that86a86child86will86engage86in86fantasy,86
so86this86is86normal86at86this86age.86A86referral86to86a86psychologist86would86be86premature86bas
ed86only86on86the86complaint86of86the86mother.86Completing86a86developmental86screening86wo
uld86be86very86appropriate86but86not86the86initial86response.86The86nurse86would86certainly86wa
nt86to86get86more86information,86but86separating86the86child86from86the86mother86is86not86necess
ary86at86this86time.
OBJ: NCLEX86Client86NeedsNCategory:86Health86Promotion86and86Maintenance
8. A8617-year-
old86girl86is86hospitalized86for86appendicitis,86and86her86mother86asks86the86nurse86why86she86i
s86so86needy86and86acting86like86a86child.86The86best86response86of86the86nurse86is86that86in86th
e86hospital,86adolescents
a. have86separation86anxiety.
b. rebel86against86rules.
c. regress86because86of86stress.
d. want86to86know86everything.
ANS:8 6 C
Regression86to86an86earlier86stage86of86development86is86a86common86response86to86stress.86Se
paration86anxiety86is86most86common86in86infants86and86toddlers.86Rebellion86against86hospital
86rules86is86usually86not86an86issue86if86the86adolescent86understands86the86rules86and86would86n
ot86create86childlike86behaviors.86An86adolescent86may86want86to86―know86everything‖86with86t
heir86logical86thinking86and86deductive86reasoning,86but86that86would86not86explain86why86they
86would86act86like86a86child.
OBJ: NCLEX86Client86Needs86Category:86Health86Promotion86and86Maintenance
WWW.NURSYLAB.COM
