,Conceptm01:mDevelopment
Giddens:mConcepts mfor mNursing mPractice,m3rdmEdition
MULTIPLEmCHOICE
1. Themnursem managermof mampediatricmclinicmcould mconfirmmthat mthemnew mnursemrecognized mt
hempurposemof mthemHEADSSmAdolescent mRiskmProfilemwhenmthemnew mnursemrespondsmtha
t mit mismused mtomassessmformneedsmrelated mto
a. anticipatorymguidance.
b. low-riskmadolescents.
c. physicalmdevelopment.
d. sexualmdevelopment.
ANS:m A
ThemHEADSSmAdolescent mRiskmProfilemismampsychosocialmassessment mscreeningmtoolmwhich
massessesmhome,meducation,mactivities,mdrugs,msex,mand msuicidemformthempurposemof midentifyin
gmhigh-riskmadolescentsmand mthemneed mformanticipatorymguidance.mIt mismused mtomidentifymhigh-
risk,mnot mlow-
risk,madolescents.mPhysicalmdevelopment mismassessed mwithmanthropometricmdata.
Sexualmdevelopment mismassessed musingmphysicalmexamination.
OBJ: NCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance
2. Themnursempreparingmamteachingmplanmformampreschoolermknowsmthat,maccordingmtomPiaget,mt
hemexpected mstagemof mdevelopment mformampreschoolermis
a. concretemoperational.
b. formalmoperational. N
c. preoperational.
d. sensorimotor.
ANS:m C
Themexpected mstagemof mdevelopment mformampreschoolerm(3–4myearsmold)mismpre-
operational.mConcretemoperationalmdescribesmthemthinkingmof mamschool-agemchild m(7–
11myearsmold).mFormalmoperationalmdescribesmthemthinkingmof manmindividualmaftermabout m11myea
rsmof mage.mSensorimotormdescribesmthemearliest mpatternmof mthinkingmfrommbirthmtom2myearsmold.
OBJ: NCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance
3. Themschoolmnursemtalkingmwithmamhighmschoolmclassmabout mthemdifferencembetweenmgrowthma
nd mdevelopment mwould mbest mdescribemgrowthmas
a. processesmbymwhichmearlymcellsmspecialize.
b. psychosocialmand mcognitivemchanges.
c. qualitativemchangesmassociated mwithmaging.
d. quantitativemchangesminmsizemormweight
.mANS:m D
WWW.NURSYLAB.COM
, Growthmismamquantitativemchangeminmwhichmanmincreaseminmcellmnumberm and msizemresultsminm a
nmincreaseminmoverallmsizemor mweight mof mthembodymormanymof mitsmparts.mThemprocessesmby mwhi
chmearlymcellsmspecializemaremreferred mtomasmdifferentiation.mPsychosocialmand mcognitivemchan
gesmaremreferred mtomasmdevelopment.mQualitativemchangesmassociated mwithmagingmaremreferred m
tomasmmaturation.
OBJ: NCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance
4. Themmostmappropriatemresponsemof mthemnursemwhenmammothermasksmwhat mthemDenvermII mdoes
mismthat mit
a. canmdiagnosemdevelopmentalmdisabilities.
b. identifiesmamneed mformphysicalmtherapy.
c. ismamdevelopmentalmscreeningmtool.
d. providesmamframeworkmformhealthmteaching.
ANS:m C
ThemDenvermII mismthemmost mcommonlymused mmeasuremof mdevelopmentalmstatusmused mbymhealth
caremprofessionals;mit mismamscreeningmtool.mScreeningmtoolsmdomnot mprovidemamdiagnosis.mDiagn
osismrequiresmamthoroughmneurodevelopment mhistorymand mphysicalmexamination.
Developmentalmdelay,mwhichmismsuggested mbymscreening,mismamsymptom,mnot mamdiagnosis.mThe
mneed mformanymtherapymwould mbemidentified mwithmamcomprehensivemevaluation,mnot mamscreenin
gmtool.mSomemprovidersmusemthemDenvermII masmamframeworkmformteachingmabout mexpected mdeve
lopment,mbut mthismismnot mthemprimarympurposemof mthemtool.
OBJ: NCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance
5. Tomplanmearlyminterventionma n N
d mcaremforman minfant mwithmDownmsyndrome,mthemnursemconsid
ersmknowledgemof mothermphysicalmdevelopment mexemplarsmsuchmas
a. cerebralmpalsy.
b. autism.
c. attention-deficit/hyperactivitymdisorderm(ADHD).
d. failuremtomthrive.
ANS:m D
Failuremtomthrivemismalsomamphysicalmdevelopment mexemplar.mCerebralmpalsymismanmexemplarm
of mmotor/developmentalmdelay.mAutismmismanmexemplarmof msocial/emotionalmdevelopmental m
delay.mADHD mismanmexemplarmof mamcognitivemdisorder.
OBJ: NCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance
6. Tomplanmearlyminterventionmand mcaremformamchild mwithmamdevelopmentalmdelay,mthemnursemwo
uld mconsidermknowledgemof mthemconceptsmmost msignificantlymimpacted mbymdevelopment,mincl
uding
a. culture.
b. environment.
c. functionalmstatus.
d. nutrition.
mANS:m C
, Functionmismonemof mthemconceptsmmost msignificantlymimpacted mbymdevelopment.mOthersminclu
demsensory-
perceptual,mcognition,mmobility,mreproduction,mand msexuality.mKnowledgemof mthesemconcepts
mcanmhelpmthemnursemanticipatemareasmthat mneed mtombemaddressed.mCulturemismamconcept mthat mis
mconsidered mtomsignificantlymaffect mdevelopment;mthemdifferencemismthemconceptsmthat maffect m
development maremthosemthat mrepresent mmajorminfluencingmfactorsm(causes);mhence mdeterminat
ionmof mdevelopment mwould mbemthemfocusmof mpreventiveminterventions.mEnvironment mismconsi
dered mtomsignificantlymaffect mdevelopment.mNutritionmismconsidered mtomsignificantlymaffect md
evelopment.
OBJ: NCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance
7. Ammothermcomplainsmtomthemnursemat mthempediatricmclinicmthat mherm4-year-
old mchild malwaysmtalksmtomhermtoysmand mmakesmupmstories.mThemmothermwantsmhermchild mtomha
vemampsychologicalmevaluation.mThemnurse’smbestminitialm responsem ismto
a. refermthemchild mtomampsychologist mimmediately.
b. explainmthat mplayingmmakembelievemismnormal mat mthismage.
c. completemamdevelopmentalmscreeningmusingmamvalidated mtool.
d. separatemthemchild mfrommthemmothermtomget mmoreminformation.
ANS:m B
Bymthemend mof mthemfourthmyear,mit mismexpected mthat mamchild mwillmengageminmfantasy,msomthismismn
ormalmat mthismage.mAmreferralmtomampsychologist mwould mbemprematurembased monlymonmthemcomp
laint mof mthemmother.mCompletingmamdevelopmentalmscreeningmwould mbemverymappropriatembut m
not mtheminitialmresponse.mThemnursemwould mcertainlymwant mtomget mmoreminformation,mbut msepar
atingmthemchild mfrommthemmothermismnot mnecessarymat mthismtime.
OBJ: NCLEX mClient mNeedsNCategory:mHealthmPromotionmand mMaintenance
8. Am17-year-
old mgirlmismhospitalized mformappendicitis,mand mhermmothermasksmthemnursemwhymshemismsomneed
ymand mactingmlikemamchild.mThembestmresponsemof mthemnursemismthat minmthemhospital,madolescent
s
a. havemseparationmanxiety.
b. rebelmagainst mrules.
c. regressmbecausemof mstress.
d. want mtomknowmeverything.
ANS:m C
Regressionmtomanmearliermstagemof mdevelopment mismamcommonmresponsemtomstress.mSeparationm
anxietymismmost mcommonminminfantsmand mtoddlers.mRebellionmagainst mhospitalmrulesm ismusually
mnot manmissuemif mthemadolescent munderstandsmthemrulesmand mwould mnot mcreatemchildlikembehavi
ors.mAnmadolescent mmaymwant mtom“know meverything”mwithmtheirmlogicalmthinkingmand mdeducti
vemreasoning,mbut mthat mwould mnot mexplainmwhymtheymwould mact mlikemamchild.
OBJ: NCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance
WWW.NURSYLAB.COM
Giddens:mConcepts mfor mNursing mPractice,m3rdmEdition
MULTIPLEmCHOICE
1. Themnursem managermof mampediatricmclinicmcould mconfirmmthat mthemnew mnursemrecognized mt
hempurposemof mthemHEADSSmAdolescent mRiskmProfilemwhenmthemnew mnursemrespondsmtha
t mit mismused mtomassessmformneedsmrelated mto
a. anticipatorymguidance.
b. low-riskmadolescents.
c. physicalmdevelopment.
d. sexualmdevelopment.
ANS:m A
ThemHEADSSmAdolescent mRiskmProfilemismampsychosocialmassessment mscreeningmtoolmwhich
massessesmhome,meducation,mactivities,mdrugs,msex,mand msuicidemformthempurposemof midentifyin
gmhigh-riskmadolescentsmand mthemneed mformanticipatorymguidance.mIt mismused mtomidentifymhigh-
risk,mnot mlow-
risk,madolescents.mPhysicalmdevelopment mismassessed mwithmanthropometricmdata.
Sexualmdevelopment mismassessed musingmphysicalmexamination.
OBJ: NCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance
2. Themnursempreparingmamteachingmplanmformampreschoolermknowsmthat,maccordingmtomPiaget,mt
hemexpected mstagemof mdevelopment mformampreschoolermis
a. concretemoperational.
b. formalmoperational. N
c. preoperational.
d. sensorimotor.
ANS:m C
Themexpected mstagemof mdevelopment mformampreschoolerm(3–4myearsmold)mismpre-
operational.mConcretemoperationalmdescribesmthemthinkingmof mamschool-agemchild m(7–
11myearsmold).mFormalmoperationalmdescribesmthemthinkingmof manmindividualmaftermabout m11myea
rsmof mage.mSensorimotormdescribesmthemearliest mpatternmof mthinkingmfrommbirthmtom2myearsmold.
OBJ: NCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance
3. Themschoolmnursemtalkingmwithmamhighmschoolmclassmabout mthemdifferencembetweenmgrowthma
nd mdevelopment mwould mbest mdescribemgrowthmas
a. processesmbymwhichmearlymcellsmspecialize.
b. psychosocialmand mcognitivemchanges.
c. qualitativemchangesmassociated mwithmaging.
d. quantitativemchangesminmsizemormweight
.mANS:m D
WWW.NURSYLAB.COM
, Growthmismamquantitativemchangeminmwhichmanmincreaseminmcellmnumberm and msizemresultsminm a
nmincreaseminmoverallmsizemor mweight mof mthembodymormanymof mitsmparts.mThemprocessesmby mwhi
chmearlymcellsmspecializemaremreferred mtomasmdifferentiation.mPsychosocialmand mcognitivemchan
gesmaremreferred mtomasmdevelopment.mQualitativemchangesmassociated mwithmagingmaremreferred m
tomasmmaturation.
OBJ: NCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance
4. Themmostmappropriatemresponsemof mthemnursemwhenmammothermasksmwhat mthemDenvermII mdoes
mismthat mit
a. canmdiagnosemdevelopmentalmdisabilities.
b. identifiesmamneed mformphysicalmtherapy.
c. ismamdevelopmentalmscreeningmtool.
d. providesmamframeworkmformhealthmteaching.
ANS:m C
ThemDenvermII mismthemmost mcommonlymused mmeasuremof mdevelopmentalmstatusmused mbymhealth
caremprofessionals;mit mismamscreeningmtool.mScreeningmtoolsmdomnot mprovidemamdiagnosis.mDiagn
osismrequiresmamthoroughmneurodevelopment mhistorymand mphysicalmexamination.
Developmentalmdelay,mwhichmismsuggested mbymscreening,mismamsymptom,mnot mamdiagnosis.mThe
mneed mformanymtherapymwould mbemidentified mwithmamcomprehensivemevaluation,mnot mamscreenin
gmtool.mSomemprovidersmusemthemDenvermII masmamframeworkmformteachingmabout mexpected mdeve
lopment,mbut mthismismnot mthemprimarympurposemof mthemtool.
OBJ: NCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance
5. Tomplanmearlyminterventionma n N
d mcaremforman minfant mwithmDownmsyndrome,mthemnursemconsid
ersmknowledgemof mothermphysicalmdevelopment mexemplarsmsuchmas
a. cerebralmpalsy.
b. autism.
c. attention-deficit/hyperactivitymdisorderm(ADHD).
d. failuremtomthrive.
ANS:m D
Failuremtomthrivemismalsomamphysicalmdevelopment mexemplar.mCerebralmpalsymismanmexemplarm
of mmotor/developmentalmdelay.mAutismmismanmexemplarmof msocial/emotionalmdevelopmental m
delay.mADHD mismanmexemplarmof mamcognitivemdisorder.
OBJ: NCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance
6. Tomplanmearlyminterventionmand mcaremformamchild mwithmamdevelopmentalmdelay,mthemnursemwo
uld mconsidermknowledgemof mthemconceptsmmost msignificantlymimpacted mbymdevelopment,mincl
uding
a. culture.
b. environment.
c. functionalmstatus.
d. nutrition.
mANS:m C
, Functionmismonemof mthemconceptsmmost msignificantlymimpacted mbymdevelopment.mOthersminclu
demsensory-
perceptual,mcognition,mmobility,mreproduction,mand msexuality.mKnowledgemof mthesemconcepts
mcanmhelpmthemnursemanticipatemareasmthat mneed mtombemaddressed.mCulturemismamconcept mthat mis
mconsidered mtomsignificantlymaffect mdevelopment;mthemdifferencemismthemconceptsmthat maffect m
development maremthosemthat mrepresent mmajorminfluencingmfactorsm(causes);mhence mdeterminat
ionmof mdevelopment mwould mbemthemfocusmof mpreventiveminterventions.mEnvironment mismconsi
dered mtomsignificantlymaffect mdevelopment.mNutritionmismconsidered mtomsignificantlymaffect md
evelopment.
OBJ: NCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance
7. Ammothermcomplainsmtomthemnursemat mthempediatricmclinicmthat mherm4-year-
old mchild malwaysmtalksmtomhermtoysmand mmakesmupmstories.mThemmothermwantsmhermchild mtomha
vemampsychologicalmevaluation.mThemnurse’smbestminitialm responsem ismto
a. refermthemchild mtomampsychologist mimmediately.
b. explainmthat mplayingmmakembelievemismnormal mat mthismage.
c. completemamdevelopmentalmscreeningmusingmamvalidated mtool.
d. separatemthemchild mfrommthemmothermtomget mmoreminformation.
ANS:m B
Bymthemend mof mthemfourthmyear,mit mismexpected mthat mamchild mwillmengageminmfantasy,msomthismismn
ormalmat mthismage.mAmreferralmtomampsychologist mwould mbemprematurembased monlymonmthemcomp
laint mof mthemmother.mCompletingmamdevelopmentalmscreeningmwould mbemverymappropriatembut m
not mtheminitialmresponse.mThemnursemwould mcertainlymwant mtomget mmoreminformation,mbut msepar
atingmthemchild mfrommthemmothermismnot mnecessarymat mthismtime.
OBJ: NCLEX mClient mNeedsNCategory:mHealthmPromotionmand mMaintenance
8. Am17-year-
old mgirlmismhospitalized mformappendicitis,mand mhermmothermasksmthemnursemwhymshemismsomneed
ymand mactingmlikemamchild.mThembestmresponsemof mthemnursemismthat minmthemhospital,madolescent
s
a. havemseparationmanxiety.
b. rebelmagainst mrules.
c. regressmbecausemof mstress.
d. want mtomknowmeverything.
ANS:m C
Regressionmtomanmearliermstagemof mdevelopment mismamcommonmresponsemtomstress.mSeparationm
anxietymismmost mcommonminminfantsmand mtoddlers.mRebellionmagainst mhospitalmrulesm ismusually
mnot manmissuemif mthemadolescent munderstandsmthemrulesmand mwould mnot mcreatemchildlikembehavi
ors.mAnmadolescent mmaymwant mtom“know meverything”mwithmtheirmlogicalmthinkingmand mdeducti
vemreasoning,mbut mthat mwould mnot mexplainmwhymtheymwould mact mlikemamchild.
OBJ: NCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance
WWW.NURSYLAB.COM
