TEST BANK: Concepts for Nursing Practice
m m m m m
,Concept 01: Development
m m
Giddens: Concepts for Nursing Practice, 3rd Edition
m m m m m m
MULTIPLEmCHOICE
1. Themnursemmanagermofmampediatricmclinicmcouldmconfirmmthatmthemnewmnursemrecognizedmt
hempurposemofmthemHEADSSmAdolescentmRiskmProfilemwhenmthemnewmnursemrespondsmtha
tmitmismusedmtomassessmformneedsmrelatedmto
a. anticipatorymguidance.
b. low-riskmadolescents.
c. physicalmdevelopment.
d. sexualmdevelopment.
ANS:m A
ThemHEADSSmAdolescentmRiskmProfilemismampsychosocialmassessmentmscreeningmtoolmwhich
massessesmhome,meducation,mactivities,mdrugs,msex,mandmsuicidemformthempurposemofmidentifyin
gmhigh-riskmadolescentsmandmthemneedmformanticipatorymguidance.mItmismusedmtomidentifymhigh-
risk,mnotmlow-
risk,madolescents.mPhysicalmdevelopmentmismassessedmwithmanthropometricmdata.
Sexualmdevelopmentmismassessedmusingmphysicalmexamination.
OBJ: NCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
2. Themnursempreparingmamteachingmplanmformampreschoolermknowsmthat,maccordingmtomPiaget,mt
hemexpectedmstagemofmdevelopmentmformampreschoolermis
a. concretemoperational.
b. formalmoperational. N
c. preoperational.
d. sensorimotor.
ANS:m C
Themexpectedmstagemofmdevelopmentmformampreschoolerm(3–4myearsmold)mismpre-
operational.mConcretemoperationalmdescribesmthemthinkingmofmamschool-agemchildm(7–
11myearsmold).mFormalmoperationalmdescribesmthemthinkingmofmanmindividualmaftermaboutm11myea
rsmofmage.mSensorimotormdescribesmthemearliestmpatternmofmthinkingmfrommbirthmtom2myearsmold.
OBJ: NCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
3. Themschoolmnursemtalkingmwithmamhighmschoolmclassmaboutmthemdifferencembetweenmgrowthma
ndmdevelopmentmwouldmbestmdescribemgrowthmas
a. processesmbymwhichmearlymcellsmspecialize.
b. psychosocialmandmcognitivemchanges.
c. qualitativemchangesmassociatedmwithmaging.
d. quantitativemchangesminmsizemormweight
.mANS:m D
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, Growthmismamquantitativemchangeminmwhichmanmincreaseminmcellmnumbermandmsizemresultsminma
nmincreaseminmoverallmsizemormweightmofmthembodymormanymofmitsmparts.mThemprocessesmbymwhi
chmearlymcellsmspecializemaremreferredmtomasmdifferentiation.mPsychosocialmandmcognitivemcha
ngesmaremreferredmtomasmdevelopment.mQualitativemchangesmassociatedmwithmagingmaremreferre
dmtomasmmaturation.
OBJ: NCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
4. ThemmostmappropriatemresponsemofmthemnursemwhenmammothermasksmwhatmthemDenvermIImdoes
mismthatmit
a. canmdiagnosemdevelopmentalmdisabilities.
b. identifiesmamneedmformphysicalmtherapy.
c. ismamdevelopmentalmscreeningmtool.
d. providesmamframeworkmformhealthmteaching.
ANS:m C
ThemDenvermIImismthemmostmcommonlymusedmmeasuremofmdevelopmentalmstatusmusedmbymhealth
caremprofessionals;mitmismamscreeningmtool.mScreeningmtoolsmdomnotmprovidemamdiagnosis.mDiagn
osismrequiresmamthoroughmneurodevelopmentmhistorymandmphysicalmexamination.
Developmentalmdelay,mwhichmismsuggestedmbymscreening,mismamsymptom,mnotmamdiagnosis.mThe
mneedmformanymtherapymwouldmbemidentifiedmwithmamcomprehensivemevaluation,mnotmamscreenin
gmtool.mSomemprovidersmusemthemDenvermIImasmamframeworkmformteachingmaboutmexpectedmdeve
lopment,mbutmthismismnotmthemprimarympurposemofmthemtool.
OBJ: NCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
5. Tomplanmearlyminterventionma n Nd mcaremformanminfantmwithmDownmsyndrome,mthemnursemconsid
ersmknowledgemofmothermphysicalmdevelopmentmexemplarsmsuchmas
a. cerebralmpalsy.
b. autism.
c. attention-deficit/hyperactivitymdisorderm(ADHD).
d. failuremtomthrive.
ANS:m D
Failuremtomthrivemismalsomamphysicalmdevelopmentmexemplar.mCerebralmpalsymismanmexemplarm
ofmmotor/developmentalmdelay.mAutismmismanmexemplarmofmsocial/emotionalmdevelopmentalm
delay.mADHDmismanmexemplarmofmamcognitivemdisorder.
OBJ: NCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
6. Tomplanmearlyminterventionmandmcaremformamchildmwithmamdevelopmentalmdelay,mthemnursemwo
uldmconsidermknowledgemofmthemconceptsmmostmsignificantlymimpactedmbymdevelopment,mincl
uding
a. culture.
b. environment.
c. functionalmstatus.
d. nutrition.
mANS:m C
, Functionmismonemofmthemconceptsmmostmsignificantlymimpactedmbymdevelopment.mOthersminclu
demsensory-
perceptual,mcognition,mmobility,mreproduction,mandmsexuality.mKnowledgemofmthesemconcepts
mcanmhelpmthemnursemanticipatemareasmthatmneedmtombemaddressed.mCulturemismamconceptmthatmis
mconsideredmtomsignificantlymaffectmdevelopment;mthemdifferencemismthemconceptsmthatmaffectm
developmentmaremthosemthatmrepresentmmajorminfluencingmfactorsm(causes);mhencemdeterminat
ionmofmdevelopmentmwouldmbemthemfocusmofmpreventiveminterventions.mEnvironmentmismconsi
deredmtomsignificantlymaffectmdevelopment.mNutritionmismconsideredmtomsignificantlymaffectmd
evelopment.
OBJ: NCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
7. Ammothermcomplainsmtomthemnursematmthempediatricmclinicmthatmherm4-year-
oldmchildmalwaysmtalksmtomhermtoysmandmmakesmupmstories.mThemmothermwantsmhermchildmtomha
vemampsychologicalmevaluation.mThemnurse’smbestminitialmresponsemismto
a. refermthemchildmtomampsychologistmimmediately.
b. explainmthatmplayingmmakembelievemismnormalmatmthismage.
c. completemamdevelopmentalmscreeningmusingmamvalidatedmtool.
d. separatemthemchildmfrommthemmothermtomgetmmoreminformation.
ANS:m B
Bymthemendmofmthemfourthmyear,mitmismexpectedmthatmamchildmwillmengageminmfantasy,msomthismismn
ormalmatmthismage.mAmreferralmtomampsychologistmwouldmbemprematurembasedmonlymonmthemcomp
laintmofmthemmother.mCompletingmamdevelopmentalmscreeningmwouldmbemverymappropriatembutm
notmtheminitialmresponse.mThemnursemwouldmcertainlymwantmtomgetmmoreminformation,mbutmsepar
atingmthemchildmfrommthemmothermismnotmnecessarymatmthismtime.
OBJ: NCLEXmClientmNeedsNCategory:mHealthmPromotionmandmMaintenance
8. Am17-year-
oldmgirlmismhospitalizedmformappendicitis,mandmhermmothermasksmthemnursemwhymshemismsomneed
ymandmactingmlikemamchild.mThembestmresponsemofmthemnursemismthatminmthemhospital,madolescent
s
a. havemseparationmanxiety.
b. rebelmagainstmrules.
c. regressmbecausemofmstress.
d. wantmtomknowmeverything.
ANS:m C
Regressionmtomanmearliermstagemofmdevelopmentmismamcommonmresponsemtomstress.mSeparationm
anxietymismmostmcommonminminfantsmandmtoddlers.mRebellionmagainstmhospitalmrulesmismusually
mnotmanmissuemifmthemadolescentmunderstandsmthemrulesmandmwouldmnotmcreatemchildlikembehavi
ors.mAnmadolescentmmaymwantmtom“knowmeverything”mwithmtheirmlogicalmthinkingmandmdeducti
vemreasoning,mbutmthatmwouldmnotmexplainmwhymtheymwouldmactmlikemamchild.
OBJ: NCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
WWW.NURSYLAB.COM
m m m m m
,Concept 01: Development
m m
Giddens: Concepts for Nursing Practice, 3rd Edition
m m m m m m
MULTIPLEmCHOICE
1. Themnursemmanagermofmampediatricmclinicmcouldmconfirmmthatmthemnewmnursemrecognizedmt
hempurposemofmthemHEADSSmAdolescentmRiskmProfilemwhenmthemnewmnursemrespondsmtha
tmitmismusedmtomassessmformneedsmrelatedmto
a. anticipatorymguidance.
b. low-riskmadolescents.
c. physicalmdevelopment.
d. sexualmdevelopment.
ANS:m A
ThemHEADSSmAdolescentmRiskmProfilemismampsychosocialmassessmentmscreeningmtoolmwhich
massessesmhome,meducation,mactivities,mdrugs,msex,mandmsuicidemformthempurposemofmidentifyin
gmhigh-riskmadolescentsmandmthemneedmformanticipatorymguidance.mItmismusedmtomidentifymhigh-
risk,mnotmlow-
risk,madolescents.mPhysicalmdevelopmentmismassessedmwithmanthropometricmdata.
Sexualmdevelopmentmismassessedmusingmphysicalmexamination.
OBJ: NCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
2. Themnursempreparingmamteachingmplanmformampreschoolermknowsmthat,maccordingmtomPiaget,mt
hemexpectedmstagemofmdevelopmentmformampreschoolermis
a. concretemoperational.
b. formalmoperational. N
c. preoperational.
d. sensorimotor.
ANS:m C
Themexpectedmstagemofmdevelopmentmformampreschoolerm(3–4myearsmold)mismpre-
operational.mConcretemoperationalmdescribesmthemthinkingmofmamschool-agemchildm(7–
11myearsmold).mFormalmoperationalmdescribesmthemthinkingmofmanmindividualmaftermaboutm11myea
rsmofmage.mSensorimotormdescribesmthemearliestmpatternmofmthinkingmfrommbirthmtom2myearsmold.
OBJ: NCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
3. Themschoolmnursemtalkingmwithmamhighmschoolmclassmaboutmthemdifferencembetweenmgrowthma
ndmdevelopmentmwouldmbestmdescribemgrowthmas
a. processesmbymwhichmearlymcellsmspecialize.
b. psychosocialmandmcognitivemchanges.
c. qualitativemchangesmassociatedmwithmaging.
d. quantitativemchangesminmsizemormweight
.mANS:m D
WWW.NURSYLAB.COM
, Growthmismamquantitativemchangeminmwhichmanmincreaseminmcellmnumbermandmsizemresultsminma
nmincreaseminmoverallmsizemormweightmofmthembodymormanymofmitsmparts.mThemprocessesmbymwhi
chmearlymcellsmspecializemaremreferredmtomasmdifferentiation.mPsychosocialmandmcognitivemcha
ngesmaremreferredmtomasmdevelopment.mQualitativemchangesmassociatedmwithmagingmaremreferre
dmtomasmmaturation.
OBJ: NCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
4. ThemmostmappropriatemresponsemofmthemnursemwhenmammothermasksmwhatmthemDenvermIImdoes
mismthatmit
a. canmdiagnosemdevelopmentalmdisabilities.
b. identifiesmamneedmformphysicalmtherapy.
c. ismamdevelopmentalmscreeningmtool.
d. providesmamframeworkmformhealthmteaching.
ANS:m C
ThemDenvermIImismthemmostmcommonlymusedmmeasuremofmdevelopmentalmstatusmusedmbymhealth
caremprofessionals;mitmismamscreeningmtool.mScreeningmtoolsmdomnotmprovidemamdiagnosis.mDiagn
osismrequiresmamthoroughmneurodevelopmentmhistorymandmphysicalmexamination.
Developmentalmdelay,mwhichmismsuggestedmbymscreening,mismamsymptom,mnotmamdiagnosis.mThe
mneedmformanymtherapymwouldmbemidentifiedmwithmamcomprehensivemevaluation,mnotmamscreenin
gmtool.mSomemprovidersmusemthemDenvermIImasmamframeworkmformteachingmaboutmexpectedmdeve
lopment,mbutmthismismnotmthemprimarympurposemofmthemtool.
OBJ: NCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
5. Tomplanmearlyminterventionma n Nd mcaremformanminfantmwithmDownmsyndrome,mthemnursemconsid
ersmknowledgemofmothermphysicalmdevelopmentmexemplarsmsuchmas
a. cerebralmpalsy.
b. autism.
c. attention-deficit/hyperactivitymdisorderm(ADHD).
d. failuremtomthrive.
ANS:m D
Failuremtomthrivemismalsomamphysicalmdevelopmentmexemplar.mCerebralmpalsymismanmexemplarm
ofmmotor/developmentalmdelay.mAutismmismanmexemplarmofmsocial/emotionalmdevelopmentalm
delay.mADHDmismanmexemplarmofmamcognitivemdisorder.
OBJ: NCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
6. Tomplanmearlyminterventionmandmcaremformamchildmwithmamdevelopmentalmdelay,mthemnursemwo
uldmconsidermknowledgemofmthemconceptsmmostmsignificantlymimpactedmbymdevelopment,mincl
uding
a. culture.
b. environment.
c. functionalmstatus.
d. nutrition.
mANS:m C
, Functionmismonemofmthemconceptsmmostmsignificantlymimpactedmbymdevelopment.mOthersminclu
demsensory-
perceptual,mcognition,mmobility,mreproduction,mandmsexuality.mKnowledgemofmthesemconcepts
mcanmhelpmthemnursemanticipatemareasmthatmneedmtombemaddressed.mCulturemismamconceptmthatmis
mconsideredmtomsignificantlymaffectmdevelopment;mthemdifferencemismthemconceptsmthatmaffectm
developmentmaremthosemthatmrepresentmmajorminfluencingmfactorsm(causes);mhencemdeterminat
ionmofmdevelopmentmwouldmbemthemfocusmofmpreventiveminterventions.mEnvironmentmismconsi
deredmtomsignificantlymaffectmdevelopment.mNutritionmismconsideredmtomsignificantlymaffectmd
evelopment.
OBJ: NCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
7. Ammothermcomplainsmtomthemnursematmthempediatricmclinicmthatmherm4-year-
oldmchildmalwaysmtalksmtomhermtoysmandmmakesmupmstories.mThemmothermwantsmhermchildmtomha
vemampsychologicalmevaluation.mThemnurse’smbestminitialmresponsemismto
a. refermthemchildmtomampsychologistmimmediately.
b. explainmthatmplayingmmakembelievemismnormalmatmthismage.
c. completemamdevelopmentalmscreeningmusingmamvalidatedmtool.
d. separatemthemchildmfrommthemmothermtomgetmmoreminformation.
ANS:m B
Bymthemendmofmthemfourthmyear,mitmismexpectedmthatmamchildmwillmengageminmfantasy,msomthismismn
ormalmatmthismage.mAmreferralmtomampsychologistmwouldmbemprematurembasedmonlymonmthemcomp
laintmofmthemmother.mCompletingmamdevelopmentalmscreeningmwouldmbemverymappropriatembutm
notmtheminitialmresponse.mThemnursemwouldmcertainlymwantmtomgetmmoreminformation,mbutmsepar
atingmthemchildmfrommthemmothermismnotmnecessarymatmthismtime.
OBJ: NCLEXmClientmNeedsNCategory:mHealthmPromotionmandmMaintenance
8. Am17-year-
oldmgirlmismhospitalizedmformappendicitis,mandmhermmothermasksmthemnursemwhymshemismsomneed
ymandmactingmlikemamchild.mThembestmresponsemofmthemnursemismthatminmthemhospital,madolescent
s
a. havemseparationmanxiety.
b. rebelmagainstmrules.
c. regressmbecausemofmstress.
d. wantmtomknowmeverything.
ANS:m C
Regressionmtomanmearliermstagemofmdevelopmentmismamcommonmresponsemtomstress.mSeparationm
anxietymismmostmcommonminminfantsmandmtoddlers.mRebellionmagainstmhospitalmrulesmismusually
mnotmanmissuemifmthemadolescentmunderstandsmthemrulesmandmwouldmnotmcreatemchildlikembehavi
ors.mAnmadolescentmmaymwantmtom“knowmeverything”mwithmtheirmlogicalmthinkingmandmdeducti
vemreasoning,mbutmthatmwouldmnotmexplainmwhymtheymwouldmactmlikemamchild.
OBJ: NCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
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