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Test Bank for Concepts for Nursing Practice, 4th Edition, by Giddens

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Test Bank for Concepts for Nursing Practice, 4th Edition, by Giddens Concept 01: Development Giddens: Concepts for Nursing Practice, 4th Edition MULTIPLE CHOICE 1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the purpose of the HEADSS Adolescent Ri...

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TEST BANK

,Concept 01: Development

Giddens: Concepts for Nursing Practice, 4th Edition




MULTIPLE CHOICE


1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the

purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is

used to assess for needs related to

a. anticipatory guidance.

b. low-risk adolescents.

c. physical development.

d. sexual development.


ANS: A

The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which

assesses home, education, activities, drugs, sex, and suicide for the purpose of identifying

high-risk adolescents and the need for anticipatory guidance. It is used to identify high-risk,

not low-risk, adolescents. Physical development is assessed with anthropometric data.

Sexual development is assessed using physical examination.




OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance




2. The nurse prepaDrionwgnloaatdeedacbhy:iTnogpNpulrasningfSoorluatiopnr|eivsycehveo4o1l7e@r gkmnaoil.w
cosmthat, accordingW
toanPt itoageaertn, $t1h.e236

, expected stage of development for a preschooler is

a. concrete operational.


b. formal operational. N

c. preoperational.

d. sensorimotor.


ANS: C

The expected stage of development for a preschooler (3–4 years old) is pre-operational.

Concrete operational describes the thinking of a school-age child (7–11 years old). Formal

operational describes the thinking of an individual after about 11 years of age. Sensorimotor

describes the earliest pattern of thinking from birth to 2 years old.




OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance




3. The school nurse talking with a high school class about the difference between growth and

development would best describe growth as

a. processes by which early cells specialize.

b. psychosocial and cognitive changes.

c. qualitative changes associated with aging.

d. quantitative changes in size or weight.

ANS: D

Growth is a quantitative change in which an increase in cell number and size results in an

increase in overall size or weight of the body or any of its parts. The processes by which

, early cells specialize are referred to as differentiation. Psychosocial and cognitive changes

are referred to as development. Qualitative changes associated with aging are referred to as

maturation.




OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance




4. The most appropriate response of the nurse when a mother asks what the Denver II does is

that it

a. can diagnose developmental disabilities.

b. identifies a need for physical therapy.

c. is a developmental screening tool.

d. provides a framework for health teaching.


ANS: C

The Denver II is the most commonly used measure of developmental status used by

healthcare professionals; it is a screening tool. Screening tools do not provide a diagnosis.

Diagnosis requires a thorough neurodevelopment history and physical examination.

Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. The

need for any therapy would be identified with a comprehensive evaluation, not a screening

tool. Some providers use the Denver II as a framework for teaching about expected

development, but this is not the primary purpose of the tool.

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