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Test Bank for Concepts for Nursing Practice 3rd Edition by Giddens (STUVIA)
Test Bank for Concepts for Nursing Practice 3rd Edition by Giddens (STUVIA)
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Test Bank for Concepts for Nursing Practice3rd Edition by Giddens (STUVIA)
,Concept 01: Development
Giddens: Concepts for Nursing Practice, 3rd Edition
MULTIPLE CHOICE
1. The nurse manager of a pediatric unit could confirm that the new nursing practitioner
recognized the purpose of the HEADSS Adolescent Risk Profile when the new nursing
practitioner responds that it isused to review for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
RIGHT CHOICE✔✔ A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
reviews 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 reviewed with anthropometric data.
Sexual development is reviewed using physical examination.
GOAL- NCLEX Client Needs Category: Health Promotion and Maintenance
2. The nursing practitioner preparing a teaching plan for a preschooler knows that,
according to Piaget,the expected stage of development for a preschooler is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
RIGHT CHOICE✔✔ 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.
GOAL- NCLEX Client Needs Category: Health Promotion and
Maintenance
3. The school nursing practitioner talking with a high school class about the difference
between growthand 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. RIGHT CHOICE✔✔ 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.
GOAL- NCLEX Client Needs Category: Health Promotion and Maintenance
4. The most appropriate response of the nursing practitioner when a mother asks what the
Denver II doesis 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.
RIGHT CHOICE✔✔ 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.
GOAL- NCLEX Client Needs Category: Health Promotion and Maintenance
5. To plan early intervention a n Nd UcaRreSfIoNr aGnTinBf.anCtOwMith Down
syndrome, the nursing practitioner considers knowledge of other physical development
exemplars suchas
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
RIGHT CHOICE✔✔ D
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
developmental delay. Fetal alcohol syndrome is an exemplar of cognitive developmental
delay.
GOAL- NCLEX Client Needs Category: Health Promotion and Maintenance
6. To plan early intervention and care for a child with a developmental delay, the nursing
practitioner wouldconsider knowledge of the concepts most significantly impacted by
development, including
a. culture.
b. environment.
c. functional status.
d. nutrition.
RIGHT
CHOICE✔
✔ C
, Function is one of the concepts most significantly impacted by development. Others
include sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of
these concepts can help the nursing practitioner anticipate areas that need to be addressed.
Culture is a concept that is considered to significantly affect development; the difference is
the conceptsthat affect development are those that represent major influencing factors
(causes); hence determination of development would be the focus of preventive
interventions. Environment is considered to significantly affect development. Nutrition is
considered to significantly affect development.
GOAL- NCLEX Client Needs Category: Health Promotion and Maintenance
7. A mother complains to the nursing practitioner at the pediatric clinic that her 4-year-old
child always talks to her toys and makes up stories. The mother wants her child to have a
psychologicalevaluation. The nurse’s best initial response is to
a. refer the child to a psychologist immediately.
b. explain that playing make believe is normal at this age.
c. complete a developmental screening using a validated tool.
d. separate the child from the mother to get more information.
RIGHT CHOICE✔✔ B
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is
normal at this age. A referral to a psychologist would be premature based only on the
complaint of the mother. Completing a developmental screening would be very appropriate
but not the initial response. The nursing practitioner would certainly want to get more
information, but separating the child from the mother is not necessary at this time.
GOAL- NCLEX Client NeedsNCUaRteSgIorNy:GHTeBal.thCPOrMomotion and Maintenance
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nursing
practitioner why she is so needy and acting like a child. The best response of the nursing
practitioner is that in the hospital, adolescents
a. have separation anxiety.
b. rebel against rules.
c. regress because of stress.
d. want to know everything.
RIGHT CHOICE✔✔ C
Regression to an earlier stage of development is a common response to stress. Separation
anxiety is most common in infants and toddlers. Rebellion against hospital rules is usually
not an issue if the adolescent understands the rules and would not create childlike behaviors.
An adolescent may want to “know everything” with their logical thinking and deductive
reasoning, but that would not explain why they would act like a child.
GOAL- NCLEX Client Needs Category: Health Promotion and Maintenance
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