TEST BANK - CONCEPTS FOR NURSING PRACTICE, 3RD
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EDITION (GIDDENS, 2021), CHAPTER 1-57 | ALL CHAPTERS
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e
,Concept 01: Development ,S ,S
MULTIPLE CHOICE ,S
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
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purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is used to assess
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forneeds related to
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a. anticipatory guidance. ,S
b. low-risk adolescents. ,S
c. physical development. ,S
d. sexual
development.ANS: A
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The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which assesses home,
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education, activities, drugs, sex, and suicide for the purpose of identifying high-risk adolescents and
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theneed for anticipatory guidance. It is used to identify high-risk, not low-risk, adolescents. Physical
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development is assessed with anthropometric data.
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Sexual development is assessed using physical examination.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget,
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theexpected stage of development for a preschooler is
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a. concrete operational. ,S
b. formal operational. ,S N
c. preoperational.
d. sensorimotor. ,S
ANS: C ,S
The expected stage of development for a preschooler (3–4 years old) is pre-operational. Concrete
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operational describes the thinking of a school-age child (7–11 years old). Formal operational
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describes the thinking of an individual after about 11 years of age. Sensorimotor describes the
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earliest pattern ofthinking from birth to 2 years old.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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3. The school nurse talking with a high school class about the difference between growth
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anddevelopment would best describe growth as
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,a. processes by which early cells specialize. ,S ,S ,S ,S ,S
b. psychosocial and cognitive changes. ,S ,S ,S
c. qualitative changes associated with aging. ,S ,S ,S ,S
d. quantitative changes in size or weight. ANS: D ,S ,S ,S ,S ,S ,S ,S
Growth is a quantitative change in which an increase in cell number and size results in an increase
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inoverall size or weight of the body or any of its parts. The processes by which early cells specialize
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are referred to as differentiation. Psychosocial and cognitive changes are referred to as
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development.
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Qualitative changes associated with aging are referred to as maturation.
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OBJ: ,S ,S ,S ,S , S NCLEX Client Needs Category: Health Promotion and Maintenance
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4. The most appropriate response of the nurse when a mother asks what the Denver II does is that it
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a. can diagnose developmental disabilities.
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b. identifies a need for physical therapy. ,S ,S ,S ,S ,S
c. is a developmental screening tool.
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d. provides a framework for health ,S ,S ,S ,S
teaching.ANS: C
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The Denver II is the most commonly used measure of developmental status used by healthcare
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professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis requires
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athorough neurodevelopment history and physical examination.
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Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. The need for
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any therapy would be identified with a comprehensive evaluation, not a screening tool. Some
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providers usethe Denver II as a framework for teaching about expected development, but this is not
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the primary purpose of the tool.
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OBJ: ,S ,S ,S ,S , S NCLEX Client Needs Category: Health Promotion and Maintenance
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, 5. To plan early intervention anNd care for an infant with Down syndrome, the nurse
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considersknowledge of other physical development exemplars such as
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a. cerebral palsy. ,S
b. autism.
c. attention-deficit/hyperactivity disorder (ADHD). ,S ,S
d. failure to thrive. ,S ,S
ANS: D ,S
Failure to thrive is also a physical development exemplar. Cerebral palsy is an exemplar of
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motor/developmental delay. Autism is an exemplar of social/emotional developmental delay. ADHD
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isan exemplar of a cognitive disorder.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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6. To plan early intervention and care for a child with a developmental delay, the nurse
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wouldconsider knowledge of the concepts most significantly impacted by development, including
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a. culture.
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b. environment.
c. functional status. ,S
d. nutrition. ANS: C ,S ,S
Function is one of the concepts most significantly impacted by development. Others include
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sensoryperceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these concepts can
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help the nurse anticipate areas that need to be addressed. Culture is a concept that is considered to
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significantly affect development; the difference is the concepts that affect development are those
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thatrepresent major influencing factors (causes); hence determination of development would be the
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focusof preventive interventions. Environment is considered to significantly affect development.
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Nutrition isconsidered to significantly affect development.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks
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toher toys and makes up stories. The mother wants her child to have a psychological evaluation. The
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nurse’s best initial response is to ,S ,S ,S ,S ,S
a. refer the child to a psychologist immediately.
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