TEST BANK FOR CONCEPTS FOR NURSING PRACTICE 4TH
EDITION JEAN GIDDENS
,Concept 01: Development
Giddens: Concepts for Nursing Practice, 4th Edition
MULTIPLE CHOICE
1. The caregiver manager of a pediatric clinic could confirm that the new caregiver
recognized the purpose of the HEADSS Adolescent Risk Profile when the new
caregiver responds that it is used to review for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
RIGHT CHOICE:-A
Explanation :->>>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.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
2. The caregiver 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
Explanation :->>>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 caregiver 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.
RIGHT CHOICE:-D
, Explanation :->>>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 caregiver 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.
RIGHT CHOICE:-C
Explanation :->>>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.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
5. To plan early intervention and care for an infant with Down syndrome, the caregiver
considers knowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
RIGHT CHOICE:-D
Explanation :->>>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.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
6. To plan early intervention and care for a child with a developmental delay, the caregiver
would consider knowledge of the concepts most significantly impacted by development,
including
a. culture.
b. environment.
c. functional status.
d. nutrition.
RIGHT
CHOICE:-C
, Explanation :->>>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 caregiver anticipate areas that need to
be addressed. Culture is a concept that is considered to significantly affect development; the
difference is the concepts that 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.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
7. A mother complains to the caregiver 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 psychological
evaluation. The caregiver’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
Explanation :->>>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 caregiver would certainly want to get more
information, but separating the child from the mother is not necessary at this time.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
8. A 17-year-old girl is health centerized for appendicitis, and her mother asks the caregiver
why she is so needy and acting like a child. The best response of the caregiver is that in the
health center, adolescents
a. have separation anxiety.
b. rebel against rules.
c. regress because of stress.
d. want to know everything.
RIGHT CHOICE:-C
Explanation :->>>Regression to an earlier stage of development is a common response to
stress. Separation anxiety is most common in infants and toddlers. Rebellion against health
center 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.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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