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
... [Show More] 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.
2.The nurse 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.
ANS: C
The expected stage of development for a preschooler (3 to 4 years old) is preoperational. Concrete operational describes the thinking of a school-age child (7 to 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.
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 asdifferentiation. Psychosocial and cognitive changes are referred to as
development. Qualitative changes associated with aging are referred to as maturation.
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 health care 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.
5.To plan early intervention and care for an infant with Down syndrome, the nurse considers knowledge of other physical development exemplars such as
a.cerebral palsy.
b.failure to thrive.
c.fetal alcohol syndrome. d. hydrocephaly. [Show Less]