90 Questions
What is the best way to describe growth, according to the school nurse?
Quantitative changes in size or weight
Which term refers to the processes by which early cells specialize?
Differentiation
What are psychosocial and cognitive changes referred to as?
Development
Which term describes qualitative changes associated with aging?
Maturation
What is the main purpose of the Denver II tool?
Screen for cognitive impairments
What is the purpose of the HEADSS Adolescent Risk Profile?
Assess for anticipatory guidance
If a mother asks what the Denver II does, what would be the most appropriate response from the nurse?
Is a developmental screening tool
Which area does the HEADSS Adolescent Risk Profile NOT assess?
Physical development
According to Piaget, which stage of development is characteristic of preschoolers?
Preoperational
What type of adolescents are identified using the HEADSS Adolescent Risk Profile?
High-risk adolescents
What does the HEADSS Adolescent Risk Profile NOT include in its assessment?
Physical development
Which age group does the formal operational stage of development according to Piaget refer to?
>11 years old
What is the primary purpose of the Denver II screening tool mentioned in the text?
Serving as a framework for health teaching
What do screening tools suggest in terms of developmental delay?
A symptom
Which of the following is considered a physical development exemplar?
Hydrocephaly
In the context of child development, which concept would be most significantly impacted by environmental factors?
Environment
What is an exemplar of social/emotional developmental delay among the given options?
Failure to thrive
What type of developmental delay is exemplified by cerebral palsy?
Adaptive development
What is the best initial response by the nurse when a 17-year-old girl's mother asks why she is acting like a child?
Pointing out that regression due to stress is common
Why would referring a child to a psychologist based only on the complaint of the mother be premature?
Playing make believe with dolls and people is normal at a young age
What makes rebellion against hospital rules an unlikely reason for a 17-year-old girl's childlike behavior in the hospital?
Understanding rules does not lead to childlike behavior
Why would separating a child from the mother not be necessary based on the scenario provided?
Getting more information does not require separating mother and child
Why might completing a developmental screening be considered an appropriate action in the given situation?
To assess if the child is meeting expected developmental milestones
What could be a potential harm in referring a child to a psychologist based solely on a mother's complaint?
The psychologist may misinterpret normal child behaviors
What concept is considered to significantly affect development?
Culture
Which of the following is NOT mentioned as one of the concepts significantly impacted by development?
Sexuality
Why is knowledge of concepts like nutrition important for nurses?
To identify areas needing attention
How is the environment considered to affect development according to the text?
It significantly impacts development
In what context is function discussed in relation to development?
Physical abilities
What does the mother want for her 4-year-old child in the scenario provided?
Immediate psychologic evaluation
Which term describes qualitative changes associated with aging?
Maturation
What does the Denver II screening tool primarily do?
Conduct developmental screening
In child development, which concept would be most significantly impacted by environmental factors?
Development
What do psychosocial and cognitive changes refer to?
Development
Which of the following processes is referred to as differentiation?
Specialization of early cells
What is meant by growth in the context of cell development?
Increase in cell number and size resulting in size or weight increase
What is the primary purpose of the HEADSS Adolescent Risk Profile?
Identify high-risk adolescents
How is physical development primarily assessed in adolescents?
Anthropometric data
Which developmental stage, as per Piaget, characterizes infants from birth to 2 years old?
Sensorimotor
What cognitive developmental stage is typical for school-age children according to Piaget?
Concrete operational
In child development, which area is NOT assessed by the HEADSS Adolescent Risk Profile?
School performance
For which age group is the formal operational stage of development described by Piaget?
>11 years old
What is the nurse's best initial response when a mother complains that her 4-year-old child talks to toys and makes up stories?
Assure the mother that this is a normal part of child development.
How does culture significantly affect development according to the text?
By influencing major factors that determine development.
Why is knowledge of concepts like nutrition important for nurses in relation to development?
To anticipate areas that need to be addressed in patient care.
In relation to development, what does the environment significantly affect according to the text?
Major influencing factors of development.
What concept is significantly impacted by development?
Function, among others.
What should be the nurse's primary focus when understanding concepts that affect development?
Preventive interventions only.
What is the most appropriate nursing action for a 4-year-old child engaging in fantasy play with dolls and people?
Explain that fantasy play is normal at this age.
Why is referring a child to a psychologist based solely on a mother's complaint premature?
It's important to consider multiple factors before making a referral.
In the context of stress, why might adolescents regress to earlier stages of development?
To cope with stress in a familiar way.
What is the best initial response by the nurse when a mother questions why her 17-year-old daughter is acting like a child in the hospital?
Indicate that regression due to stress is common in adolescents.
What is the role of the Denver II in health teaching, as described in the text?
Serving as a framework for teaching about expected development
Why is hydrocephaly considered a physical development exemplar among the given options?
It impacts physical development significantly
What would be an inappropriate action by the nurse for a 4-year-old engaging in fantasy play?
Referring the child to a psychologist right away.
In the context of developmental delays, why is failure to thrive considered an exemplar of social/emotional developmental delay?
It hinders social interactions and emotional well-being
Why would separating the child from the mother not be necessary when trying to understand child's behavior?
It could cause unnecessary stress and anxiety for the child.
Why does the text emphasize that screening tools do not provide a diagnosis for developmental issues?
Diagnosis requires a comprehensive neurological evaluation
What distinguishes a symptom from a diagnosis when it comes to developmental delay?
Diagnosis involves holistic understanding of an individual's medical history
How does the text explain the relationship between the Denver II tool and therapy needs identification?
The Denver II is used to identify delays, but therapy decisions require comprehensive evaluation
Where should information about a difficult delivery and premature birth be recorded in a child's health history?
Birth history
Which parameter is reflective of past nutritional status?
Height
What is the specific purpose of the history of the present illness in a child's health assessment?
To document the chief complaint from onset to present
Which aspect of a child's health assessment focuses on each body system individually?
Review of systems
In a toddler, which measurement is indicative of total muscle mass?
Upper arm circumference
When assessing a toddler, what should be the initial approach to gain the child's cooperation?
Use minimal physical contact initially
In child health assessment, what defines the specific reason for the child's visit to a healthcare facility?
Chief complaint
What would be included in the review of systems concerning a child born prematurely?
Pulmonary dysfunction only
Which measurement is considered an index of the body's protein stores?
Upper arm circumference
Which part of a child's health assessment should not contain information about prematurity unless directly related to the chief complaint?
Present illness
For which parameter is weight an indicative factor?
None of the above
What does skin-fold thickness measurement primarily indicate in terms of body composition?
Fat content
What is the most appropriate initial action for a nurse when an infant appears afraid of the nurse and of what may happen next?
Initiate a game of peek-a-boo.
What action should a nurse take during a routine health assessment if an 8-month-old infant exhibits significant head lag?
Refer the child for further evaluation.
Which action should a nurse avoid during a health assessment when an infant shows fear and anxiety?
Ask the father to leave the room.
What is the best approach for a nurse to assess an infant's responses during a health examination?
Engage the infant in interactive play before the exam.
When assessing an infant who is fearful of medical procedures, what should a nurse prioritize?
Allowing the infant to sit on the father's lap throughout the examination.
In what manner should a nurse communicate with an infant during a health assessment?
Speak softly and use soothing tones while interacting with the infant.
What should the nurse recognize about a toddler who is bowlegged?
The condition is normal due to underdeveloped lower back and leg muscles.
Why does lateral bowing of the tibia (bowlegged) occur in toddlers?
Because of underdeveloped lower back and leg muscles.
In what race of children should further evaluation be considered if lateral bowing of the tibia persists beyond ages 2 to 3 years?
African-American children.
What is the significance of the nurse asking Kimberly to perform the finger-to-nose test during her checkup before starting kindergarten?
To evaluate cerebellar function.
When should lateral bowing of the tibia (bowleggedness) raise concerns if it persists?
Beyond age 2-3.
Why does lateral bowing of the tibia usually resolve on its own in toddlers?
Because of maturation of lower back and leg muscles.
What does significant head lag after age 6 months strongly indicate?
Cerebral injury
Which criteria should a nurse use to determine the appropriate-size blood pressure cuff for a 2-year-old boy?
The cuff bladder width is approximately 40% of the circumference of the upper arm
What developmental milestone should be evaluated if significant head lag persists after age 6 months?
Reduction of head lag
Why should a child be referred for further evaluation if the anterior fontanel is still open?
Potential cerebral injury
What would be an appropriate action if a child shows significant head lag after 6 months without any improvement?
Refer for further evaluation
In a 2-year-old boy, what does research suggest about the relationship between cuff width and bladder length in selecting an appropriate blood pressure cuff size?
Bladder width is equal to the length of the arm
Test your knowledge of the HEADSS Adolescent Risk Profile with this multiple choice quiz question about its purpose in assessing adolescent needs. Choose the correct option related to anticipatory guidance, low-risk adolescents, physical development, or sexual development.
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