Development Test Bank: Adolescent Risk Profile Multiple Choice
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Questions and Answers

What is the best way to describe growth, according to the school nurse?

  • Processes by which early cells specialize
  • Quantitative changes in size or weight (correct)
  • Qualitative changes associated with aging
  • Psychosocial and cognitive changes

    • Which term refers to the processes by which early cells specialize?

  • Growth
  • Psychosocial and cognitive changes
  • Qualitative changes associated with aging
  • Differentiation (correct)

    • What are psychosocial and cognitive changes referred to as?

  • Differentiation
  • Maturation
  • Growth
  • Development (correct)

    • Which term describes qualitative changes associated with aging?

    <p>Maturation</p> Signup and view all the answers

    What is the main purpose of the Denver II tool?

    <p>Screen for cognitive impairments</p> Signup and view all the answers

    What is the purpose of the HEADSS Adolescent Risk Profile?

    <p>Assess for anticipatory guidance</p> Signup and view all the answers

    If a mother asks what the Denver II does, what would be the most appropriate response from the nurse?

    <p>Is a developmental screening tool</p> Signup and view all the answers

    Which area does the HEADSS Adolescent Risk Profile NOT assess?

    <p>Physical development</p> Signup and view all the answers

    According to Piaget, which stage of development is characteristic of preschoolers?

    <p>Preoperational</p> Signup and view all the answers

    What type of adolescents are identified using the HEADSS Adolescent Risk Profile?

    <p>High-risk adolescents</p> Signup and view all the answers

    What does the HEADSS Adolescent Risk Profile NOT include in its assessment?

    <p>Physical development</p> Signup and view all the answers

    Which age group does the formal operational stage of development according to Piaget refer to?

    <p>&gt;11 years old</p> Signup and view all the answers

    What is the primary purpose of the Denver II screening tool mentioned in the text?

    <p>Serving as a framework for health teaching</p> Signup and view all the answers

    What do screening tools suggest in terms of developmental delay?

    <p>A symptom</p> Signup and view all the answers

    Which of the following is considered a physical development exemplar?

    <p>Hydrocephaly</p> Signup and view all the answers

    In the context of child development, which concept would be most significantly impacted by environmental factors?

    <p>Environment</p> Signup and view all the answers

    What is an exemplar of social/emotional developmental delay among the given options?

    <p>Failure to thrive</p> Signup and view all the answers

    What type of developmental delay is exemplified by cerebral palsy?

    <p>Adaptive development</p> Signup and view all the answers

    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?

    <p>Pointing out that regression due to stress is common</p> Signup and view all the answers

    Why would referring a child to a psychologist based only on the complaint of the mother be premature?

    <p>Playing make believe with dolls and people is normal at a young age</p> Signup and view all the answers

    What makes rebellion against hospital rules an unlikely reason for a 17-year-old girl's childlike behavior in the hospital?

    <p>Understanding rules does not lead to childlike behavior</p> Signup and view all the answers

    Why would separating a child from the mother not be necessary based on the scenario provided?

    <p>Getting more information does not require separating mother and child</p> Signup and view all the answers

    Why might completing a developmental screening be considered an appropriate action in the given situation?

    <p>To assess if the child is meeting expected developmental milestones</p> Signup and view all the answers

    What could be a potential harm in referring a child to a psychologist based solely on a mother's complaint?

    <p>The psychologist may misinterpret normal child behaviors</p> Signup and view all the answers

    What concept is considered to significantly affect development?

    <p>Culture</p> Signup and view all the answers

    Which of the following is NOT mentioned as one of the concepts significantly impacted by development?

    <p>Sexuality</p> Signup and view all the answers

    Why is knowledge of concepts like nutrition important for nurses?

    <p>To identify areas needing attention</p> Signup and view all the answers

    How is the environment considered to affect development according to the text?

    <p>It significantly impacts development</p> Signup and view all the answers

    In what context is function discussed in relation to development?

    <p>Physical abilities</p> Signup and view all the answers

    What does the mother want for her 4-year-old child in the scenario provided?

    <p>Immediate psychologic evaluation</p> Signup and view all the answers

    Which term describes qualitative changes associated with aging?

    <p>Maturation</p> Signup and view all the answers

    What does the Denver II screening tool primarily do?

    <p>Conduct developmental screening</p> Signup and view all the answers

    In child development, which concept would be most significantly impacted by environmental factors?

    <p>Development</p> Signup and view all the answers

    What do psychosocial and cognitive changes refer to?

    <p>Development</p> Signup and view all the answers

    Which of the following processes is referred to as differentiation?

    <p>Specialization of early cells</p> Signup and view all the answers

    What is meant by growth in the context of cell development?

    <p>Increase in cell number and size resulting in size or weight increase</p> Signup and view all the answers

    What is the primary purpose of the HEADSS Adolescent Risk Profile?

    <p>Identify high-risk adolescents</p> Signup and view all the answers

    How is physical development primarily assessed in adolescents?

    <p>Anthropometric data</p> Signup and view all the answers

    Which developmental stage, as per Piaget, characterizes infants from birth to 2 years old?

    <p>Sensorimotor</p> Signup and view all the answers

    What cognitive developmental stage is typical for school-age children according to Piaget?

    <p>Concrete operational</p> Signup and view all the answers

    In child development, which area is NOT assessed by the HEADSS Adolescent Risk Profile?

    <p>School performance</p> Signup and view all the answers

    For which age group is the formal operational stage of development described by Piaget?

    <p>&gt;11 years old</p> Signup and view all the answers

    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?

    <p>Assure the mother that this is a normal part of child development.</p> Signup and view all the answers

    How does culture significantly affect development according to the text?

    <p>By influencing major factors that determine development.</p> Signup and view all the answers

    Why is knowledge of concepts like nutrition important for nurses in relation to development?

    <p>To anticipate areas that need to be addressed in patient care.</p> Signup and view all the answers

    In relation to development, what does the environment significantly affect according to the text?

    <p>Major influencing factors of development.</p> Signup and view all the answers

    What concept is significantly impacted by development?

    <p>Function, among others.</p> Signup and view all the answers

    What should be the nurse's primary focus when understanding concepts that affect development?

    <p>Preventive interventions only.</p> Signup and view all the answers

    What is the most appropriate nursing action for a 4-year-old child engaging in fantasy play with dolls and people?

    <p>Explain that fantasy play is normal at this age.</p> Signup and view all the answers

    Why is referring a child to a psychologist based solely on a mother's complaint premature?

    <p>It's important to consider multiple factors before making a referral.</p> Signup and view all the answers

    In the context of stress, why might adolescents regress to earlier stages of development?

    <p>To cope with stress in a familiar way.</p> Signup and view all the answers

    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?

    <p>Indicate that regression due to stress is common in adolescents.</p> Signup and view all the answers

    What is the role of the Denver II in health teaching, as described in the text?

    <p>Serving as a framework for teaching about expected development</p> Signup and view all the answers

    Why is hydrocephaly considered a physical development exemplar among the given options?

    <p>It impacts physical development significantly</p> Signup and view all the answers

    What would be an inappropriate action by the nurse for a 4-year-old engaging in fantasy play?

    <p>Referring the child to a psychologist right away.</p> Signup and view all the answers

    In the context of developmental delays, why is failure to thrive considered an exemplar of social/emotional developmental delay?

    <p>It hinders social interactions and emotional well-being</p> Signup and view all the answers

    Why would separating the child from the mother not be necessary when trying to understand child's behavior?

    <p>It could cause unnecessary stress and anxiety for the child.</p> Signup and view all the answers

    Why does the text emphasize that screening tools do not provide a diagnosis for developmental issues?

    <p>Diagnosis requires a comprehensive neurological evaluation</p> Signup and view all the answers

    What distinguishes a symptom from a diagnosis when it comes to developmental delay?

    <p>Diagnosis involves holistic understanding of an individual's medical history</p> Signup and view all the answers

    How does the text explain the relationship between the Denver II tool and therapy needs identification?

    <p>The Denver II is used to identify delays, but therapy decisions require comprehensive evaluation</p> Signup and view all the answers

    Where should information about a difficult delivery and premature birth be recorded in a child's health history?

    <p>Birth history</p> Signup and view all the answers

    Which parameter is reflective of past nutritional status?

    <p>Height</p> Signup and view all the answers

    What is the specific purpose of the history of the present illness in a child's health assessment?

    <p>To document the chief complaint from onset to present</p> Signup and view all the answers

    Which aspect of a child's health assessment focuses on each body system individually?

    <p>Review of systems</p> Signup and view all the answers

    In a toddler, which measurement is indicative of total muscle mass?

    <p>Upper arm circumference</p> Signup and view all the answers

    When assessing a toddler, what should be the initial approach to gain the child's cooperation?

    <p>Use minimal physical contact initially</p> Signup and view all the answers

    In child health assessment, what defines the specific reason for the child's visit to a healthcare facility?

    <p>Chief complaint</p> Signup and view all the answers

    What would be included in the review of systems concerning a child born prematurely?

    <p>Pulmonary dysfunction only</p> Signup and view all the answers

    Which measurement is considered an index of the body's protein stores?

    <p>Upper arm circumference</p> Signup and view all the answers

    Which part of a child's health assessment should not contain information about prematurity unless directly related to the chief complaint?

    <p>Present illness</p> Signup and view all the answers

    For which parameter is weight an indicative factor?

    <p>None of the above</p> Signup and view all the answers

    What does skin-fold thickness measurement primarily indicate in terms of body composition?

    <p>Fat content</p> Signup and view all the answers

    What is the most appropriate initial action for a nurse when an infant appears afraid of the nurse and of what may happen next?

    <p>Initiate a game of peek-a-boo.</p> Signup and view all the answers

    What action should a nurse take during a routine health assessment if an 8-month-old infant exhibits significant head lag?

    <p>Refer the child for further evaluation.</p> Signup and view all the answers

    Which action should a nurse avoid during a health assessment when an infant shows fear and anxiety?

    <p>Ask the father to leave the room.</p> Signup and view all the answers

    What is the best approach for a nurse to assess an infant's responses during a health examination?

    <p>Engage the infant in interactive play before the exam.</p> Signup and view all the answers

    When assessing an infant who is fearful of medical procedures, what should a nurse prioritize?

    <p>Allowing the infant to sit on the father's lap throughout the examination.</p> Signup and view all the answers

    In what manner should a nurse communicate with an infant during a health assessment?

    <p>Speak softly and use soothing tones while interacting with the infant.</p> Signup and view all the answers

    What should the nurse recognize about a toddler who is bowlegged?

    <p>The condition is normal due to underdeveloped lower back and leg muscles.</p> Signup and view all the answers

    Why does lateral bowing of the tibia (bowlegged) occur in toddlers?

    <p>Because of underdeveloped lower back and leg muscles.</p> Signup and view all the answers

    In what race of children should further evaluation be considered if lateral bowing of the tibia persists beyond ages 2 to 3 years?

    <p>African-American children.</p> Signup and view all the answers

    What is the significance of the nurse asking Kimberly to perform the finger-to-nose test during her checkup before starting kindergarten?

    <p>To evaluate cerebellar function.</p> Signup and view all the answers

    When should lateral bowing of the tibia (bowleggedness) raise concerns if it persists?

    <p>Beyond age 2-3.</p> Signup and view all the answers

    Why does lateral bowing of the tibia usually resolve on its own in toddlers?

    <p>Because of maturation of lower back and leg muscles.</p> Signup and view all the answers

    What does significant head lag after age 6 months strongly indicate?

    <p>Cerebral injury</p> Signup and view all the answers

    Which criteria should a nurse use to determine the appropriate-size blood pressure cuff for a 2-year-old boy?

    <p>The cuff bladder width is approximately 40% of the circumference of the upper arm</p> Signup and view all the answers

    What developmental milestone should be evaluated if significant head lag persists after age 6 months?

    <p>Reduction of head lag</p> Signup and view all the answers

    Why should a child be referred for further evaluation if the anterior fontanel is still open?

    <p>Potential cerebral injury</p> Signup and view all the answers

    What would be an appropriate action if a child shows significant head lag after 6 months without any improvement?

    <p>Refer for further evaluation</p> Signup and view all the answers

    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?

    <p>Bladder width is equal to the length of the arm</p> Signup and view all the answers

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