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 (A)</p> Signup and view all the answers

What is the main purpose of the Denver II tool?

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

What is the purpose of the HEADSS Adolescent Risk Profile?

<p>Assess for anticipatory guidance (C)</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 (D)</p> Signup and view all the answers

Which area does the HEADSS Adolescent Risk Profile NOT assess?

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

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

<p>Preoperational (B)</p> Signup and view all the answers

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

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

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

<p>Physical development (A)</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 (D)</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 (A)</p> Signup and view all the answers

What do screening tools suggest in terms of developmental delay?

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

Which of the following is considered a physical development exemplar?

<p>Hydrocephaly (A)</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 (B)</p> Signup and view all the answers

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

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

What type of developmental delay is exemplified by cerebral palsy?

<p>Adaptive development (A)</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 (B)</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 (B)</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 (D)</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 (D)</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 (A)</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 (A)</p> Signup and view all the answers

What concept is considered to significantly affect development?

<p>Culture (D)</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 (C)</p> Signup and view all the answers

Why is knowledge of concepts like nutrition important for nurses?

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

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

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

In what context is function discussed in relation to development?

<p>Physical abilities (D)</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 (A)</p> Signup and view all the answers

Which term describes qualitative changes associated with aging?

<p>Maturation (B)</p> Signup and view all the answers

What does the Denver II screening tool primarily do?

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

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

<p>Development (C)</p> Signup and view all the answers

What do psychosocial and cognitive changes refer to?

<p>Development (C)</p> Signup and view all the answers

Which of the following processes is referred to as differentiation?

<p>Specialization of early cells (C)</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 (A)</p> Signup and view all the answers

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

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

How is physical development primarily assessed in adolescents?

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

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

<p>Sensorimotor (A)</p> Signup and view all the answers

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

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

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

<p>School performance (B)</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 (D)</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. (A)</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. (A)</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. (C)</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. (D)</p> Signup and view all the answers

What concept is significantly impacted by development?

<p>Function, among others. (A)</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. (D)</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. (B)</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. (A)</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. (D)</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. (D)</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 (B)</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 (D)</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. (A)</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 (A)</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. (A)</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 (B)</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 (D)</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 (A)</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 (A)</p> Signup and view all the answers

Which parameter is reflective of past nutritional status?

<p>Height (A)</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 (A)</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 (C)</p> Signup and view all the answers

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

<p>Upper arm circumference (C)</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 (A)</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 (D)</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 (D)</p> Signup and view all the answers

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

<p>Upper arm circumference (C)</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 (B)</p> Signup and view all the answers

For which parameter is weight an indicative factor?

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

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

<p>Fat content (A)</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. (D)</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. (B)</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. (D)</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. (D)</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. (A)</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. (A)</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. (A)</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. (C)</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. (A)</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. (C)</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. (B)</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. (A)</p> Signup and view all the answers

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

<p>Cerebral injury (B)</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 (A)</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 (B)</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 (C)</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 (A)</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 (B)</p> Signup and view all the answers

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