Class 1 - Attributes of Development + Developmental Assessment

Question 1

What are attributes?

Answer 1

refers to the qualities, characteristics, and features applied to the concept (development)

Question 2

What is normal development?

Answer 2

• an individual who is demonstrating expected developmental and physical maturation, physiological function, and expected tasks for their chronological age within or across the developmental domains

Question 3

Diagram of the 6 attributes of development and what can go wrong

Answer 3

Question 4

What is the nursing role in development?

Answer 4

• need to understand and assess different aspects of an individual’s development to individualize the care they provide

Question 5

What should nurses be mindful about in terms of development? (4)

Answer 5

• important to know when expected developmental progression in any area is not occurring so that interventions can occur to support the individual to promote optimal development
• not all age norms will be followed dependent on multiple circumstances (predictable but variations)
• Ageism
• cultural safety (diff. cultures have different approaches to age, just ask how u can help)

Question 6

What is the criteria for development?

Answer 6

1. Expected/normal development
2. Development level (stage of development)
   - recognize when certain things happen
3. Developmental milestone
   both 2 and 3 provide a basis for assessment

Question 7

Give an example of a developmental level (2)

Answer 7

• stage of epiphyseal long bone closure
• post puberty, peri-menopause

Question 8

What is a developmental milestone? (2)

Answer 8

• ability or specific skill that an individual accomplishes by a certain age range
• get more vague as you age

Question 9

What is a screening test? (2)

Answer 9

• used to assess aspects of development to detect potential delays or abnormalities
• leads to further specific assessment and intervention

Question 10

When would you use a screening test?

Answer 10

• conducted in the absence of specific signs or symptoms of a problem

Question 11

Give 4 examples of standardized tests

Answer 11

1. Denver developmental Screening Test. (DDST - infants and children)
2. Social-emotional assessment in children
3. HEADSS
4. Older adults’ - functional assessments

Question 12

What does the Denver Developmental Screening Test assess? (2)

Answer 12

• assesses gross and fine motor, language, personal–social skills and milestones
• limitations include false positives

Question 13

What does the Social-emotional assessment in children assess? (2)

Answer 13

• Modified checklist for autism in toddlers - young children
• M-CHAT-R

Question 14

What is HEADSS used to assess? (2)

Answer 14

• adolescent risk
• Home, Eduacation, Activities, Drugs, Sex, potential for Suicide

Question 15

What do older adults’ functional assessments measure?

Answer 15

• Basic activities of daily living and instrumental activities of daily living (ADLs and IADLs)

Question 16

What should you look for in risk recognition?

Answer 16

• prenatal, birth, family, etc.
• is it appropriate? Are we going to do it?
• looking and assessing for abnormal or unexpected, even as you get older

Question 17

What are critical or sensitive periods? (3)

Answer 17

• greater sensitivity to positive or negative influences
• Gestational, even when a child is born (impact long term growth and development)
• assist and get help for individual when needed

Question 18

What do nursing assessments indicate?

Answer 18

• need for further testing, goals for rehab or strategies to promote enhancement or optimization

Question 19

what are abnormal/unexpected findings? (3)

Answer 19

Not meeting developmental milestones in a range of that which is predictable “normal”
- definition of delay varies (2.5 standard deviations in one or more areas or subcategories)
- can also be enhanced or advanced

Question 20

Spectrum graph

Answer 20