h h h h h
hESSENTIALS FOR ROLE DEVELOPMENT 4TH
h h h h
EDITION, JOEL
h h
This Test Bank is Directly from The
h h h h h h
h Publisher Has All Chapters With 100%
h h h h h
h Correct Answers h
INSTANT DOWNLOAD h
, Chapter 1: Advanced Practice Nursing: Doing What Has to Be Done-Radicals,
h h h h h h h h h h
hRenegades,
and Rebels h
MULTIPLE CHOICE h
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
h h h h h h h h h h h h h h
h purpose of the HEADSS Adolescent Risk Profile when the new nurse responds
h h h h h h h h h h h
h that it is used to assess for needs related to
h h h h h h h h h
a. Anticipatory guidance. h
b. Low-risk adolescents. h
c. Physical development. h
d. Sexual development. h
ANS: A h
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
h h h h h h h h h h h
h assesses home, education, activities, drugs, sex, and suicide for the purpose of
h h h h h h h h h h h
h identifying high-risk adolescents and the need for anticipatory guidance. It is used
h h h h h h h h h h h
h to identify high- risk, not low-risk, adolescents. Physical development is assessed
h h h h h h h h h h
h with anthropometric data. Sexual development is assessed using physical
h h h h h h h h
h examination.
REF: 6 OBJ: NCLEX Client
h h h h h Needs Category: Health Promotion and Maintenance
h h h h h
2. The nurse preparing a teaching plan for a preschooler knows that,
h h h h h h h h h h
h according to Piaget, the expected stage of development for a preschooler
h h h h h h h h h h
h is
a. Concrete operational. h
b. Formal operational. h
c. Preoperational.
d. Sensorimotor.
ANS: C h
The expected stage of development for a preschooler (3 to 4 years old) is
h h h h h h h h h h h h h
h preoperational. Concrete operational describes the thinking of a school-age child (7
h h h h h h h h h h
,h to 11 years old). Formal operational describes the thinking of an individual after
h h h h h h h h h h h h
h about 11 years of age. Sensorimotor describes the earliest
h h h h h h h h h pattern of thinking
h h
h from h birth to 2
h h h years h old.
, REF: 5 OBJ: NCLEX Client
h h h h h Needs Category: Health Promotion and Maintenance
h h h h h
3. The school nurse talking with a high school class about the difference
h h h h h h h h h h h
h between growth and development would best describe growth as
h h h h h h h h
a. Processes by which early cells specialize. h h h h h
b. Psychosocial and cognitive changes. h h h
c. Qualitative changes associated with aging. h h h h
d. Quantitative changes in size or weight. h h h h h
ANS: D h
Growth is a quantitative change in which an increase in cell number and size
h h h h h h h h h h h h h
h results in an increase in overall size or weight of the body or any of its
h h h h h h h h h h h h h h h
h parts. The processes by h h h h which early cells specialize are referred to as
h h h h h h h
h differentiation. Psychosocial and cognitive changes are referred to as development.
h h h h h h h h h
h Qualitative changes associated with aging are referred to as maturation.
h h h h h h h h h
REF: 2 OBJ: NCLEX Client
h h h h h Needs Category: Health Promotion and Maintenance
h h h h h
4. The most appropriate response of the nurse when a mother asks what the Denver
h h h h h h h h h h h h h
II does is that it
h h h h h
a. Can diagnose developmental disabilities.
h h h
b. Identifies a need h h h for physical therapy. h h
c. Is a developmental screening tool.
h h h h
d. Provides a framework for health teaching. h h h h h
ANS: C h
The Denver II is the most commonly used measure of developmental status used
h h h h h h h h h h h h
h by health care professionals; it is a screening tool. Screening tools do not provide
h h h h h h h h h h h h h
h a diagnosis.
h
Diagnosis requires a thorough neurodevelopment history and physical examination.
h h h h h h h h
h Developmental delay, which is suggested by screening, h h h h h h h is a symptom, not a
h h h h
h diagnosis. The need for any therapy would be identified with a comprehensive
h h h h h h h h h h h
h evaluation, not a screening tool. Some providers use the Denver II as a
h h h h h h h h h h h h
h framework for teaching about expected development, but this is not the primary
h h h h h h h h h h h