ADVANCED PRACTICE NURSING ESSENTIALS FOR ROLE DEVELOPMENT 4TH EDITION JOEL TEST BANK
Advanced Practice Nursing Essentials for Role
Development 4th Edition Question & Answers Perfectly
A+ Grade (2026 Newest Updated Versions)
The nurse manager of a pediatric clinic could confirm that the new nurse
recognized the purpose of the HEADSS Adolescent Risk Profile when the new
nurse responds that it is used to assess for needs related to a.
b. low-risk adolescents.
c. physical development.
d. sexual development.
Correct Answer:: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which assesses
home, education, activities, drugs, sex, and suicide for the purpose of identifying highrisk
adolescents and the need for anticipatory guidance. It is used to identify high-risk, not low-risk,
adolescents. Physical development is assessed with anthropometric data. Sexual development is
assessed using physical examination.
REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the
expected stage of development for a preschooler is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
Correct Answer:: C
The expected stage of development for a preschooler (3 to 4 years old) is preoperational. Concrete
operational describes the thinking of a school-age child (7 to 11 years old). Formal operational
describes the thinking of an individual after about 11 years of age. Sensorimotor describes the
earliest pattern of thinking from birth to 2 years old.
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
pg. 1
, ADVANCED PRACTICE NURSING ESSENTIALS FOR ROLE DEVELOPMENT 4TH EDITION JOEL TEST BANK
3. The school nurse talking with a high school class about the difference between growth and
development would best describe growth as
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight.
Correct Answer:: D
Growth is a quantitative change in which an increase in cell number and size results in an increase
in overall size or weight of the body or any of its parts. The processes by which early cells
specialize are referred to asdifferentiation. Psychosocial and cognitive changes are referred to as
development. Qualitative changes associated with aging are referred to as maturation. REF: 2
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance 4. The most
appropriate response of the nurse when a mother asks what the Denver II does is that it
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy. c. is a developmental
screening tool.
d. provides a framework for health teaching.
Correct Answer:: C
The Denver II is the most commonly used measure of developmental status used by health care
professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis requires
a thorough neurodevelopment history and physical examination. Developmental delay, which is
suggested by screening, is a symptom, not a diagnosis. The need for any therapy would be
identified with a comprehensive evaluation, not a screening tool. Some providers use the Denver II
as a framework for teaching about expected development, but this is not the primary purpose of the
tool.
REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
5. To plan early intervention and care for an infant with Down syndrome, the
nurse considers knowledge of other physical development exemplars such as a.
cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
Correct Answer:: D
pg. 2
, ADVANCED PRACTICE NURSING ESSENTIALS FOR ROLE DEVELOPMENT 4TH EDITION JOEL TEST BANK
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
developmental delay. Fetal alcohol syndrome is an exemplar of cognitive developmental
delay. REF: 9 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
6. To plan early intervention and care for a child with a developmental delay, the nurse
would consider knowledge of the concepts most significantly impacted by development,
including
a. culture.
b. environment.
functional status c..
d. nutrition.
Correct Answer:: C
Function is one of the concepts most significantly impacted by development. Others include
sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
concepts can help the nurse anticipate areas that need to be addressed. Culture is a concept that
is considered to significantly affect development; the difference is the concepts that affect
development are those that represent major influencing factors (causes), hence determination
of development and would be the focus of preventive interventions. Environment is considered
to significantly affect development. Nutrition is considered to significantly affect
development.
REF: 1 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks to
her toys and makes up stories. The mother wants her child to have a psychologic evaluation.
The nurses best initial response is to
a. refer the child to a psychologist.
explain that playing make believe with dolls and people is normal at this age b..
c. complete a developmental screening.
d. separate the child from the mother to get more information.
Correct Answer:: B
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is normal at
this age. A referral to a psychologist would be premature based only on the complaint of the
mother. Completing a developmental screening would be very appropriate but not the initial
response. The nurse would certainly want to get more information, but separating the child from
the mother is not necessary at this time.
pg. 3
, ADVANCED PRACTICE NURSING ESSENTIALS FOR ROLE DEVELOPMENT 4TH EDITION JOEL TEST BANK
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so
needy and acting like a child. The best response of the nurse is that in the hospital, adolescents
a. have separation anxiety.
b. rebel against rules.
c. regress because of stress.
d. want to know everything.
Correct Answer:: C
Regression to an earlier stage of development is a common response to stress. Separation anxiety is
most common in infants and toddlers. Rebellion against hospital rules is usually not an issue if the
adolescent understands the rules and would not create childlike behaviors. An adolescent may want
to know everything with their logical thinking and deductive reasoning, but that would not explain
why they would act like a child.
Chapter 2. Emerging Roles of the Advanced Practice Nurse
Test Bank
Multiple Choice
1. An APRN is about to examine a patient in the emergency department. A colleague states to the
APRN “This patient is probably just seeking pain medication.” Regardless of his or her
colleague’s comment he or she enter the examination room and treat the patient as if he or she
is trustworthy and has good motives. Which of the ten essential elements of dignity is the APRN
utilizing?
a. Inclusion
b. Benefit of the doubt
c. Acceptance of identity
d. Recognition
Correct Answer:: B
Treating others as if they are trustworthy, starting with the premise that they have good motives
and are acting with integrity are all key points of benefit of the doubt. Benefit of the doubt is one
of the ten essential elements of dignity.
2. An APRN approaches his or her patients as neither inferior nor superior and gives others the
freedom to express their authentic selves without being judged. Which of the ten essential
elements of dignity is the APRN utilizing?
a. Safety
b. Accountability
pg. 4
Advanced Practice Nursing Essentials for Role
Development 4th Edition Question & Answers Perfectly
A+ Grade (2026 Newest Updated Versions)
The nurse manager of a pediatric clinic could confirm that the new nurse
recognized the purpose of the HEADSS Adolescent Risk Profile when the new
nurse responds that it is used to assess for needs related to a.
b. low-risk adolescents.
c. physical development.
d. sexual development.
Correct Answer:: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which assesses
home, education, activities, drugs, sex, and suicide for the purpose of identifying highrisk
adolescents and the need for anticipatory guidance. It is used to identify high-risk, not low-risk,
adolescents. Physical development is assessed with anthropometric data. Sexual development is
assessed using physical examination.
REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the
expected stage of development for a preschooler is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
Correct Answer:: C
The expected stage of development for a preschooler (3 to 4 years old) is preoperational. Concrete
operational describes the thinking of a school-age child (7 to 11 years old). Formal operational
describes the thinking of an individual after about 11 years of age. Sensorimotor describes the
earliest pattern of thinking from birth to 2 years old.
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
pg. 1
, ADVANCED PRACTICE NURSING ESSENTIALS FOR ROLE DEVELOPMENT 4TH EDITION JOEL TEST BANK
3. The school nurse talking with a high school class about the difference between growth and
development would best describe growth as
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight.
Correct Answer:: D
Growth is a quantitative change in which an increase in cell number and size results in an increase
in overall size or weight of the body or any of its parts. The processes by which early cells
specialize are referred to asdifferentiation. Psychosocial and cognitive changes are referred to as
development. Qualitative changes associated with aging are referred to as maturation. REF: 2
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance 4. The most
appropriate response of the nurse when a mother asks what the Denver II does is that it
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy. c. is a developmental
screening tool.
d. provides a framework for health teaching.
Correct Answer:: C
The Denver II is the most commonly used measure of developmental status used by health care
professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis requires
a thorough neurodevelopment history and physical examination. Developmental delay, which is
suggested by screening, is a symptom, not a diagnosis. The need for any therapy would be
identified with a comprehensive evaluation, not a screening tool. Some providers use the Denver II
as a framework for teaching about expected development, but this is not the primary purpose of the
tool.
REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
5. To plan early intervention and care for an infant with Down syndrome, the
nurse considers knowledge of other physical development exemplars such as a.
cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
Correct Answer:: D
pg. 2
, ADVANCED PRACTICE NURSING ESSENTIALS FOR ROLE DEVELOPMENT 4TH EDITION JOEL TEST BANK
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
developmental delay. Fetal alcohol syndrome is an exemplar of cognitive developmental
delay. REF: 9 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
6. To plan early intervention and care for a child with a developmental delay, the nurse
would consider knowledge of the concepts most significantly impacted by development,
including
a. culture.
b. environment.
functional status c..
d. nutrition.
Correct Answer:: C
Function is one of the concepts most significantly impacted by development. Others include
sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
concepts can help the nurse anticipate areas that need to be addressed. Culture is a concept that
is considered to significantly affect development; the difference is the concepts that affect
development are those that represent major influencing factors (causes), hence determination
of development and would be the focus of preventive interventions. Environment is considered
to significantly affect development. Nutrition is considered to significantly affect
development.
REF: 1 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks to
her toys and makes up stories. The mother wants her child to have a psychologic evaluation.
The nurses best initial response is to
a. refer the child to a psychologist.
explain that playing make believe with dolls and people is normal at this age b..
c. complete a developmental screening.
d. separate the child from the mother to get more information.
Correct Answer:: B
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is normal at
this age. A referral to a psychologist would be premature based only on the complaint of the
mother. Completing a developmental screening would be very appropriate but not the initial
response. The nurse would certainly want to get more information, but separating the child from
the mother is not necessary at this time.
pg. 3
, ADVANCED PRACTICE NURSING ESSENTIALS FOR ROLE DEVELOPMENT 4TH EDITION JOEL TEST BANK
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so
needy and acting like a child. The best response of the nurse is that in the hospital, adolescents
a. have separation anxiety.
b. rebel against rules.
c. regress because of stress.
d. want to know everything.
Correct Answer:: C
Regression to an earlier stage of development is a common response to stress. Separation anxiety is
most common in infants and toddlers. Rebellion against hospital rules is usually not an issue if the
adolescent understands the rules and would not create childlike behaviors. An adolescent may want
to know everything with their logical thinking and deductive reasoning, but that would not explain
why they would act like a child.
Chapter 2. Emerging Roles of the Advanced Practice Nurse
Test Bank
Multiple Choice
1. An APRN is about to examine a patient in the emergency department. A colleague states to the
APRN “This patient is probably just seeking pain medication.” Regardless of his or her
colleague’s comment he or she enter the examination room and treat the patient as if he or she
is trustworthy and has good motives. Which of the ten essential elements of dignity is the APRN
utilizing?
a. Inclusion
b. Benefit of the doubt
c. Acceptance of identity
d. Recognition
Correct Answer:: B
Treating others as if they are trustworthy, starting with the premise that they have good motives
and are acting with integrity are all key points of benefit of the doubt. Benefit of the doubt is one
of the ten essential elements of dignity.
2. An APRN approaches his or her patients as neither inferior nor superior and gives others the
freedom to express their authentic selves without being judged. Which of the ten essential
elements of dignity is the APRN utilizing?
a. Safety
b. Accountability
pg. 4
