Test Bank for The Doctor of Nursing Practice Essentials A New Model for
Advanced Practice Nursing 4th Edition
Test Bank for The Doctor of Nursing Practice
Essentials A New Model for Advanced Practice
Nursing 4th Edition
1. 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.
ANS: D
,Test Bank for The Doctor of Nursing Practice Essentials A New Model for
Advanced Practice Nursing 4th Edition
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
2. 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.
ANS: 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.
,Test Bank for The Doctor of Nursing Practice Essentials A New Model for
Advanced Practice Nursing 4th Edition
REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
3. 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.
ANS: D
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
4. 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.
, Test Bank for The Doctor of Nursing Practice Essentials A New Model for
Advanced Practice Nursing 4th Edition
c. functional status.
d. nutrition.
ANS: 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
Advanced Practice Nursing 4th Edition
Test Bank for The Doctor of Nursing Practice
Essentials A New Model for Advanced Practice
Nursing 4th Edition
1. 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.
ANS: D
,Test Bank for The Doctor of Nursing Practice Essentials A New Model for
Advanced Practice Nursing 4th Edition
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
2. 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.
ANS: 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.
,Test Bank for The Doctor of Nursing Practice Essentials A New Model for
Advanced Practice Nursing 4th Edition
REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
3. 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.
ANS: D
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
4. 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.
, Test Bank for The Doctor of Nursing Practice Essentials A New Model for
Advanced Practice Nursing 4th Edition
c. functional status.
d. nutrition.
ANS: 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
