Test Bank For Advanced Practice Nursing: Essentials for Role Development Fifth Edition by Lucille A. Joel, All Chapters Covered|| Newly Updated 2025

FULL TEST BANK
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Advanced Practice Nursing: Essentials for Role Development 5TH Edition Joel
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,kkkkkkkkk Chapter 1: Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades, and Rebels
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MULTIPLE CHOICE k




1. The RN manager of a pediatric clinic could confirm that the new RN recognized the purpose of the
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HEADSS Adolescent Risk Profile when the new RN responds that it is used to assess for needs
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related to
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a. anticipatory guidance. k




b. low-risk adolescents. k




c. physical development. k




d. sexual development. k




CORRECT ANS: A k k




Feedback: The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
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assesses home, education, activities, drugs, sex, and suicide for the purpose of identifying high-risk
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adolescents and the need for anticipatory guidance. It is used to identify high-risk, not low-risk,
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adolescents. Physical development is assessed with anthropometric data. Sexual development is
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assessed using physical examination.
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REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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2. The RN preparing a teaching plan for a preschooler knows that, according to Piaget, the
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expected stage of development for a preschooler is
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a. concrete operational. k




b. formal operational. k




c. preoperational.
d. sensorimotor.


CORRECT ANS: C k k




Feedback: The expected stage of development for a preschooler (3 to 4 years old) is preoperational.
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Concrete operational describes the thinking of a school-age child (7 to 11 years old). Formal
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,describes the thinking of an individual after about 11 years of age. Sensorimotor describes the earliest
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pattern of thinking from birth to 2 years old.
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REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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3. The school RN talking with a high school class about the difference between growth and
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development would best describe growth as
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a. processes by which early cells specialize. k k k k k




b. psychosocial and cognitive changes. k k k




c. qualitative changes associated with aging. k k k k




d. quantitative changes in size or weight. k k k k k




CORRECT ANS: D k k




Feedback: Growth is a quantitative change in which an increase in cell number and size results in an
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increase in overall size or weight of the body or any of its parts. The processes by which early cells
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specialize are referred to asdifferentiation. Psychosocial and cognitive changes are referred to as
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development. Qualitative changes associated with aging are referred to as maturation.
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REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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4. The most appropriate response of the RN when a mother asks what the Denver II does is that it
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a. can diagnose developmental disabilities.
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b. identifies a need for physical therapy. k k k k k




c. is a developmental screening tool.
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d. provides a framework for health teaching. k k k k k




CORRECT ANS: C k k




Feedback: The Denver II is the most commonly used measure of developmental status used by
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health care professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis
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requires a thorough neurodevelopment history and physical examination. Developmental delay,
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which is suggested by screening, is a symptom, not a diagnosis. The need for any therapy would be
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identified with a comprehensive evaluation, not a screening tool. Some providers use the Denver II as
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a framework for teaching about expected development, but this is not the primary purpose of the tool.
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, REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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5. To plan early intervention and care for an infant with Down syndrome, the RN considers
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knowledge of other physical development exemplars such as
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a. cerebral palsy. k




b. failure to thrive. k k




c. fetal alcohol syndrome.
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d. hydrocephaly.


CORRECT ANS: D k k




Feedback: Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
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adaptive developmental delay. Failure to thrive is an exemplar of social/emotional developmental
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delay.
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Fetal alcohol syndrome is an exemplar of cognitive developmental delay.
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REF: 9 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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6. To plan early intervention and care for a child with a developmental delay, the RN would
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consider knowledge of the concepts most significantly impacted by development, including
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a. culture.
b. environment.
c. functional status. k




d. nutrition.


CORRECT ANS: C k k




Feedback: Function is one of the concepts most significantly impacted by development. Others
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include sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
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concepts can help the RN anticipate areas that need to be addressed. Culture is a concept that is
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considered to significantly affect development; the difference is the concepts that affect development
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are those that represent major influencing factors (causes), hence determination of development and
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would be the focus of preventive interventions. Environment is considered to significantly affect
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development. Nutrition is considered to significantly affect development.
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REF: 1 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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