Advanced Practice Nursing: Essentials for Role Development, 5th Edition | Complete Practice Questions & Verified Answers | APRN Exam Review

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




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




b. low-risk adolescents. q




c. physical development. q




d. sexual development. q




CORRECT ANS: A q q




Feedback: The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
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qassesses home, education, activities, drugs, sex, and suicide for the purpose of identifying high-risk
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q adolescents and the need for anticipatory guidance. It is used to identify high-risk, not low-risk,
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q adolescents. Physical development is assessed with anthropometric data. Sexual development is
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q 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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q expected stage of development for a preschooler is
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a. concrete operational. q




b. formal operational. q




c. preoperational.
d. sensorimotor.


CORRECT ANS: C q q




Feedback: The expected stage of development for a preschooler (3 to 4 years old) is preoperational.
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qConcrete 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
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q earliest 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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q development would best describe growth as q q q q q




a. processes by which early cells specialize. q q q q q




b. psychosocial and cognitive changes. q q q




c. qualitative changes associated with aging. q q q q




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




CORRECT ANS: D q q




Feedback: Growth is a quantitative change in which an increase in cell number and size results in
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an increase in overall size or weight of the body or any of its parts. The processes by which early
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q cells specialize are referred to asdifferentiation. Psychosocial and cognitive changes are referred to
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q as 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. q q q q q




c. is a developmental screening tool.
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d. provides a framework for health teaching.
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CORRECT ANS: C q q




Feedback: The Denver II is the most commonly used measure of developmental status used by
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q health care professionals; it is a screening tool. Screening tools do not provide a diagnosis.
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Diagnosis requires a thorough neurodevelopment history and physical examination. Developmental
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q delay, which is suggested by screening, is a symptom, not a diagnosis. The need for any therapy
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q would be identified with a comprehensive evaluation, not a screening tool. Some providers use the
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q Denver II as a framework for teaching about expected development, but this is not the primary
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q purpose of the tool. q q q

, 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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q knowledge of other physical development exemplars such as
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a. cerebral palsy. q




b. failure to thrive. q q




c. fetal alcohol syndrome.
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d. hydrocephaly.


CORRECT ANS: D q q




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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q delay.
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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q consider knowledge of the concepts most significantly impacted by development, including
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a. culture.
b. environment.
c. functional status. q




d. nutrition.


CORRECT ANS: C q q




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