TEST BANK FOR ADVANCED PRACTICE
NURSING: ESSENTIALS FOR ROLE
DEVELOPMENT 5TH EDITION, JOEL
,CHAPTER 1: ADVANCED PRACTICE NURSING: DOING WHAT HAS TO BE DONE-
RADICALS, RENEGADES, AND REBELS
Multiple choice
1. 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. Anticipatory guidance.
b. Low-risk adolescents.
c. Physical development.
d. Sexual development.
Ans: 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 high-risk 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.
Ans: 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
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.
Ans: 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 as differentiation. 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.
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.
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.
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
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.
NURSING: ESSENTIALS FOR ROLE
DEVELOPMENT 5TH EDITION, JOEL
,CHAPTER 1: ADVANCED PRACTICE NURSING: DOING WHAT HAS TO BE DONE-
RADICALS, RENEGADES, AND REBELS
Multiple choice
1. 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. Anticipatory guidance.
b. Low-risk adolescents.
c. Physical development.
d. Sexual development.
Ans: 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 high-risk 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.
Ans: 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
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.
Ans: 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 as differentiation. 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.
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.
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.
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
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.
