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ADVANCED PRACTICE NURSING
ESSENTIALS FOR ROLE
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4TH EDITION
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,Chapter 1. Advanced Practice Nursing: Doing What Has to Be Done-
Radicals, Renegades,
MULTIPLE CHOICE
1. The nurse manager of a pediatric clinic could confirm that the new nurse
recognized the purpose
of the HEADS 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 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