,Test Bank for Advanced Practice Nursing: Essentials for Role
Development 5th Edition
ISBN: 9781719642774
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Chapter 1 – Growth, Development, and Health
Promotion
Multiple Choice Questions
Q1. 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
Answer: D
Rationale: Growth refers to quantitative changes, such as increases in cell number and
size, resulting in overall size or weight gain. Differentiation refers to specialization of cells.
Psychosocial and cognitive changes are development. Maturation refers to qualitative
changes associated with aging.
Q2. 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
Answer: C
Rationale: The Denver II is a developmental screening tool, not a diagnostic tool. Screening
identifies potential delays; diagnosis requires comprehensive evaluation.
,Q3. 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
Answer: D
Rationale: Hydrocephaly is a physical development exemplar. Cerebral palsy represents
adaptive developmental delay, failure to thrive represents social/emotional delay, and fetal
alcohol syndrome represents cognitive delay.
Q4. To plan early intervention and care for a child with developmental delay, the nurse would
consider knowledge of concepts most significantly impacted by development, including:
A) Culture
B) Environment
C) Functional status
D) Nutrition
Answer: C
Rationale: Function is a core concept affected by development, along with
sensory-perceptual, cognition, mobility, reproduction, and sexuality. Culture, environment,
and nutrition influence development but are not primary outcomes.
Q5. A mother complains that her 4-year-old child talks to toys and makes up stories. The
nurse’s best initial response is to:
A) Refer the child to a psychologist
B) Explain that playing make-believe is normal at this age
C) Complete a developmental screening
D) Separate the child from the mother to get more information
Answer: B
Rationale: By age 4, fantasy play is expected. Referral or screening may follow if concerns
persist. Separation is unnecessary.
Q6. A 17-year-old hospitalized for appendicitis is acting childlike. The nurse explains this
behavior is because adolescents:
A) Have separation anxiety
B) Rebel against rules
C) Regress because of stress
D) Want to know everything
Answer: C
Rationale: Regression to earlier developmental stages is common under stress. Separation
anxiety is mostly in infants/toddlers; rebellion or curiosity does not explain childlike behavior.
Chapter 2 – Emerging Roles of the Advanced Practice
Nurse (APRN)
, Q1. An APRN treats a patient as trustworthy despite a colleague’s comment. Which element
of dignity is being used?
A) Inclusion
B) Benefit of the doubt
C) Acceptance of identity
D) Recognition
Answer: B
Rationale: Treating others as having good motives is part of “benefit of the doubt,” one of
the ten essential elements of dignity.
Q2. An APRN treats patients as neither inferior nor superior, giving freedom to express
authentic selves without judgment. Which dignity element is this?
A) Safety
B) Accountability
C) Acceptance of identity
D) Benefit of doubt
Answer: C
Rationale: Acceptance of identity involves acknowledging and respecting core aspects of a
person’s identity, including race, gender, and beliefs.
Q3. Communication problems often contribute to ethical dilemmas. What is commonly at the
forefront of clinician-related communication problems?
A) Poor knowledge of the situation
B) Language barriers
C) Poor independence
D) Failure to speak up
Answer: D
Rationale: Failure to speak up about real or potential ethical problems erodes open
communication and is a frequent cause of ethical dilemmas.
Q4. A 76-year-old patient needs 2 weeks to regain strength but hospital policy limits stay to 2
days. This scenario is best defined as:
A) Interprofessional conflict
B) Communication problem
C) Legal issue
D) Multiple commitments
Answer: A
Rationale: The conflict between clinical judgment and administrative policy is an example of
interprofessional conflict.
Q5. An APRN is asked to stay past scheduled time to care for a new patient. This scenario is
an example of:
A) Interprofessional conflict
B) Multiple commitments
C) Communication problem