ADVANCED PRACTICE NURSING Essentials for Role Development FOURTH EDITION.pdf

Advanced Practice Nursing : Essentials for Role Development 4th Edition Joe
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Advanced Practice Nursing : Essentials for Role Development 4th Edition Joe
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Chapterm1m.mAdvanced mPracticemNursing:mDoingmWhat mHasmtomBemDone-
Radicals,mRenegades,mand mRebels

MULTIPLEmCHOICE

1. Themnursemmanagermof mampediatricmclinicmcould mconfirmmthat mthemnew mnursemrecognized mthempurp
osemof mthemHEADSSmAdolescent mRiskmProfilemwhenmthemnew mnursemrespondsmthat mit mismused mtomass
essmformneedsmrelated mto

a. anticipatorymguidance.
b. low-riskmadolescents.
c. physicalmdevelopment.
d. sexualmdevelopment.


ANS:mA

ThemHEADSSmAdolescent mRiskmProfilemismampsychosocialmassessment mscreening mtoolmwhichmassesse
smhome,meducation,mactivities,mdrugs,msex,mand msuicidemformthempurposemof midentifyingmhigh-
riskmadolescentsmand mthemneed mformanticipatorymguidance.mIt mismused mtomidentifymhigh-risk,mnot mlow-
risk,madolescents.mPhysicalmdevelopment mismassessed mwithmanthropometricmdata.mSexualmdevelopme
nt mismassessed musingmphysicalmexamination.

REF:m6mOBJ:mNCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance

2. Themnursempreparingmamteachingmplanmformampreschoolermknowsmthat,maccordingmtomPiaget,mt
hemexpected mstagemof mdevelopment mformampreschoolermis

a. concretemoperational.
b. formalmoperational.
c. preoperational.
d. sensorimotor.


ANS:mC

Themexpected mstagemof mdevelopment mformampreschoolerm(3mtom4myearsmold)mismpreoperational.mConcrete
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, Advanced Practice Nursing : Essentials for Role Development 4th Edition Joe
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operationalmdescribesmthemthinkingmof mamschool-agemchild m(7mtom11myearsmold).mFormalmoperational




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, Advanced Practice Nursing : Essentials for Role Development 4th Edition Joe
m m m m m m m m m m


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describesmthemthinkingmof manmindividualmaftermabout m11myearsmof mage.mSensorimotormdescribesmthemea
rliest mpatternmof mthinkingmfrommbirthmtom2myearsmold.

REF:m5mOBJ:mNCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance

3. Themschoolmnursemtalkingmwithmamhighmschoolmclassmabout mthemdifferencembetweenmgrowthma
nd mdevelopment mwould mbest mdescribemgrowthmas

a. processesmbymwhichmearlymcellsmspecialize.
b. psychosocialmand mcognitivemchanges.
c. qualitativemchangesmassociated mwithmaging.
d. quantitativemchangesminmsizemormweight.


ANS:mD

Growthmismamquantitativemchangeminmwhichmanmincreaseminmcellmnumbermand msizemresultsminmanmincrea
seminmoverallmsizemormweight mof mthembodymormanymof mitsmparts.mThemprocessesmbymwhichmearlymcellsm s
pecializemaremreferred mtomasdifferentiation.mPsychosocialmand mcognitivemchanges marem referred mtomasm
development.mQualitativemchangesmassociated mwithmagingmaremreferred mtomasmmaturation.

REF:m2mOBJ:mNCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance

4. Themmost mappropriatemresponsemof mthemnursemwhenmammothermasksmwhat mthemDenvermII mdoesmismthat mit

a. canmdiagnosemdevelopmentalmdisabilities.
b. identifiesmamneed mformphysicalmtherapy.
c. ismamdevelopmentalmscreeningmtool.
d. providesmamframeworkmformhealthmteaching.


ANS:mC

ThemDenvermII mismthemmost mcommonlymused mmeasuremof mdevelopmentalmstatusmused mbymhealthmcarem
professionals;mit mismamscreeningmtool.mScreeningmtoolsmdomnot mprovidemamdiagnosis.mDiagnosismrequire
smamthoroughmneurodevelopment mhistorymand mphysicalmexamination.mDevelopmentalmdelay,mwhichm is
suggested mbymscreening,mismamsymptom,mnot mamdiagnosis.mThemneed mformanymtherapymwould mbemident
m


ified mwithmamcomprehensivemevaluation,mnot mamscreeningmtool.mSomemprovidersmuse mthemDenvermII mas
a frameworkmformteachingmabout mexpected mdevelopment,mbut mthismismnot mthemprimarympurposemof mth
m m


emtool.
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, Advanced Practice Nursing : Essentials for Role Development 4th Edition Joe
m m m m m m m m m m


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REF:m4mOBJ:mNCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance

5. Tomplanmearlyminterventionmand mcaremformanminfant mwithmDownmsyndrome,mthemnursemconsid
ersmknowledgemof mothermphysicalmdevelopment mexemplarsmsuchmas

a. cerebralmpalsy.
b. failuremtomthrive.
c. fetalmalcoholmsyndrome.
d. hydrocephaly.


ANS:mD

Hydrocephalymismalsomamphysicalmdevelopment mexemplar.mCerebralmpalsymisman mexemplarmof madaptiv
emdevelopmentalmdelay.mFailuremtomthrivemismanmexemplarmof msocial/emotional mdevelopmentalmdelay
.
Fetalmalcoholmsyndromemismanmexemplarmof mcognitivemdevelopmentalmdelay.

REF:m9mOBJ:mNCLEX mClient mNeedsmCategory:mHealthmPromotionmand mMaintenance

6. Tomplanmearlyminterventionmand mcaremformamchild mwithmamdevelopmentalmdelay,mthemnursemwo
uld mconsidermknowledgemof mthemconceptsmmost msignificantlymimpacted mbymdevelopment,minclu
ding

a. culture.
b. environment.
c. functionalmstatus.
d. nutrition.


ANS:mC

Functionmismonemof mthemconceptsmmost msignificantlymimpacted mbymdevelopment.mOthersmincludemsens
ory-
perceptual,mcognition,mmobility,mreproduction,mand msexuality.mKnowledgemof mthesemconceptsmcanmhe
lpmthemnursemanticipatemareasmthat mneed mtombemaddressed.mCulturemismamconcept mthat mismconsidered mtom
significantlymaffect mdevelopment;mthemdifferencemismthemconceptsmthat maffect mdevelopment maremthosem
that mrepresent mmajorminfluencingmfactorsm(causes),mhencemdeterminationmof mdevelopment mand mwould m
bemthemfocusmof mpreventiveminterventions.mEnvironment mismconsidered mtomsignificantlymaffect mdevelo
pment.mNutritionmismconsidered mtomsignificantlymaffect mdevelopment.
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