, Advanced Practice Nursing : Essentials for Role Development 4thEdition Joel l l l l l l l l l l
Test Bank l l
Chapter 1 . Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades, andRebels
l l l l l l l l l l l l l
MULTIPLE CHOICE l
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the purpose of
l l l l l l l l l l l l l l l l
the HEADSS Adolescent Risk Profile when the new nurse responds that it is used to assess for needs
l l l l l l l l l l l l l l l l l l
related to
l l
a. anticipatory guidance. l
b. low-risk adolescents. l
c. physical development. l
d. sexual development. l
ANS: A l
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which assesses
l l l l l l l l l l l l
home, education, activities, drugs, sex, and suicide for the purpose of identifying high-risk
l l l l l l l l l l l l l
adolescents and the need for anticipatory guidance. It is used to identify high-risk, not low-risk,
l l l l l l l l l l l l l l l
adolescents. Physical development is assessed with anthropometric data. Sexual development is
l l l l l l l l l l l
assessed using physical examination.
l l l l
REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l l l l l l l l l l
2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the
l l l l l l l l l l l l l l
expected stage of development for a preschooler is
l l l l l l l l
a. concrete operational. l
b. formal operational. l
c. preoperational.
d. sensorimotor.
ANS: C l
The expected stage of development for a preschooler (3 to 4 years old) is preoperational. Concrete
l l l l l l l l l l l l l l l
operational describes the thinking of a school-age child (7 to 11 years old). Formal operational
l l l l l l l l l l l l l l l
,describes the thinking of an individual after about 11 years of age. Sensorimotor describes the earliest
l l l l l l l l l l l l l l l
pattern of thinking from birth to 2 years old.
l l l l l l l l l
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l l l l l l l l l l
3. The school nurse talking with a high school class about the difference between growth and
l l l l l l l l l l l l l l
development would best describe growth as
l l l l l l
a. processes by which early cells specialize. l l l l l
b. psychosocial and cognitive changes. l l l
c. qualitative changes associated with aging. l l l l
d. quantitative changes in size or weight. l l l l l
ANS: D l
Growth is a quantitative change in which an increase in cell number and size results in an increase in
l l l l l l l l l l l l l l l l l l
overall size or weight of the body or any of its parts. The processes by which early cells specialize are
l l l l l l l l l l l l l l l l l l l l
referred to asdifferentiation. Psychosocial and cognitive changes are referred to as development.
l l l l l l l l l l l l
Qualitative changes associated with aging are referred to as maturation.
l l l l l l l l l l
REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l l l l l l l l l l
4. The most appropriate response of the nurse when a mother asks what the Denver II does is that it
l l l l l l l l l l l l l l l l l l
a. can diagnose developmentaldisabilities.
l l l
b. identifies a need for physical therapy. l l l l l
c. is a developmental screening tool.
l l l l
d. provides a framework for health teaching. l l l l l
ANS: C l
The Denver II is the most commonly used measure of developmental status used by health care
l l l l l l l l l l l l l l l
professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis requires a
l l l l l l l l l l l l l l l l
thorough neurodevelopment history and physical examination. Developmental delay, which is
l l l l l l l l l l
suggested by screening, is a symptom, not a diagnosis. The need for any therapy would be identified
l l l l l l l l l l l l l l l l l
with a comprehensive evaluation, not a screening tool. Some providers use the Denver II as a
l l l l l l l l l l l l l l l l
framework for teaching about expected development, but this is not the primary purpose of the tool.
l l l l l l l l l l l l l l l l
, REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l l l l l l l l l l
5. To plan early intervention and care for an infant with Down syndrome, the nurse considers
l l l l l l l l l l l l l l
knowledge of other physical development exemplars such as
l l l l l l l l
a. cerebral palsy. l
b. failure to thrive. l l
c. fetal alcohol syndrome.l l
d. hydrocephaly.
ANS: D l
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of adaptive
l l l l l l l l l l l l l
developmental delay. Failure to thrive is an exemplar of social/emotional developmental delay.
l l l l l l l l l l l l
Fetal alcohol syndrome is an exemplar of cognitive developmental delay.
l l l l l l l l l
REF: 9 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l l l l l l l l l l
6. To plan early intervention and care for a child with a developmental delay, the nurse would
l l l l l l l l l l l l l l l
consider knowledge of the concepts most significantly impacted by development, including
l l l l l l l l l l l
a. culture.
b. environment.
c. functional status. l
d. nutrition.
ANS: C l
Function is one of the concepts most significantly impacted by development. Others include sensory-
l l l l l l l l l l l l l
perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these concepts can help
l l l l l l l l l l l
the nurse anticipate areas that need to be addressed. Culture is a concept that is considered to
l l l l l l l l l l l l l l l l l
significantly affect development; the difference is the concepts that affect development are those that
l l l l l l l l l l l l l l
represent major influencing factors (causes), hence determination of development and would be the
l l l l l l l l l l l l l
focus of preventive interventions. Environment is considered to significantly affect development.
l l l l l l l l l l l
Nutrition is considered to significantly affect development.
l l l l l l l
REF: 1 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l l l l l l l l l l
Test Bank l l
Chapter 1 . Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades, andRebels
l l l l l l l l l l l l l
MULTIPLE CHOICE l
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the purpose of
l l l l l l l l l l l l l l l l
the HEADSS Adolescent Risk Profile when the new nurse responds that it is used to assess for needs
l l l l l l l l l l l l l l l l l l
related to
l l
a. anticipatory guidance. l
b. low-risk adolescents. l
c. physical development. l
d. sexual development. l
ANS: A l
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which assesses
l l l l l l l l l l l l
home, education, activities, drugs, sex, and suicide for the purpose of identifying high-risk
l l l l l l l l l l l l l
adolescents and the need for anticipatory guidance. It is used to identify high-risk, not low-risk,
l l l l l l l l l l l l l l l
adolescents. Physical development is assessed with anthropometric data. Sexual development is
l l l l l l l l l l l
assessed using physical examination.
l l l l
REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l l l l l l l l l l
2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the
l l l l l l l l l l l l l l
expected stage of development for a preschooler is
l l l l l l l l
a. concrete operational. l
b. formal operational. l
c. preoperational.
d. sensorimotor.
ANS: C l
The expected stage of development for a preschooler (3 to 4 years old) is preoperational. Concrete
l l l l l l l l l l l l l l l
operational describes the thinking of a school-age child (7 to 11 years old). Formal operational
l l l l l l l l l l l l l l l
,describes the thinking of an individual after about 11 years of age. Sensorimotor describes the earliest
l l l l l l l l l l l l l l l
pattern of thinking from birth to 2 years old.
l l l l l l l l l
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l l l l l l l l l l
3. The school nurse talking with a high school class about the difference between growth and
l l l l l l l l l l l l l l
development would best describe growth as
l l l l l l
a. processes by which early cells specialize. l l l l l
b. psychosocial and cognitive changes. l l l
c. qualitative changes associated with aging. l l l l
d. quantitative changes in size or weight. l l l l l
ANS: D l
Growth is a quantitative change in which an increase in cell number and size results in an increase in
l l l l l l l l l l l l l l l l l l
overall size or weight of the body or any of its parts. The processes by which early cells specialize are
l l l l l l l l l l l l l l l l l l l l
referred to asdifferentiation. Psychosocial and cognitive changes are referred to as development.
l l l l l l l l l l l l
Qualitative changes associated with aging are referred to as maturation.
l l l l l l l l l l
REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l l l l l l l l l l
4. The most appropriate response of the nurse when a mother asks what the Denver II does is that it
l l l l l l l l l l l l l l l l l l
a. can diagnose developmentaldisabilities.
l l l
b. identifies a need for physical therapy. l l l l l
c. is a developmental screening tool.
l l l l
d. provides a framework for health teaching. l l l l l
ANS: C l
The Denver II is the most commonly used measure of developmental status used by health care
l l l l l l l l l l l l l l l
professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis requires a
l l l l l l l l l l l l l l l l
thorough neurodevelopment history and physical examination. Developmental delay, which is
l l l l l l l l l l
suggested by screening, is a symptom, not a diagnosis. The need for any therapy would be identified
l l l l l l l l l l l l l l l l l
with a comprehensive evaluation, not a screening tool. Some providers use the Denver II as a
l l l l l l l l l l l l l l l l
framework for teaching about expected development, but this is not the primary purpose of the tool.
l l l l l l l l l l l l l l l l
, REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l l l l l l l l l l
5. To plan early intervention and care for an infant with Down syndrome, the nurse considers
l l l l l l l l l l l l l l
knowledge of other physical development exemplars such as
l l l l l l l l
a. cerebral palsy. l
b. failure to thrive. l l
c. fetal alcohol syndrome.l l
d. hydrocephaly.
ANS: D l
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of adaptive
l l l l l l l l l l l l l
developmental delay. Failure to thrive is an exemplar of social/emotional developmental delay.
l l l l l l l l l l l l
Fetal alcohol syndrome is an exemplar of cognitive developmental delay.
l l l l l l l l l
REF: 9 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l l l l l l l l l l
6. To plan early intervention and care for a child with a developmental delay, the nurse would
l l l l l l l l l l l l l l l
consider knowledge of the concepts most significantly impacted by development, including
l l l l l l l l l l l
a. culture.
b. environment.
c. functional status. l
d. nutrition.
ANS: C l
Function is one of the concepts most significantly impacted by development. Others include sensory-
l l l l l l l l l l l l l
perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these concepts can help
l l l l l l l l l l l
the nurse anticipate areas that need to be addressed. Culture is a concept that is considered to
l l l l l l l l l l l l l l l l l
significantly affect development; the difference is the concepts that affect development are those that
l l l l l l l l l l l l l l
represent major influencing factors (causes), hence determination of development and would be the
l l l l l l l l l l l l l
focus of preventive interventions. Environment is considered to significantly affect development.
l l l l l l l l l l l
Nutrition is considered to significantly affect development.
l l l l l l l
REF: 1 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l l l l l l l l l l
