Advanced Practice Nursing Essentials for Role Development, 4th Edition – Comprehensive Test Bank with Key Insights for 2025

ADVANCED PRACTICE NURSING ESSENTIALS FOR u u u u u




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Radicals, Renegades, andRebels u u u




1. Theunurseumanageruofuaupediatricuclinicucoulduconfirmuthatutheunewunurseurecognizedu

the purposeof the HEADSS Adolescent Risk Profile when the new nurse responds that
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u it is used to assess for needs related to
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a. anticipatoryuguidance.

b. low-riskuadolescents.

c. physicaludevelopment.

d. sexualudevelopment.



ANS: A u




The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool w
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hich assesseshome, education, activities, drugs, sex, and suicide for the purpose of ide
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ntifying high- u



risk adolescents and the need for anticipatory guidance. It is used to identify high-
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risk, not low- u u



risk, adolescents. Physical development is assessed with anthropometric data. Sexual
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,ADVANCED PRACTICE NURSING ESSENTIALS FOR u u u u u




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development is assessed using physical examination.
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REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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2. Theunurseupreparinguauteachinguplanuforuaupreschooleruknowsuthat,uaccordingutou

Piaget, theexpected stage of development for a preschooler is
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a. concreteuoperational.

b. formaluoperational.

c. preoperational.

d. sensorimotor.



ANS: C u




The expected stage of development for a preschooler (3 to 4 years old) is preoperation
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al. Concreteoperational describes the thinking of a school-
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age child (7 to 11 years old). Formal operational
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,Advanced Practice Nursing Essentials for Role Devel u u u u u u



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describes the thinking of an individual after about 11 years of age. Sensorimotor d
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escribes theearliest pattern of thinking from birth to 2 years old.
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REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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3. Theuschoolunurseutalkinguwithuauhighuschooluclassuaboututheudifferenceubetweenu

growth anddevelopment would best describe growth as
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a. processesubyuwhichuearlyucellsuspecialize.

b. psychosocialuanducognitiveuchanges.

c. qualitativeuchangesuassociateduwithuaging.

d. quantitativeuchangesuinusizeuoruweight.



ANS: D u




Growth is a quantitative change in which an increase in cell number and size results in
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an increasein overall size or weight of the body or any of its parts. The processes by w
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hich early cells specialize are referred to asdifferentiation. Psychosocial and cognitiv
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e changes are referred to as development. Qualitative changes associated with aging a
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re referred to as maturation.
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REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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4. TheumostuappropriateuresponseuofutheunurseuwhenuaumotheruasksuwhatutheuDenveruIIudoe

s is that it
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a. canudiagnoseudevelopmentaludisabilities.

, Advanced Practice Nursing Essentials for Role Devel
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b. identifiesuauneeduforuphysicalutherapy.

c. isuaudevelopmentaluscreeningutool.

d. providesuauframeworkuforuhealthuteaching.



ANS: C u




The Denver II is the most commonly used measure of developmental status used by hea
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lth care professionals; it is a screening tool. Screening tools do not provide a diagnosis.
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Diagnosis requires athorough neurodevelopment history and physical examination. De
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velopmental delay, which is suggested by screening, is a symptom, not a diagnosis. Th
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e need for any therapy would be identified with a comprehensive evaluation, not a scre
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ening tool. Some providers use the Denver II as a framework for teaching about expect
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ed development, but this is not the primary purpose of thetool.
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