Advanced Practice Nursing: Essentials for Role Development 6TH Edition Joel

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Advanced Practice Nursing: Essentials for Role Development 6TH Edition Joel cv cv cv cv cv cv cv cv cv cv

,cv cv cv cv cv cv cv cv cv Chapter 1: Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades, and Rebels
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MULTIPLE CHOICE cv




1. The RN manager of a pediatric clinic could confirm that the new RN recognized the purpose of the
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cv HEADSS Adolescent Risk Profile when the new RN responds that it is used to assess for needs
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cv related to cv




a. anticipatory guidance. cv




b. low-risk adolescents. cv




c. physical development. cv




d. sexual development. cv




CORRECT ANS: A cv cv




Feedback: The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
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assesses home, education, activities, drugs, sex, and suicide for the purpose of identifying high-risk
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cv adolescents and the need for anticipatory guidance. It is used to identify high-risk, not low-risk,
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cv adolescents. Physical development is assessed with anthropometric data. Sexual development is
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cv assessed using physical examination.
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REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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2. The RN preparing a teaching plan for a preschooler knows that, according to Piaget, the
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cv expected stage of development for a preschooler is
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a. concrete operational. cv




b. formal operational. cv




c. preoperational.
d. sensorimotor.


CORRECT ANS: C cv cv




Feedback: The expected stage of development for a preschooler (3 to 4 years old) is preoperational.
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Concrete operational describes the thinking of a school-age child (7 to 11 years old). Formal
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,describes the thinking of an individual after about 11 years of age. Sensorimotor describes the earliest
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cv 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. The school RN talking with a high school class about the difference between growth and
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cv development would best describe growth as cv cv cv cv cv




a. processes by which early cells specialize. cv cv cv cv cv




b. psychosocial and cognitive changes. cv cv cv




c. qualitative changes associated with aging. cv cv cv cv




d. quantitative changes in size or weight. cv cv cv cv cv




CORRECT ANS: D cv cv




Feedback: Growth is a quantitative change in which an increase in cell number and size results in an
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increase in overall size or weight of the body or any of its parts. The processes by which early cells
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cv specialize are referred to asdifferentiation. Psychosocial and cognitive changes are referred to as
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cv development. Qualitative changes associated with aging are referred to as maturation.
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REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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4. The most appropriate response of the RN when a mother asks what the Denver II does is that it
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a. can diagnose developmental disabilities.
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b. identifies a need for physical therapy. cv cv cv cv cv




c. is a developmental screening tool.
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d. provides a framework for health teaching. cv cv cv cv cv




CORRECT ANS: C cv cv




Feedback: The Denver II is the most commonly used measure of developmental status used by
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cv health care professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis
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requires a thorough neurodevelopment history and physical examination. Developmental delay,
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cv which is suggested by screening, is a symptom, not a diagnosis. The need for any therapy would be
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cv identified with a comprehensive evaluation, not a screening tool. Some providers use the Denver II
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cv as a framework for teaching about expected development, but this is not the primary purpose of the
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cv tool.

, REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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5. To plan early intervention and care for an infant with Down syndrome, the RN considers
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cv knowledge of other physical development exemplars such as
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a. cerebral palsy. cv




b. failure to thrive. cv cv




c. fetal alcohol syndrome.
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d. hydrocephaly.


CORRECT ANS: D cv cv




Feedback: Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
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adaptive developmental delay. Failure to thrive is an exemplar of social/emotional developmental
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cv delay.
Fetal alcohol syndrome is an exemplar of cognitive developmental delay.
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REF: 9 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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6. To plan early intervention and care for a child with a developmental delay, the RN would
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cv consider knowledge of the concepts most significantly impacted by development, including
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a. culture.
b. environment.
c. functional status. cv




d. nutrition.


CORRECT ANS: C cv cv




Feedback: Function is one of the concepts most significantly impacted by development. Others
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cv include sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
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cv concepts can help the RN anticipate areas that need to be addressed. Culture is a concept that is
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cv considered to significantly affect development; the difference is the concepts that affect
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cv development are those that represent major influencing factors (causes), hence determination of
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development and would be the focus of preventive interventions. Environment is considered to
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cv significantly affect development. Nutrition is considered to significantly affect development.
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REF: 1 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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