Test Bank for Advanced Practice Nursing: Essentials for Role Development. 5th Edition. By Lucille A. Joel. 2025||All Chapters Covered|| Latest Edition|| ISBN-

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Advanced Practice Nursing: Essentials for Role Development 5TH Edition Joel
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, Chapter 1: Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades, and Rebels
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MULTIPLE CHOICE h




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

a. anticipatory guidance. h




b. low-risk adolescents. h




c. physical development. h




d. sexual development. h




CORRECT ANS: A h h




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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h adolescents and the need for anticipatory guidance. It is used to identify high-risk, not low-risk,
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h adolescents. Physical development is assessed with anthropometric data. Sexual development is
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h 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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h expected stage of development for a preschooler is
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a. concrete operational. h




b. formal operational. h




c. preoperational.
d. sensorimotor.


CORRECT ANS: C h h




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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h 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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h development would best describe growth as h h h h h




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




b. psychosocial and cognitive changes. h h h




c. qualitative changes associated with aging. h h h h




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




CORRECT ANS: D h h




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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h specialize are referred to asdifferentiation. Psychosocial and cognitive changes are referred to as
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h 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. h h h h h




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




CORRECT ANS: C h h




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




b. failure to thrive. h h




c. fetal alcohol syndrome. h h




d. hydrocephaly.


CORRECT ANS: D h h




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 delay.
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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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h consider knowledge of the concepts most significantly impacted by development, including
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a. culture.
b. environment.
c. functional status. h




d. nutrition.


CORRECT ANS: C h h




Feedback: Function is one of the concepts most significantly impacted by development. Others include
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h sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these concepts can h h h h h h h h h h




h help the RN anticipate areas that need to be addressed. Culture is a concept that is considered to
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h significantly affect development; the difference is the concepts that affect development are those that
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represent major influencing factors (causes), hence determination of development and would be the
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h focus of preventive interventions. Environment is considered to significantly affect development.
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h 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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