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,AdvancedPracticeNursing: Doing What Hasto BeDone-Radicals, Renegades,
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s andRebels
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized
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the purposeof the HEADSS Adolescent Risk Profile when the new nurse responds that it
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s is used to assess for needs related to
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a. anticipatoryguidance. s
b. low-riskadolescents. s
c. physicaldevelopment. s
d. sexualdevelopment. s
ANS: A s
TheHEADSSAdolescent Risk Profile isapsychosocialassessment screening tool
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s which assesseshome, education, activities, drugs, sex, and suicide for the purpose of
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s identifying high-risk adolescents and the need for anticipatory guidance. It is used to
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s identify high-risk, not low-risk, adolescents. Physical development is assessed with
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anthropometric data. Sexual development is assessed using physical examination.
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REF:6OBJ: NCLEXClient NeedsCategory: HealthPromotionand Maintenance
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2. The nurse preparing a teaching plan for a preschooler knows that,according to
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s Piaget, theexpected stage of development for a preschooler is
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, a. concrete operational.
s
b. formaloperational.
s
c. preoperational.
d. sensorimotor.
ANS: C s
The expected stage of development for a preschooler (3 to 4 years old) is preoperational.
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Concreteoperationaldescribes the thinking ofaschool-age child (7 to 11 years old).
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s Formal operational
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, describes the thinkingofan individualafter about 11 years ofage. Sensorimotor describes
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s theearliest pattern of thinking from birth to 2 years old. s s s s s s s s s
REF:5OBJ: NCLEXClient NeedsCategory: HealthPromotionand Maintenance
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3. The schoolnurse talking witha highschoolclass about the difference
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s between growth anddevelopment would best describe growth as
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a. processes bywhich earlycells specialize. s s s s s
b. psychosocialandcognitivechanges. s s s
c. qualitativechangesassociatedwithaging. s s s s
d. quantitativechanges insize or weight. s s s s s
ANS: D s
Growthis aquantitative change inwhichan increase incell number and size results in an
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increasein overall size or weight of the body or any of its parts. The processes by which
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s early cells specialize are referred to asdifferentiation. Psychosocial and cognitive
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s changes are referred to as development. Qualitative changes associated with aging are
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s referred to as maturation. s s s
REF:2OBJ: NCLEXClient NeedsCategory: HealthPromotionand Maintenance
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4. The most appropriate response ofthe nursewhen a mother askswhat the Denver II does
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s is that it
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a. candiagnosedevelopmentaldisabilities.
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