e
,Advanced Practice Nursing: Doing What Hasto BeDone-Radicals, Renegades,
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e 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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e is used to assess for needs related to
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a. anticipatoryguidance. e
b. low-riskadolescents. e
c. physicaldevelopment. e
d. sexualdevelopment. e
ANS: A e
TheHEADSS Adolescent Risk Profile isapsychosocialassessment screening tool
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e which assesseshome, education, activities, drugs, sex, and suicide for the purpose of
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e identifying high-risk adolescents and the need for anticipatory guidance. It is used to
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e 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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e Piaget, theexpected stage of development for a preschooler is
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, a. concrete operational.
e
b. formaloperational.
e
c. preoperational.
d. sensorimotor.
ANS: C e
The expected stage of development for a preschooler (3 to 4 years old) is preoperational.
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Concreteoperationaldescribes the thinking ofa school-age child (7 to 11 years old).
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e Formal operational
e
, describes the thinkingofan individualafter about 11 years ofage. Sensorimotor describes
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e theearliest pattern of thinking from birth to 2 years old. e e e e e e e e e
REF:5OBJ: NCLEXClient NeedsCategory: HealthPromotionand Maintenance
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3. The schoolnurse talking with a highschool class about the difference
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e between growth anddevelopment would best describe growth as
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a. processes bywhich earlycells specialize. e e e e e
b. psychosocialandcognitivechanges. e e e
c. qualitativechangesassociated withaging. e e e e
d. quantitativechanges insize or weight. e e e e e
ANS: D e
Growthis aquantitative change inwhich an increase in cell 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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e early cells specialize are referred to asdifferentiation. Psychosocial and cognitive
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e changes are referred to as development. Qualitative changes associated with aging are
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e referred to as maturation. e e e
REF:2OBJ: NCLEXClient NeedsCategory: HealthPromotionand Maintenance
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4. The most appropriate response ofthe nurse when a mother asks what the Denver II does
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e is that it
e e
a. candiagnosedevelopmentaldisabilities.
e e e