TEST BANK
,Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades,
andRebels
1. The nurse manager of a pediatric clinic could confirm that the new nurse
recognized the purposeof the HEADSS Adolescent Risk Profile when the new nurse
responds that it is used to assess for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
ANS: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool
which assesseshome, education, activities, drugs, sex, and suicide for the purpose
of identifying high-risk adolescents and the need for anticipatory guidance. It is
used to identify high-risk, not low-risk, adolescents. Physical development is
assessed with anthropometric data. Sexual development is assessed using physical
examination.
REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
2. The nurse preparing a teaching plan for a preschooler knows that, according
to Piaget, theexpected stage of development for a preschooler is
a. concrete operational.
,b. formal operational.
c. preoperational.
d. sensorimotor.
ANS: C
The expected stage of development for a preschooler (3 to 4 years old) is
preoperational. Concreteoperational describes the thinking of a school-age child (7
to 11 years old). Formal operational
describes the thinking of an individual after about 11 years of age. Sensorimotor
describes theearliest pattern of thinking from birth to 2 years old.
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
3. The school nurse talking with a high school class about the difference
between growth anddevelopment would best describe growth as
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight.
ANS: D
Growthciscacquantitativecchangecincwhichcancincreasecinccellcnumbercandcsizecresultsci
ncancincreaseincoverallcsizecorcweightcofcthecbodycorcanycofcitscparts.cThecprocessescb
ycwhichcearlyccellscspecializecarecreferredctocasdifferentiation.cPsychosocialcandccog
nitivecchangescarecreferredctocascdevelopment.cQualitativecchangescassociatedcwithca
, gingcarecreferredctocascmaturation.
REF:c2cOBJ:cNCLEXcClientcNeedscCategory:cHealthcPromotioncandcMaintenance
4. ThecmostcappropriatecresponsecofcthecnursecwhencacmothercaskscwhatcthecDenvercII
c doesciscthatcit
a. cancdiagnosecdevelopmentalcdisabilities.
b. identifiescacneedcforcphysicalctherapy.
c. iscacdevelopmentalcscreeningctool.
d. providescacframeworkcforchealthcteaching.
ANS:cC
ThecDenvercIIciscthecmostccommonlycusedcmeasurecofcdevelopmentalcstatuscusedcbyc
healthccarecprofessionals;citciscacscreeningctool.cScreeningctoolscdocnotcprovidecacdia
gnosis.cDiagnosiscrequirescathoroughcneurodevelopmentchistorycandcphysicalcexami
nation.cDevelopmentalcdelay,cwhichciscsuggestedcbycscreening,ciscacsymptom,cnotcac
diagnosis.cThecneedcforcanyctherapycwouldcbecidentifiedcwithcaccomprehensivecevalu
ation,cnotcacscreeningctool.cSomecproviderscusecthecDenvercIIcascacframeworkcforctea
chingcaboutcexpectedcdevelopment,cbutcthisciscnotcthecprimarycpurposecofcthectool.
REF:c4cOBJ:cNCLEXcClientcNeedscCategory:cHealthcPromotioncandcMaintenance
5. TocplancearlycinterventioncandccarecforcancinfantcwithcDowncsyndrome,cthe
c nursecconsidersknowledgecofcothercphysicalcdevelopmentcexemplarscsuchca
s
a. cerebralcpalsy.
,Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades,
andRebels
1. The nurse manager of a pediatric clinic could confirm that the new nurse
recognized the purposeof the HEADSS Adolescent Risk Profile when the new nurse
responds that it is used to assess for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
ANS: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool
which assesseshome, education, activities, drugs, sex, and suicide for the purpose
of identifying high-risk adolescents and the need for anticipatory guidance. It is
used to identify high-risk, not low-risk, adolescents. Physical development is
assessed with anthropometric data. Sexual development is assessed using physical
examination.
REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
2. The nurse preparing a teaching plan for a preschooler knows that, according
to Piaget, theexpected stage of development for a preschooler is
a. concrete operational.
,b. formal operational.
c. preoperational.
d. sensorimotor.
ANS: C
The expected stage of development for a preschooler (3 to 4 years old) is
preoperational. Concreteoperational describes the thinking of a school-age child (7
to 11 years old). Formal operational
describes the thinking of an individual after about 11 years of age. Sensorimotor
describes theearliest pattern of thinking from birth to 2 years old.
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
3. The school nurse talking with a high school class about the difference
between growth anddevelopment would best describe growth as
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight.
ANS: D
Growthciscacquantitativecchangecincwhichcancincreasecinccellcnumbercandcsizecresultsci
ncancincreaseincoverallcsizecorcweightcofcthecbodycorcanycofcitscparts.cThecprocessescb
ycwhichcearlyccellscspecializecarecreferredctocasdifferentiation.cPsychosocialcandccog
nitivecchangescarecreferredctocascdevelopment.cQualitativecchangescassociatedcwithca
, gingcarecreferredctocascmaturation.
REF:c2cOBJ:cNCLEXcClientcNeedscCategory:cHealthcPromotioncandcMaintenance
4. ThecmostcappropriatecresponsecofcthecnursecwhencacmothercaskscwhatcthecDenvercII
c doesciscthatcit
a. cancdiagnosecdevelopmentalcdisabilities.
b. identifiescacneedcforcphysicalctherapy.
c. iscacdevelopmentalcscreeningctool.
d. providescacframeworkcforchealthcteaching.
ANS:cC
ThecDenvercIIciscthecmostccommonlycusedcmeasurecofcdevelopmentalcstatuscusedcbyc
healthccarecprofessionals;citciscacscreeningctool.cScreeningctoolscdocnotcprovidecacdia
gnosis.cDiagnosiscrequirescathoroughcneurodevelopmentchistorycandcphysicalcexami
nation.cDevelopmentalcdelay,cwhichciscsuggestedcbycscreening,ciscacsymptom,cnotcac
diagnosis.cThecneedcforcanyctherapycwouldcbecidentifiedcwithcaccomprehensivecevalu
ation,cnotcacscreeningctool.cSomecproviderscusecthecDenvercIIcascacframeworkcforctea
chingcaboutcexpectedcdevelopment,cbutcthisciscnotcthecprimarycpurposecofcthectool.
REF:c4cOBJ:cNCLEXcClientcNeedscCategory:cHealthcPromotioncandcMaintenance
5. TocplancearlycinterventioncandccarecforcancinfantcwithcDowncsyndrome,cthe
c nursecconsidersknowledgecofcothercphysicalcdevelopmentcexemplarscsuchca
s
a. cerebralcpalsy.
