J J
Advanced Practice
Nursing : Essentials for
Role Developmen 4th J
Edition Joel Tes Bank J
, Advanced Practice Nursing: Essentials for Role Developmen 4th Edition Joel Tes Bank J J
Advanced Practice Nursing : Essentials for Role Developmen 4th Edition Joel J
Tes Bank J
Chapter 1 . Advanced Practice Nursing: Doing Wha Has to Be Done-Radicals, Renegades, and J
Rebels
MULTIPLE CHOICE
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the purpose of
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the HEADSS Adolescent Risk Profile when the new nurse responds that it is used to assess for needs
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related to J
a. anticipatory guidance. J
b. low-risk adolescents. J
c. physical development. J
d. sexual development. J
ANS: A J
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which assesses
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home, education, activities, drugs, sex, and suicide for the purpose of identifying high-risk
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adolescents and the need for anticipatory guidance. It is used to identify high-risk, not low-risk,
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adolescents. Physical development is assessed with anthropometric data. Sexual development is
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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 nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the
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expected stage of development for a preschooler is
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a. concrete operational. J
b. formal operational. J
c. preoperational.
d. sensorimotor.
ANS: C J
The expected stage of development for a preschooler (3 to 4 years old) is preoperational. Concrete
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operational describes the thinking of a school-age child (7 to 11 years old). Formal operational
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, Advanced Practice Nursing: Essentials for Role Developmen 4th Edition Joel Tes Bank J J
describes the thinking of an individual after about 11 years of age. Sensorimotor describes the earliest
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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 nurse talking with a high school class about the difference between growth and
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development would best describe growth as J J J J J
a. processes by which early cells specialize. J J J J J
b. psychosocial and cognitive changes. J J J
c. qualitative changes associated with aging. J J J J
d. quantitative changes in size or weight. J J J J J
ANS: D J
Growth is a quantitative change in which an increase in cell number and size results in an increase in
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overall size or weight of the body or any of its parts. The processes by which early cells specialize are
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referred to asdifferentiation. Psychosocial and cognitive changes are referred to as development.
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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 nurse 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. J J J J J
c. is a developmental screening tool.
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d. provides a framework for health teaching. J J J J J
ANS: C J
The Denver II is the most commonly used measure of developmental status used by health care
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professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis requires a
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thorough neurodevelopment history and physical examination. Developmental delay, which is
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suggested by screening, is a symptom, not a diagnosis. The need for any therapy would be identified
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with a comprehensive evaluation, not a screening tool. Some providers use the Denver II as a
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framework for teaching about expected development, but this is not the primary purpose of the tool.
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, Advanced Practice Nursing: Essentials for Role Developmen 4th Edition Joel Tes Bank J J
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 nurse considers
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knowledge of other physical development exemplars such as
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a. cerebral palsy. J
b. failure to thrive. J J
c. fetal alcohol syndrome. J J
d. hydrocephaly.
ANS: D J
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of adaptive
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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 nurse would
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consider knowledge of the concepts most significantly impacted by development, including
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a. culture.
b. environment.
c. functional status. J
d. nutrition.
ANS: C J
Function is one of the concepts most significantly impacted by development. Others include sensory-
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perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these concepts can help
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the nurse anticipate areas that need to be addressed. Culture is a concept that is considered to
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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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focus of preventive interventions. Environment is considered to significantly affect development.
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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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