l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 FULL TEST BANK
l1 l1
Advanced Practice Nursing: Essentials for Role Development 5TH Edition Joel
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
,l1 l1 l1 l1 l1 l1 l1 l1 l1 Chapter 1: Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades, and Rebels
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
MULTIPLE CHOICE l1
1. The RN manager of a pediatric clinic could confirm that the new RN recognized the purpose of
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 the HEADSS Adolescent Risk Profile when the new RN responds that it is used to assess for
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 needs related to l1 l1
a. anticipatory guidance. l1
b. low-risk adolescents. l1
c. physical development. l1
d. sexual development. l1
CORRECT ANS: A l1 l1
Feedback: The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
assesses home, education, activities, drugs, sex, and suicide for the purpose of identifying high-risk
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 adolescents and the need for anticipatory guidance. It is used to identify high-risk, not low-risk,
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 adolescents. Physical development is assessed with anthropometric data. Sexual development is
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 assessed using physical examination.
l1 l1 l1
REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
2. The RN preparing a teaching plan for a preschooler knows that, according to Piaget, the
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 expected stage of development for a preschooler is
l1 l1 l1 l1 l1 l1 l1
a. concrete operational. l1
b. formal operational. l1
c. preoperational.
d. sensorimotor.
CORRECT ANS: C l1 l1
Feedback: The expected stage of development for a preschooler (3 to 4 years old) is preoperational.
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
Concrete operational describes the thinking of a school-age child (7 to 11 years old). Formal
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
,describes the thinking of an individual after about 11 years of age. Sensorimotor describes the
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 earliest pattern of thinking from birth to 2 years old.
l1 l1 l1 l1 l1 l1 l1 l1 l1
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
3. The school RN talking with a high school class about the difference between growth and
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 development would best describe growth as l1 l1 l1 l1 l1
a. processes by which early cells specialize. l1 l1 l1 l1 l1
b. psychosocial and cognitive changes. l1 l1 l1
c. qualitative changes associated with aging. l1 l1 l1 l1
d. quantitative changes in size or weight. l1 l1 l1 l1 l1
CORRECT ANS: D l1 l1
Feedback: Growth is a quantitative change in which an increase in cell number and size results in
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
an increase in overall size or weight of the body or any of its parts. The processes by which early
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 cells specialize are referred to asdifferentiation. Psychosocial and cognitive changes are referred
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 to as development. Qualitative changes associated with aging are referred to as maturation.
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
4. The most appropriate response of the RN when a mother asks what the Denver II does is that it
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
a. can diagnose developmental disabilities.
l1 l1 l1
b. identifies a need for physical therapy. l1 l1 l1 l1 l1
c. is a developmental screening tool.
l1 l1 l1 l1
d. provides a framework for health teaching. l1 l1 l1 l1 l1
CORRECT ANS: C l1 l1
Feedback: The Denver II is the most commonly used measure of developmental status used by
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 health care professionals; it is a screening tool. Screening tools do not provide a diagnosis.
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
Diagnosis requires a thorough neurodevelopment history and physical examination.
l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. The need
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 for any therapy would be identified with a comprehensive evaluation, not a screening tool. Some
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 providers use the Denver II as a framework for teaching about expected development, but this is
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 not the primary purpose of the tool.
l1 l1 l1 l1 l1 l1
, REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
5. To plan early intervention and care for an infant with Down syndrome, the RN considers
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 knowledge of other physical development exemplars such as
l1 l1 l1 l1 l1 l1 l1
a. cerebral palsy. l1
b. failure to thrive. l1 l1
c. fetal alcohol syndrome.
l1 l1
d. hydrocephaly.
CORRECT ANS: D l1 l1
Feedback: Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
adaptive developmental delay. Failure to thrive is an exemplar of social/emotional developmental
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 delay.
Fetal alcohol syndrome is an exemplar of cognitive developmental delay.
l1 l1 l1 l1 l1 l1 l1 l1 l1
REF: 9 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
6. To plan early intervention and care for a child with a developmental delay, the RN would
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 consider knowledge of the concepts most significantly impacted by development, including
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
a. culture.
b. environment.
c. functional status. l1
d. nutrition.
CORRECT ANS: C l1 l1
Feedback: Function is one of the concepts most significantly impacted by development. Others
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 include sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 concepts can help the RN anticipate areas that need to be addressed. Culture is a concept that is
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 considered to significantly affect development; the difference is the concepts that affect
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 development are those that represent major influencing factors (causes), hence determination of
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
development and would be the focus of preventive interventions. Environment is considered to
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 significantly affect development. Nutrition is considered to significantly affect development.
l1 l1 l1 l1 l1 l1 l1 l1 l1
REF: 1 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 l1
Advanced Practice Nursing: Essentials for Role Development 5TH Edition Joel
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
,l1 l1 l1 l1 l1 l1 l1 l1 l1 Chapter 1: Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades, and Rebels
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
MULTIPLE CHOICE l1
1. The RN manager of a pediatric clinic could confirm that the new RN recognized the purpose of
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 the HEADSS Adolescent Risk Profile when the new RN responds that it is used to assess for
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 needs related to l1 l1
a. anticipatory guidance. l1
b. low-risk adolescents. l1
c. physical development. l1
d. sexual development. l1
CORRECT ANS: A l1 l1
Feedback: The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
assesses home, education, activities, drugs, sex, and suicide for the purpose of identifying high-risk
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 adolescents and the need for anticipatory guidance. It is used to identify high-risk, not low-risk,
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 adolescents. Physical development is assessed with anthropometric data. Sexual development is
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 assessed using physical examination.
l1 l1 l1
REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
2. The RN preparing a teaching plan for a preschooler knows that, according to Piaget, the
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 expected stage of development for a preschooler is
l1 l1 l1 l1 l1 l1 l1
a. concrete operational. l1
b. formal operational. l1
c. preoperational.
d. sensorimotor.
CORRECT ANS: C l1 l1
Feedback: The expected stage of development for a preschooler (3 to 4 years old) is preoperational.
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
Concrete operational describes the thinking of a school-age child (7 to 11 years old). Formal
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
,describes the thinking of an individual after about 11 years of age. Sensorimotor describes the
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 earliest pattern of thinking from birth to 2 years old.
l1 l1 l1 l1 l1 l1 l1 l1 l1
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
3. The school RN talking with a high school class about the difference between growth and
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 development would best describe growth as l1 l1 l1 l1 l1
a. processes by which early cells specialize. l1 l1 l1 l1 l1
b. psychosocial and cognitive changes. l1 l1 l1
c. qualitative changes associated with aging. l1 l1 l1 l1
d. quantitative changes in size or weight. l1 l1 l1 l1 l1
CORRECT ANS: D l1 l1
Feedback: Growth is a quantitative change in which an increase in cell number and size results in
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
an increase in overall size or weight of the body or any of its parts. The processes by which early
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 cells specialize are referred to asdifferentiation. Psychosocial and cognitive changes are referred
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 to as development. Qualitative changes associated with aging are referred to as maturation.
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
4. The most appropriate response of the RN when a mother asks what the Denver II does is that it
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
a. can diagnose developmental disabilities.
l1 l1 l1
b. identifies a need for physical therapy. l1 l1 l1 l1 l1
c. is a developmental screening tool.
l1 l1 l1 l1
d. provides a framework for health teaching. l1 l1 l1 l1 l1
CORRECT ANS: C l1 l1
Feedback: The Denver II is the most commonly used measure of developmental status used by
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 health care professionals; it is a screening tool. Screening tools do not provide a diagnosis.
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
Diagnosis requires a thorough neurodevelopment history and physical examination.
l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. The need
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 for any therapy would be identified with a comprehensive evaluation, not a screening tool. Some
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 providers use the Denver II as a framework for teaching about expected development, but this is
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 not the primary purpose of the tool.
l1 l1 l1 l1 l1 l1
, REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
5. To plan early intervention and care for an infant with Down syndrome, the RN considers
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 knowledge of other physical development exemplars such as
l1 l1 l1 l1 l1 l1 l1
a. cerebral palsy. l1
b. failure to thrive. l1 l1
c. fetal alcohol syndrome.
l1 l1
d. hydrocephaly.
CORRECT ANS: D l1 l1
Feedback: Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
adaptive developmental delay. Failure to thrive is an exemplar of social/emotional developmental
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 delay.
Fetal alcohol syndrome is an exemplar of cognitive developmental delay.
l1 l1 l1 l1 l1 l1 l1 l1 l1
REF: 9 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
6. To plan early intervention and care for a child with a developmental delay, the RN would
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 consider knowledge of the concepts most significantly impacted by development, including
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
a. culture.
b. environment.
c. functional status. l1
d. nutrition.
CORRECT ANS: C l1 l1
Feedback: Function is one of the concepts most significantly impacted by development. Others
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 include sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 concepts can help the RN anticipate areas that need to be addressed. Culture is a concept that is
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 considered to significantly affect development; the difference is the concepts that affect
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 development are those that represent major influencing factors (causes), hence determination of
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
development and would be the focus of preventive interventions. Environment is considered to
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
l1 significantly affect development. Nutrition is considered to significantly affect development.
l1 l1 l1 l1 l1 l1 l1 l1 l1
REF: 1 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
l1 l1 l1 l1 l1 l1 l1 l1 l1 l1
