Test Bank for Advanced Practice Nursing:
̦̣ Essentials for Role Development
5th Edition by Lucille
̦̣ A. Joel (Chapters 1–30 Complete)
,Chapter 1 . Advanced Practice Nursing:
̦̣ Doing What Has to Be Done-Radicals, Renegades, and
Rebels
MULTIPLE CHOICE
1.The nurse
̦̣ manager of a pediatric clinic could
̦̣ confirm that the new nurse
̦̣ recognized the purpose
̦̣
of 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 assesses
home, 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, the
expected 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. Concrete
operational describes the thinking of a school-age child (7 to 11 years old). Formal operational
, Advanced Practice Nursing
̦̣ : Essentials for Role Development 5th Edition Joel
Test Bank
describes the thinking of an individual
̦̣ after abouț̣ 11 years of age. Sensorimotor describes the
earliest 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 abouț̣ the difference between growth and
development 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
Growth is a quantitative
̦̣ change in which an increase in cell number
̦̣ and size results
̦̣ in an increase
in overall size or weight of the body or any of its parts. The processes by which early cells
specialize are referred to asdifferentiation. Psychosocial and cognitive changes are referred to as
development. Qualitative
̦̣ changes associated with aging are referred to as maturation.
̦̣
REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
4.The most appropriate response of the nurse
̦̣ when a mother asks what the Denver II does is that it
a.can diagnose developmental disabilities.
b.identifies a need for physical therapy.
c.is a developmental screening tool.
d.provides a framework for health teaching.
ANS: C
The Denver II is the most commonly used
̦̣ measure
̦̣ of developmental statuș̣ used
̦̣ by health care
professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis requires
̦̣ a
thorough
̦̣ neurodevelopment
̦̣ history and physical examination. Developmental delay, which is
suggested
̦̣ by screening, is a symptom, not a diagnosis. The need for any therapy would
̦̣ be
identified with a comprehensive evaluation,
̦̣ not a screening tool. Some providers use
̦̣ the Denver II
as a framework for teaching abouț̣ expected development, buț̣ this is not the primary purpose
̦̣ of the
tool.
, Advanced Practice Nursing
̦̣ : Essentials for Role Development 5th Edition Joel
Test Bank
REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
5.To plan early intervention and care for an infant with Down syndrome, the nurse
̦̣ considers
knowledge of other physical development exemplars such
̦̣ as
a.cerebral palsy.
b.failure
̦̣ to thrive.
c.fetal alcohol syndrome.
d.hydrocephaly.
ANS: D
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of adaptive
developmental delay. Failure
̦̣ to thrive is an exemplar of social/emotional developmental delay.
Fetal alcohol syndrome is an exemplar of cognitive developmental delay.
REF: 9 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
6.To plan early intervention and care for a child with a developmental delay, the nurse
̦̣ would
̦̣
consider knowledge of the concepts most significantly impacted by development, including
̦̣
a.cultu
̦̣ re.
̦̣
b.environment.
c.functional
̦̣ status.̦̣
d.nutrition.
̦̣
ANS: C
Function
̦̣ is one of the concepts most significantly impacted by development. Others include
̦̣
sensory-perceptual,
̦̣ cognition, mobility, reproduction,
̦̣ and sexuality.
̦̣ Knowledge of these concepts
can help the nurse
̦̣ anticipate areas that need to be addressed. Cultu
̦̣ re
̦̣ is a concept that is considered
to significantly affect development; the difference is the concepts that affect development are those
that represent major influencing
̦̣ factors (causes),
̦̣ hence determination of development and would
̦̣ be
the focuș̣ of preventive interventions. Environment is considered to significantly affect
development. Nutrition
̦̣ is considered to significantly affect development.
REF: 1 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
̦̣ Essentials for Role Development
5th Edition by Lucille
̦̣ A. Joel (Chapters 1–30 Complete)
,Chapter 1 . Advanced Practice Nursing:
̦̣ Doing What Has to Be Done-Radicals, Renegades, and
Rebels
MULTIPLE CHOICE
1.The nurse
̦̣ manager of a pediatric clinic could
̦̣ confirm that the new nurse
̦̣ recognized the purpose
̦̣
of 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 assesses
home, 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, the
expected 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. Concrete
operational describes the thinking of a school-age child (7 to 11 years old). Formal operational
, Advanced Practice Nursing
̦̣ : Essentials for Role Development 5th Edition Joel
Test Bank
describes the thinking of an individual
̦̣ after abouț̣ 11 years of age. Sensorimotor describes the
earliest 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 abouț̣ the difference between growth and
development 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
Growth is a quantitative
̦̣ change in which an increase in cell number
̦̣ and size results
̦̣ in an increase
in overall size or weight of the body or any of its parts. The processes by which early cells
specialize are referred to asdifferentiation. Psychosocial and cognitive changes are referred to as
development. Qualitative
̦̣ changes associated with aging are referred to as maturation.
̦̣
REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
4.The most appropriate response of the nurse
̦̣ when a mother asks what the Denver II does is that it
a.can diagnose developmental disabilities.
b.identifies a need for physical therapy.
c.is a developmental screening tool.
d.provides a framework for health teaching.
ANS: C
The Denver II is the most commonly used
̦̣ measure
̦̣ of developmental statuș̣ used
̦̣ by health care
professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis requires
̦̣ a
thorough
̦̣ neurodevelopment
̦̣ history and physical examination. Developmental delay, which is
suggested
̦̣ by screening, is a symptom, not a diagnosis. The need for any therapy would
̦̣ be
identified with a comprehensive evaluation,
̦̣ not a screening tool. Some providers use
̦̣ the Denver II
as a framework for teaching abouț̣ expected development, buț̣ this is not the primary purpose
̦̣ of the
tool.
, Advanced Practice Nursing
̦̣ : Essentials for Role Development 5th Edition Joel
Test Bank
REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
5.To plan early intervention and care for an infant with Down syndrome, the nurse
̦̣ considers
knowledge of other physical development exemplars such
̦̣ as
a.cerebral palsy.
b.failure
̦̣ to thrive.
c.fetal alcohol syndrome.
d.hydrocephaly.
ANS: D
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of adaptive
developmental delay. Failure
̦̣ to thrive is an exemplar of social/emotional developmental delay.
Fetal alcohol syndrome is an exemplar of cognitive developmental delay.
REF: 9 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
6.To plan early intervention and care for a child with a developmental delay, the nurse
̦̣ would
̦̣
consider knowledge of the concepts most significantly impacted by development, including
̦̣
a.cultu
̦̣ re.
̦̣
b.environment.
c.functional
̦̣ status.̦̣
d.nutrition.
̦̣
ANS: C
Function
̦̣ is one of the concepts most significantly impacted by development. Others include
̦̣
sensory-perceptual,
̦̣ cognition, mobility, reproduction,
̦̣ and sexuality.
̦̣ Knowledge of these concepts
can help the nurse
̦̣ anticipate areas that need to be addressed. Cultu
̦̣ re
̦̣ is a concept that is considered
to significantly affect development; the difference is the concepts that affect development are those
that represent major influencing
̦̣ factors (causes),
̦̣ hence determination of development and would
̦̣ be
the focuș̣ of preventive interventions. Environment is considered to significantly affect
development. Nutrition
̦̣ is considered to significantly affect development.
REF: 1 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
