n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 FULL TEST BANK
n1 n1
Advanced Practice Nursing: Essentials for Role Development 5TH Edition Joel
n1
n1 n1 n1 n1 n1 n1 n1 n1 n1
, Chapter 1: Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades, and
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 Rebels
MULTIPLE CHOICE n1
1. The RN manager of a pediatric clinic could confirm that the new RN recognized the purpose of
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 the HEADSS Adolescent Risk Profile when the new RN responds that it is used to assess for
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 needs related to n1 n1
a. anticipatory guidance. n1
b. low-risk adolescents. n1
c. physical development. n1
d. sexual development. n1
CORRECT ANS: A n1 n1
Feedback: The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
assesses home, education, activities, drugs, sex, and suicide for the purpose of identifying high-
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
risk adolescents and the need for anticipatory guidance. It is used to identify high-risk, not low-
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
risk, adolescents. Physical development is assessed with anthropometric data. Sexual development
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 is assessed using physical examination.
n1 n1 n1 n1
REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
2. The RN preparing a teaching plan for a preschooler knows that, according to Piaget, the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 expected stage of development for a preschooler is
n1 n1 n1 n1 n1 n1 n1
a. concrete operational. n1
b. formal operational. n1
c. preoperational.
d. sensorimotor.
CORRECT ANS: C n1 n1
Feedback: The expected stage of development for a preschooler (3 to 4 years old) is preoperational.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Concrete operational describes the thinking of a school-age child (7 to 11 years old). Formal
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
,describes the thinking of an individual after about 11 years of age. Sensorimotor describes the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 earliest pattern of thinking from birth to 2 years old.
n1 n1 n1 n1 n1 n1 n1 n1 n1
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
3. The school RN talking with a high school class about the difference between growth and
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 development would best describe growth as n1 n1 n1 n1 n1
a. processes by which early cells specialize. n1 n1 n1 n1 n1
b. psychosocial and cognitive changes. n1 n1 n1
c. qualitative changes associated with aging. n1 n1 n1 n1
d. quantitative changes in size or weight. n1 n1 n1 n1 n1
CORRECT ANS: D n1 n1
Feedback: Growth is a quantitative change in which an increase in cell number and size results in
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
an increase in overall size or weight of the body or any of its parts. The processes by which
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 early cells specialize are referred to asdifferentiation. Psychosocial and cognitive changes are
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 referred to as development. Qualitative changes associated with aging are referred to as
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 maturation.
REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
4. The most appropriate response of the RN when a mother asks what the Denver II does is that it
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
a. can diagnose developmental disabilities.
n1 n1 n1
b. identifies a need for physical therapy. n1 n1 n1 n1 n1
c. is a developmental screening tool.
n1 n1 n1 n1
d. provides a framework for health teaching. n1 n1 n1 n1 n1
CORRECT ANS: C n1 n1
Feedback: The Denver II is the most commonly used measure of developmental status used by
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 health care professionals; it is a screening tool. Screening tools do not provide a diagnosis.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Diagnosis requires a thorough neurodevelopment history and physical examination.
n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. The need
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 for any therapy would be identified with a comprehensive evaluation, not a screening tool. Some
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 providers use the Denver II as a framework for teaching about expected development, but this is
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
, not the primary purpose of the tool.
n1 n1 n1 n1 n1 n1 n1
n1 n1
Advanced Practice Nursing: Essentials for Role Development 5TH Edition Joel
n1
n1 n1 n1 n1 n1 n1 n1 n1 n1
, Chapter 1: Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades, and
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 Rebels
MULTIPLE CHOICE n1
1. The RN manager of a pediatric clinic could confirm that the new RN recognized the purpose of
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 the HEADSS Adolescent Risk Profile when the new RN responds that it is used to assess for
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 needs related to n1 n1
a. anticipatory guidance. n1
b. low-risk adolescents. n1
c. physical development. n1
d. sexual development. n1
CORRECT ANS: A n1 n1
Feedback: The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
assesses home, education, activities, drugs, sex, and suicide for the purpose of identifying high-
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
risk adolescents and the need for anticipatory guidance. It is used to identify high-risk, not low-
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
risk, adolescents. Physical development is assessed with anthropometric data. Sexual development
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 is assessed using physical examination.
n1 n1 n1 n1
REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
2. The RN preparing a teaching plan for a preschooler knows that, according to Piaget, the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 expected stage of development for a preschooler is
n1 n1 n1 n1 n1 n1 n1
a. concrete operational. n1
b. formal operational. n1
c. preoperational.
d. sensorimotor.
CORRECT ANS: C n1 n1
Feedback: The expected stage of development for a preschooler (3 to 4 years old) is preoperational.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Concrete operational describes the thinking of a school-age child (7 to 11 years old). Formal
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
,describes the thinking of an individual after about 11 years of age. Sensorimotor describes the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 earliest pattern of thinking from birth to 2 years old.
n1 n1 n1 n1 n1 n1 n1 n1 n1
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
3. The school RN talking with a high school class about the difference between growth and
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 development would best describe growth as n1 n1 n1 n1 n1
a. processes by which early cells specialize. n1 n1 n1 n1 n1
b. psychosocial and cognitive changes. n1 n1 n1
c. qualitative changes associated with aging. n1 n1 n1 n1
d. quantitative changes in size or weight. n1 n1 n1 n1 n1
CORRECT ANS: D n1 n1
Feedback: Growth is a quantitative change in which an increase in cell number and size results in
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
an increase in overall size or weight of the body or any of its parts. The processes by which
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 early cells specialize are referred to asdifferentiation. Psychosocial and cognitive changes are
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 referred to as development. Qualitative changes associated with aging are referred to as
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 maturation.
REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
4. The most appropriate response of the RN when a mother asks what the Denver II does is that it
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
a. can diagnose developmental disabilities.
n1 n1 n1
b. identifies a need for physical therapy. n1 n1 n1 n1 n1
c. is a developmental screening tool.
n1 n1 n1 n1
d. provides a framework for health teaching. n1 n1 n1 n1 n1
CORRECT ANS: C n1 n1
Feedback: The Denver II is the most commonly used measure of developmental status used by
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 health care professionals; it is a screening tool. Screening tools do not provide a diagnosis.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Diagnosis requires a thorough neurodevelopment history and physical examination.
n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. The need
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 for any therapy would be identified with a comprehensive evaluation, not a screening tool. Some
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 providers use the Denver II as a framework for teaching about expected development, but this is
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
, not the primary purpose of the tool.
n1 n1 n1 n1 n1 n1 n1
