Advanced Practice Nursing: Essentials for Role Development, 5th Edition – Test Bank

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Advanced Practice Nursing: Essentials for Role Development 5TH Edition Joel
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, Chapter 1: Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades, and
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ff Rebels

MULTIPLE CHOICE ff




1. The RN manager of a pediatric clinic could confirm that the new RN recognized the purpose of
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ff the HEADSS Adolescent Risk Profile when the new RN responds that it is used to assess for
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ff needs related to ff ff




a. anticipatory guidance. ff




b. low-risk adolescents. ff




c. physical development. ff




d. sexual development. ff




CORRECT ANS: A ff ff




Feedback: The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
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assesses home, education, activities, drugs, sex, and suicide for the purpose of identifying high-
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risk adolescents and the need for anticipatory guidance. It is used to identify high-risk, not low-
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risk, adolescents. Physical development is assessed with anthropometric data. Sexual development
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ff is 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 RN preparing a teaching plan for a preschooler knows that, according to Piaget, the
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ff expected stage of development for a preschooler is
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a. concrete operational. ff




b. formal operational. ff




c. preoperational.
d. sensorimotor.


CORRECT ANS: C ff ff




Feedback: The expected stage of development for a preschooler (3 to 4 years old) is preoperational.
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Concrete operational describes the thinking of a school-age child (7 to 11 years old). Formal
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,describes the thinking of an individual after about 11 years of age. Sensorimotor describes the
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ff earliest 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 RN talking with a high school class about the difference between growth and
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ff development would best describe growth as ff ff ff ff ff




a. processes by which early cells specialize. ff ff ff ff ff




b. psychosocial and cognitive changes. ff ff ff




c. qualitative changes associated with aging. ff ff ff ff




d. quantitative changes in size or weight. ff ff ff ff ff




CORRECT ANS: D ff ff




Feedback: Growth is a quantitative change in which an increase in cell number and size results in
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an increase in overall size or weight of the body or any of its parts. The processes by which
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ff early cells specialize are referred to asdifferentiation. Psychosocial and cognitive changes are
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ff referred to as development. Qualitative changes associated with aging are referred to as
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ff maturation.

REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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4. The most appropriate response of the RN 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. ff ff ff ff ff




c. is a developmental screening tool.
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d. provides a framework for health teaching. ff ff ff ff ff




CORRECT ANS: C ff ff




Feedback: The Denver II is the most commonly used measure of developmental status used by
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ff health care professionals; it is a screening tool. Screening tools do not provide a diagnosis.
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Diagnosis requires a thorough neurodevelopment history and physical examination.
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ff Developmental delay, which is suggested by screening, is a symptom, not a diagnosis. The need
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ff for any therapy would be identified with a comprehensive evaluation, not a screening tool. Some
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ff providers use the Denver II as a framework for teaching about expected development, but this is
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, not the primary purpose of the tool.
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