ADVANCED PRACTICE NURSING: ESSENTIALS FOR ROLE
DEVELOPMENT 4TH EDITION LUCILLE’S
TESTBANK/COMPLETE GUIDE 2024-2025
,Chapter 1. Advanced Practice Nursing: Doing What Has to Be Done-Radicals,
Renegades, andRebels
CAREGIVER
1. The caregiver manager of a pediatric clinic could confirm that the new caregiver recognized
the purpose of the HEADSS Adolescent Risk Profile when the new caregiver responds that it is
used toassess for needs related to
a. Anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
RIGHT SELECT:-A
Rational:-The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool
which assesseshome, 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 caregiver 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.
RIGHT SELECT:-C
Rational:-The expected stage of development for a preschooler (3 to 4 years old) is
preoperational. Concreteoperational describes the thinking of a school-age child (7 to 11 years
old). Formal operational
,describes the thinking of an individual after about 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 caregiver talking with a high school class about the difference between
growthand 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.
RIGHT SELECT:-D
Rational:-Growth is a quantitative change in which an increase in cell number and size results in
an increasein 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 caregiver 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.
RIGHT SELECT:-C
Rational:-The Denver II is the most commonly used measure of developmental status used by
primary 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 about expected development, but this is not the primary purpose of the
tool.
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
caregiver considers knowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
RIGHT SELECT:-D
Rational:-Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
adaptivedevelopmental 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 caregiver
wouldconsider knowledge of the concepts most significantly impacted by development,
including
a. culture.
b. environment.
c. functional status.
d. nutrition.
RIGHT SELECT:-C
Rational:-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 caregiver anticipate areas that need to be addressed. Culture is a concept that
is consideredto significantly affect development; the difference is the concepts that affect
development are thosethat represent major influencing factors (causes), hence determination of
DEVELOPMENT 4TH EDITION LUCILLE’S
TESTBANK/COMPLETE GUIDE 2024-2025
,Chapter 1. Advanced Practice Nursing: Doing What Has to Be Done-Radicals,
Renegades, andRebels
CAREGIVER
1. The caregiver manager of a pediatric clinic could confirm that the new caregiver recognized
the purpose of the HEADSS Adolescent Risk Profile when the new caregiver responds that it is
used toassess for needs related to
a. Anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
RIGHT SELECT:-A
Rational:-The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool
which assesseshome, 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 caregiver 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.
RIGHT SELECT:-C
Rational:-The expected stage of development for a preschooler (3 to 4 years old) is
preoperational. Concreteoperational describes the thinking of a school-age child (7 to 11 years
old). Formal operational
,describes the thinking of an individual after about 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 caregiver talking with a high school class about the difference between
growthand 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.
RIGHT SELECT:-D
Rational:-Growth is a quantitative change in which an increase in cell number and size results in
an increasein 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 caregiver 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.
RIGHT SELECT:-C
Rational:-The Denver II is the most commonly used measure of developmental status used by
primary 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 about expected development, but this is not the primary purpose of the
tool.
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
caregiver considers knowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
RIGHT SELECT:-D
Rational:-Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
adaptivedevelopmental 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 caregiver
wouldconsider knowledge of the concepts most significantly impacted by development,
including
a. culture.
b. environment.
c. functional status.
d. nutrition.
RIGHT SELECT:-C
Rational:-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 caregiver anticipate areas that need to be addressed. Culture is a concept that
is consideredto significantly affect development; the difference is the concepts that affect
development are thosethat represent major influencing factors (causes), hence determination of
