ROLE DEVELOPMENT 4TH EDITION JOEL TEST BAN
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Advanced Practice Nursing: Doing What Has to Be Done-
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1. Thesnursesmanagersofsaspediatricsclinicscouldsconfirmsthatsthesnewsnursesrecognizedst
he purposeof the HEADSS Adolescent Risk Profile when the new nurse responds that it
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is used to assess for needs related to
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a. anticipatorysguidance.
b. low-risksadolescents.
c. physicalsdevelopment.
d. sexualsdevelopment.
ANS: A s
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool whi
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ch assesseshome, education, activities, drugs, sex, and suicide for the purpose of identi
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fying high- s
risk adolescents and the need for anticipatory guidance. It is used to identify high-
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risk, not low-
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risk, adolescents. Physical development is assessed with anthropometric data. Sexual
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,ADVANCED PRACTICE NURSING ESSENTIALS FOR s s s s s
ROLE DEVELOPMENT 4TH EDITION JOEL TEST BAN
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K LATEST 2023.Qualified,VSU
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development 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. Thesnursespreparingsasteachingsplansforsaspreschoolersknowssthat,saccordingstosP
iaget, theexpected stage of development for a preschooler is
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a. concretesoperational.
b. formalsoperational.
c. preoperational.
d. sensorimotor.
ANS: C s
The expected stage of development for a preschooler (3 to 4 years old) is preoperational
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. Concreteoperational describes the thinking of a school-
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age child (7 to 11 years old). Formal operational
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describes the thinking of an individual after about 11 years of age. Sensorimotor des
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cribes theearliest 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. Thesschoolsnursestalkingswithsashighsschoolsclasssaboutsthesdifferencesbetweensgr
owth anddevelopment would best describe growth as
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a. processessbyswhichsearlyscellssspecialize.
b. psychosocialsandscognitiveschanges.
c. qualitativeschangessassociatedswithsaging.
d. quantitativeschangessinssizesorsweight.
ANS: D s
Growth is a quantitative change in which an increase in cell number and size results in a
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n increasein overall size or weight of the body or any of its parts. The processes by whic
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h early cells specialize are referred to asdifferentiation. Psychosocial and cognitive cha
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nges are referred to as development. Qualitative changes associated with aging are refe
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rred to as maturation.
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REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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4. ThesmostsappropriatesresponsesofsthesnurseswhensasmothersasksswhatsthesDenversIIsdoessi
s that it
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a. cansdiagnosesdevelopmentalsdisabilities.
, Advanced Practice Nursing Essentials for Role Devel s s s s s s
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b. identifiessasneedsforsphysicalstherapy.
c. issasdevelopmentalsscreeningstool.
d. providessasframeworksforshealthsteaching.
ANS: C s
The Denver II is the most commonly used measure of developmental status used by healt
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h care professionals; it is a screening tool. Screening tools do not provide a diagnosis. Dia
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gnosis requires athorough neurodevelopment history and physical examination. Develo
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pmental delay, which is suggested by screening, is a symptom, not a diagnosis. The need
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for any therapy would be identified with a comprehensive evaluation, not a screening to
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ol. Some providers use the Denver II as a framework for teaching about expected develo
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pment, but this is not the primary purpose of thetool.
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