Test Bank for Advanced Practice Nursing in the Care of Older Adults 2nd Edition by Malone - Ch. 1-19, 9780803666610, with Rationales 2

Advanced Practice Nursing : Essentials for Rol w w w w w w




e Development 4th Edition JoelTest Bank
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Chapter 1 . Advanced Practice Nursing: Doing What Has to Be Done-
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Radicals, Renegades, andRebels
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MULTIPLE CHOICE w




The nurse manager of a pediatric clinic could confirm that the new nurse re
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cognized the purposeof the HEADSS Adolescent Risk Profile when thene
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w nurse responds that it is used to assess for needs related to
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anticipatory guidance. w w


low-
risk adolescents. physi
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cal development.sexu
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al development.
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ANS: A w




The HEADSS Adolescent Risk Profile is a psychosocial assessment screeni
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ng tool which assesseshome, education, activities, drugs, sex, and suicide fo
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r the purpose of identifying high-
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risk adolescents and the need foranticipatory guidance. It is used to identify
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high-risk, not low- w w


risk, adolescents. Physical development is assessed with anthropometric dat
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a.
Sexual development is assessed using physical examination.
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REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion andMaint
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enance

The nurse preparing a teaching plan for a preschooler knows that, accordingt
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o Piaget, theexpected stage of development for a preschooler is
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concrete operational. w w

,formal operational. p
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reoperational. sensor
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imotor.

,ANS: C w




The expected stage of development for a preschooler (3 to 4 years old) is p
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reoperational. Concreteoperational describes the thinking of a school-
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agechild (7 to 11 years old). Formal operational
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describes the thinking of an individual after about 11 years of age. Sensori
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motor describes theearliest pattern of thinking from birth to 2 yearsold.
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REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion andMaint
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enance

The school nurse talking with a high school class about the difference
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between growth anddevelopment would best describe growth as
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processes by which early cells specialize.
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psychosocial and cognitive changes. quali
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tative changes associated with aging.quan
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titative changes in size or weight.
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ANS: D w




Growth is a quantitative change in which an increase in cell number and sizer
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esults in an increasein overall size or weight of the body or any of its parts. T
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he processes by which early cells specialize are referred to asdifferentiation.
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Psychosocial and cognitive changes are referred to as development. Qualitati
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ve changes associated with aging are referred to as maturation.
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REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion andMaint
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enance

The most appropriate response of the nurse when a mother asks what the
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Denver II does is that it
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can diagnose developmental disabilities.
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identifies a need for physical therapy.
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, is a developmental screening tool. provid
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es a framework for health teaching.
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ANS: C w




The Denver II is the most commonly used measure of developmental status u
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sed by health care professionals; it is a screening tool. Screening tools do not
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provide a diagnosis. Diagnosis requires athorough neurodevelopment history
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wand physical examination. Developmental delay, which is suggested by scre
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ening, is a symptom, not a diagnosis. The need for any therapy wouldbe ident
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ified with a comprehensive evaluation, not a screening tool. Some providers
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use the Denver II as a framework for teaching about expected development,
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but this is not the primary purpose of the tool.
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REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion andMaint
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enance

To plan early intervention and care for an infant with Down syndrome, the nur
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se considersknowledge of other physical development exemplars such as
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cerebral palsy. f w w


ailure to thrive. w w


fetal alcohol syndrome.
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hydrocephaly.

ANS: D w




Hydrocephaly is also a physical development exemplar. Cerebral palsy is an
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exemplar of adaptivedevelopmental delay. Failure to thrive is an exemplar o
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f social/emotional developmental delay.
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Fetal alcohol syndrome is an exemplar of cognitive developmental delay.
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REF: 9 OBJ: NCLEX Client Needs Category: Health Promotion andMaint
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enance

To plan early intervention and care for a child with a developmental delay,t
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he nurse wouldconsider knowledge of the concepts most significantly imp
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acted by development, including
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