AdvancedPracticeNur l l
sing:EssentialsforRole
l l l l l
Development4thEditio l l
nJoelTestBank
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, AdvancedlPracticelNursing:lEssentialslforlRolelDevelopmentl4thlEditionlJoellTestlBank
Advanced Practice Nursing : Essentials for Role Development 4th Edition JoelTes
l l l l l l l l l l l
t Bank l
Chapterl1l.lAdvancedlPracticelNursing:lDoinglWhatlHasltolBelDone-
Radicals,lRenegades,landlRebels
MULTIPLElCHOICE
1. Thelnurselmanagerloflalpediatriclcliniclcouldlconfirmlthatlthelnewlnurselrecognizedlthelpurposeloflth
elHEADSSlAdolescentlRisklProfilelwhenlthelnewlnurselrespondslthatlitlislusedltolassesslforlneedslrelat
edlto
a. anticipatorylguidance.
b. low-riskladolescents.
c. physicalldevelopment.
d. sexualldevelopment.
ANS:lA
ThelHEADSSlAdolescentlRisklProfilelislalpsychosociallassessmentlscreeningltoollwhichlassesseslho
me,leducation,lactivities,ldrugs,lsex,landlsuicidelforlthelpurposeloflidentifyinglhigh-
riskladolescentslandlthelneedlforlanticipatorylguidance.lItlislusedltolidentifylhigh-risk,lnotllow-
risk,ladolescents.lPhysicalldevelopmentlislassessedlwithlanthropometricldata.lSexualldevelopmentlisl
assessedlusinglphysicallexamination.
REF:l6lOBJ:lNCLEXlClientlNeedslCategory:lHealthlPromotionlandlMaintenance
2. Thelnurselpreparinglalteachinglplanlforlalpreschoolerlknowslthat,laccordingltolPiaget,lthelexpe
ctedlstagelofldevelopmentlforlalpreschoolerlis
a. concreteloperational.
b. formalloperational.
c. preoperational.
d. sensorimotor.
ANS:lC
Thelexpectedlstagelofldevelopmentlforlalpreschoolerl(3ltol4lyearslold)lislpreoperational.lConcreteloper
ationalldescribeslthelthinkingloflalschool-agelchildl(7ltol11lyearslold).lFormalloperational
, AdvancedlPracticelNursing:lEssentialslforlRolelDevelopmentl4thlEditionlJoellTestlBank
describeslthelthinkingloflanlindividuallafterlaboutl11lyearsloflage.lSensorimotorldescribeslthelearli
estlpatternloflthinkinglfromlbirthltol2lyearslold.
REF:l5lOBJ:lNCLEXlClientlNeedslCategory:lHealthlPromotionlandlMaintenance
3. Thelschoollnurseltalkinglwithlalhighlschoollclasslaboutltheldifferencelbetweenlgrowthlandldeve
lopmentlwouldlbestldescribelgrowthlas
a. processeslbylwhichlearlylcellslspecialize.
b. psychosociallandlcognitivelchanges.
c. qualitativelchangeslassociatedlwithlaging.
d. quantitativelchangeslinlsizelorlweight.
ANS:lD
Growthlislalquantitativelchangelinlwhichlanlincreaselinlcelllnumberlandlsizelresultslinlanlincreaselinlove
ralllsizelorlweightloflthelbodylorlanyloflitslparts.lThelprocesseslbylwhichlearlylcellslspecializelarelreferr
edltolasdifferentiation.lPsychosociallandlcognitivelchangeslarelreferredltolasldevelopment.lQualitativ
elchangeslassociatedlwithlaginglarelreferredltolaslmaturation.
REF:l2lOBJ:lNCLEXlClientlNeedslCategory:lHealthlPromotionlandlMaintenance
4. ThelmostlappropriatelresponseloflthelnurselwhenlalmotherlaskslwhatlthelDenverlIIldoeslislthatlit
a. canldiagnoseldevelopmentalldisabilities.
b. identifieslalneedlforlphysicalltherapy.
c. islaldevelopmentallscreeningltool.
d. provideslalframeworklforlhealthlteaching.
ANS:lC
ThelDenverlIIlislthelmostlcommonlylusedlmeasurelofldevelopmentallstatuslusedlbylhealthlcarelprofessi
onals;litlislalscreeningltool.lScreeningltoolsldolnotlprovidelaldiagnosis.lDiagnosislrequireslalthoroughlneu
rodevelopmentlhistorylandlphysicallexamination.lDevelopmentalldelay,lwhichlislsuggestedlbylscreeni
ng,lislalsymptom,lnotlaldiagnosis.lThelneedlforlanyltherapylwouldlbelidentifiedlwithlalcomprehensivelev
aluation,lnotlalscreeningltool.lSomelprovidersluselthelDenverlIIlaslalframeworklforlteachinglaboutlexpec
tedldevelopment,lbutlthislislnotlthelprimarylpurposelofltheltool.
, AdvancedlPracticelNursing:lEssentialslforlRolelDevelopmentl4thlEditionlJoellTestlBank
REF:l4lOBJ:lNCLEXlClientlNeedslCategory:lHealthlPromotionlandlMaintenance
5. TolplanlearlylinterventionlandlcarelforlanlinfantlwithlDownlsyndrome,lthelnurselconsiderslkno
wledgeloflotherlphysicalldevelopmentlexemplarslsuchlas
a. cerebrallpalsy.
b. failureltolthrive.
c. fetallalcohollsyndrome.
d. hydrocephaly.
ANS:lD
Hydrocephalylislalsolalphysicalldevelopmentlexemplar.lCerebrallpalsylislanlexemplarlofladaptiveldeve
lopmentalldelay.lFailureltolthrivelislanlexemplarloflsocial/emotionalldevelopmentalldelay.
Fetallalcohollsyndromelislanlexemplarloflcognitiveldevelopmentalldelay.
REF:l9lOBJ:lNCLEXlClientlNeedslCategory:lHealthlPromotionlandlMaintenance
6. Tolplanlearlylinterventionlandlcarelforlalchildlwithlaldevelopmentalldelay,lthelnurselwouldlcons
iderlknowledgeloflthelconceptslmostlsignificantlylimpactedlbyldevelopment,lincluding
a. culture.
b. environment.
c. functionallstatus.
d. nutrition.
ANS:lC
Functionlisloneloflthelconceptslmostlsignificantlylimpactedlbyldevelopment.lOtherslincludelsensory-
perceptual,lcognition,lmobility,lreproduction,landlsexuality.lKnowledgelofltheselconceptslcanlhelplthel
nurselanticipatelareaslthatlneedltolbeladdressed.lCulturelislalconceptlthatlislconsideredltolsignificantlylaff
ectldevelopment;ltheldifferencelislthelconceptslthatlaffectldevelopmentlarelthoselthatlrepresentlmajorlinf
luencinglfactorsl(causes),lhenceldeterminationlofldevelopmentlandlwouldlbelthelfocusloflpreventivelinte
rventions.lEnvironmentlislconsideredltolsignificantlylaffectldevelopment.lNutritionlislconsideredltolsig
nificantlylaffectldevelopment.
REF:l1lOBJ:lNCLEXlClientlNeedslCategory:lHealthlPromotionlandlMaintenance