Test Bank-Advanced Practice
u u
Nursing: Essentials for RoleDevelopme
u u u u
nt 5th Edition u u
by Lucille A. Joel
u u u
All Chapters| Latest Edition
u u u
1u|uPu au gu e
, Chapteru1u.uAdvanceduPracticeuNursing:uDoinguWhatuHasutouBeuDone-
Radicals,uRenegades,uanduRebels
MULTIPLEuCHOICE
1. Theunurseumanageruofuaupediatricuclinicucoulduconfirmuthatutheunewunurseurecognizedutheupurposeuofutheu
HEADSSuAdolescentuRiskuProfileuwhenutheunewunurseurespondsuthatuituisuusedutouassessuforuneedsurelatedut
o
a. Anticipatoryuguidance.
b. low-riskuadolescents.
c. physicaludevelopment.
d. sexualudevelopment.u
ANS:uA
TheuHEADSSuAdolescentuRiskuProfileuisuaupsychosocialuassessmentuscreeningutooluwhichuassessesuhome,u
education,uactivities,udrugs,usex,uandusuicideuforutheupurposeuofuidentifyinguhigh-
riskuadolescentsuandutheuneeduforuanticipatoryuguidance.uItuisuusedutouidentifyuhigh-risk,unotulow-
risk,uadolescents.uPhysicaludevelopmentuisuassesseduwithuanthropometricudata.uSexualudevelopmentuisuasse
sseduusinguphysicaluexamination.
REF:u6uOBJ:uNCLEXuClientuNeedsuCategory:uHealthuPromotionuanduMaintenance
2. Theunurseupreparinguauteachinguplanuforuaupreschooleruknowsuthat,uaccordingutouPiaget,utheuexpectedus
tageuofudevelopmentuforuaupreschooleruis
a. concreteuoperational.
b. formaluoperational.
c. preoperational.
d. sensorimotor.u
ANS:uC
Theuexpectedustageuofudevelopmentuforuaupreschooleru(3utou4uyearsuold)uisupreoperational.uConcreteuoperat
ionaludescribesutheuthinkinguofuauschool-
ageuchildu(7utou11uyearsuold).uFormaluoperationaludescribesutheuthinkinguofuanuindividualuafteruaboutu11uyea
rsuofuage.uSensorimotorudescribesutheuearliestupatternuofuthinkingufromubirthutou2uyearsuold.
REF:u5uOBJ:uNCLEXuClientuNeedsuCategory:uHealthuPromotionuanduMaintenance
3. Theuschoolunurseutalkinguwithuauhighuschooluclassuaboututheudifferenceubetweenugrowthuandu
developmentuwouldubestudescribeugrowthuas
a. processesubyuwhichuearlyucellsuspecialize.
2u|uPu au gu e
,b. psychosocialuanducognitiveuchanges.
c. qualitativeuchangesuassociateduwithuaging.
d. quantitativeuchangesuinusizeuoruweight.u
ANS:uD
Growthuisuauquantitativeuchangeuinuwhichuanuincreaseuinucellunumberuandusizeuresultsuinuanuincreaseuinuo
verallusizeuoruweightuofutheubodyuoruanyuofuitsuparts.uTheuprocessesubyuwhichuearlyucellsuspecializeuareure
ferredutouasudifferentiation.uPsychosocialuanducognitiveuchangesuareureferredutouasudevelopment.
Qualitativeuchangesuassociateduwithuaginguareureferredutouasumaturation.
REF:u2uOBJ:uNCLEXuClientuNeedsuCategory:uHealthuPromotionuanduMaintenance
4. TheumostuappropriateuresponseuofutheunurseuwhenuaumotheruasksuwhatutheuDenveruIIudoesuisuthatuit
a. canudiagnoseudevelopmentaludisabilities.
b. identifiesuauneeduforuphysicalutherapy.
c. isuaudevelopmentaluscreeningutool.
d. providesuauframeworkuforuhealthuteaching.u
ANS:uC
TheuDenveruIIuisutheumostucommonlyuusedumeasureuofudevelopmentalustatusuusedubyuhealthucareuprofessio
nals;uituisuauscreeningutool.uScreeningutoolsudounotuprovideuaudiagnosis.uDiagnosisurequiresuauthoroughuneur
odevelopmentuhistoryuanduphysicaluexamination.uDevelopmentaludelay,uwhichuisusuggestedubyuscreening,ui
suausymptom,unotuaudiagnosis.uTheuneeduforuanyutherapyuwouldubeuidentifieduwithuaucomprehensiveuevaluat
ion,unotuauscreeningutool.uSomeuprovidersuuseutheuDenveruIIuasuauframeworkuforuteachinguaboutuexpectedud
evelopment,ubututhisuisunotutheuprimaryupurposeuofutheutool.
REF:u4uOBJ:uNCLEXuClientuNeedsuCategory:uHealthuPromotionuanduMaintenance
5. TouplanuearlyuinterventionuanducareuforuanuinfantuwithuDownusyndrome,utheunurseuconsidersuknowledgeu
ofuotheruphysicaludevelopmentuexemplarsusuchuas
a. cerebralupalsy.
b. failureutouthrive.
c. fetalualcoholusyndrome.
d. hydrocephaly.u
ANS:uD
Hydrocephalyuisualsouauphysicaludevelopmentuexemplar.uCerebralupalsyuisuanuexemplaruofuadaptiveu
developmentaludelay.uFailureutouthriveuisuanuexemplaruofusocial/emotionaludevelopmentaludelay.
3u|uPu au gu e
, Fetalualcoholusyndromeuisuanuexemplaruofucognitiveudevelopmentaludelay.
REF:u9uOBJ:uNCLEXuClientuNeedsuCategory:uHealthuPromotionuanduMaintenance
6. Touplanuearlyuinterventionuanducareuforuauchilduwithuaudevelopmentaludelay,utheunurseuwoulduconsideruk
nowledgeuofutheuconceptsumostusignificantlyuimpactedubyudevelopment,uincluding
a. culture.
b. environment.
c. functionalustatus.
d. nutrition.
ANS:uC
Functionuisuoneuofutheuconceptsumostusignificantlyuimpactedubyudevelopment.uOthersuincludeusensory-
uperceptual,ucognition,umobility,ureproduction,uandusexuality.uKnowledgeuofutheseuconceptsucanuhelputheu
nurseuanticipateuareasuthatuneedutoubeuaddressed.uCultureuisuauconceptuthatuisuconsideredutousignificantlyuaf
fectudevelopment;utheudifferenceuisutheuconceptsuthatuaffectudevelopmentuareuthoseuthaturepresentumajoruinf
luencingufactorsu(causes),uhenceudeterminationuofudevelopmentuanduwouldubeutheufocusuofupreventiveuinte
rventions.uEnvironmentuisuconsideredutousignificantlyuaffectudevelopment.uNutritionuisuconsideredutousign
ificantlyuaffectudevelopment.
REF:u1uOBJ:uNCLEXuClientuNeedsuCategory:uHealthuPromotionuanduMaintenance
7. Aumotherucomplainsutoutheunurseuatutheupediatricuclinicuthatuheru4-year-
olduchildualwaysutalksutouherutoysuandumakesuupustories.uTheumotheruwantsuheruchildutouhaveuaupsychologicue
valuation.uTheunursesubestuinitialuresponseuisuto
a. referutheuchildutouaupsychologist.
b. explainuthatuplayingumakeubelieveuwithudollsuandupeopleuisunormaluatuthisuage.
c. completeuaudevelopmentaluscreening.
d. separateutheuchildufromutheumotherutougetumoreuinformation.u
ANS:uB
Byutheuenduofutheufourthuyear,uituisuexpecteduthatuauchilduwilluengageuinufantasy,usouthisuisunormaluatuthisua
ge.uAureferralutouaupsychologistuwouldubeuprematureubaseduonlyuonutheucomplaintuofutheumother.
Completinguaudevelopmentaluscreeninguwouldubeuveryuappropriateubutunotutheuinitialuresponse.uTheunurseuwo
ulducertainlyuwantutougetumoreuinformation,ubutuseparatingutheuchildufromutheumotheruisunotunecessaryuatuthisuti
me.
REF:u5uOBJ:uNCLEXuClientuNeedsuCategory:uHealthuPromotionuanduMaintenance
4u|uPu au gu e
u u
Nursing: Essentials for RoleDevelopme
u u u u
nt 5th Edition u u
by Lucille A. Joel
u u u
All Chapters| Latest Edition
u u u
1u|uPu au gu e
, Chapteru1u.uAdvanceduPracticeuNursing:uDoinguWhatuHasutouBeuDone-
Radicals,uRenegades,uanduRebels
MULTIPLEuCHOICE
1. Theunurseumanageruofuaupediatricuclinicucoulduconfirmuthatutheunewunurseurecognizedutheupurposeuofutheu
HEADSSuAdolescentuRiskuProfileuwhenutheunewunurseurespondsuthatuituisuusedutouassessuforuneedsurelatedut
o
a. Anticipatoryuguidance.
b. low-riskuadolescents.
c. physicaludevelopment.
d. sexualudevelopment.u
ANS:uA
TheuHEADSSuAdolescentuRiskuProfileuisuaupsychosocialuassessmentuscreeningutooluwhichuassessesuhome,u
education,uactivities,udrugs,usex,uandusuicideuforutheupurposeuofuidentifyinguhigh-
riskuadolescentsuandutheuneeduforuanticipatoryuguidance.uItuisuusedutouidentifyuhigh-risk,unotulow-
risk,uadolescents.uPhysicaludevelopmentuisuassesseduwithuanthropometricudata.uSexualudevelopmentuisuasse
sseduusinguphysicaluexamination.
REF:u6uOBJ:uNCLEXuClientuNeedsuCategory:uHealthuPromotionuanduMaintenance
2. Theunurseupreparinguauteachinguplanuforuaupreschooleruknowsuthat,uaccordingutouPiaget,utheuexpectedus
tageuofudevelopmentuforuaupreschooleruis
a. concreteuoperational.
b. formaluoperational.
c. preoperational.
d. sensorimotor.u
ANS:uC
Theuexpectedustageuofudevelopmentuforuaupreschooleru(3utou4uyearsuold)uisupreoperational.uConcreteuoperat
ionaludescribesutheuthinkinguofuauschool-
ageuchildu(7utou11uyearsuold).uFormaluoperationaludescribesutheuthinkinguofuanuindividualuafteruaboutu11uyea
rsuofuage.uSensorimotorudescribesutheuearliestupatternuofuthinkingufromubirthutou2uyearsuold.
REF:u5uOBJ:uNCLEXuClientuNeedsuCategory:uHealthuPromotionuanduMaintenance
3. Theuschoolunurseutalkinguwithuauhighuschooluclassuaboututheudifferenceubetweenugrowthuandu
developmentuwouldubestudescribeugrowthuas
a. processesubyuwhichuearlyucellsuspecialize.
2u|uPu au gu e
,b. psychosocialuanducognitiveuchanges.
c. qualitativeuchangesuassociateduwithuaging.
d. quantitativeuchangesuinusizeuoruweight.u
ANS:uD
Growthuisuauquantitativeuchangeuinuwhichuanuincreaseuinucellunumberuandusizeuresultsuinuanuincreaseuinuo
verallusizeuoruweightuofutheubodyuoruanyuofuitsuparts.uTheuprocessesubyuwhichuearlyucellsuspecializeuareure
ferredutouasudifferentiation.uPsychosocialuanducognitiveuchangesuareureferredutouasudevelopment.
Qualitativeuchangesuassociateduwithuaginguareureferredutouasumaturation.
REF:u2uOBJ:uNCLEXuClientuNeedsuCategory:uHealthuPromotionuanduMaintenance
4. TheumostuappropriateuresponseuofutheunurseuwhenuaumotheruasksuwhatutheuDenveruIIudoesuisuthatuit
a. canudiagnoseudevelopmentaludisabilities.
b. identifiesuauneeduforuphysicalutherapy.
c. isuaudevelopmentaluscreeningutool.
d. providesuauframeworkuforuhealthuteaching.u
ANS:uC
TheuDenveruIIuisutheumostucommonlyuusedumeasureuofudevelopmentalustatusuusedubyuhealthucareuprofessio
nals;uituisuauscreeningutool.uScreeningutoolsudounotuprovideuaudiagnosis.uDiagnosisurequiresuauthoroughuneur
odevelopmentuhistoryuanduphysicaluexamination.uDevelopmentaludelay,uwhichuisusuggestedubyuscreening,ui
suausymptom,unotuaudiagnosis.uTheuneeduforuanyutherapyuwouldubeuidentifieduwithuaucomprehensiveuevaluat
ion,unotuauscreeningutool.uSomeuprovidersuuseutheuDenveruIIuasuauframeworkuforuteachinguaboutuexpectedud
evelopment,ubututhisuisunotutheuprimaryupurposeuofutheutool.
REF:u4uOBJ:uNCLEXuClientuNeedsuCategory:uHealthuPromotionuanduMaintenance
5. TouplanuearlyuinterventionuanducareuforuanuinfantuwithuDownusyndrome,utheunurseuconsidersuknowledgeu
ofuotheruphysicaludevelopmentuexemplarsusuchuas
a. cerebralupalsy.
b. failureutouthrive.
c. fetalualcoholusyndrome.
d. hydrocephaly.u
ANS:uD
Hydrocephalyuisualsouauphysicaludevelopmentuexemplar.uCerebralupalsyuisuanuexemplaruofuadaptiveu
developmentaludelay.uFailureutouthriveuisuanuexemplaruofusocial/emotionaludevelopmentaludelay.
3u|uPu au gu e
, Fetalualcoholusyndromeuisuanuexemplaruofucognitiveudevelopmentaludelay.
REF:u9uOBJ:uNCLEXuClientuNeedsuCategory:uHealthuPromotionuanduMaintenance
6. Touplanuearlyuinterventionuanducareuforuauchilduwithuaudevelopmentaludelay,utheunurseuwoulduconsideruk
nowledgeuofutheuconceptsumostusignificantlyuimpactedubyudevelopment,uincluding
a. culture.
b. environment.
c. functionalustatus.
d. nutrition.
ANS:uC
Functionuisuoneuofutheuconceptsumostusignificantlyuimpactedubyudevelopment.uOthersuincludeusensory-
uperceptual,ucognition,umobility,ureproduction,uandusexuality.uKnowledgeuofutheseuconceptsucanuhelputheu
nurseuanticipateuareasuthatuneedutoubeuaddressed.uCultureuisuauconceptuthatuisuconsideredutousignificantlyuaf
fectudevelopment;utheudifferenceuisutheuconceptsuthatuaffectudevelopmentuareuthoseuthaturepresentumajoruinf
luencingufactorsu(causes),uhenceudeterminationuofudevelopmentuanduwouldubeutheufocusuofupreventiveuinte
rventions.uEnvironmentuisuconsideredutousignificantlyuaffectudevelopment.uNutritionuisuconsideredutousign
ificantlyuaffectudevelopment.
REF:u1uOBJ:uNCLEXuClientuNeedsuCategory:uHealthuPromotionuanduMaintenance
7. Aumotherucomplainsutoutheunurseuatutheupediatricuclinicuthatuheru4-year-
olduchildualwaysutalksutouherutoysuandumakesuupustories.uTheumotheruwantsuheruchildutouhaveuaupsychologicue
valuation.uTheunursesubestuinitialuresponseuisuto
a. referutheuchildutouaupsychologist.
b. explainuthatuplayingumakeubelieveuwithudollsuandupeopleuisunormaluatuthisuage.
c. completeuaudevelopmentaluscreening.
d. separateutheuchildufromutheumotherutougetumoreuinformation.u
ANS:uB
Byutheuenduofutheufourthuyear,uituisuexpecteduthatuauchilduwilluengageuinufantasy,usouthisuisunormaluatuthisua
ge.uAureferralutouaupsychologistuwouldubeuprematureubaseduonlyuonutheucomplaintuofutheumother.
Completinguaudevelopmentaluscreeninguwouldubeuveryuappropriateubutunotutheuinitialuresponse.uTheunurseuwo
ulducertainlyuwantutougetumoreuinformation,ubutuseparatingutheuchildufromutheumotheruisunotunecessaryuatuthisuti
me.
REF:u5uOBJ:uNCLEXuClientuNeedsuCategory:uHealthuPromotionuanduMaintenance
4u|uPu au gu e
