5th edition
ADVANCED PRACTICE NURSING ESSENTIALS FOR
ROLE DEVELOPMENT 5TH EDITION JOEL TEST
BANK LATEST 2025
, 5th edition
Chapter 1: Advanced Practice Nursing: Doing What Has to Be Done-Radicals,
Renegades, and Rebels
1. The nurse manager of a pediatric clinic could confirm that the new nurse
recognized the purpose of the HEADSS Adolescent Risk Profile when the new
nurse responds that it is used to assess for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
ANSWER: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool
which assesses home, 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 nurse 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.
ANSWER: C
The expected stage of development for a preschooler (3 to 4 years old) is
preoperational. Concrete operational describes the thinking of a school-age child (7
to 11 years old). Formal operational
, 5th edition
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 nurse talking with a high school class about the difference between
growth and 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.
ANSWER: D
Growth is a quantitative change in which an increase in cell number and size
results in an increase in overall size or weight of the body or any of its parts. The
processes by which early cells specialize are referred to as differentiation.
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 nurse 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.
ANSWER: C
The Denver II is the most commonly used measure of developmental status used
by health 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
, 5th edition
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 nurse
considers knowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
ANSWER: D
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an
exemplar of adaptive developmental 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
nurse would consider knowledge of the concepts most significantly impacted by
development, including
a. culture.
b. environment.
c. functional status.
d. nutrition.
ANSWER: C
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 nurse anticipate areas that need to be
addressed. Culture is a concept that is considered to significantly affect
development; the difference is the concepts that affect development are those that
ADVANCED PRACTICE NURSING ESSENTIALS FOR
ROLE DEVELOPMENT 5TH EDITION JOEL TEST
BANK LATEST 2025
, 5th edition
Chapter 1: Advanced Practice Nursing: Doing What Has to Be Done-Radicals,
Renegades, and Rebels
1. The nurse manager of a pediatric clinic could confirm that the new nurse
recognized the purpose of the HEADSS Adolescent Risk Profile when the new
nurse responds that it is used to assess for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
ANSWER: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool
which assesses home, 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 nurse 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.
ANSWER: C
The expected stage of development for a preschooler (3 to 4 years old) is
preoperational. Concrete operational describes the thinking of a school-age child (7
to 11 years old). Formal operational
, 5th edition
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 nurse talking with a high school class about the difference between
growth and 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.
ANSWER: D
Growth is a quantitative change in which an increase in cell number and size
results in an increase in overall size or weight of the body or any of its parts. The
processes by which early cells specialize are referred to as differentiation.
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 nurse 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.
ANSWER: C
The Denver II is the most commonly used measure of developmental status used
by health 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
, 5th edition
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 nurse
considers knowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
ANSWER: D
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an
exemplar of adaptive developmental 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
nurse would consider knowledge of the concepts most significantly impacted by
development, including
a. culture.
b. environment.
c. functional status.
d. nutrition.
ANSWER: C
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 nurse anticipate areas that need to be
addressed. Culture is a concept that is considered to significantly affect
development; the difference is the concepts that affect development are those that
