Advanced Practice Nursing: Essentials for Role Development 5TH Edition Joel

fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy FULL TEST BANK
fy fy




Advanced Practice Nursing: Essentials for Role Development 5TH Edition Joel fy fy fy fy fy fy fy fy fy fy

,fy fy fy fy fy fy fy fy fy Chapter 1: Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades, and Rebels
fy fy fy fy fy fy fy fy fy fy fy fy fy




MULTIPLE CHOICE fy




1. The RN manager of a pediatric clinic could confirm that the new RN recognized the purpose of the
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy




fy HEADSS Adolescent Risk Profile when the new RN responds that it is used to assess for needs
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy




fy related to fy




a. anticipatory guidance. fy




b. low-risk adolescents. fy




c. physical development. fy




d. sexual development. fy




CORRECT ANS: A fy fy




Feedback: The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which
fy fy fy fy fy fy fy fy fy fy fy fy




assesses home, education, activities, drugs, sex, and suicide for the purpose of identifying high-risk
fy fy fy fy fy fy fy fy fy fy fy fy fy fy




fy adolescents and the need for anticipatory guidance. It is used to identify high-risk, not low-risk,
fy fy fy fy fy fy fy fy fy fy fy fy fy fy




fy adolescents. Physical development is assessed with anthropometric data. Sexual development is
fy fy fy fy fy fy fy fy fy fy




fy assessed using physical examination.fy fy fy




REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
fy fy fy fy fy fy fy fy fy fy




2. The RN preparing a teaching plan for a preschooler knows that, according to Piaget, the
fy fy fy fy fy fy fy fy fy fy fy fy fy fy




fy expected stage of development for a preschooler is
fy fy fy fy fy fy fy




a. concrete operational. fy




b. formal operational. fy




c. preoperational.
d. sensorimotor.


CORRECT ANS: C fy fy




Feedback: The expected stage of development for a preschooler (3 to 4 years old) is preoperational.
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy




Concrete operational describes the thinking of a school-age child (7 to 11 years old). Formal
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy

,describes the thinking of an individual after about 11 years of age. Sensorimotor describes the earliest
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy




fy pattern of thinking from birth to 2 years old.
fy fy fy fy fy fy fy fy




REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
fy fy fy fy fy fy fy fy fy fy




3. The school RN talking with a high school class about the difference between growth and
fy fy fy fy fy fy fy fy fy fy fy fy fy fy




fy development would best describe growth as fy fy fy fy fy




a. processes by which early cells specialize. fy fy fy fy fy




b. psychosocial and cognitive changes. fy fy fy




c. qualitative changes associated with aging. fy fy fy fy




d. quantitative changes in size or weight. fy fy fy fy fy




CORRECT ANS: D fy fy




Feedback: Growth is a quantitative change in which an increase in cell number and size results in an
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy




increase in overall size or weight of the body or any of its parts. The processes by which early cells
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy




fy specialize are referred to asdifferentiation. Psychosocial and cognitive changes are referred to as
fy fy fy fy fy fy fy fy fy fy fy fy




fy development. Qualitative changes associated with aging are referred to as maturation.fy fy fy fy fy fy fy fy fy fy




REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
fy fy fy fy fy fy fy fy fy fy




4. The most appropriate response of the RN when a mother asks what the Denver II does is that it
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy




a. can diagnose developmental disabilities.
fy fy fy




b. identifies a need for physical therapy. fy fy fy fy fy




c. is a developmental screening tool.
fy fy fy fy




d. provides a framework for health teaching. fy fy fy fy fy




CORRECT ANS: C fy fy




Feedback: The Denver II is the most commonly used measure of developmental status used by health
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy




fy care professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis requires
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy




a thorough neurodevelopment history and physical examination. Developmental delay, which is
fy fy fy fy fy fy fy fy fy fy fy




fy suggested by screening, is a symptom, not a diagnosis. The need for any therapy would be identified
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy




fy with a comprehensive evaluation, not a screening tool. Some providers use the Denver II as a
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy




fy framework for teaching about expected development, but this is not the primary purpose of the tool.
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy

, REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
fy fy fy fy fy fy fy fy fy fy




5. To plan early intervention and care for an infant with Down syndrome, the RN considers
fy fy fy fy fy fy fy fy fy fy fy fy fy fy




fy knowledge of other physical development exemplars such as
fy fy fy fy fy fy fy




a. cerebral palsy. fy




b. failure to thrive. fy fy




c. fetal alcohol syndrome. fy fy




d. hydrocephaly.


CORRECT ANS: D fy fy




Feedback: Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of
fy fy fy fy fy fy fy fy fy fy fy fy fy




adaptive developmental delay. Failure to thrive is an exemplar of social/emotional developmental
fy fy fy fy fy fy fy fy fy fy fy fy




fy delay.
Fetal alcohol syndrome is an exemplar of cognitive developmental delay.
fy fy fy fy fy fy fy fy fy




REF: 9 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
fy fy fy fy fy fy fy fy fy fy




6. To plan early intervention and care for a child with a developmental delay, the RN would
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy




fy consider knowledge of the concepts most significantly impacted by development, including
fy fy fy fy fy fy fy fy fy fy




a. culture.
b. environment.
c. functional status. fy




d. nutrition.


CORRECT ANS: C fy fy




Feedback: Function is one of the concepts most significantly impacted by development. Others
fy fy fy fy fy fy fy fy fy fy fy fy




fy include sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these
fy fy fy fy fy fy fy fy fy




fy concepts can help the RN anticipate areas that need to be addressed. Culture is a concept that is
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy




fy considered to significantly affect development; the difference is the concepts that affect development
fy fy fy fy fy fy fy fy fy fy fy fy




fy are those that represent major influencing factors (causes), hence determination of development and
fy fy fy fy fy fy fy fy fy fy fy fy




would be the focus of preventive interventions. Environment is considered to significantly affect
fy fy fy fy fy fy fy fy fy fy fy fy fy




fy development. Nutrition is considered to significantly affect development.
fy fy fy fy fy fy fy




REF: 1 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
fy fy fy fy fy fy fy fy fy fy