b
,Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades,
b b b b b b b b b
b andRebels
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized
b b b b b b b b b b b b b
the purposeof the HEADSS Adolescent Risk Profile when the new nurse responds that it
b b b b b b b b b b b b b b
b is used to assess for needs related to
b b b b b b b
a. anticipatoryguidance. b
b. low-risk adolescents. b
c. physicaldevelopment. b
d. sexualdevelopment. b
ANS: A b
TheHEADSS Adolescent Risk Profile isapsychosocialassessment screening tool
b b b b b b b b b b
b which assesseshome, education, activities, drugs, sex, and suicide for the purpose of
b b b b b b b b b b b
b identifying high-risk adolescents and the need for anticipatory guidance. It is used to
b b b b b b b b b b b b
b identify high-risk, not low-risk, adolescents. Physical development is assessed with
b b b b b b b b b
anthropometric data. Sexual development is assessed using physical examination.
b b b b b b b b b
REF: 6 OBJ: NCLEXClient NeedsCategory: HealthPromotionand Maintenance
b b b b b b b b b b
2. The nurse preparing a teaching plan for a preschooler knows that, according to
b b b b b b b b b b b b
b Piaget, theexpected stage of development for a preschooler is
b b b b b b b b
, a. concrete operational.
b
b. formaloperational.
b
c. preoperational.
d. sensorimotor.
ANS: C b
The expected stage of development for a preschooler (3 to 4 years old) is
b b b b b b b b b b b b b
b preoperational. Concreteoperational describes the thinking ofa school-age child (7 to
b b b b b b b b b b
b 11 years old). Formal operational
b b b b
, describes the thinking ofan individual after about 11 years ofage. Sensorimotor describes
b b b b b b b b b b b b b
b theearliest pattern of thinking from birth to 2 years old.
b b b b b b b b b
REF: 5 OBJ: NCLEXClient NeedsCategory: HealthPromotionand Maintenance
b b b b b b b b b b
3. The schoolnurse talking with a high school class about the difference
b b b b b b b b b b b
b between growth anddevelopment would best describe growth as
b b b b b b b
a. processes bywhich earlycells specialize. b b b b b
b. psychosocialandcognitive changes. b b b
c. qualitativechangesassociatedwithaging. b b b b
d. quantitative changes in size or weight. b b b b b
ANS: D b
Growth is aquantitative change in which an increase in cell number and size results in an
b b b b b b b b b b b b b b b b
increasein overall size or weight of the body or any of its parts. The processes by which
b b b b b b b b b b b b b b b b b
b early cells specialize are referred to asdifferentiation. Psychosocial and cognitive
b b b b b b b b b
b changes are referred to as development. Qualitative changes associated with aging are
b b b b b b b b b b b
b referred to as maturation. b b b
REF: 2 OBJ: NCLEX Client NeedsCategory: HealthPromotionand Maintenance
b b b b b b b b b b
4. The most appropriate response ofthe nurse when a mother asks what the Denver II does
b b b b b b b b b b b b b b b
b is that it
b b
a. candiagnose developmental disabilities.
b b b