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,Advanced Practice Nursing: Doing What Has to Be Done-
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Radicals, Renegades, andRebels H H
1. TheHnurseHmanagerHofHaHpediatricHclinicHcouldHconfirmHthatHtheHnewHnurseHrecogniz
ed the purposeof the HEADSS Adolescent Risk Profile when the new nurse respond
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s that it is used to assess for needs related to
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a. anticipatoryHguidance.
b. low-riskHadolescents.
c. physicalHdevelopment.
d. sexualHdevelopment.
ANS: A H
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool
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which assesseshome, education, activities, drugs, sex, and suicide for the purpose
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of identifying high-
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risk adolescents and the need for anticipatory guidance. It is used to identify high-
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risk, not low- H H
risk, adolescents. Physical development is assessed with anthropometric data. Sex
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ual development is assessed using physical examination.
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REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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2. TheHnurseHpreparingHaHteachingHplanHforHaHpreschoolerHknowsHthat,Haccording
to Piaget, theexpected stage of development for a preschooler is
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,a. concreteHoperational.
b. formalHoperational.
c. preoperational.
d. sensorimotor.
ANS: C H
The expected stage of development for a preschooler (3 to 4 years old) is preopera
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tional. Concreteoperational describes the thinking of a school-
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age child (7 to 11 years old). Formal operational
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, describes the thinking of an individual after about 11 years of age. Sensorimotor describ
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es theearliest pattern of thinking from birth to 2 years old.
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REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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3. TheHschoolHnurseHtalkingHwithHaHhighHschoolHclassHaboutHtheHdifference
between growth anddevelopment would best describe growth as
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a. processesHbyHwhichHearlyHcellsHspecialize.
b. psychosocialHandHcognitiveHchanges.
c. qualitativeHchangesHassociatedHwithHaging.
d. quantitativeHchangesHinHsizeHorHweight.
ANS: D H
Growth is a quantitative change in which an increase in cell number and size results i
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n an increasein overall size or weight of the body or any of its parts. The processes b
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y which early cells specialize are referred to asdifferentiation. Psychosocial and cog
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nitive changes are referred to as development. Qualitative changes associated with a
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ging are referred to as maturation.
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REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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4. TheHmostHappropriateHresponseHofHtheHnurseHwhenHaHmotherHasksHwhatHtheHDenverHII
H does is that it
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a. canHdiagnoseHdevelopmentalHdisabilities.