TEST BANK FOR
Advanced Practice Nursing: Essentials for Role Development 4th Edition by
Lucille A. Joel
Chapter 1-30
Chapter 1
1. The nurse manager of a pediatric clinic could confirm that the new nurse
recognized the purposeof the HEADSS Adolescent Risk Profile when the new nurse
responds that it is used to assess for needs related to
methods to reach the correct solution.Logical Reasoning: Mathematics is rooted in logical structures, and students are expected to demonstrate their ability to apply logic to prove statements or solve problems.
This is especially important in subjects like proof-based mathematics.Calculation and A
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
ANS: 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, theexpected stage of development for a preschooler is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
ANS: C
The expected stage of development for a preschooler (3 to 4 years old) is
preoperational. Concreteoperational describes the thinking of a school-age child (7
to 11 years old). Formal operational
describes the thinking of an individual after about 11 years of age. Sensorimotor
describes theearliest 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.
ANS: D
Growth is a quantitative change in which an increase in cell number and size results
in an increasein overall size or weight of the body or any of its parts. The processes
by which early cells specialize are referred to asdifferentiation. Psychosocial and
cognitive changes are referred to as development. Qualitative changes associated
with aging are referred to as maturation.
methods to reach the correct solution.Logical Reasoning: Mathematics is rooted in logical structures, and students are expected to demonstrate their ability to apply logic to prove statements or solve problems.
This is especially important in subjects like proof-based mathematics.Calculation and A
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.
ANS: 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 athorough 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 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.
This is especially important in subjects like proof-based mathematics.Calculation and A
ANS: 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.
ANS: 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 consideredto significantly affect development;
the difference is the concepts that affect development are thosethat represent major
influencing factors (causes), hence determination of development and would bethe
focus of preventive interventions. Environment is considered to significantly affect
development. Nutrition is considered to significantly affect development.
REF: 1 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child
always talks toher toys and makes up stories. The mother wants her child to have a
psychologic evaluation. Thenurses best initial response is to
methods to reach the correct solution.Logical Reasoning: Mathematics is rooted in logical structures, and students are expected to demonstrate their ability to apply logic to prove statements or solve problems.
This is especially important in subjects like proof-based mathematics.Calculation and A
a. refer the child to a psychologist.
b. explain that playing make believe with dolls and people is normal at this age.
c. complete a developmental screening.
d. separate the child from the mother to get more information.
ANS: B
, By the end of the fourth year, it is expected that a child will engage in fantasy, so
this is normal at this age. A referral to a psychologist would be premature based only
on the complaint of the mother. Completing a developmental screening would be
very appropriate but not the initial response. The nurse would certainly want to get
more information, but separating the child from themother is not necessary at this
time.
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse
why she is soneedy and acting like a child. The best response of the nurse is that in
the hospital, adolescents
a. have separation anxiety.
b. rebel against rules.
c. regress because of stress.
d. want to know everything.
ANS: C
Regression to an earlier stage of development is a common response to stress.
Separation anxiety ismost common in infants and toddlers. Rebellion against
hospital rules is usually not an issue if the adolescent understands the rules and
would not create childlike behaviors. An adolescent may wantto know everything
with their logical thinking and deductive reasoning, but that would not explainwhy
they would act like a child.
methods to reach the correct solution.Logical Reasoning: Mathematics is rooted in logical structures, and students are expected to demonstrate their ability to apply logic to prove statements or solve problems.
This is especially important in subjects like proof-based mathematics.Calculation and A
Chapter 2. Emerging Roles of the Advanced Practice Nurse
Multiple
Choice
1. An APRN is about to examine a patient in the emergency department. A
colleague states to the APRN “This patient is probably just seeking pain
medication.” Regardless of his or her colleague’s comment he or she enter the
examination room and treat the patient as if he or she is trustworthy and has
good motives. Which of the ten essential elements of dignity is the APRN
utilizing?
a. Inclusion
b. Benefit of the doubt
c. Acceptance of identity
Advanced Practice Nursing: Essentials for Role Development 4th Edition by
Lucille A. Joel
Chapter 1-30
Chapter 1
1. The nurse manager of a pediatric clinic could confirm that the new nurse
recognized the purposeof the HEADSS Adolescent Risk Profile when the new nurse
responds that it is used to assess for needs related to
methods to reach the correct solution.Logical Reasoning: Mathematics is rooted in logical structures, and students are expected to demonstrate their ability to apply logic to prove statements or solve problems.
This is especially important in subjects like proof-based mathematics.Calculation and A
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
ANS: 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, theexpected stage of development for a preschooler is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
ANS: C
The expected stage of development for a preschooler (3 to 4 years old) is
preoperational. Concreteoperational describes the thinking of a school-age child (7
to 11 years old). Formal operational
describes the thinking of an individual after about 11 years of age. Sensorimotor
describes theearliest 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.
ANS: D
Growth is a quantitative change in which an increase in cell number and size results
in an increasein overall size or weight of the body or any of its parts. The processes
by which early cells specialize are referred to asdifferentiation. Psychosocial and
cognitive changes are referred to as development. Qualitative changes associated
with aging are referred to as maturation.
methods to reach the correct solution.Logical Reasoning: Mathematics is rooted in logical structures, and students are expected to demonstrate their ability to apply logic to prove statements or solve problems.
This is especially important in subjects like proof-based mathematics.Calculation and A
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.
ANS: 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 athorough 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 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.
This is especially important in subjects like proof-based mathematics.Calculation and A
ANS: 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.
ANS: 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 consideredto significantly affect development;
the difference is the concepts that affect development are thosethat represent major
influencing factors (causes), hence determination of development and would bethe
focus of preventive interventions. Environment is considered to significantly affect
development. Nutrition is considered to significantly affect development.
REF: 1 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child
always talks toher toys and makes up stories. The mother wants her child to have a
psychologic evaluation. Thenurses best initial response is to
methods to reach the correct solution.Logical Reasoning: Mathematics is rooted in logical structures, and students are expected to demonstrate their ability to apply logic to prove statements or solve problems.
This is especially important in subjects like proof-based mathematics.Calculation and A
a. refer the child to a psychologist.
b. explain that playing make believe with dolls and people is normal at this age.
c. complete a developmental screening.
d. separate the child from the mother to get more information.
ANS: B
, By the end of the fourth year, it is expected that a child will engage in fantasy, so
this is normal at this age. A referral to a psychologist would be premature based only
on the complaint of the mother. Completing a developmental screening would be
very appropriate but not the initial response. The nurse would certainly want to get
more information, but separating the child from themother is not necessary at this
time.
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse
why she is soneedy and acting like a child. The best response of the nurse is that in
the hospital, adolescents
a. have separation anxiety.
b. rebel against rules.
c. regress because of stress.
d. want to know everything.
ANS: C
Regression to an earlier stage of development is a common response to stress.
Separation anxiety ismost common in infants and toddlers. Rebellion against
hospital rules is usually not an issue if the adolescent understands the rules and
would not create childlike behaviors. An adolescent may wantto know everything
with their logical thinking and deductive reasoning, but that would not explainwhy
they would act like a child.
methods to reach the correct solution.Logical Reasoning: Mathematics is rooted in logical structures, and students are expected to demonstrate their ability to apply logic to prove statements or solve problems.
This is especially important in subjects like proof-based mathematics.Calculation and A
Chapter 2. Emerging Roles of the Advanced Practice Nurse
Multiple
Choice
1. An APRN is about to examine a patient in the emergency department. A
colleague states to the APRN “This patient is probably just seeking pain
medication.” Regardless of his or her colleague’s comment he or she enter the
examination room and treat the patient as if he or she is trustworthy and has
good motives. Which of the ten essential elements of dignity is the APRN
utilizing?
a. Inclusion
b. Benefit of the doubt
c. Acceptance of identity
