ADVANCED PRACTICE NURSING: ESSENTIALS FOR ROLE DEVELOPMENT 5TH EDITION JOEL’S TEST BANK

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

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MULTIPLE CHOICE ku




1. TheRNmanagerofapediatric cliniccouldconfirm thatthenewRNrecognizedthe purpose of the HEADSS Adolescent Risk Profile wh
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en the new RN responds thatitis used to assess for needs related to
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a. anticipatoryguidance. uk




b. low-riskadolescents. uk




c. physicaldevelopment. uk




d. sexualdevelopment. uk




CORRECT ANS: A ku ku




Feedback: TheHEADSS AdolescentRiskProfile isapsychosocialassessmentscreening tool whichassesses home, education, activities, d
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rugs, sex, and suicide for the purpose of identifying high-
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risk adolescents and the need for anticipatory guidance. Itis used to identify high-risk, notlow-
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risk, adolescents. Physical development is assessed with anthropometric data. Sexual development is assessed using physical examina
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tion.

REF:6 OBJ: NCLEXClientNeeds Category: Health Promotion andMaintenance
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2. TheRNpreparinga teaching planforapreschoolerknows that, according to Piaget, the expected stage of development for
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a preschooler is
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a. concreteoperational. uk




b. formaloperational. uk




c. preoperational.
d. sensorimotor.


CORRECT ANS: C ku ku




Feedback: Theexpectedstage ofdevelopmentforapreschooler(3 to 4 years old)is preoperational. Concrete operational describes the t
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hinking of a school-age child (7 to 11 years old). Formal
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,describes the thinkingofanindividualafterabout11 years ofage.Sensorimotordescribes the earliestpattern of thinking from birth to 2
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years old. ku




REF:5OBJ:NCLEXClientNeeds Category: HealthPromotionandMaintenance
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3. TheschoolRNtalking withahighschoolclassaboutthedifference betweengrowth and development would bestdescribe gr
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owth as ku




a. processesbywhichearlycellsspecialize. uk uk uk uk uk




b. psychosocialandcognitive changes. uk uk uk




c. qualitativechangesassociated withaging. uk uk uk uk




d. quantitative changes insizeorweight. uk uk uk uk uk




CORRECT ANS: D ku ku




Feedback: Growthis aquantitative changein whichanincreaseincellnumberandsizeresults inanincrease in overall size or weightof t
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he bodyor any of its parts. The processes by which early cells specialize are referred to asdifferentiation. Psychosocial and cognitive
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changes are referred to as development. Qualitative changes associated with aging are referred to as maturation.
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REF:2 OBJ: NCLEXClientNeeds Category: HealthPromotionandMaintenance
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4. Themostappropriate response of theRN whenamotherasks what theDenver IIdoesis thatit
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a. candiagnosedevelopmental disabilities. uk uk uk




b. identifies aneedforphysical therapy. uk uk uk uk uk




c. isadevelopmentalscreening tool. uk uk uk uk




d. provides aframeworkforhealth teaching. uk uk uk uk uk




CORRECT ANS: C ku ku




Feedback: The Denver II is the mostcommonly used measure of developmental status used by health care professionals;itis ascreeni
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ng tool. Screening tools donotprovideadiagnosis.Diagnosisrequiresa thorough neurodevelopment history and physical examination.
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Developmental delay, which is suggested by screening, is a symptom, nota diagnosis. The need for any therapy would be identified with ku ku ku ku ku ku ku ku ku ku ku ku ku ku ku ku ku ku ku ku ku ku




a comprehensive evaluation, nota screening tool. Some providers use the Denver II as a framework for teaching aboutexpected devel
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opment, but this is notthe primary purpose of the tool.
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, REF:4 OBJ: NCLEXClientNeeds Category: Health Promotion andMaintenance
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5. Toplanearlyintervention andcareforaninfantwith Downsyndrome, theRNconsiders knowledge of other physical develop
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mentexemplars such as ku ku ku




a. cerebralpalsy. uk




b. failure to thrive. uk ku




c. fetalalcoholsyndrome. uk uk




d. hydrocephaly.


CORRECT ANS: D ku ku




Feedback: Hydrocephalyisalsoaphysicaldevelopmentexemplar. Cerebralpalsyis anexemplarofadaptive developmental delay. Failure
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to thrive is an exemplar of social/emotional developmental delay.
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Fetalalcoholsyndromeis anexemplarofcognitive developmentaldelay.
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REF:9 OBJ: NCLEXClientNeeds Category: Health Promotion andMaintenance
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6. Toplanearlyintervention andcareforachildwith adevelopmental delay, theRNwould consider knowledge of the concepts m
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ostsignificantly impacted by development, including
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a. culture.
b. environment.
c. functionalstatus. uk




d. nutrition.


CORRECT ANS: C ku ku




Feedback: Function is one of the concepts mostsignificantly impacted bydevelopment. Others include sensory-
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perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of these concepts can help the RN anticipate areas thatneed to
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be addressed. Culture is a concept thatis considered to significantly affectdevelopment; the difference is the concepts thataffectdev
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elopmentare those thatrepresentmajorinfluencingfactors (causes),hencedetermination ofdevelopmentand wouldbe the focus of pr
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eventive interventions. Environment is considered to significantly affectdevelopment. Nutrition is considered to significantly affectd
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evelopment.

REF:1 OBJ: NCLEXClientNeeds Category: Health Promotion andMaintenance
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