Advanced Practice Nursing : Essentials for Role Development 4th Edition JoelTes
j j j j j j j j j j j
t Bank j
Chapterj1j.jAdvancedjPracticejNursing:jDoingjWhatjHasjtojBejDone-Radicals,jRenegades,jandjRebels
MULTIPLEjCHOICE
1. Thejnursejmanagerjofjajpediatricjclinicjcouldjconfirmjthatjthejnewjnursejrecognizedjthejpurposejofjth
ejHEADSSjAdolescentjRiskjProfilejwhenjthejnewjnursejrespondsjthatjitjisjusedjtojassessjforjneedsjrelat
edjto
a. anticipatoryjguidance.
b. low-riskjadolescents.
c. physicaljdevelopment.
d. sexualjdevelopment.
ANS:jA
ThejHEADSSjAdolescentjRiskjProfilejisjajpsychosocialjassessmentjscreeningjtooljwhichjassessesjhome
,jeducation,jactivities,jdrugs,jsex,jandjsuicidejforjthejpurposejofjidentifyingjhigh-
riskjadolescentsjandjthejneedjforjanticipatoryjguidance.jItjisjusedjtojidentifyjhigh-risk,jnotjlow-
risk,jadolescents.jPhysicaljdevelopmentjisjassessedjwithjanthropometricjdata.jSexualjdevelopmentjisja
ssessedjusingjphysicaljexamination.
REF:j6jOBJ:jNCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
2. Thejnursejpreparingjajteachingjplanjforjajpreschoolerjknowsjthat,jaccordingjtojPiaget,jthejexpe
ctedjstagejofjdevelopmentj forjajpreschoolerjis
a. concretejoperational.
b. formaljoperational.
c. preoperational.
d. sensorimotor.
ANS:jC
Thejexpectedjstagejofjdevelopmentjforjajpreschoolerj(3jtoj4jyearsjold)jisjpreoperational.jConcretejoperat
ionaljdescribesjthejthinkingjofjajschool-agejchildj(7jtoj11jyearsjold).jFormaljoperational
WWW.THENURSINGMASTERY.COM
,describesjthejthinkingjofjanjindividualjafterjaboutj11jyearsjofjage.jSensorimotorjdescribesjthejearliestjpa
tternjofjthinkingj fromjbirthjtoj2jyearsjold.
REF:j5jOBJ:jNCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
3. Thejschooljnursejtalkingjwithjajhighjschooljclassjaboutjthejdifferencejbetweenjgrowthj andjdeve
lopmentjwouldjbestjdescribejgrowthjas
a. processesjbyjwhichjearlyjcellsjspecialize.
b. psychosocialjandjcognitivejchanges.
c. qualitativejchangesjassociatedjwithjaging.
d. quantitativejchangesjinjsizejorjweight.
ANS:jD
Growthjisjajquantitativejchangejinjwhichjanjincreasejinjcelljnumberjandjsizejresultsjinjanjincreasejinjover
alljsizejorjweightjofjthejbodyjorjanyjofjitsjparts.jThejprocessesjbyjwhichjearlyjcellsjspecializejarejreferred
tojasdifferentiation.jPsychosocialjandjcognitivejchangesjarejreferredjtojasjdevelopment.jQualitativejch
j
angesjassociatedjwithjagingjarejreferredjtojasjmaturation.
REF:j2jOBJ:jNCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
4. ThejmostjappropriatejresponsejofjthejnursejwhenjajmotherjasksjwhatjthejDenverjIIj doesjisjthatjit
a. canjdiagnosejdevelopmentaljdisabilities.
b. identifiesjajneedjforjphysicaljtherapy.
c. isjajdevelopmentaljscreeningjtool.
d. providesjajframeworkjforjhealthjteaching.
ANS:jC
ThejDenverjIIjisjthejmostjcommonlyjusedjmeasurejofjdevelopmentaljstatusjusedjbyjhealthjcarejprofessio
nals;jitjisjajscreeningjtool.jScreeningjtoolsjdojnotjprovidejajdiagnosis.jDiagnosisjrequiresjajthoroughjneur
odevelopmentjhistoryjandjphysicaljexamination.jDevelopmentaljdelay,jwhichjisjsuggestedjbyjscreenin
g,jisjajsymptom,jnotjajdiagnosis.jThejneedjforjanyjtherapyjwouldjbejidentifiedjwithjajcomprehensivejeva
luation,jnotjajscreeningjtool.jSomejprovidersjusejthejDenverjIIjasjajframeworkjforjteachingjaboutjexpect
edjdevelopment,jbutjthisjisjnotjthejprimaryjpurposejofjthejtool.
WWW.THENURSINGMASTERY.COM
,REF:j4jOBJ:jNCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
5. TojplanjearlyjinterventionjandjcarejforjanjinfantjwithjDownjsyndrome,jthejnursejconsidersjkno
wledgejofjotherjphysicaljdevelopmentjexemplarsjsuchjas
a. cerebraljpalsy.
b. failurejtojthrive.
c. fetaljalcoholjsyndrome.
d. hydrocephaly.
ANS:jD
Hydrocephalyjisjalsojajphysicaljdevelopmentjexemplar.jCerebraljpalsyjisjanjexemplarjofjadaptivejdevel
opmentaljdelay.jFailurejtojthrivejisjanjexemplarjofjsocial/emotionaljdevelopmentaljdelay.
Fetaljalcoholjsyndromejisjanjexemplarjofjcognitivejdevelopmentaljdelay.
REF:j9jOBJ:jNCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
6. Tojplanjearlyjinterventionjandjcarejforjajchildjwithjajdevelopmentaljdelay,jthejnursej wouldjconsi
derjknowledgejofjthejconceptsjmostjsignificantlyjimpactedjbyjdevelopment,jincluding
a. culture.
b. environment.
c. functionaljstatus.
d. nutrition.
ANS:jC
Functionjisjonejofjthejconceptsjmostjsignificantlyjimpactedjbyjdevelopment.jOthersjincludejsensory-
perceptual,jcognition,jmobility,jreproduction,jandjsexuality.jKnowledgejofjthesejconceptsjcanjhelpjthej
nursejanticipatejareasjthatjneedjtojbejaddressed.jCulturejisjajconceptjthatjisjconsideredjtojsignificantlyjaff
ectjdevelopment;jthejdifferencejisjthejconceptsjthatjaffectjdevelopmentjarejthosejthatjrepresentjmajorjinf
luencingjfactorsj(causes),jhencejdeterminationjofjdevelopmentjandjwouldjbejthejfocusjofjpreventivejinte
rventions.jEnvironmentjisjconsideredjtojsignificantlyjaffectjdevelopment.jNutritionjisjconsideredjtojsig
nificantlyjaffectjdevelopment.
REF:j1jOBJ:jNCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
WWW.THENURSINGMASTERY.COM
, 7. Ajmotherjcomplainsjtojthejnursejatjthejpediatricjclinicjthatjherj4-year-
oldjchildjalwaysjtalksjtojherjtoysjandjmakesjupjstories.jThejmotherjwantsjherjchildjtojhavejajpsycholog
icjevaluation.jThejnursesjbestjinitialjresponsejisjto
a. referjthejchildjtojajpsychologist.
b. explainjthatjplayingjmakejbelievejwithjdollsjandjpeoplejisjnormaljatjthisjage.
c. completejajdevelopmentaljscreening.
d. separatejthejchildjfromjthejmotherjtojgetjmorejinformation.
ANS:jB
Byjthejendjofjthejfourthjyear,jitjisjexpectedjthatjajchildjwilljengagejinjfantasy,jsojthisjisjnormaljatjthisjage.j
Ajreferraljtojajpsychologistjwouldjbejprematurejbasedjonlyjonjthejcomplaintjofjthejmother.jCompletingj
ajdevelopmentaljscreeningjwouldjbejveryjappropriatejbutjnotjthejinitialjresponse.jThejnursejwouldjcerta
inlyjwantjtojgetjmorejinformation,jbutjseparatingjthejchildjfromjthejmotherjisjnotjnecessaryjatjthisjtime.
REF:j5jOBJ:jNCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
8. Aj17-year-
oldjgirljisjhospitalizedjforjappendicitis,jandjherjmotherjasksjthejnursejwhyjshejisjsojneedyjandjactingjli
kejajchild.jThejbestjresponsejofjthejnursejisjthatjinjthejhospital,jadolescents
a. havejseparationjanxiety.
b. rebeljagainstjrules.
c. regressjbecausejofjstress.
d. wantjtojknowjeverything.
ANS:jC
Regressionjtojanjearlierjstagejofjdevelopmentjisjajcommonjresponsejtojstress.jSeparationjanxietyjisjmostj
commonjinjinfantsjandjtoddlers.jRebellionjagainstjhospitaljrulesjisjusuallyjnotjanjissuejifjthejadolescentj
understandsjthejrulesjandjwouldjnotjcreatejchildlikejbehaviors.jAnjadolescentjmayjwantjtojknowjeveryth
ingjwithjtheirjlogicaljthinkingjandjdeductivejreasoning,jbutjthatjwouldjnotjexplainjwhyjtheyjwouldjactjli
kejajchild.
Chapterj2.jEmergingjRolesjofjthejAdvancedjPracticejNurse
WWW.THENURSINGMASTERY.COM
j j j j j j j j j j j
t Bank j
Chapterj1j.jAdvancedjPracticejNursing:jDoingjWhatjHasjtojBejDone-Radicals,jRenegades,jandjRebels
MULTIPLEjCHOICE
1. Thejnursejmanagerjofjajpediatricjclinicjcouldjconfirmjthatjthejnewjnursejrecognizedjthejpurposejofjth
ejHEADSSjAdolescentjRiskjProfilejwhenjthejnewjnursejrespondsjthatjitjisjusedjtojassessjforjneedsjrelat
edjto
a. anticipatoryjguidance.
b. low-riskjadolescents.
c. physicaljdevelopment.
d. sexualjdevelopment.
ANS:jA
ThejHEADSSjAdolescentjRiskjProfilejisjajpsychosocialjassessmentjscreeningjtooljwhichjassessesjhome
,jeducation,jactivities,jdrugs,jsex,jandjsuicidejforjthejpurposejofjidentifyingjhigh-
riskjadolescentsjandjthejneedjforjanticipatoryjguidance.jItjisjusedjtojidentifyjhigh-risk,jnotjlow-
risk,jadolescents.jPhysicaljdevelopmentjisjassessedjwithjanthropometricjdata.jSexualjdevelopmentjisja
ssessedjusingjphysicaljexamination.
REF:j6jOBJ:jNCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
2. Thejnursejpreparingjajteachingjplanjforjajpreschoolerjknowsjthat,jaccordingjtojPiaget,jthejexpe
ctedjstagejofjdevelopmentj forjajpreschoolerjis
a. concretejoperational.
b. formaljoperational.
c. preoperational.
d. sensorimotor.
ANS:jC
Thejexpectedjstagejofjdevelopmentjforjajpreschoolerj(3jtoj4jyearsjold)jisjpreoperational.jConcretejoperat
ionaljdescribesjthejthinkingjofjajschool-agejchildj(7jtoj11jyearsjold).jFormaljoperational
WWW.THENURSINGMASTERY.COM
,describesjthejthinkingjofjanjindividualjafterjaboutj11jyearsjofjage.jSensorimotorjdescribesjthejearliestjpa
tternjofjthinkingj fromjbirthjtoj2jyearsjold.
REF:j5jOBJ:jNCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
3. Thejschooljnursejtalkingjwithjajhighjschooljclassjaboutjthejdifferencejbetweenjgrowthj andjdeve
lopmentjwouldjbestjdescribejgrowthjas
a. processesjbyjwhichjearlyjcellsjspecialize.
b. psychosocialjandjcognitivejchanges.
c. qualitativejchangesjassociatedjwithjaging.
d. quantitativejchangesjinjsizejorjweight.
ANS:jD
Growthjisjajquantitativejchangejinjwhichjanjincreasejinjcelljnumberjandjsizejresultsjinjanjincreasejinjover
alljsizejorjweightjofjthejbodyjorjanyjofjitsjparts.jThejprocessesjbyjwhichjearlyjcellsjspecializejarejreferred
tojasdifferentiation.jPsychosocialjandjcognitivejchangesjarejreferredjtojasjdevelopment.jQualitativejch
j
angesjassociatedjwithjagingjarejreferredjtojasjmaturation.
REF:j2jOBJ:jNCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
4. ThejmostjappropriatejresponsejofjthejnursejwhenjajmotherjasksjwhatjthejDenverjIIj doesjisjthatjit
a. canjdiagnosejdevelopmentaljdisabilities.
b. identifiesjajneedjforjphysicaljtherapy.
c. isjajdevelopmentaljscreeningjtool.
d. providesjajframeworkjforjhealthjteaching.
ANS:jC
ThejDenverjIIjisjthejmostjcommonlyjusedjmeasurejofjdevelopmentaljstatusjusedjbyjhealthjcarejprofessio
nals;jitjisjajscreeningjtool.jScreeningjtoolsjdojnotjprovidejajdiagnosis.jDiagnosisjrequiresjajthoroughjneur
odevelopmentjhistoryjandjphysicaljexamination.jDevelopmentaljdelay,jwhichjisjsuggestedjbyjscreenin
g,jisjajsymptom,jnotjajdiagnosis.jThejneedjforjanyjtherapyjwouldjbejidentifiedjwithjajcomprehensivejeva
luation,jnotjajscreeningjtool.jSomejprovidersjusejthejDenverjIIjasjajframeworkjforjteachingjaboutjexpect
edjdevelopment,jbutjthisjisjnotjthejprimaryjpurposejofjthejtool.
WWW.THENURSINGMASTERY.COM
,REF:j4jOBJ:jNCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
5. TojplanjearlyjinterventionjandjcarejforjanjinfantjwithjDownjsyndrome,jthejnursejconsidersjkno
wledgejofjotherjphysicaljdevelopmentjexemplarsjsuchjas
a. cerebraljpalsy.
b. failurejtojthrive.
c. fetaljalcoholjsyndrome.
d. hydrocephaly.
ANS:jD
Hydrocephalyjisjalsojajphysicaljdevelopmentjexemplar.jCerebraljpalsyjisjanjexemplarjofjadaptivejdevel
opmentaljdelay.jFailurejtojthrivejisjanjexemplarjofjsocial/emotionaljdevelopmentaljdelay.
Fetaljalcoholjsyndromejisjanjexemplarjofjcognitivejdevelopmentaljdelay.
REF:j9jOBJ:jNCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
6. Tojplanjearlyjinterventionjandjcarejforjajchildjwithjajdevelopmentaljdelay,jthejnursej wouldjconsi
derjknowledgejofjthejconceptsjmostjsignificantlyjimpactedjbyjdevelopment,jincluding
a. culture.
b. environment.
c. functionaljstatus.
d. nutrition.
ANS:jC
Functionjisjonejofjthejconceptsjmostjsignificantlyjimpactedjbyjdevelopment.jOthersjincludejsensory-
perceptual,jcognition,jmobility,jreproduction,jandjsexuality.jKnowledgejofjthesejconceptsjcanjhelpjthej
nursejanticipatejareasjthatjneedjtojbejaddressed.jCulturejisjajconceptjthatjisjconsideredjtojsignificantlyjaff
ectjdevelopment;jthejdifferencejisjthejconceptsjthatjaffectjdevelopmentjarejthosejthatjrepresentjmajorjinf
luencingjfactorsj(causes),jhencejdeterminationjofjdevelopmentjandjwouldjbejthejfocusjofjpreventivejinte
rventions.jEnvironmentjisjconsideredjtojsignificantlyjaffectjdevelopment.jNutritionjisjconsideredjtojsig
nificantlyjaffectjdevelopment.
REF:j1jOBJ:jNCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
WWW.THENURSINGMASTERY.COM
, 7. Ajmotherjcomplainsjtojthejnursejatjthejpediatricjclinicjthatjherj4-year-
oldjchildjalwaysjtalksjtojherjtoysjandjmakesjupjstories.jThejmotherjwantsjherjchildjtojhavejajpsycholog
icjevaluation.jThejnursesjbestjinitialjresponsejisjto
a. referjthejchildjtojajpsychologist.
b. explainjthatjplayingjmakejbelievejwithjdollsjandjpeoplejisjnormaljatjthisjage.
c. completejajdevelopmentaljscreening.
d. separatejthejchildjfromjthejmotherjtojgetjmorejinformation.
ANS:jB
Byjthejendjofjthejfourthjyear,jitjisjexpectedjthatjajchildjwilljengagejinjfantasy,jsojthisjisjnormaljatjthisjage.j
Ajreferraljtojajpsychologistjwouldjbejprematurejbasedjonlyjonjthejcomplaintjofjthejmother.jCompletingj
ajdevelopmentaljscreeningjwouldjbejveryjappropriatejbutjnotjthejinitialjresponse.jThejnursejwouldjcerta
inlyjwantjtojgetjmorejinformation,jbutjseparatingjthejchildjfromjthejmotherjisjnotjnecessaryjatjthisjtime.
REF:j5jOBJ:jNCLEXjClientjNeedsjCategory:jHealthjPromotionjandjMaintenance
8. Aj17-year-
oldjgirljisjhospitalizedjforjappendicitis,jandjherjmotherjasksjthejnursejwhyjshejisjsojneedyjandjactingjli
kejajchild.jThejbestjresponsejofjthejnursejisjthatjinjthejhospital,jadolescents
a. havejseparationjanxiety.
b. rebeljagainstjrules.
c. regressjbecausejofjstress.
d. wantjtojknowjeverything.
ANS:jC
Regressionjtojanjearlierjstagejofjdevelopmentjisjajcommonjresponsejtojstress.jSeparationjanxietyjisjmostj
commonjinjinfantsjandjtoddlers.jRebellionjagainstjhospitaljrulesjisjusuallyjnotjanjissuejifjthejadolescentj
understandsjthejrulesjandjwouldjnotjcreatejchildlikejbehaviors.jAnjadolescentjmayjwantjtojknowjeveryth
ingjwithjtheirjlogicaljthinkingjandjdeductivejreasoning,jbutjthatjwouldjnotjexplainjwhyjtheyjwouldjactjli
kejajchild.
Chapterj2.jEmergingjRolesjofjthejAdvancedjPracticejNurse
WWW.THENURSINGMASTERY.COM
