Test Bank for The Doctor of Nursing Practice
Essentials A New Model for Advanced Practice
Nursing 4th Edition
1. The school nurse talking with a high school class about the difference
between growth anddevelopment 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.
REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
2. 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
3. To plan early intervention and care for an infant with Down syndrome, the
nurse considersknowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
ANS: D
,Hydrocephaly is also a physical development exemplar. Cerebral palsy is an
exemplar of adaptivedevelopmental 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
4. To plan early intervention and care for a child with a developmental delay, the
nurse wouldconsider 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
, 5. 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
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
6. 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.
Essentials A New Model for Advanced Practice
Nursing 4th Edition
1. The school nurse talking with a high school class about the difference
between growth anddevelopment 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.
REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
2. 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
3. To plan early intervention and care for an infant with Down syndrome, the
nurse considersknowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
ANS: D
,Hydrocephaly is also a physical development exemplar. Cerebral palsy is an
exemplar of adaptivedevelopmental 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
4. To plan early intervention and care for a child with a developmental delay, the
nurse wouldconsider 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
, 5. 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
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
6. 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.
