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Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades,
and Rebels
REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
1. 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 increase in 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
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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 a thorough 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.
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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 considers knowledge 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 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
4. 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.
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Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades,
and Rebels
REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
1. 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 increase in 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
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BankEssentials
for Advanced
for Role
Practice
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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 a thorough 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.
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Nursing
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for Advanced
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Practice
Development
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Development 5th Edition Joel, Latest 3 of 604
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Test Bank for Advanced Practice
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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 considers knowledge 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 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
4. 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.
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Nursing
BankEssentials
for Advanced
for Role
Practice
Development
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5th Edition
forJoel,
RoleLatest
Development 5th Edition Joel, Latest 4 of 604
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