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1. The nurse manager of a pediatric clinic could confirm that the new nurse
recognized the purpose of the HEADSS Adolescent Risk Profile when the new
nurse responds that it is used to assess for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
a. anticipatory guidance.
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.
,2. The nurse preparing a teaching plan for a preschooler knows that, according to
Piaget, the expected stage of development for a preschooler is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
c. preoperational.
The expected stage of development for a preschooler (3 to 4 years old) is
preoperational. Concrete operational 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 the earliest pattern of
thinking from birth to 2 years old.
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.
d. quantitative changes in size or weight.
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 as differentiation.
Psychosocial and cognitive changes are referred to as development. Qualitative
changes associated with aging are referred to as maturation.
4. Which change represents the primary impetus for the end of the era of the female
lay healer?
1. Perception of health promotion as an obligation
2. Development of a clinical nurse specialist position statement
,3. Foundation of the American Association of Nurse-Midwives
4. Emergence of a medical establishment
4. Emergence of a medical establishment.
The emergence of a formal medical establishment and the professionalization of
medicine displaced the female lay healer tradition.
5. The beginning of modern nursing is traditionally considered to have begun with
which event?
1. Establishment of the first school of nursing
2. Incorporation of midwifery by the lay healer
3. Establishment of the Frontier Nursing Service (FNS)
4. Creation of the American Association of Nurse-Midwives (AANM)
1. Establishment of the first school of nursing.
The establishment of the first school of nursing is traditionally considered the
beginning of modern nursing.
6. In 1910, which factors most significantly influenced the midwifery profession?
Select all that apply.
1. Strict licensing requirements
2. Negative public perception
3. Dedicated funding for training
4. Poor maternal-child outcomes
5. Mandatory professional supervision
2. Negative public perception and 4. Poor maternal-child outcomes.
In 1910, negative public perception and poor maternal-child outcomes
significantly influenced the midwifery profession.
, 7. Which advanced practice nursing role is unique in that the practitioners view
their role as comprising a combination of two distinct disciplines?
1. Nurse practitioner
2. Certified registered nurse anesthetist
3. Clinical nurse specialist
4. Certified nurse-midwife
4. Certified nurse-midwife.
Certified nurse-midwives view their role as comprising a combination of two
distinct disciplines: nursing and midwifery.
8. In the 19th century, which factors led to the administration of anesthesia by
nurses? Select all that apply.
1. Surgeon entitlement to collecting anesthesia fees
2. Collaborative practice between physician-anesthetists and nurses
3. Lack of recognition of anesthesiology as a medical specialty
4. Opposition to anesthesia administration by physicians
5. Formation of a national organization by nurse anesthetists
3. Lack of recognition of anesthesiology as a medical specialty and 4.
Opposition to anesthesia administration by physicians.
In the 19th century, the lack of recognition of anesthesiology as a medical
specialty and opposition to anesthesia administration by physicians led to nurses
administering anesthesia.
9. Which factor contributed to expansion of the role of the clinical nurse specialist
(CNS) during the 1960s?
1. Increased numbers of practicing physicians
2. Tightening of female role definitions
3. Return of nurses from military conflict
4. Lack of medical specialization