TEXT BANK FOR ADVANCED PRACTICE
NURSING: ESSENTIALS FOR ROLE
DEVELOPMENT 4TH EDITION JOEL WITH
VERIFIED ANSWERS
Chapter 1. Advanced Practice Nursing: Doing What Has to Be
Done-Radicals, Renegades, and Rebels
MULTIPLE CHOICE
The nurse manager of a pediatric clinic can confirm that the new nurse understands the purpose of the HEADSS
Adolescent Risk Profile when the 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.
ANS: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment tool used to assess home, education, activities,
drugs, sex, and suicide to identify high-risk adolescents and the need for anticipatory guidance. It is designed for
high-risk adolescents, not low-risk ones. Physical development is evaluated with anthropometric data, and sexual
development is assessed through physical exams.
According to Piaget, the expected stage of development for a preschooler is:
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
ANS: C
Piaget’s preoperational stage is expected for preschoolers (3 to 4 years old). The concrete operational stage applies
to school-age children (7 to 11 years old), formal operational to individuals 11 years and older, and sensorimotor
,describes the thinking of infants (birth to 2 years old).
When explaining the difference between growth and development to a high school class, the school nurse 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 refers to a measurable change, such as an increase in size or weight, due to increased cell number and size.
Differentiation is the process by which early cells specialize. Psychosocial and cognitive changes are part of
development, while qualitative changes associated with aging are part of maturation.
The nurse’s best response when a mother asks about the Denver II is that it:
a. can diagnose developmental disabilities.
b. identifies the need for physical therapy.
c. is a developmental screening tool.
d. provides a framework for health teaching.
ANS: C
The Denver II is a commonly used developmental screening tool to assess a child's development. It does not
diagnose disabilities, and any therapy needs are identified through comprehensive evaluations, not screening. Some
providers may use it as a framework for teaching, but this is not its primary purpose.
To plan early intervention for an infant with Down syndrome, the nurse should also consider knowledge of physical
development exemplars such as:
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
,ANS: D
Hydrocephaly is a physical development exemplar. Cerebral palsy is related to adaptive developmental delay, failure
to thrive refers to social/emotional delay, and fetal alcohol syndrome is a cognitive developmental delay.
To plan early intervention for a child with a developmental delay, the nurse would focus on concepts most impacted
by development, such as:
a. culture.
b. environment.
c. functional status.
d. nutrition.
ANS: C
Functional status is significantly impacted by development, along with sensory-perceptual, cognition, mobility,
reproduction, and sexuality. Culture and environment also affect development, but functional status directly
influences developmental planning. Nutrition also plays a role in development.
When a mother expresses concern that her 4-year-old talks to toys and creates stories, the nurse’s best initial
response is to:
a. refer the child to a psychologist.
b. explain that playing make-believe is normal for this age.
c. complete a developmental screening.
d. separate the child from the mother to get more information.
ANS: B
It is typical for a 4-year-old to engage in fantasy play. Referring the child to a psychologist is premature without
further concern, and a developmental screening could be appropriate but not the first step. Separating the child from
the mother is unnecessary.
When a mother asks why her 17-year-old daughter is acting like a child in the hospital, the best response is:
a. adolescents have separation anxiety.
b. adolescents rebel against rules.
, c. adolescents regress due to stress.
d. adolescents want to know everything.
ANS: C
Adolescents may regress to earlier developmental stages in response to stress. Separation anxiety is common in
younger children, and rebellion occurs when adolescents do not understand the rules. The desire for information is a
characteristic of logical thinking, not childlike behavior.
NURSING: ESSENTIALS FOR ROLE
DEVELOPMENT 4TH EDITION JOEL WITH
VERIFIED ANSWERS
Chapter 1. Advanced Practice Nursing: Doing What Has to Be
Done-Radicals, Renegades, and Rebels
MULTIPLE CHOICE
The nurse manager of a pediatric clinic can confirm that the new nurse understands the purpose of the HEADSS
Adolescent Risk Profile when the 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.
ANS: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment tool used to assess home, education, activities,
drugs, sex, and suicide to identify high-risk adolescents and the need for anticipatory guidance. It is designed for
high-risk adolescents, not low-risk ones. Physical development is evaluated with anthropometric data, and sexual
development is assessed through physical exams.
According to Piaget, the expected stage of development for a preschooler is:
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
ANS: C
Piaget’s preoperational stage is expected for preschoolers (3 to 4 years old). The concrete operational stage applies
to school-age children (7 to 11 years old), formal operational to individuals 11 years and older, and sensorimotor
,describes the thinking of infants (birth to 2 years old).
When explaining the difference between growth and development to a high school class, the school nurse 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 refers to a measurable change, such as an increase in size or weight, due to increased cell number and size.
Differentiation is the process by which early cells specialize. Psychosocial and cognitive changes are part of
development, while qualitative changes associated with aging are part of maturation.
The nurse’s best response when a mother asks about the Denver II is that it:
a. can diagnose developmental disabilities.
b. identifies the need for physical therapy.
c. is a developmental screening tool.
d. provides a framework for health teaching.
ANS: C
The Denver II is a commonly used developmental screening tool to assess a child's development. It does not
diagnose disabilities, and any therapy needs are identified through comprehensive evaluations, not screening. Some
providers may use it as a framework for teaching, but this is not its primary purpose.
To plan early intervention for an infant with Down syndrome, the nurse should also consider knowledge of physical
development exemplars such as:
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
,ANS: D
Hydrocephaly is a physical development exemplar. Cerebral palsy is related to adaptive developmental delay, failure
to thrive refers to social/emotional delay, and fetal alcohol syndrome is a cognitive developmental delay.
To plan early intervention for a child with a developmental delay, the nurse would focus on concepts most impacted
by development, such as:
a. culture.
b. environment.
c. functional status.
d. nutrition.
ANS: C
Functional status is significantly impacted by development, along with sensory-perceptual, cognition, mobility,
reproduction, and sexuality. Culture and environment also affect development, but functional status directly
influences developmental planning. Nutrition also plays a role in development.
When a mother expresses concern that her 4-year-old talks to toys and creates stories, the nurse’s best initial
response is to:
a. refer the child to a psychologist.
b. explain that playing make-believe is normal for this age.
c. complete a developmental screening.
d. separate the child from the mother to get more information.
ANS: B
It is typical for a 4-year-old to engage in fantasy play. Referring the child to a psychologist is premature without
further concern, and a developmental screening could be appropriate but not the first step. Separating the child from
the mother is unnecessary.
When a mother asks why her 17-year-old daughter is acting like a child in the hospital, the best response is:
a. adolescents have separation anxiety.
b. adolescents rebel against rules.
, c. adolescents regress due to stress.
d. adolescents want to know everything.
ANS: C
Adolescents may regress to earlier developmental stages in response to stress. Separation anxiety is common in
younger children, and rebellion occurs when adolescents do not understand the rules. The desire for information is a
characteristic of logical thinking, not childlike behavior.
