Advanced Practice Nursing: Essentials for Role Development 5TH Edition Joel
,TVTVTVTVTVTVTVTVTV Chapter 1: Advanced Practice Nursing: Doing What Has to Be Done-
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Radicals, Renegades, and Rebels
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MULTIPLE CHOICE TV
1. The RN manager of a pediatric clinic could confirm that the new RN recognized the purp
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ose of the HEADSS Adolescent Risk Profile when the new RN responds that it is used to as
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sess for needs related to
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a. anticipatory guidance. TV
b. low-risk adolescents. TV
c. physical development. TV
d. sexual development. TV
CORRECT ANS: A TV TV
Feedback: The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool w
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hich assesses home, education, activities, drugs, sex, and suicide for the purpose of identifyin
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g high-risk adolescents and the need for anticipatory guidance. It is used to identify high-
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risk, not low-
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risk, adolescents. Physical development is assessed with anthropometric data. Sexual develo
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pment is assessed using physical examination.
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REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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2. The RN preparing a teaching plan for a preschooler knows that, according to Piage
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t, the expected stage of development for a preschooler is
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,a. concrete operational. TV
b. formal operational.
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c. preoperational.
d. sensorimotor.
CORRECT ANS: CTV TV
Feedback: The expected stage of development for a preschooler (3 to 4 years old) is preopera
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tional. Concrete operational describes the thinking of a school-
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age child (7 to 11 years old). Formal
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, describes the thinking of an individual after about 11 years of age. Sensorimotor describes t
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he earliest pattern of thinking from birth to 2 years old.
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REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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3. The school RN talking with a high school class about the difference between growt
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h and development would best describe growth as
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a. processes by which early cells specialize. TV TV TV TV TV
b. psychosocial and cognitive changes. TV TV TV
c. qualitative changes associated with aging. TV TV TV TV
d. quantitative changes in size or weight. TV TV TV TV TV
CORRECT ANS: D TV TV
Feedback: Growth is a quantitative change in which an increase in cell number and size resu
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lts in an increase in overall size or weight of the body or any of its parts. The processes by
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which early cells specialize are referred to asdifferentiation. Psychosocial and cognitive cha
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nges are referred to as development. Qualitative changes associated with aging are referre
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d to as maturation.
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REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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4. The most appropriate response of the RN when a mother asks what the Denver II does is that it
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a. can diagnose developmental disabilities.
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b. identifies a need for physical therapy. TV TV TV TV TV