TESTBANK ADVANCED PRACTICE NURSING TESTBANK ADVANCED PRACTICE NURSING
ESSENTIALS FOR ROLE DEVELOPMENT 4TH ESSENTIALS FOR ROLE DEVELOPMENT 4TH
EDITION JOEL TEST BANK LATEST 2025 EDITION JOEL TEST BANK LATEST 2025
REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades, and 2. The nurse preparing a teaching plan for a preschooler knows that, according
Rebels to Piaget, the expected stage of development for a preschooler is
a. concrete operational.
1. The nurse manager of a pediatric clinic could confirm that the new nurse b. formal operational.
recognized the purpose of the HEADSS Adolescent Risk Profile when the new nurse
c. preoperational.
responds that it is used to assess for needs related to
d. sensorimotor.
a. anticipatory guidance.
b. low-risk adolescents. ANS: C
c. physical development.
The expected stage of development for a preschooler (3 to 4 years old) is
d. sexual development. preoperational. Concrete operational describes the thinking of a school-age child (7
to 11 years old). Formal operational
ANS: A
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.
,Advanced Practice Nursing Essentials for Role Advanced Practice Nursing Essentials for Role
Development 4th Edition Joel Test Bank Latest 2022 Development 4th Edition Joel Test Bank Latest 2022
b. identifies a need for physical therapy.
c. is a developmental screening tool.
describes the thinking of an individual after about 11 years of age. Sensorimotor
d. provides a framework for health teaching.
describes the earliest pattern of thinking from birth to 2 years old.
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance ANS: C
3. The school nurse talking with a high school class about the difference The Denver II is the most commonly used measure of developmental status used by
between growth anddevelopment would best describe growth as health care professionals; it is a screening tool. Screening tools do not provide a
diagnosis. Diagnosis requires a thorough neurodevelopment history and physical
a. processes by which early cells specialize. 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
b. psychosocial and cognitive changes.
evaluation, not a screening tool. Some providers use the Denver II as a framework
c. qualitative changes associated with aging. for teaching about expected development, but this is not the primary purpose of the
d. quantitative changes in size or weight. tool.
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
4. The most appropriate response of the nurse when a mother asks what the Denver II
does is that it
a. can diagnose developmental disabilities.
,Advanced Practice Nursing Essentials for Role Advanced Practice Nursing Essentials for Role
Development 4th Edition Joel Test Bank Latest 2022 Development 4th Edition Joel Test Bank Latest 2022
d. nutrition.
REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance ANS: C
5. To plan early intervention and care for an infant with Down syndrome, the Function is one of the concepts most significantly impacted by development. Others
nurse considers knowledge of other physical development exemplars such as include sensory-perceptual, cognition, mobility, reproduction, and sexuality.
Knowledge of these concepts can help the nurse anticipate areas that need to be
a. cerebral palsy. addressed. Culture is a concept that is considered to significantly affect development;
b. failure to thrive. the difference is the concepts that affect development are those that represent major
influencing factors (causes), hence determination of development and would be the
c. fetal alcohol syndrome.
focus of preventive interventions. Environment is considered to significantly affect
d. hydrocephaly. development. Nutrition is considered to significantly affect development.
ANS: D REF: 1 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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
6. 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.
, Advanced Practice Nursing Essentials for Role Advanced Practice Nursing Essentials for Role
Development 4th Edition Joel Test Bank Latest 2022 Development 4th Edition Joel Test Bank Latest 2022
c. regress because of stress.
d. want to know everything.
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child
always talks to her toys and makes up stories. The mother wants her child to have a
ANS: C
psychologic evaluation. The nurses best initial response is to
Regression to an earlier stage of development is a common response to stress.
a. refer the child to a psychologist.
Separation anxiety is most common in infants and toddlers. Rebellion against
b. explain that playing make believe with dolls and people is normal at this age. hospital rules is usually not an issue if the adolescent understands the rules and
c. complete a developmental screening. would not create childlike behaviors. An adolescent may want to know everything
with their logical thinking and deductive reasoning, but that would not explain why
d. separate the child from the mother to get more information.
they would act like a child.
ANS: B
Chapter 2. Emerging Roles of the Advanced Practice Nurse
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 the mother is not necessary at this
time.
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse
why she is so needy 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.
ESSENTIALS FOR ROLE DEVELOPMENT 4TH ESSENTIALS FOR ROLE DEVELOPMENT 4TH
EDITION JOEL TEST BANK LATEST 2025 EDITION JOEL TEST BANK LATEST 2025
REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades, and 2. The nurse preparing a teaching plan for a preschooler knows that, according
Rebels to Piaget, the expected stage of development for a preschooler is
a. concrete operational.
1. The nurse manager of a pediatric clinic could confirm that the new nurse b. formal operational.
recognized the purpose of the HEADSS Adolescent Risk Profile when the new nurse
c. preoperational.
responds that it is used to assess for needs related to
d. sensorimotor.
a. anticipatory guidance.
b. low-risk adolescents. ANS: C
c. physical development.
The expected stage of development for a preschooler (3 to 4 years old) is
d. sexual development. preoperational. Concrete operational describes the thinking of a school-age child (7
to 11 years old). Formal operational
ANS: A
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.
,Advanced Practice Nursing Essentials for Role Advanced Practice Nursing Essentials for Role
Development 4th Edition Joel Test Bank Latest 2022 Development 4th Edition Joel Test Bank Latest 2022
b. identifies a need for physical therapy.
c. is a developmental screening tool.
describes the thinking of an individual after about 11 years of age. Sensorimotor
d. provides a framework for health teaching.
describes the earliest pattern of thinking from birth to 2 years old.
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance ANS: C
3. The school nurse talking with a high school class about the difference The Denver II is the most commonly used measure of developmental status used by
between growth anddevelopment would best describe growth as health care professionals; it is a screening tool. Screening tools do not provide a
diagnosis. Diagnosis requires a thorough neurodevelopment history and physical
a. processes by which early cells specialize. 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
b. psychosocial and cognitive changes.
evaluation, not a screening tool. Some providers use the Denver II as a framework
c. qualitative changes associated with aging. for teaching about expected development, but this is not the primary purpose of the
d. quantitative changes in size or weight. tool.
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
4. The most appropriate response of the nurse when a mother asks what the Denver II
does is that it
a. can diagnose developmental disabilities.
,Advanced Practice Nursing Essentials for Role Advanced Practice Nursing Essentials for Role
Development 4th Edition Joel Test Bank Latest 2022 Development 4th Edition Joel Test Bank Latest 2022
d. nutrition.
REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance ANS: C
5. To plan early intervention and care for an infant with Down syndrome, the Function is one of the concepts most significantly impacted by development. Others
nurse considers knowledge of other physical development exemplars such as include sensory-perceptual, cognition, mobility, reproduction, and sexuality.
Knowledge of these concepts can help the nurse anticipate areas that need to be
a. cerebral palsy. addressed. Culture is a concept that is considered to significantly affect development;
b. failure to thrive. the difference is the concepts that affect development are those that represent major
influencing factors (causes), hence determination of development and would be the
c. fetal alcohol syndrome.
focus of preventive interventions. Environment is considered to significantly affect
d. hydrocephaly. development. Nutrition is considered to significantly affect development.
ANS: D REF: 1 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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
6. 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.
, Advanced Practice Nursing Essentials for Role Advanced Practice Nursing Essentials for Role
Development 4th Edition Joel Test Bank Latest 2022 Development 4th Edition Joel Test Bank Latest 2022
c. regress because of stress.
d. want to know everything.
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child
always talks to her toys and makes up stories. The mother wants her child to have a
ANS: C
psychologic evaluation. The nurses best initial response is to
Regression to an earlier stage of development is a common response to stress.
a. refer the child to a psychologist.
Separation anxiety is most common in infants and toddlers. Rebellion against
b. explain that playing make believe with dolls and people is normal at this age. hospital rules is usually not an issue if the adolescent understands the rules and
c. complete a developmental screening. would not create childlike behaviors. An adolescent may want to know everything
with their logical thinking and deductive reasoning, but that would not explain why
d. separate the child from the mother to get more information.
they would act like a child.
ANS: B
Chapter 2. Emerging Roles of the Advanced Practice Nurse
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 the mother is not necessary at this
time.
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse
why she is so needy 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.
