Advanced Practice Nursing Essentials for Role Development 4th Edition Joel Test Bank
Latest 2025/2026 | Guaranteed Success
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
, Advanced Practice Nursing Essentials for Role Development 4th Edition Joel Test Bank
Latest 2025/2026 | Guaranteed Success
REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
1. 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
2. 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.
d. nutrition.
,Advanced Practice Nursing Essentials for Role Development 4th Edition Joel Test Bank
Latest 2025/2026 | Guaranteed Success
ANS: C
Function is one of the concepts most significantly impacted by development. Others
include sensory-perceptual, cognition, mobility, reproduction, and sexuality.
Knowledge of these concepts can help the nurse anticipate areas that need to be
addressed. Culture is a concept that is considered to significantly affect development;
the difference is the concepts that affect development are those that represent major
influencing factors (causes), hence determination of development and would be the
focus of preventive interventions. Environment is considered to significantly affect
development. Nutrition is considered to significantly affect development.
REF: 1 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
, Advanced Practice Nursing Essentials for Role Development 4th Edition Joel Test Bank
Latest 2025/2026 | Guaranteed Success
3. 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
psychologic evaluation. The nurses best initial response is to
a. refer the child to a psychologist.
b. explain that playing make believe with dolls and people is normal at this age.
c. complete a developmental screening.
d. separate the child from the mother to get more information.
ANS: B
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
4. 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.
Latest 2025/2026 | Guaranteed Success
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
, Advanced Practice Nursing Essentials for Role Development 4th Edition Joel Test Bank
Latest 2025/2026 | Guaranteed Success
REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
1. 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
2. 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.
d. nutrition.
,Advanced Practice Nursing Essentials for Role Development 4th Edition Joel Test Bank
Latest 2025/2026 | Guaranteed Success
ANS: C
Function is one of the concepts most significantly impacted by development. Others
include sensory-perceptual, cognition, mobility, reproduction, and sexuality.
Knowledge of these concepts can help the nurse anticipate areas that need to be
addressed. Culture is a concept that is considered to significantly affect development;
the difference is the concepts that affect development are those that represent major
influencing factors (causes), hence determination of development and would be the
focus of preventive interventions. Environment is considered to significantly affect
development. Nutrition is considered to significantly affect development.
REF: 1 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
, Advanced Practice Nursing Essentials for Role Development 4th Edition Joel Test Bank
Latest 2025/2026 | Guaranteed Success
3. 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
psychologic evaluation. The nurses best initial response is to
a. refer the child to a psychologist.
b. explain that playing make believe with dolls and people is normal at this age.
c. complete a developmental screening.
d. separate the child from the mother to get more information.
ANS: B
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
4. 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.
