Advanced Practice
Nursing:
Essentials for
Role
Development
4th
Edition
Joel Test
Bank
l
,1. 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.
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
2. The most appropriate response of the nurse when a mother asks what the Denver II does is that it
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy.
c. is a developmental screening tool.
d. provides a framework for health teaching.
ANS: C
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The Denver II is the most commonly used measure of developmental status used by health care
professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis requires a
thorough neurodevelopment history and physical 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 evaluation, not a screening tool. Some providers use the Denver II as a
framework for teaching about expected development, but this is not the primary purpose of the tool.
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REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
3. 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
4. zTo zplan zearly zintervention zand zcare zfor za zchild zwith za zdevelopmental zdelay, zthe
znurse zwould zconsider zknowledge zof zthe zconcepts zmost zsignificantly zimpacted zby
zdevelopment, zincluding
a. culture. z
b. environment. z
c. functional zstatus. z
d. nutrition. z
ANS: zC
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