, Advanced Practice Nursing : Essentials for Role Development 4thEdition Joel Te
l# l# l# l# l# l# l# l# l# l#
st Bank l#
Chapter l#1l#. l#Advanced Practice l#Nursing: l#Doing l#What l#Has to l#Be l#Done-Radicals, l#Renegades, l#andRebels
q q
MULTIPLE l#CHOICE
1. The l#nurse l#manager l#ofa l#pediatric l#clinic l#could l#confirmthat l#the l#new l#nurse l#recognized the q
purpose l#of l#t l#he l#HEADSS l#Adolescent l#Risk l#Profile l#when l#the l#new l#nurse l#responds l#that l#it is l#used
l# q
to l#assess l#for l#needs l#r l#elatedl#to
l#
a. anticipatoryguidance.
b. low-riskadolescents.
c. physical l#development.
d. sexualdevelopment.
ANS:l#A
Thel#HEADSS l#Adolescent l#Riskl#Profile l#isl#al#psychosocialassessment l#screeningl#toolwhichassesses l#hom
l# e, l#education, l#activities, l#drugs, l#sex, l#and l#suicide l#for l#the l#purpose l#of l#identifying l#high-
risk l#adolescents l#and l#the l#need l#for l#anticipatory l#guidance. l#It l#is l#used l#to l#identify l#high-risk, l#not l#low-
risk, l#adolescents. l#Physical l#development l#is l#assessed l#with l#anthropometric l#data. l#Sexual
l# development l#is l#assessed l#using l#physical l#examination.
REF:l#6l#OBJ: l#NCLEXl#Client l#Needsl#Category: l#Healthl#Promotionand l#Maintenance
2. Thel#nursel#preparingl#al#teachingl#planl#forl#al#preschoolerl#knowsthat,l#according tol#Piaget,l#the l#ex
q
l# pected l#stage l#of l#development l#for l#a l#preschooler l#is
a. concreteoperational.
b. formal l#operational.
c. preoperational.
d. sensorimotor.
ANS:l#C
Theexpected stageofdevelopment l#forl#al#preschooler l#(3l#to l#4l#yearsl#old) l#isl#preoperational. l#Concrete l#oper
q
l# ationall#describes l#the l#thinking of l#a l#school-age l#child l#(7 l#to l#11 l#years l#old). l#Formal l#operational
q
,describesthe l#thinking l#ofan l#individualafter l#about l#11 l#years l#ofage. l#Sensorimotor l#describes l#the
earliest l#pattern l#of l#thinking l#from birth l#to 2 l#years l#old.
l# q q
REF:l#5l#OBJ:l#NCLEXl#Client l#Needs Category: l#Healthl#Promotionandl#Maintenance
q
3. Thel#schoolnurse l#talking withl#a l#highschoolclass l#aboutl#the l#difference l#betweenl#growth l#and
q
de l#velopment l#would l#best l#describe l#growth l#as
l#
a. processes l#bywhich l#earlycells l#specialize.
b. psychosocialand cognitive l#changes.
q
c. qualitative l#changes l#associated with l#aging. q
d. quantitative l#changes l#in l#size l#or l#weight.
ANS:l#D
Growthisa l#quantitative l#change l#in which l#an l#increase l#in cell l#number l#and l#size l#results l#in an
q q q
increase l#in l#o l#verall l#size l#or l#weight l#of l#the l#body l#or l#any l#of l#its l#parts. l#The l#processes l#by l#which
l#
early l#cells l#specialize l#are l#r l#eferred l#to l#asdifferentiation. l#Psychosocial l#and l#cognitive l#changes l#are
l#
referred l#to l#as l#development. l#Qual l#itative l#changes l#associated l#with l#aging l#are l#referred l#to l#as
l#
l# maturation.
REF:l#2l#OBJ:l#NCLEXl#Client l#Needs Category: l#Healthl#Promotionandl#Maintenance
q
4. Thel#most l#appropriatel#responsel#ofthe l#nursel#whenl#a l#mother l#asksl#what l#the l#Denver l#II l#does l#isl#that l#it
a. canl#diagnose l#developmentaldisabilities.
b. identifies al#need l#for l#physicaltherapy.
q
c. isl#al#developmentalscreening tool. q
d. providesl#a l#framework l#for l#healthl#teaching.
ANS:l#C
The l#Denver l#II l#is l#the l#most l#commonly l#used l#measure l#of l#developmental l#status l#used l#by l#health l#care
profes
l# l# sionals; it
l# is
l# a
l# screening tool.
l# q Screening toolsdo
l# q not
l# provide
l# adiagnosis.
l#
l# Diagnosisrequires l# a l# thorough l# neurodevelopment history
l# and
l# l#physical examination.
l#
l# Developmental l#delay, l#which l#is l#suggested by l#scr l#eening, l#is l#a l#symptom, l#not l#a l#diagnosis. l#The
q
need l#for l#anytherapywould l#be identified with l#a l#comprehen l#sive l#evaluation, l#not l#a l#screening l#tool.
l# q q
Some l#providers l#use l#the l#Denver l#II l#as l#a l#framework l#for l#teaching l#ab l#out expected l#development,
l# q
, but l#this is not l#the l#primary l#purpose l#of l#the l#tool.
l# q q
l# l# l# l# l# l# l# l# l# l#
st Bank l#
Chapter l#1l#. l#Advanced Practice l#Nursing: l#Doing l#What l#Has to l#Be l#Done-Radicals, l#Renegades, l#andRebels
q q
MULTIPLE l#CHOICE
1. The l#nurse l#manager l#ofa l#pediatric l#clinic l#could l#confirmthat l#the l#new l#nurse l#recognized the q
purpose l#of l#t l#he l#HEADSS l#Adolescent l#Risk l#Profile l#when l#the l#new l#nurse l#responds l#that l#it is l#used
l# q
to l#assess l#for l#needs l#r l#elatedl#to
l#
a. anticipatoryguidance.
b. low-riskadolescents.
c. physical l#development.
d. sexualdevelopment.
ANS:l#A
Thel#HEADSS l#Adolescent l#Riskl#Profile l#isl#al#psychosocialassessment l#screeningl#toolwhichassesses l#hom
l# e, l#education, l#activities, l#drugs, l#sex, l#and l#suicide l#for l#the l#purpose l#of l#identifying l#high-
risk l#adolescents l#and l#the l#need l#for l#anticipatory l#guidance. l#It l#is l#used l#to l#identify l#high-risk, l#not l#low-
risk, l#adolescents. l#Physical l#development l#is l#assessed l#with l#anthropometric l#data. l#Sexual
l# development l#is l#assessed l#using l#physical l#examination.
REF:l#6l#OBJ: l#NCLEXl#Client l#Needsl#Category: l#Healthl#Promotionand l#Maintenance
2. Thel#nursel#preparingl#al#teachingl#planl#forl#al#preschoolerl#knowsthat,l#according tol#Piaget,l#the l#ex
q
l# pected l#stage l#of l#development l#for l#a l#preschooler l#is
a. concreteoperational.
b. formal l#operational.
c. preoperational.
d. sensorimotor.
ANS:l#C
Theexpected stageofdevelopment l#forl#al#preschooler l#(3l#to l#4l#yearsl#old) l#isl#preoperational. l#Concrete l#oper
q
l# ationall#describes l#the l#thinking of l#a l#school-age l#child l#(7 l#to l#11 l#years l#old). l#Formal l#operational
q
,describesthe l#thinking l#ofan l#individualafter l#about l#11 l#years l#ofage. l#Sensorimotor l#describes l#the
earliest l#pattern l#of l#thinking l#from birth l#to 2 l#years l#old.
l# q q
REF:l#5l#OBJ:l#NCLEXl#Client l#Needs Category: l#Healthl#Promotionandl#Maintenance
q
3. Thel#schoolnurse l#talking withl#a l#highschoolclass l#aboutl#the l#difference l#betweenl#growth l#and
q
de l#velopment l#would l#best l#describe l#growth l#as
l#
a. processes l#bywhich l#earlycells l#specialize.
b. psychosocialand cognitive l#changes.
q
c. qualitative l#changes l#associated with l#aging. q
d. quantitative l#changes l#in l#size l#or l#weight.
ANS:l#D
Growthisa l#quantitative l#change l#in which l#an l#increase l#in cell l#number l#and l#size l#results l#in an
q q q
increase l#in l#o l#verall l#size l#or l#weight l#of l#the l#body l#or l#any l#of l#its l#parts. l#The l#processes l#by l#which
l#
early l#cells l#specialize l#are l#r l#eferred l#to l#asdifferentiation. l#Psychosocial l#and l#cognitive l#changes l#are
l#
referred l#to l#as l#development. l#Qual l#itative l#changes l#associated l#with l#aging l#are l#referred l#to l#as
l#
l# maturation.
REF:l#2l#OBJ:l#NCLEXl#Client l#Needs Category: l#Healthl#Promotionandl#Maintenance
q
4. Thel#most l#appropriatel#responsel#ofthe l#nursel#whenl#a l#mother l#asksl#what l#the l#Denver l#II l#does l#isl#that l#it
a. canl#diagnose l#developmentaldisabilities.
b. identifies al#need l#for l#physicaltherapy.
q
c. isl#al#developmentalscreening tool. q
d. providesl#a l#framework l#for l#healthl#teaching.
ANS:l#C
The l#Denver l#II l#is l#the l#most l#commonly l#used l#measure l#of l#developmental l#status l#used l#by l#health l#care
profes
l# l# sionals; it
l# is
l# a
l# screening tool.
l# q Screening toolsdo
l# q not
l# provide
l# adiagnosis.
l#
l# Diagnosisrequires l# a l# thorough l# neurodevelopment history
l# and
l# l#physical examination.
l#
l# Developmental l#delay, l#which l#is l#suggested by l#scr l#eening, l#is l#a l#symptom, l#not l#a l#diagnosis. l#The
q
need l#for l#anytherapywould l#be identified with l#a l#comprehen l#sive l#evaluation, l#not l#a l#screening l#tool.
l# q q
Some l#providers l#use l#the l#Denver l#II l#as l#a l#framework l#for l#teaching l#ab l#out expected l#development,
l# q
, but l#this is not l#the l#primary l#purpose l#of l#the l#tool.
l# q q
