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NURSING: ESSENTIALS FOR ROLE DEVE
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LOPMENT 4TH EDITION, JOEL u u u
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,Chapteru1:uAdvanceduPracticeuNursing:uDoinguWhatuHasutouBeuDone-
Radicals,uRenegades,uanduRebels
MULTIPLEuCHOICE
1. Theunurseumanageruofuaupediatricuclinicucouldu confirmuthatutheunewunurseurecognizedutheupurposeuo
futheuHEADSSuAdolescentuRiskuProfileuwhenutheunewunurseurespondsuthatuituisuusedutouassessuforunee
dsurelateduto
a. Anticipatoryuguidance.
b. Low-riskuadolescents.
c. Physicaludevelopment.
d. Sexualudevelopment.
ANS:uA
TheuHEADSSuAdolescentuRiskuProfileuisuaupsychosocialuassessmentuscreeningutooluwhichuassessesuh
ome,ueducation,uactivities,udrugs,usex,uandusuicideuforutheupurposeuofuidentifyinguhigh-
riskuadolescentsuandutheuneeduforuanticipatoryuguidance.uItuisuusedutouidentifyuhigh-risk,unotulow-
risk,uadolescents.uPhysicaludevelopmentuisuassesseduwithuanthropometricudata.uSexualudevelopment
u isuassesseduusinguphysicaluexamination.
REF:u6uOBJ:uNCLEXuClientuNeedsuCategory:uHealthuPromotionuanduMaintenance
2. Theunurseupreparinguauteachinguplanuforuaupreschooleruknowsuthat,uaccordingutouPiaget,utheue
xpectedustageuofudevelopmentu foruaupreschooleru is
a. Concreteuoperational.
b. Formaluoperational.
c. Preoperational.
d. Sensorimotor.
ANS:uC
Theuexpectedustageuofudevelopmentuforuaupreschooleru(3utou4uyearsuold)uisupreoperational.uConcreteuo
perationaludescribesutheuthinkinguofuauschool-
ageuchildu(7utou11uyearsuold).uFormaluoperationaludescribesutheuthinkinguofuanuindividualuafteruaboutu
11uyearsuofuage.uSensorimotorudescribesutheuearliestu patternuofuthinkingu fromubirthutou 2uyearsuold.
,REF:u5uOBJ:uNCLEXuClientuNeedsuCategory:uHealthuPromotionuanduMaintenance
3. Theuschoolunurseutalkinguwithuauhighuschooluclassuaboututheudifferenceubetweenugrowthuandud
evelopmentu wouldubestu describeugrowthuas
a. Processesubyuwhichuearlyucellsuspecialize.
b. Psychosocialuanducognitiveuchanges.
c. Qualitativeuchangesuassociateduwithuaging.
d. Quantitativeuchangesuinusizeuoruweight.
ANS:uD
Growthuisuauquantitativeuchangeuinuwhichuanuincreaseu inucellunumberuandusizeuresultsuinuanuincreaseuin
u overallusizeuoruweightuofutheubodyuoruanyuofuitsuparts.uTheuprocessesubyuwhichuearlyucellsuspecializeu
areureferredutouasudifferentiation.uPsychosocialuanducognitiveuchangesuareureferredutouasudevelopmen
t.u Qualitativeuchangesuassociateduwithuaginguareureferredutou asumaturation.
REF:u2uOBJ:uNCLEXuClientuNeedsuCategory:uHealthuPromotionuanduMaintenance
4. Theumostu appropriateuresponseuofutheunurseuwhenuaumotheruasksuwhatutheuDenveruIIu doesuisuthatu it
a. Canudiagnoseudevelopmentaludisabilities.
b. Identifiesuauneedu foruphysicalutherapy.
c. Isuaudevelopmentaluscreeningutool.
d. Providesuauframeworkuforuhealthuteaching.
ANS:uC
TheuDenveruIIuisutheumostucommonlyuusedumeasureuofudevelopmentalustatusuusedubyuhealthucareuprofe
ssionals;uitu isuauscreeningutool.uScreeningutoolsudounotuprovideuaudiagnosis.uDiagnosisurequiresuauthorou
ghuneurodevelopmentuhistoryuanduphysicaluexamination.uDevelopmentaludelay,uwhichuisusuggestedub
yuscreening,u isuausymptom,unotuaudiagnosis.u Theuneedu foruanyutherapyuwouldubeuidentifieduwithuaucom
prehensiveuevaluation,unotuauscreeningutool.uSomeuprovidersuuseutheuDenveruIIuasuauframeworkuforutea
chinguaboutuexpectedudevelopment,ubututhisuisunotutheuprimaryupurposeuofutheutool.
REF:u4uOBJ:uNCLEXuClientuNeedsuCategory:uHealthuPromotionuanduMaintenance
5. TouplanuearlyuinterventionuanducareuforuanuinfantuwithuDownusyndrome,utheunurseuconsiders
, knowledgeuofuotheruphysicaludevelopmentu exemplarsusuchuas
a. Cerebralupalsy.
b. Failureutouthrive.
c. Fetalualcoholusyndrome.
d. Hydrocephaly.
ANS:uD
Hydrocephalyuisualsouauphysicaludevelopmentuexemplar.uCerebralupalsyuisuanuexemplaruofuadaptiveud
evelopmentaludelay.u Failureutouthriveu isuanuexemplaruofusocial/emotionaludevelopmentaludelay.
Fetalualcoholusyndromeu isuanuexemplaruofucognitiveu developmentaludelay.
REF:u9uOBJ:uNCLEXuClientuNeedsuCategory:uHealthuPromotionuanduMaintenance
6. Touplanuearlyuinterventionuanducareuforuauchilduwithuaudevelopmentaludelay,utheunurseuwoulduc
onsideruknowledgeuofutheuconceptsumostusignificantlyuimpactedubyudevelopment,u including
a. Culture.
b. Environment.
c. Functionalustatus.
d. Nutrition.
ANS:uC
Functionuisuoneuofutheuconceptsumostusignificantlyuimpactedubyudevelopment.uOthersuincludeusensory
-
perceptual,ucognition,umobility,ureproduction,uandusexuality.uKnowledgeuofutheseuconceptsucanuhelput
heunurseuanticipateuareasuthatuneedutoubeuaddressed.uCultureuisuauconceptuthatuisuconsideredutousignifica
ntlyuaffectudevelopment;utheudifferenceuisutheuconceptsuthatuaffectudevelopmentuareuthoseuthaturepresen
tu majoruinfluencingufactorsu(causes),uhenceudeterminationuofudevelopmentuanduwouldubeutheufocusuofupr
eventiveuinterventions.uEnvironmentuisuconsideredutousignificantlyuaffectudevelopment.u Nutritionuisuc
onsideredutousignificantlyuaffectu development.
REF:u1uOBJ:uNCLEXuClientuNeedsuCategory:uHealthuPromotionuanduMaintenance
7. Aumotherucomplainsutoutheunurseuatutheupediatricuclinicuthatuheru4-year-
olduchildualwaysutalksutouherutoysuandumakesuupustories.uTheumotheruwantsuheruchildutouhaveuaupsych
ologicuevaluation.uTheunursesubestu initialuresponseu isuto