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,Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades,
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| andRebels
1. The |nurse |manager |of |a |pediatric |clinic |could |confirm |that |the |new |nurse |recognized
the purposeof the HEADSS Adolescent Risk Profile when the new nurse responds that
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it is used to assess for needs related to
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a. anticipatory|guidance.
b. low-risk |adolescents.
c. physical |development.
d. sexual |development.
ANS: A |
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool
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which assesseshome, education, activities, drugs, sex, and suicide for the purpose of
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identifying high-risk adolescents and the need for anticipatory guidance. It is used to
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identify high-risk, not low-risk, adolescents. Physical development is assessed with
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anthropometric data. Sexual development is assessed using physical examination.
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REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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2. The |nurse |preparing |a |teaching |plan |for |a |preschooler |knows |that, |according |to
Piaget, theexpected stage of development for a preschooler is
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, a. concrete |operational.
b. formal |operational.
c. preoperational.
d. sensorimotor.
ANS: C |
The expected stage of development for a preschooler (3 to 4 years old) is
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preoperational. Concreteoperational describes the thinking of a school-age child (7 to
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11 years old). Formal operational
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, describes the thinking of an individual after about 11 years of age. Sensorimotor describes
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theearliest pattern of thinking from birth to 2 years old.
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REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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3. The |school |nurse |talking |with |a |high |school |class |about |the |difference
between growth anddevelopment would best describe growth as
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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
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increasein overall size or weight of the body or any of its parts. The processes by which
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early cells specialize are referred to asdifferentiation. Psychosocial and cognitive
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changes are referred to as development. Qualitative changes associated with aging are
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referred to as maturation.
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REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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4. The |most |appropriate |response |of |the |nurse |when |a |mother |asks |what |the |Denver |II
does is that it
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a. can |diagnose |developmental |disabilities.