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,AdvancedPracticeNursing: DoingWhat Hasto BeDone-Radicals, Renegades,
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l andRebels
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
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purposeof the HEADSS Adolescent Risk Profile when the newnurse responds that it is
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l used to assess for needs related to
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a. anticipatoryguidance. l
b. low-riskadolescents. l
c. physicaldevelopment. l
d. sexualdevelopment. l
ANS: A l
TheHEADSSAdolescent RiskProfile isapsychosocialassessment screeningtool
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l which assesseshome, education, activities, drugs, sex, and suicide for the purpose of
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l identifying high-risk adolescents and the need for anticipatory guidance. It is used to
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l 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:6OBJ:NCLEXClient NeedsCategory: HealthPromotionandMaintenance
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2. Thenursepreparing a teachingplan for apreschooler knowsthat,according to
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l Piaget, theexpected stage of development for a preschooler is
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, a. concrete operational.
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b. formaloperational.
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c. preoperational.
d. sensorimotor.
ANS: C l
The expected stage ofdevelopment for a preschooler (3to 4 years old) is preoperational.
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Concreteoperationaldescribesthe thinking ofaschool-age child (7 to 11 years old).
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l Formal operational
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, describes thethinkingofan individualafterabout 11 years ofage. Sensorimotor describes
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l theearliest pattern of thinking from birth to 2 years old.
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REF:5OBJ:NCLEXClient NeedsCategory: HealthPromotionandMaintenance
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3. The schoolnursetalking witha highschoolclass about thedifference
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l between growth anddevelopment would best describe growth as
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a. processesbywhich earlycells specialize. l l l l l
b. psychosocialandcognitivechanges. l l l
c. qualitativechangesassociatedwithaging. l l l l
d. quantitativechanges insizeorweight. l l l l l
ANS: D l
Growthisaquantitative change inwhichanincrease incellnumber and sizeresults inan
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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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l early cells specialize are referred to asdifferentiation. Psychosocial and cognitive
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l changes are referred to as development. Qualitative changes associated with aging are
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l referred to as maturation. l l l
REF:2OBJ:NCLEXClient NeedsCategory: HealthPromotionandMaintenance
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4. The most appropriateresponse ofthenursewhen a mother askswhat the Denver II does is
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l that it l
a. candiagnosedevelopmentaldisabilities.
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