Development Fifth Edition by Lucille A. Joel, All Chapters
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, Advanced Practice Nursing : Essentialsfor Role Development 4th Edition JoelTes
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Chapter 1 . Advanced Practice Nursing: Doing WhatJHas to Be Done-Radicals, Renegades,
andRebels
MULTIPLE CHOICE
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the
purposeof t he HEADSS Adolescent Risk ProfileJwhen the new nurse responds that it is
used to assess for needs r elatedJto
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
ANS: A
TheJHEADSS Adolescent Risk Profile is a psychosocial assessment screeningJtool which
assesseshome
, education, activities, drugs, sex, and suicide for the purpose of identifying high-
risk adolescents andJthe need for anticipatory guidance. ItJis usedJto identify high-risk, notJlow-
risk, adolescents. Physical development is assessed with anthropometric data. Sexual
development isJas sessed usingJphysical examination.
REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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,2. The nurseJpreparing a teaching plan for a preschooler knows that, according to Piaget,
theex pected stage of developmentJfor a preschooler is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
ANS: C
TheJexpected stageJof development for a preschooler (3 toJ4 years old) is preoperational.
Concreteoperat ional describes the thinking of a school-ageJchildJ(7 to 11 years old). Formal
operational
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, describes the thinking of an individual after about 11 years of age. Sensorimotor describes
theearliest pattern of thinking from birth to 2 years old.
REF: 5 OBJ: NCLEX ClientJNeeds Category: Health Promotion and Maintenance
3. The school nurseJtalking with a high school class about theJdifference between
growthJandde velopment would best describeJgrowth as
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitativeJchanges associated with aging.
d. quantitativeJchanges in sizeJor weight.
ANS: D
GrowthJis a quantitative change in which an increase in cell number and sizeJresults in an
increasein ov erall size or weight of the body or any of its parts. The processes by which early cells
specializeJare ref erredJto asdifferentiation. Psychosocial and cognitive changes areJreferredJto
as development. Qualita tive changes associated with aging are referred to as maturation.
REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
4. TheJmost appropriate response of theJnurse when a mother asks whatJthe Denver II does is that it
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy.
c. is a developmental screening tool.
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