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ADVANCED PRACTICE NURSING: ESSENTIALS FOR ROLE DEVELOPMENT 5TH EDITION JOEL’S TEST BANK
ADVANCED PRACTICE NURSING: ESSENTIALS FOR ROLE DEVELOPMENT 5TH EDITION JOEL’S TEST BANK
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ADVANCED PRACTICE NURSING: ESSENTIALS FOR ROLEDEVELOPMENT 5TH EDITION JOEL’S TEST BANK
,CH 1. Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades, and
Rebels
MULTIPLE CHOICE
1. The nursing attendant manager of a pediatric medical center could confirm that the new nursing
attendant recognized the purposeof the HEADSS Adolescent Risk Profile when the new nursing
attendant responds that it is used to assess for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
ACCURATE CHOICE:-A
Hypothesis:->>>> The HEADSS Adolescent Risk Profile is a psychosocial assessment screening
tool which assesseshome, education, activities, drugs, sex, and suicide for the purpose of identifying
high-risk adolescents and the need for anticipatory guidance. It is used to identify high-risk, not low-
risk, adolescents. Physical development is assessed with anthropometric data. Sexual development is
assessed using physical examination.
REFERENCE PAGE: 6 OBJ: NCLEX Hospital patient Needs Category: Health Promotion and
Maintenance
2. The nursing attendant preparing a teaching plan for a preschooler knows that, according
to Piaget, theexpected stage of development for a preschooler is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
ACCURATE CHOICE:-C
Hypothesis:->>>> The expected stage of development for a preschooler (3 to 4 years old) is
preoperational. Concreteoperational describes the thinking of a school-age child (7 to 11 years old).
Formal operational
,describes the thinking of an individual after about 11 years of age. Sensorimotor describes the
earliest pattern of thinking from birth to 2 years old.
REFERENCE PAGE: 5 OBJ: NCLEX Hospital patient Needs Category: Health Promotion and
Maintenance
3. The school nursing attendant talking with a high school class about the difference between
growth anddevelopment would best describe growth as
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.
ACCURATE CHOICE:-D
Hypothesis:->>>> Growth is a quantitative change in which an increase in cell number and size
results in an increase in overall size or weight of the body or any of its parts. The processes by
which early cells specialize are referred to asdifferentiation. Psychosocial and cognitive changes
are referred to as development. Qualitative changes associated with aging are referred to as
maturation.
REFERENCE PAGE: 2 OBJ: NCLEX Hospital patient Needs Category: Health Promotion and
Maintenance
4. The most appropriate response of the nursing attendant when a mother asks what the Denver II does is
that it
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy.
c. is a developmental screening tool.
d. provides a framework for health teaching.
ACCURATE CHOICE:-C
Hypothesis:->>>> The Denver II is the most commonly used measure of developmental status
used by health care professionals; it is a screening tool. Screening tools do not provide a diagnosis.
Diagnosis requires athorough neurodevelopment history and physical examination. Developmental
delay, which is suggested by screening, is a symptom, not a diagnosis. The need for any therapy
, would be identified with a comprehensive evaluation, not a screening tool. Some providers use the
Denver II as a framework for teaching about expected development, but this is not the primary
purpose of the tool.
REFERENCE PAGE: 4 OBJ: NCLEX Hospital patient Needs Category: Health Promotion and
Maintenance
5. To plan early intervention and care for an infant with Down syndrome, the nursing
attendant considersknowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
ACCURATE CHOICE:-D
Hypothesis:->>>> Hydrocephaly is also a physical development exemplar. Cerebral palsy is an
exemplar of adaptivedevelopmental delay. Failure to thrive is an exemplar of social/emotional
developmental delay.
Fetal alcohol syndrome is an exemplar of cognitive developmental delay.
REFERENCE PAGE: 9 OBJ: NCLEX Hospital patient Needs Category: Health Promotion and
Maintenance
6. To plan early intervention and care for a child with a developmental delay, the nursing
attendant wouldconsider knowledge of the concepts most significantly impacted by
development, including
a. culture.
b. environment.
c. functional status.
d. nutrition.
ACCURATE CHOICE:-C
Hypothesis:->>>> Function is one of the concepts most significantly impacted by development.
Others include sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of
these concepts can help the nursing attendant anticipate areas that need to be addressed. Culture is a
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