Complete Test Bank
Advanced Practice Nursing: Essentials for Role Development 5th Edition
Lucille A. Joel:
,1. The nurse manager of a pediatric clinic could confirm that the new RN recognized
the purpose of the HEADSS Adolescent Risk Profile when the new RN responds
that it is used to assess for needs related to
a. anticipatory guidance.
b. low-risk adolescents.
c. physical development.
d. sexual development.
CORRECT ANS: A
Rationale: The HEADSS Adolescent Risk Profile is a psychosocial assessment screening
tool which assesses home, 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.
REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
2. The RN preparing a teaching plan for a preschooler knows that, according
to Piaget, the expected stage of development for a preschooler is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
CORRECT ANS: C
Rationale: The expected stage of development for a preschooler (3 to 4 years old) is
preoperational. Concrete operational 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.
, REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
3. The school RN talking with a high school class about the difference
between growth and development 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.
CORRECT ANS: D
Rationale: Growth is a quantitative change in which an increase in cell number and
size results in an increasein 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.
REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
4. The most appropriate response of the RN 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.
CORRECT ANS: C
Rationale: 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 a thorough 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.
REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
5. To plan early intervention and care for an infant with Down syndrome, the
RN considers knowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
CORRECT ANS: D
Rationale: Hydrocephaly is also a physical development exemplar. Cerebral palsy is
an exemplar of adaptive developmental delay. Failure to thrive is an exemplar of
social/emotional developmental delay.
Fetal alcohol syndrome is an exemplar of cognitive developmental delay.
REF: 9 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
6. To plan early intervention and care for a child with a developmental delay, the
RN would consider knowledge of the concepts most significantly impacted by
development, including
a. culture.
b. environment.
c. functional status.
d. nutrition.
CORRECT ANS: C
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