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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 registered nurse manager of a pediatric clinic could confirm that the new registered nurse
recognized the purposeof the HEADSS Adolescent Risk Profile when the new registered nurse
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 CHOICE:- 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 registered nurse 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.
CORRECT CHOICE:- C
Rationale :->>>> 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.
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
3. The school registered nurse 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 CHOICE:- 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 registered nurse 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 CHOICE:- 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 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.
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 registered
nurse considersknowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
CORRECT CHOICE:- D
Rationale :->>>> 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.
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 registered
nurse wouldconsider knowledge of the concepts most significantly impacted by development,
including
a. culture.
b. environment.
c. functional status.
d. nutrition.
CORRECT CHOICE:- C
Rationale :->>>> 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 registered nurse anticipate areas that need to be addressed. Culture is a
concept that is considered to significantly affect development; the difference is the concepts that
affect development are those that represent major influencing factors (causes), hence determination
of development and would bethe focus of preventive interventions. Environment is considered to
significantly affect development. Nutrition is considered to significantly affect development.
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