The Doctor of Nursing Practice Essentials A New Model for Advanced Practice Nursing 4th Edition
,Test Bank for The Doctor of Nursing Practice Essentials A New Model for Advanced Practice Nursing 4th
Edition
Chapter 1
1. The school nurse 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.
Answer: D
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
2. The most appropriate response of the 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.
Answer: C
,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
3. To plan early intervention and care for an infant with Down syndrome, the nurse
considersknowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
Answer: D
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
4. To plan early intervention and care for a child with a developmental delay, the nurse
wouldconsider knowledge of the concepts most significantly impacted by development, including
a. culture.
b. environment.
c. functional status.
, d. nutrition.
Answer: C
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 nurse anticipate areas that need to be addressed. Culture is a
concept that is consideredto significantly affect development; the difference is the concepts that affect
development are thosethat 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.
REF: 1 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
,Test Bank for The Doctor of Nursing Practice Essentials A New Model for Advanced Practice Nursing 4th
Edition
Chapter 1
1. The school nurse 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.
Answer: D
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
2. The most appropriate response of the 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.
Answer: C
,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
3. To plan early intervention and care for an infant with Down syndrome, the nurse
considersknowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
Answer: D
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
4. To plan early intervention and care for a child with a developmental delay, the nurse
wouldconsider knowledge of the concepts most significantly impacted by development, including
a. culture.
b. environment.
c. functional status.
, d. nutrition.
Answer: C
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 nurse anticipate areas that need to be addressed. Culture is a
concept that is consideredto significantly affect development; the difference is the concepts that affect
development are thosethat 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.
REF: 1 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
