m
,AdvancedmPracticemNursing:mDoingmWhatmHasmtomBemDone-
Radicals,mRenegades,mandRebels
1. Themnursemmanagermofmampediatricmclinicmcouldmconfirmmthatmthemnewmnursemreco
gnizedmthempurposeofmthemHEADSSmAdolescentmRiskmProfilemwhenmthemnewmnurse
respondsmthatmitmismusedmtomassessmformneedsmrelatedmto
m
a. anticipatorymguidance.
b. low-riskmadolescents.
c. physicalmdevelopment.
d. sexualmdevelopment.
ANS:mA
ThemHEADSSmAdolescentmRiskmProfilemismampsychosocialmassessmentmscreeningmt
oolmwhichmassesseshome,meducation,mactivities,mdrugs,msex,mandmsuicidemformthemp
urposemofmidentifyingmhigh-
riskmadolescentsmandmthemneedmformanticipatorymguidance.mItmismusedmtomidentifymh
igh-risk,mnotmlow-
risk,madolescents.mPhysicalmdevelopmentmismassessedmwithmanthropometricmdata.mS
exualmdevelopmentmismassessedmusingmphysicalmexamination.
REF:m6mOBJ:mNCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
2. Themnursempreparingmamteachingmplanmformampreschoolermknowsmthat,maccor
dingmtomPiaget,mtheexpectedmstagemofmdevelopmentmformampreschoolermis
,a. concretemoperational.
b. formalmoperational.
c. preoperational.
d. sensorimotor.
ANS:mC
Themexpectedmstagemofmdevelopmentmformampreschoolerm(3mtom4myearsmold)mismpreo
perational.mConcreteoperationalmdescribesmthemthinkingmofmamschool-
agemchildm(7mtom11myearsmold).mFormalmoperational
, describesmthemthinkingmofmanmindividualmaftermaboutm11myearsmofmage.mSensorimotormdes
cribesmtheearliestmpatternmofmthinkingmfrommbirthmtom2myearsmold.
REF:m5mOBJ:mNCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
3. Themschoolmnursemtalkingmwithmamhighmschoolmclassmaboutmthemdiffere
ncembetweenmgrowthmanddevelopmentmwouldmbestmdescribemgrowthmas
a. processesmbymwhichmearlymcellsmspecialize.
b. psychosocialmandmcognitivemchanges.
c. qualitativemchangesmassociatedmwithmaging.
d. quantitativemchangesminmsizemormweight.
ANS:mD
Growthmismamquantitativemchangeminmwhichmanmincreaseminmcellmnumbermandmsizemres
ultsminmanmincreaseinmoverallmsizemormweightmofmthembodymormanymofmitsmparts.mThem
processesmbymwhichmearlymcellsmspecializemaremreferredmtomasdifferentiation.mPsycho
socialmandmcognitivemchangesmaremreferredmtomasmdevelopment.mQualitativemchanges
associatedmwithmagingmaremreferredmtomasmmaturation.
m
REF:m2mOBJ:mNCLEXmClientmNeedsmCategory:mHealthmPromotionmandmMaintenance
4. ThemmostmappropriatemresponsemofmthemnursemwhenmammothermasksmwhatmthemDenv
ermIImdoesmismthatmit
a. canmdiagnosemdevelopmentalmdisabilities.