Advanced Practice Nursing : Essentials for Role Development 4th Edition Joel
I I I I I I I I I I
Test Bank I I
Chapter I1 I. IAdvanced IPractice INursing: IDoing IWhat IHas Ito IBe IDone-Radicals, IRenegades, Iand
IRebels
MULTIPLE ICHOICE
1. The Inurse Imanager Iof Ia Ipediatric Iclinic Icould Iconfirm Ithat Ithe Inew Inurse Irecognized Ithe Ipurpose
of Ithe IHEADSS IAdolescent IRisk IProfile Iwhen Ithe Inew Inurse Iresponds Ithat Iit Iis Iused Ito Iassess Ifor
I
I needs Irelated Ito
a. anticipatory Iguidance.
b. low-risk Iadolescents.
c. physical Idevelopment.
d. sexual Idevelopment.
ANS: IA
The IHEADSS IAdolescent IRisk IProfile Iis Ia Ipsychosocial Iassessment Iscreening Itool Iwhich Iassesses
home, Ieducation, Iactivities, Idrugs, Isex, Iand Isuicide Ifor Ithe Ipurpose Iof Iidentifying Ihigh-risk
I
adolescents Iand Ithe Ineed Ifor Ianticipatory Iguidance. IIt Iis Iused Ito Iidentify Ihigh-risk, Inot Ilow-risk,
I
adolescents. IPhysical Idevelopment Iis Iassessed Iwith Ianthropometric Idata. ISexual Idevelopment Iis
I
assessed Iusing Iphysical Iexamination.
I
REF: I6 IOBJ: INCLEX IClient INeeds ICategory: IHealth IPromotion Iand IMaintenance
2. The Inurse Ipreparing Ia Iteaching Iplan Ifor Ia Ipreschooler Iknows Ithat, Iaccording Ito IPiaget, Ithe
expected Istage Iof Idevelopment Ifor Ia Ipreschooler I is
I
a. concrete Ioperational.
b. formal Ioperational.
c. preoperational.
d. sensorimotor.
ANS: IC
The Iexpected Istage Iof Idevelopment Ifor Ia Ipreschooler I(3 Ito I4 Iyears Iold) Iis Ipreoperational. IConcrete
operational Idescribes Ithe Ithinking Iof Ia Ischool-age Ichild I(7 Ito I11 Iyears Iold). IFormal Ioperational
I
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,describes Ithe Ithinking Iof Ian Iindividual Iafter Iabout I11 Iyears Iof Iage. ISensorimotor Idescribes Ithe
earliest Ipattern Iof Ithinking Ifrom Ibirth Ito I2 Iyears Iold.
I
REF: I5 IOBJ: INCLEX IClient INeeds ICategory: IHealth IPromotion Iand IMaintenance
3. The Ischool Inurse Italking Iwith Ia Ihigh Ischool Iclass Iabout Ithe Idifference Ibetween Igrowth Iand
development Iwould Ibest Idescribe Igrowth Ias
I
a. processes Iby Iwhich Iearly Icells Ispecialize.
b. psychosocial Iand Icognitive Ichanges.
c. qualitative Ichanges Iassociated Iwith Iaging.
d. quantitative Ichanges Iin Isize Ior Iweight.
ANS: ID
Growth Iis Ia Iquantitative Ichange Iin Iwhich Ian Iincrease Iin Icell Inumber Iand Isize Iresults Iin Ian IincreaseIin
overall Isize Ior Iweight Iof Ithe Ibody Ior Iany Iof Iits Iparts. IThe Iprocesses Iby Iwhich Iearly Icells Ispecialize
I
are Ireferred Ito Iasdifferentiation. IPsychosocial Iand Icognitive Ichanges Iare Ireferred Ito Ias
I
development. IQualitative Ichanges Iassociated Iwith Iaging Iare Ireferred Ito Ias Imaturation.
I
REF: I2 IOBJ: INCLEX IClient INeeds ICategory: IHealth IPromotion Iand IMaintenance
4. The Imost Iappropriate Iresponse Iof Ithe Inurse Iwhen Ia Imother Iasks Iwhat Ithe IDenver III Idoes Iis Ithat Iit
a. can Idiagnose Idevelopmental Idisabilities.
b. identifies Ia Ineed Ifor Iphysical Itherapy.
c. is Ia Idevelopmental Iscreening Itool.
d. provides Ia Iframework Ifor Ihealth Iteaching.
ANS: IC
The IDenver III Iis Ithe Imost Icommonly Iused Imeasure Iof Idevelopmental Istatus Iused Iby Ihealth Icare
professionals; Iit Iis Ia Iscreening Itool. IScreening Itools Ido Inot Iprovide Ia Idiagnosis. IDiagnosis Irequires Ia
I
thorough Ineurodevelopment Ihistory Iand Iphysical Iexamination. IDevelopmental Idelay, Iwhich Iis
I
I suggested Iby Iscreening, I is Ia Isymptom, Inot Ia Idiagnosis. IThe Ineed Ifor Iany Itherapy Iwould Ibe
I identified Iwith Ia Icomprehensive Ievaluation, Inot Ia Iscreening Itool. ISome Iproviders Iuse Ithe IDenver III
as Ia Iframework Ifor Iteaching Iabout Iexpected Idevelopment, Ibut Ithis Iis Inot Ithe Iprimary Ipurpose Iof Ithe
I
tool.
I
WWW.THENURSINGMASTERY.COM
,REF: I4 IOBJ: INCLEX IClient INeeds ICategory: IHealth IPromotion Iand IMaintenance
5. To Iplan Iearly Iintervention Iand Icare Ifor Ian Iinfant Iwith IDown Isyndrome, Ithe Inurse Iconsiders
knowledge Iof Iother Iphysical Idevelopment Iexemplars Isuch Ias
I
a. cerebral Ipalsy.
b. failure Ito Ithrive.
c. fetal Ialcohol Isyndrome.
d. hydrocephaly.
ANS: ID
Hydrocephaly Iis Ialso Ia Iphysical Idevelopment Iexemplar. ICerebral Ipalsy Iis Ian Iexemplar Iof Iadaptive
developmental Idelay. IFailure Ito Ithrive Iis Ian Iexemplar Iof Isocial/emotional Idevelopmental Idelay.
I
Fetal Ialcohol Isyndrome Iis Ian Iexemplar Iof Icognitive Idevelopmental Idelay.
REF: I9 IOBJ: INCLEX IClient INeeds ICategory: IHealth IPromotion Iand IMaintenance
6. To Iplan Iearly Iintervention Iand Icare Ifor Ia Ichild Iwith Ia Idevelopmental Idelay, Ithe Inurse Iwould
consider Iknowledge Iof Ithe Iconcepts Imost Isignificantly Iimpacted Iby Idevelopment, Iincluding
I
a. culture.
b. environment.
c. functional Istatus.
d. nutrition.
ANS: IC
Function Iis Ione Iof Ithe Iconcepts Imost Isignificantly Iimpacted Iby Idevelopment. IOthers Iinclude
I sensory-perceptual, Icognition, Imobility, Ireproduction, Iand Isexuality. IKnowledge Iof Ithese Iconcepts
can Ihelp Ithe Inurse Ianticipate Iareas Ithat Ineed Ito Ibe Iaddressed. ICulture Iis Ia Iconcept Ithat Iis Iconsidered
I
to Isignificantly Iaffect Idevelopment; Ithe Idifference Iis Ithe Iconcepts Ithat Iaffect Idevelopment Iare Ithose
I
that Irepresent Imajor Iinfluencing Ifactors I(causes), Ihence Idetermination Iof Idevelopment Iand Iwould Ibe
I
the Ifocus Iof Ipreventive Iinterventions. IEnvironment Iis Iconsidered Ito Isignificantly Iaffect
I
development. INutrition Iis Iconsidered Ito Isignificantly Iaffect Idevelopment.
I
REF: I1 IOBJ: INCLEX IClient INeeds ICategory: IHealth IPromotion Iand IMaintenance
WWW.THENURSINGMASTERY.COM
, 7. A Imother Icomplains Ito Ithe Inurse Iat Ithe Ipediatric Iclinic Ithat Iher I4-year-old Ichild Ialways Italks Ito
her Itoys Iand Imakes Iup Istories. IThe Imother Iwants Iher Ichild Ito Ihave Ia Ipsychologic Ievaluation. IThe
I
nurses Ibest Iinitial Iresponse Iis Ito
I
a. refer Ithe Ichild Ito Ia Ipsychologist.
b. explain Ithat Iplaying Imake Ibelieve Iwith Idolls Iand Ipeople Iis Inormal Iat Ithis Iage.
c. complete Ia Idevelopmental Iscreening.
d. separate Ithe Ichild Ifrom Ithe Imother Ito Iget Imore Iinformation.
ANS: IB
By Ithe Iend Iof Ithe Ifourth Iyear, Iit Iis Iexpected Ithat Ia Ichild Iwill Iengage Iin Ifantasy, Iso Ithis Iis Inormal Iat
this Iage. IA Ireferral Ito Ia Ipsychologist Iwould Ibe Ipremature Ibased Ionly Ion Ithe Icomplaint Iof Ithe
I
I mother. ICompleting Ia Idevelopmental Iscreening Iwould Ibe Ivery Iappropriate Ibut Inot Ithe Iinitial
response. IThe Inurse Iwould Icertainly Iwant Ito Iget Imore Iinformation, Ibut Iseparating Ithe Ichild Ifrom Ithe
I
mother Iis Inot Inecessary Iat Ithis Itime.
I
REF: I5 IOBJ: INCLEX IClient INeeds ICategory: IHealth IPromotion Iand IMaintenance
8. A I17-year-old Igirl Iis Ihospitalized Ifor Iappendicitis, Iand Iher Imother Iasks Ithe Inurse Iwhy Ishe Iis Iso
needy Iand Iacting Ilike Ia Ichild. IThe Ibest Iresponse Iof Ithe Inurse Iis Ithat Iin Ithe Ihospital, Iadolescents
I
a. have Iseparation Ianxiety.
b. rebel Iagainst Irules.
c. regress Ibecause Iof Istress.
d. want Ito Iknow Ieverything.
ANS: IC
Regression Ito Ian Iearlier Istage Iof Idevelopment Iis Ia Icommon Iresponse Ito Istress. ISeparation Ianxiety Iis
most Icommon Iin Iinfants Iand Itoddlers. IRebellion Iagainst Ihospital Irules Iis Iusually Inot Ian Iissue Iif Ithe
I
adolescent Iunderstands Ithe Irules Iand Iwould Inot Icreate Ichildlike Ibehaviors. IAn Iadolescent Imay Iwant
I
to Iknow Ieverything Iwith Itheir Ilogical Ithinking Iand Ideductive Ireasoning, Ibut Ithat Iwould Inot Iexplain
I
why Ithey Iwould Iact Ilike Ia Ichild.
I
Chapter I2. IEmerging IRoles Iof Ithe IAdvanced IPractice INurse
WWW.THENURSINGMASTERY.COM
I I I I I I I I I I
Test Bank I I
Chapter I1 I. IAdvanced IPractice INursing: IDoing IWhat IHas Ito IBe IDone-Radicals, IRenegades, Iand
IRebels
MULTIPLE ICHOICE
1. The Inurse Imanager Iof Ia Ipediatric Iclinic Icould Iconfirm Ithat Ithe Inew Inurse Irecognized Ithe Ipurpose
of Ithe IHEADSS IAdolescent IRisk IProfile Iwhen Ithe Inew Inurse Iresponds Ithat Iit Iis Iused Ito Iassess Ifor
I
I needs Irelated Ito
a. anticipatory Iguidance.
b. low-risk Iadolescents.
c. physical Idevelopment.
d. sexual Idevelopment.
ANS: IA
The IHEADSS IAdolescent IRisk IProfile Iis Ia Ipsychosocial Iassessment Iscreening Itool Iwhich Iassesses
home, Ieducation, Iactivities, Idrugs, Isex, Iand Isuicide Ifor Ithe Ipurpose Iof Iidentifying Ihigh-risk
I
adolescents Iand Ithe Ineed Ifor Ianticipatory Iguidance. IIt Iis Iused Ito Iidentify Ihigh-risk, Inot Ilow-risk,
I
adolescents. IPhysical Idevelopment Iis Iassessed Iwith Ianthropometric Idata. ISexual Idevelopment Iis
I
assessed Iusing Iphysical Iexamination.
I
REF: I6 IOBJ: INCLEX IClient INeeds ICategory: IHealth IPromotion Iand IMaintenance
2. The Inurse Ipreparing Ia Iteaching Iplan Ifor Ia Ipreschooler Iknows Ithat, Iaccording Ito IPiaget, Ithe
expected Istage Iof Idevelopment Ifor Ia Ipreschooler I is
I
a. concrete Ioperational.
b. formal Ioperational.
c. preoperational.
d. sensorimotor.
ANS: IC
The Iexpected Istage Iof Idevelopment Ifor Ia Ipreschooler I(3 Ito I4 Iyears Iold) Iis Ipreoperational. IConcrete
operational Idescribes Ithe Ithinking Iof Ia Ischool-age Ichild I(7 Ito I11 Iyears Iold). IFormal Ioperational
I
WWW.THENURSINGMASTERY.COM
,describes Ithe Ithinking Iof Ian Iindividual Iafter Iabout I11 Iyears Iof Iage. ISensorimotor Idescribes Ithe
earliest Ipattern Iof Ithinking Ifrom Ibirth Ito I2 Iyears Iold.
I
REF: I5 IOBJ: INCLEX IClient INeeds ICategory: IHealth IPromotion Iand IMaintenance
3. The Ischool Inurse Italking Iwith Ia Ihigh Ischool Iclass Iabout Ithe Idifference Ibetween Igrowth Iand
development Iwould Ibest Idescribe Igrowth Ias
I
a. processes Iby Iwhich Iearly Icells Ispecialize.
b. psychosocial Iand Icognitive Ichanges.
c. qualitative Ichanges Iassociated Iwith Iaging.
d. quantitative Ichanges Iin Isize Ior Iweight.
ANS: ID
Growth Iis Ia Iquantitative Ichange Iin Iwhich Ian Iincrease Iin Icell Inumber Iand Isize Iresults Iin Ian IincreaseIin
overall Isize Ior Iweight Iof Ithe Ibody Ior Iany Iof Iits Iparts. IThe Iprocesses Iby Iwhich Iearly Icells Ispecialize
I
are Ireferred Ito Iasdifferentiation. IPsychosocial Iand Icognitive Ichanges Iare Ireferred Ito Ias
I
development. IQualitative Ichanges Iassociated Iwith Iaging Iare Ireferred Ito Ias Imaturation.
I
REF: I2 IOBJ: INCLEX IClient INeeds ICategory: IHealth IPromotion Iand IMaintenance
4. The Imost Iappropriate Iresponse Iof Ithe Inurse Iwhen Ia Imother Iasks Iwhat Ithe IDenver III Idoes Iis Ithat Iit
a. can Idiagnose Idevelopmental Idisabilities.
b. identifies Ia Ineed Ifor Iphysical Itherapy.
c. is Ia Idevelopmental Iscreening Itool.
d. provides Ia Iframework Ifor Ihealth Iteaching.
ANS: IC
The IDenver III Iis Ithe Imost Icommonly Iused Imeasure Iof Idevelopmental Istatus Iused Iby Ihealth Icare
professionals; Iit Iis Ia Iscreening Itool. IScreening Itools Ido Inot Iprovide Ia Idiagnosis. IDiagnosis Irequires Ia
I
thorough Ineurodevelopment Ihistory Iand Iphysical Iexamination. IDevelopmental Idelay, Iwhich Iis
I
I suggested Iby Iscreening, I is Ia Isymptom, Inot Ia Idiagnosis. IThe Ineed Ifor Iany Itherapy Iwould Ibe
I identified Iwith Ia Icomprehensive Ievaluation, Inot Ia Iscreening Itool. ISome Iproviders Iuse Ithe IDenver III
as Ia Iframework Ifor Iteaching Iabout Iexpected Idevelopment, Ibut Ithis Iis Inot Ithe Iprimary Ipurpose Iof Ithe
I
tool.
I
WWW.THENURSINGMASTERY.COM
,REF: I4 IOBJ: INCLEX IClient INeeds ICategory: IHealth IPromotion Iand IMaintenance
5. To Iplan Iearly Iintervention Iand Icare Ifor Ian Iinfant Iwith IDown Isyndrome, Ithe Inurse Iconsiders
knowledge Iof Iother Iphysical Idevelopment Iexemplars Isuch Ias
I
a. cerebral Ipalsy.
b. failure Ito Ithrive.
c. fetal Ialcohol Isyndrome.
d. hydrocephaly.
ANS: ID
Hydrocephaly Iis Ialso Ia Iphysical Idevelopment Iexemplar. ICerebral Ipalsy Iis Ian Iexemplar Iof Iadaptive
developmental Idelay. IFailure Ito Ithrive Iis Ian Iexemplar Iof Isocial/emotional Idevelopmental Idelay.
I
Fetal Ialcohol Isyndrome Iis Ian Iexemplar Iof Icognitive Idevelopmental Idelay.
REF: I9 IOBJ: INCLEX IClient INeeds ICategory: IHealth IPromotion Iand IMaintenance
6. To Iplan Iearly Iintervention Iand Icare Ifor Ia Ichild Iwith Ia Idevelopmental Idelay, Ithe Inurse Iwould
consider Iknowledge Iof Ithe Iconcepts Imost Isignificantly Iimpacted Iby Idevelopment, Iincluding
I
a. culture.
b. environment.
c. functional Istatus.
d. nutrition.
ANS: IC
Function Iis Ione Iof Ithe Iconcepts Imost Isignificantly Iimpacted Iby Idevelopment. IOthers Iinclude
I sensory-perceptual, Icognition, Imobility, Ireproduction, Iand Isexuality. IKnowledge Iof Ithese Iconcepts
can Ihelp Ithe Inurse Ianticipate Iareas Ithat Ineed Ito Ibe Iaddressed. ICulture Iis Ia Iconcept Ithat Iis Iconsidered
I
to Isignificantly Iaffect Idevelopment; Ithe Idifference Iis Ithe Iconcepts Ithat Iaffect Idevelopment Iare Ithose
I
that Irepresent Imajor Iinfluencing Ifactors I(causes), Ihence Idetermination Iof Idevelopment Iand Iwould Ibe
I
the Ifocus Iof Ipreventive Iinterventions. IEnvironment Iis Iconsidered Ito Isignificantly Iaffect
I
development. INutrition Iis Iconsidered Ito Isignificantly Iaffect Idevelopment.
I
REF: I1 IOBJ: INCLEX IClient INeeds ICategory: IHealth IPromotion Iand IMaintenance
WWW.THENURSINGMASTERY.COM
, 7. A Imother Icomplains Ito Ithe Inurse Iat Ithe Ipediatric Iclinic Ithat Iher I4-year-old Ichild Ialways Italks Ito
her Itoys Iand Imakes Iup Istories. IThe Imother Iwants Iher Ichild Ito Ihave Ia Ipsychologic Ievaluation. IThe
I
nurses Ibest Iinitial Iresponse Iis Ito
I
a. refer Ithe Ichild Ito Ia Ipsychologist.
b. explain Ithat Iplaying Imake Ibelieve Iwith Idolls Iand Ipeople Iis Inormal Iat Ithis Iage.
c. complete Ia Idevelopmental Iscreening.
d. separate Ithe Ichild Ifrom Ithe Imother Ito Iget Imore Iinformation.
ANS: IB
By Ithe Iend Iof Ithe Ifourth Iyear, Iit Iis Iexpected Ithat Ia Ichild Iwill Iengage Iin Ifantasy, Iso Ithis Iis Inormal Iat
this Iage. IA Ireferral Ito Ia Ipsychologist Iwould Ibe Ipremature Ibased Ionly Ion Ithe Icomplaint Iof Ithe
I
I mother. ICompleting Ia Idevelopmental Iscreening Iwould Ibe Ivery Iappropriate Ibut Inot Ithe Iinitial
response. IThe Inurse Iwould Icertainly Iwant Ito Iget Imore Iinformation, Ibut Iseparating Ithe Ichild Ifrom Ithe
I
mother Iis Inot Inecessary Iat Ithis Itime.
I
REF: I5 IOBJ: INCLEX IClient INeeds ICategory: IHealth IPromotion Iand IMaintenance
8. A I17-year-old Igirl Iis Ihospitalized Ifor Iappendicitis, Iand Iher Imother Iasks Ithe Inurse Iwhy Ishe Iis Iso
needy Iand Iacting Ilike Ia Ichild. IThe Ibest Iresponse Iof Ithe Inurse Iis Ithat Iin Ithe Ihospital, Iadolescents
I
a. have Iseparation Ianxiety.
b. rebel Iagainst Irules.
c. regress Ibecause Iof Istress.
d. want Ito Iknow Ieverything.
ANS: IC
Regression Ito Ian Iearlier Istage Iof Idevelopment Iis Ia Icommon Iresponse Ito Istress. ISeparation Ianxiety Iis
most Icommon Iin Iinfants Iand Itoddlers. IRebellion Iagainst Ihospital Irules Iis Iusually Inot Ian Iissue Iif Ithe
I
adolescent Iunderstands Ithe Irules Iand Iwould Inot Icreate Ichildlike Ibehaviors. IAn Iadolescent Imay Iwant
I
to Iknow Ieverything Iwith Itheir Ilogical Ithinking Iand Ideductive Ireasoning, Ibut Ithat Iwould Inot Iexplain
I
why Ithey Iwould Iact Ilike Ia Ichild.
I
Chapter I2. IEmerging IRoles Iof Ithe IAdvanced IPractice INurse
WWW.THENURSINGMASTERY.COM
