NURSING ESSENTIALS FOR
ROLE DEVELOPMENT 4TH
EDITION JOEL TEST BANK
LATEST 2024
Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades,
and Rebels
• The nurse manager of a pediatric clinic could confirm that the new nurse
recognized the purpose of the HEADSS Adolescent Risk Profile when the new
nurse responds that it is used to assess for needs related to
• anticipatory guidance.
• low-risk adolescents.
• physical development.
• sexual development.
,ANS: A
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
• The nurse preparing a teaching plan for a preschooler knows that,
according to Piaget, the expected stage of development for a preschooler
is
• concrete operational.
• formal operational.
• preoperational.
• sensorimotor.
ANS: C
,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
• The school nurse talking with a high school class about the difference
between growth and development would best describe growth as
• processes by which early cells specialize.
• psychosocial and cognitive changes.
• qualitative changes associated with aging.
• quantitative changes in size or weight.
ANS: D
Growth is a quantitative change in which an increase in cell number and size
results in an increase in 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
• The most appropriate response of the nurse when a mother asks what the
Denver II does is that it
• can diagnose developmental disabilities.
• identifies a need for physical therapy.
• is a developmental screening tool.
• provides a framework for health teaching.
ANS: 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 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.