Chapter 01: Advanced Practice Nursing:
Doing What Has to Be Done-Radicals,
Renegades, and Rebels
MULTIPLE CHOICE
1. The school 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.
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
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.
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.
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
considers knowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
ANS: D
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar
of adaptive developmental 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
Doing What Has to Be Done-Radicals,
Renegades, and Rebels
MULTIPLE CHOICE
1. The school 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.
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
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.
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.
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
considers knowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
ANS: D
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar
of adaptive developmental 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
