g g g g g g g g g g g
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Advanced Practice Nursing : Essentials for Role Development 4th Edition Joel T
g g g g g g g g g g g
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Chapterg1g.gAdvancedgPracticegNursing:gDoinggWhatgHasgtogBegDone-
Radicals,gRenegades,gandgRebels
MULTIPLEgCHOICE
1. Thegnursegmanagergofgagpediatricgclinicgcouldgconfirmgthatgthegnewgnursegrecognizedgthegpurposego
fgthegHEADSSgAdolescentgRiskgProfilegwhengthegnewgnursegrespondsgthatgitgisgusedgtogassessgforgnee
dsgrelatedgto
a. anticipatorygguidance.
b. low-riskgadolescents.
c. physicalgdevelopment.
d. sexualgdevelopment.
ANS:gA
ThegHEADSSgAdolescentgRiskgProfilegisgagpsychosocialgassessmentgscreeninggtoolgwhichgassessesgh
ome,geducation,gactivities,gdrugs,gsex,gandgsuicidegforgthegpurposegofgidentifyingghigh-
riskgadolescentsgandgthegneedgforganticipatorygguidance.gItgisgusedgtogidentifyghigh-risk,gnotglow-
risk,gadolescents.gPhysicalgdevelopmentgisgassessedgwithganthropometricgdata.gSexualgdevelopmentgi
sgassessedgusinggphysicalgexamination.
REF:g6gOBJ:gNCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
2. Thegnursegpreparinggagteachinggplangforgagpreschoolergknowsgthat,gaccordinggtogPiaget,gthege
xpectedgstagegofgdevelopmentgforgagpreschoolergis
a. concretegoperational.
b. formalgoperational.
c. preoperational.
d. sensorimotor.
ANS:gC
Thegexpectedgstagegofgdevelopmentgforgagpreschoolerg(3gtog4gyearsgold)gisgpreoperational.gConcrete
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g g g g g g g g g g g
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operationalgdescribesgthegthinkinggofgagschool-agegchildg(7gtog 11gyearsgold).gFormalgoperational
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g g g g g g g g g g g
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describesgthegthinkinggofgangindividualgaftergaboutg11gyearsgofgage.gSensorimotorgdescribesgthegearlies
tgpatterngofgthinkinggfromgbirthgtog2gyearsgold.
REF:g5gOBJ:gNCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
3. Thegschoolgnursegtalkinggwithgaghighgschoolgclassgaboutgthegdifferencegbetweenggrowthgandgd
evelopmentgwouldgbestgdescribeggrowthgas
a. processesgbygwhichgearlygcellsgspecialize.
b. psychosocialgandgcognitivegchanges.
c. qualitativegchangesgassociatedgwithgaging.
d. quantitativegchangesgingsizegorgweight.
ANS:gD
Growthgisgagquantitativegchangegingwhichgangincreasegingcellgnumbergandgsizegresultsgingangincreaseging
overallgsizegorgweightgofgthegbodygorganygofgitsgparts.gThegprocessesgbygwhichgearlygcellsgspecializegar
egreferredgtogasdifferentiation.gPsychosocialgandgcognitivegchangesgaregreferredgtogasgdevelopment.gQ
ualitativegchangesgassociatedgwithgaginggaregreferredgtogasgmaturation.
REF:g2gOBJ:gNCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
4. ThegmostgappropriategresponsegofgthegnursegwhengagmothergasksgwhatgthegDenvergIIg doesgisgthatgit
a. cangdiagnosegdevelopmentalgdisabilities.
b. identifiesgagneedgforgphysicalgtherapy.
c. isgagdevelopmentalgscreeninggtool.
d. providesgagframeworkgforghealthgteaching.
ANS:gC
ThegDenvergIIgisgthegmostgcommonlygusedgmeasuregofgdevelopmentalgstatusgusedgbyghealthgcaregprofe
ssionals;gitgisgagscreeninggtool.gScreeninggtoolsgdognotgprovidegagdiagnosis.gDiagnosisgrequiresgagthorou
ghgneurodevelopmentghistorygandgphysicalgexamination.gDevelopmentalgdelay,gwhichgisgsuggestedgb
ygscreening,gisgagsymptom,gnotgagdiagnosis.gThegneedgforganygtherapygwouldgbegidentifiedgwithgagcom
prehensivegevaluation,gnotgagscreeninggtool.gSomegprovidersgusegthegDenvergIIgasgagframeworkgforgtea
chinggaboutgexpectedgdevelopment,gbutgthisgisgnotgthegprimarygpurposegofgthegtool.
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g g g g g g g g g g g
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REF:g4gOBJ:gNCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
5. TogplangearlyginterventiongandgcaregforganginfantgwithgDowngsyndrome,gthegnursegconsidersgk
nowledgegofgothergphysicalgdevelopmentgexemplarsgsuchgas
a. cerebralgpalsy.
b. failuregtogthrive.
c. fetalgalcoholgsyndrome.
d. hydrocephaly.
ANS:gD
Hydrocephalygisgalsogagphysicalgdevelopmentgexemplar.gCerebralgpalsygisgangexemplargofgadaptivegde
velopmentalgdelay.gFailuregtogthrivegisgangexemplargofgsocial/emotionalgdevelopmentalgdelay.
Fetalgalcoholgsyndromegisgangexemplargofgcognitivegdevelopmentalgdelay.
REF:g9gOBJ:gNCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
6. Togplangearlyginterventiongandgcaregforgagchildgwithgagdevelopmentalgdelay,gthegnursegwouldgc
onsidergknowledgegofgthegconceptsgmostgsignificantlygimpactedgbygdevelopment,gincluding
a. culture.
b. environment.
c. functionalgstatus.
d. nutrition.
ANS:gC
Functiongisgonegofgthegconceptsgmostgsignificantlygimpactedgbygdevelopment.gOthersgincludegsensory
-
perceptual,gcognition,gmobility,greproduction,gandgsexuality.gKnowledgegofgthesegconceptsgcanghelpgt
hegnurseganticipategareasgthatgneedgtogbegaddressed.gCulturegisgagconceptgthatgisgconsideredgtogsignifica
ntlygaffectgdevelopment;gthegdifferencegisgthegconceptsgthatgaffectgdevelopmentgaregthosegthatgreprese
ntgmajorginfluencinggfactorsg(causes),ghencegdeterminationgofgdevelopmentgandgwouldgbegthegfocusgofg
preventiveginterventions.gEnvironmentgisgconsideredgtogsignificantlygaffectgdevelopment.gNutritiongis
g consideredgtogsignificantlygaffectgdevelopment.
REF:g1gOBJ:gNCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenance
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