Advanced Practice Nursing : Essentials for Role Development 4th Edition Joel Te
t t t t t t t t t t t
st Bank t
Advanced Practice Nursing : Essentials for Role Development 4th Edition Joel Te
t t t t t t t t t t t
st Bank t
Chaptert1t.tAdvancedtPracticetNursing:tDoingtWhattHasttotBetDone-Radicals,tRenegades,tandtRebels
MULTIPLEtCHOICE
1. Thetnursetmanagertoftatpediatrictclinictcouldtconfirmtthattthetnewtnursetrecognizedtthetpurposetoftth
etHEADSStAdolescenttRisktProfiletwhentthetnewtnursetrespondstthattittistusedttotassesstfortneedstrelat
edtto
a. anticipatorytguidance.
b. low-risktadolescents.
c. physicaltdevelopment.
d. sexualtdevelopment.
ANS:tA
ThetHEADSStAdolescenttRisktProfiletistatpsychosocialtassessmenttscreeningttooltwhichtassessesthom
e,teducation,tactivities,tdrugs,tsex,tandtsuicidetfortthetpurposetoftidentifyingthigh-
risktadolescentstandtthetneedtfortanticipatorytguidance.tIttistusedttotidentifythigh-risk,tnottlow-
risk,tadolescents.tPhysicaltdevelopmenttistassessedtwithtanthropometrictdata.tSexualtdevelopmenttista
ssessedtusingtphysicaltexamination.
REF:t6tOBJ:tNCLEXtClienttNeedstCategory:tHealthtPromotiontandtMaintenance
2. Thetnursetpreparingtatteachingtplantfortatpreschoolertknowstthat,taccordingttotPiaget,tthetexpe
ctedtstagetoftdevelopmenttfortatpreschoolertis
a. concretetoperational.
b. formaltoperational.
c. preoperational.
d. sensorimotor.
ANS:tC
Thetexpectedtstagetoftdevelopmenttfortatpreschoolert(3ttot4tyearstold)tistpreoperational.tConcrete
WWW.THENURSINGMASTERY.COM
, Advanced Practice Nursing : Essentials for Role Development 4th Edition Joel Te
t t t t t t t t t t t
st Bank t
operationaltdescribestthetthinkingtoftatschool-agetchildt(7ttot 11tyearstold).tFormaltoperational
WWW.THENURSINGMASTERY.COM
, Advanced Practice Nursing : Essentials for Role Development 4th Edition Joel Te
t t t t t t t t t t t
st Bank t
describestthetthinkingtoftantindividualtaftertaboutt11tyearstoftage.tSensorimotortdescribestthetearliesttpa
tterntoftthinkingtfromtbirthttot2tyearstold.
REF:t5tOBJ:tNCLEXtClienttNeedstCategory:tHealthtPromotiontandtMaintenance
3. Thetschooltnursettalkingtwithtathightschooltclasstabouttthetdifferencetbetweentgrowthtandtdeve
lopmenttwouldtbesttdescribetgrowthtas
a. processestbytwhichtearlytcellstspecialize.
b. psychosocialtandtcognitivetchanges.
c. qualitativetchangestassociatedtwithtaging.
d. quantitativetchangestintsizetortweight.
ANS:tD
Growthtistatquantitativetchangetintwhichtantincreasetintcelltnumbertandtsizetresultstintantincreasetintover
alltsizetortweighttoftthetbodytortanytoftitstparts.tThetprocessestbytwhichtearlytcellstspecializetaretreferre
dttotasdifferentiation.tPsychosocialtandtcognitivetchangestaretreferredttotastdevelopment.tQualitativetc
hangestassociatedtwithtagingtaretreferredttotastmaturation.
REF:t2tOBJ:tNCLEXtClienttNeedstCategory:tHealthtPromotiontandtMaintenance
4. ThetmosttappropriatetresponsetoftthetnursetwhentatmothertaskstwhattthetDenvertIIt doestistthattit
a. cantdiagnosetdevelopmentaltdisabilities.
b. identifiestatneedtfortphysicalttherapy.
c. istatdevelopmentaltscreeningttool.
d. providestatframeworktforthealthtteaching.
ANS:tC
ThetDenvertIItistthetmosttcommonlytusedtmeasuretoftdevelopmentaltstatustusedtbythealthtcaretprofessi
onals;tittistatscreeningttool.tScreeningttoolstdotnottprovidetatdiagnosis.tDiagnosistrequirestatthoroughtneu
rodevelopmentthistorytandtphysicaltexamination.tDevelopmentaltdelay,twhichtistsuggestedtbytscreeni
ng,tistatsymptom,tnottatdiagnosis.tThetneedtfortanyttherapytwouldtbetidentifiedtwithtatcomprehensivetev
aluation,tnottatscreeningttool.tSometproviderstusetthetDenvertIItastatframeworktfortteachingtabouttexpec
tedtdevelopment,tbuttthististnottthetprimarytpurposetoftthettool.
WWW.THENURSINGMASTERY.COM
, Advanced Practice Nursing : Essentials for Role Development 4th Edition Joel Te
t t t t t t t t t t t
st Bank t
REF:t4tOBJ:tNCLEXtClienttNeedstCategory:tHealthtPromotiontandtMaintenance
5. TotplantearlytinterventiontandtcaretfortantinfanttwithtDowntsyndrome,tthetnursetconsiderstkno
wledgetoftothertphysicaltdevelopmenttexemplarstsuchtas
a. cerebraltpalsy.
b. failurettotthrive.
c. fetaltalcoholtsyndrome.
d. hydrocephaly.
ANS:tD
Hydrocephalytistalsotatphysicaltdevelopmenttexemplar.tCerebraltpalsytistantexemplartoftadaptivetdevel
opmentaltdelay.tFailurettotthrivetistantexemplartoftsocial/emotionaltdevelopmentaltdelay.
Fetaltalcoholtsyndrometistantexemplartoftcognitivetdevelopmentaltdelay.
REF:t9tOBJ:tNCLEXtClienttNeedstCategory:tHealthtPromotiontandtMaintenance
6. Totplantearlytinterventiontandtcaretfortatchildtwithtatdevelopmentaltdelay,tthetnursetwouldtconsi
dertknowledgetoftthetconceptstmosttsignificantlytimpactedtbytdevelopment,tincluding
a. culture.
b. environment.
c. functionaltstatus.
d. nutrition.
ANS:tC
Functiontistonetoftthetconceptstmosttsignificantlytimpactedtbytdevelopment.tOtherstincludetsensory-
perceptual,tcognition,tmobility,treproduction,tandtsexuality.tKnowledgetoftthesetconceptstcanthelptthet
nursetanticipatetareastthattneedttotbetaddressed.tCulturetistatconcepttthattistconsideredttotsignificantlytaf
fecttdevelopment;tthetdifferencetistthetconceptstthattaffecttdevelopmenttaretthosetthattrepresenttmajortin
fluencingtfactorst(causes),thencetdeterminationtoftdevelopmenttandtwouldtbetthetfocustoftpreventivetint
erventions.tEnvironmenttistconsideredttotsignificantlytaffecttdevelopment.tNutritiontistconsideredttotsi
gnificantlytaffecttdevelopment.
REF:t1tOBJ:tNCLEXtClienttNeedstCategory:tHealthtPromotiontandtMaintenance
WWW.THENURSINGMASTERY.COM
t t t t t t t t t t t
st Bank t
Advanced Practice Nursing : Essentials for Role Development 4th Edition Joel Te
t t t t t t t t t t t
st Bank t
Chaptert1t.tAdvancedtPracticetNursing:tDoingtWhattHasttotBetDone-Radicals,tRenegades,tandtRebels
MULTIPLEtCHOICE
1. Thetnursetmanagertoftatpediatrictclinictcouldtconfirmtthattthetnewtnursetrecognizedtthetpurposetoftth
etHEADSStAdolescenttRisktProfiletwhentthetnewtnursetrespondstthattittistusedttotassesstfortneedstrelat
edtto
a. anticipatorytguidance.
b. low-risktadolescents.
c. physicaltdevelopment.
d. sexualtdevelopment.
ANS:tA
ThetHEADSStAdolescenttRisktProfiletistatpsychosocialtassessmenttscreeningttooltwhichtassessesthom
e,teducation,tactivities,tdrugs,tsex,tandtsuicidetfortthetpurposetoftidentifyingthigh-
risktadolescentstandtthetneedtfortanticipatorytguidance.tIttistusedttotidentifythigh-risk,tnottlow-
risk,tadolescents.tPhysicaltdevelopmenttistassessedtwithtanthropometrictdata.tSexualtdevelopmenttista
ssessedtusingtphysicaltexamination.
REF:t6tOBJ:tNCLEXtClienttNeedstCategory:tHealthtPromotiontandtMaintenance
2. Thetnursetpreparingtatteachingtplantfortatpreschoolertknowstthat,taccordingttotPiaget,tthetexpe
ctedtstagetoftdevelopmenttfortatpreschoolertis
a. concretetoperational.
b. formaltoperational.
c. preoperational.
d. sensorimotor.
ANS:tC
Thetexpectedtstagetoftdevelopmenttfortatpreschoolert(3ttot4tyearstold)tistpreoperational.tConcrete
WWW.THENURSINGMASTERY.COM
, Advanced Practice Nursing : Essentials for Role Development 4th Edition Joel Te
t t t t t t t t t t t
st Bank t
operationaltdescribestthetthinkingtoftatschool-agetchildt(7ttot 11tyearstold).tFormaltoperational
WWW.THENURSINGMASTERY.COM
, Advanced Practice Nursing : Essentials for Role Development 4th Edition Joel Te
t t t t t t t t t t t
st Bank t
describestthetthinkingtoftantindividualtaftertaboutt11tyearstoftage.tSensorimotortdescribestthetearliesttpa
tterntoftthinkingtfromtbirthttot2tyearstold.
REF:t5tOBJ:tNCLEXtClienttNeedstCategory:tHealthtPromotiontandtMaintenance
3. Thetschooltnursettalkingtwithtathightschooltclasstabouttthetdifferencetbetweentgrowthtandtdeve
lopmenttwouldtbesttdescribetgrowthtas
a. processestbytwhichtearlytcellstspecialize.
b. psychosocialtandtcognitivetchanges.
c. qualitativetchangestassociatedtwithtaging.
d. quantitativetchangestintsizetortweight.
ANS:tD
Growthtistatquantitativetchangetintwhichtantincreasetintcelltnumbertandtsizetresultstintantincreasetintover
alltsizetortweighttoftthetbodytortanytoftitstparts.tThetprocessestbytwhichtearlytcellstspecializetaretreferre
dttotasdifferentiation.tPsychosocialtandtcognitivetchangestaretreferredttotastdevelopment.tQualitativetc
hangestassociatedtwithtagingtaretreferredttotastmaturation.
REF:t2tOBJ:tNCLEXtClienttNeedstCategory:tHealthtPromotiontandtMaintenance
4. ThetmosttappropriatetresponsetoftthetnursetwhentatmothertaskstwhattthetDenvertIIt doestistthattit
a. cantdiagnosetdevelopmentaltdisabilities.
b. identifiestatneedtfortphysicalttherapy.
c. istatdevelopmentaltscreeningttool.
d. providestatframeworktforthealthtteaching.
ANS:tC
ThetDenvertIItistthetmosttcommonlytusedtmeasuretoftdevelopmentaltstatustusedtbythealthtcaretprofessi
onals;tittistatscreeningttool.tScreeningttoolstdotnottprovidetatdiagnosis.tDiagnosistrequirestatthoroughtneu
rodevelopmentthistorytandtphysicaltexamination.tDevelopmentaltdelay,twhichtistsuggestedtbytscreeni
ng,tistatsymptom,tnottatdiagnosis.tThetneedtfortanyttherapytwouldtbetidentifiedtwithtatcomprehensivetev
aluation,tnottatscreeningttool.tSometproviderstusetthetDenvertIItastatframeworktfortteachingtabouttexpec
tedtdevelopment,tbuttthististnottthetprimarytpurposetoftthettool.
WWW.THENURSINGMASTERY.COM
, Advanced Practice Nursing : Essentials for Role Development 4th Edition Joel Te
t t t t t t t t t t t
st Bank t
REF:t4tOBJ:tNCLEXtClienttNeedstCategory:tHealthtPromotiontandtMaintenance
5. TotplantearlytinterventiontandtcaretfortantinfanttwithtDowntsyndrome,tthetnursetconsiderstkno
wledgetoftothertphysicaltdevelopmenttexemplarstsuchtas
a. cerebraltpalsy.
b. failurettotthrive.
c. fetaltalcoholtsyndrome.
d. hydrocephaly.
ANS:tD
Hydrocephalytistalsotatphysicaltdevelopmenttexemplar.tCerebraltpalsytistantexemplartoftadaptivetdevel
opmentaltdelay.tFailurettotthrivetistantexemplartoftsocial/emotionaltdevelopmentaltdelay.
Fetaltalcoholtsyndrometistantexemplartoftcognitivetdevelopmentaltdelay.
REF:t9tOBJ:tNCLEXtClienttNeedstCategory:tHealthtPromotiontandtMaintenance
6. Totplantearlytinterventiontandtcaretfortatchildtwithtatdevelopmentaltdelay,tthetnursetwouldtconsi
dertknowledgetoftthetconceptstmosttsignificantlytimpactedtbytdevelopment,tincluding
a. culture.
b. environment.
c. functionaltstatus.
d. nutrition.
ANS:tC
Functiontistonetoftthetconceptstmosttsignificantlytimpactedtbytdevelopment.tOtherstincludetsensory-
perceptual,tcognition,tmobility,treproduction,tandtsexuality.tKnowledgetoftthesetconceptstcanthelptthet
nursetanticipatetareastthattneedttotbetaddressed.tCulturetistatconcepttthattistconsideredttotsignificantlytaf
fecttdevelopment;tthetdifferencetistthetconceptstthattaffecttdevelopmenttaretthosetthattrepresenttmajortin
fluencingtfactorst(causes),thencetdeterminationtoftdevelopmenttandtwouldtbetthetfocustoftpreventivetint
erventions.tEnvironmenttistconsideredttotsignificantlytaffecttdevelopment.tNutritiontistconsideredttotsi
gnificantlytaffecttdevelopment.
REF:t1tOBJ:tNCLEXtClienttNeedstCategory:tHealthtPromotiontandtMaintenance
WWW.THENURSINGMASTERY.COM