ADVANCED PRACTICE NURSING: ESSENTIALS FOR ROLE
DEVELOPMENT 4TH EDITION LUCILLE’S
TESTBANK/COMPLETE GUIDE 2024 -2025
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Chapter 1 . Advanced Practice Nursing: Doing What Has to Be Done-Radicals,
Renegades, and Rebels
MULTIPLE CHOICE
- The nurse practitioner manager of a pediatric clinic could confirm that the new nurse
practitioner recognized the purpose of the HEADSS Adolescent Risk Profile when the new nurse practitioner responds that it is used to assess for needs related to
- Anticipatory guidance.
- low-risk adolescents.
- physical development.
- sexual development.
CORRECT CHOICE:- A
Explanation :->>>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 practitioner 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.
CORRECT CHOICE:- C
Explanation :->>>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
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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 practitioner 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.
CORRECT CHOICE:- D
Explanation :->>>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 practitioner 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.
CORRECT CHOICE:- C
Explanation :->>>The Denver II is the most commonly used measure of developmental status used by primary 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 3 / 4
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
- To plan early intervention and care for an infant with Down syndrome, the nurse
practitioner considers knowledge of other physical development exemplars such as
- cerebral palsy.
- failure to thrive.
- fetal alcohol syndrome.
- hydrocephaly.
CORRECT CHOICE:- D
Explanation :->>>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
- To plan early intervention and care for a child with a developmental delay, the nurse
practitioner would consider knowledge of the concepts most significantly impacted by development, including
- culture.
- environment.
- functional status.
- nutrition.
CORRECT CHOICE:- C
Explanation :->>>Function is one of the concepts most significantly impacted by development.Others include sensory-perceptual, cognition, mobility, reproduction, and sexuality. Knowledge of
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