TEST BANK FOR ADVANCED PRACTICE NURSING IN THE CARE OF OLDER ADULTS 2ND EDITION BY KENNEDY-MALONE

Chapter 1 . Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades, and 

Rebels

MULTIPLE CHOICE

1. 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

a. anticipatory guidance.

b. low-risk adolescents.

c. physical development.

d. 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

2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the

expected stage of development for a preschooler is

a. concrete operational.

b. formal operational.

c. preoperational.

d. 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

3. 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

4. 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.