A pediatric nurse practitioner is opening a new clinic and consults with the psychiatric-mental health nurse practitioner about screening tools to help identify children with delays or disorders in the critical early years, before they start school. Which of the following will the PMHNP suggest?
Modified Checklist for Autism in Toddlers (M-CHAT)
Autism Diagnostic Observation Schedule (ADOS)
Ages & Stages Questionnaire (ASQ)
Connors Parent Rating Scale
The Correct Answer is C
Choice A reason: M-CHAT screens specifically for autism risk in toddlers but does not assess broader developmental domains.
Choice B reason: ADOS is a diagnostic tool for autism, not a general early developmental screening tool for clinic-wide use.
Choice C reason: The ASQ is a comprehensive developmental screening tool that identifies children with delays or disorders across multiple domains before school age, ideal for early intervention planning.
Choice D reason: Connors Parent Rating Scale assesses ADHD symptoms but does not screen for overall early developmental delays.
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Related Questions
Correct Answer is C
Explanation
Choice A reason: While financially strategic, the ownership arrangement raises legal and ethical concerns and cannot be considered purely a savvy business plan.
Choice B reason: Ownership of a hospital is not inherently outside the scope of practice, but the issue arises from the referral expectation and potential self-referral, not from ownership itself.
Choice C reason: The Stark Law prohibits physicians and certain healthcare providers from referring patients to facilities in which they have a financial interest if reimbursed by Medicare or Medicaid, making this scenario a legal violation.
Choice D reason: Acting in one’s self-interest in this way is ethically problematic and legally restricted; autonomy does not justify violation of federal law.
Correct Answer is D
Explanation
Choice A reason: “Strategize” is not part of the PDSA framework; it misrepresents the structured iterative approach to quality improvement.
Choice B reason: “Prepare” is incorrect; the first step is to plan the change, not simply prepare.
Choice C reason: “Assess” is not used in the PDSA model; the final step is to act based on the study of results.
Choice D reason: PDSA stands for Plan, Do, Study, Act. This iterative cycle allows teams to plan a change, implement it, study the results, and act based on findings to continuously improve quality.
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