Question 1

The nurse is planning to teach a group of adolescents about what can happen during unprotected sex.Which nursing action allows effective communication with the group?&#10;A) Offering personal opinions on the topic&#10;B) Allowing for discussion among the participants&#10;C) Lecturing on the topic for the allotted time without any discussion&#10;D) Discussing sex education related to religious belief&#10;

Accepted Answer

Allowing for discussion among the participants allows for an exchange of ideas and encourages the group to engage in active learning. This interactive approach is more effective than lecturing, offering personal opinions, or discussing religious beliefs, which may not be applicable to all participants or may create biases.

Question 2

Which difficulties faced by an adolescent are attributed to normal development? (Select all that apply.)&#10;A) Risk-taking&#10;B) Rebelliousness&#10;C) Peer socialization&#10;D) Lack of cooperation&#10;E) Hostility toward authority&#10;

Accepted Answer

These difficulties (risk-taking, rebelliousness, lack of cooperation, and hostility toward authority) are often considered part of the normal developmental process during adolescence. They stem from the adolescent's struggle for independence, identity formation, and testing boundaries. Peer socialization, on the other hand, is a normal and necessary part of adolescent development, not a difficulty.

Question 3

The school nurse is performing annual height and weight screenings.The nurse notes that three adolescent girls who are close friends have each lost 15 pounds over the past year.Which is the priority nursing action?

A) Obtaining a nutritional history for each of these adolescents
B) Referring these adolescents to the school psychologist
C) Calling the respective parents to discuss the eating pattern of each adolescent
D) Speaking with the adolescents in a group to discuss the problems associated with anorexia nervosa

Accepted Answer

The priority nursing action should be obtaining a nutritional history for each of these adolescents. This will help the nurse identify any possible underlying medical or emotional issues contributing to their weight loss. Referring to the school psychologist or discussing the eating pattern with parents would be appropriate if there are concerns for emotional issues, but obtaining a nutritional history is the first step in addressing the weight loss. Group discussions about anorexia nervosa should not be conducted without individual assessments and a carefully planned approach to prevent triggering potential eating disorders.

Question 4

Which should the nurse keep in mind when providing care to an adolescent patient during the initial health maintenance visit at the provider's office?&#10;A) The importance of explaining procedures and introducing personnel to adolescents&#10;B) Many adolescents are quiet and will offer no opinions.&#10;C) The importance of attending to and discharging the adolescent quickly&#10;D) Many adolescents are comfortable with their surroundings.&#10;

Accepted Answer

Adolescents may feel uncomfortable during their first health maintenance visit, so it is essential to explain the procedures and introduce personnel to help them feel at ease. It is also important to establish a relationship and build trust, which can happen by taking the time to listen and answer any questions they may have. Discharging them too quickly or assuming that they are comfortable in their surroundings may hinder the development of this relationship. While some adolescents may be quiet, this should not be assumed for all adolescents.

Question 5

A mother reports that her adolescent daughter is always late.The mother states,&#34;She was born late and has been late every day of her life.&#34; Which response by the nurse is appropriate?&#10;A) &#34;Setting specific alarms and then reinforcing the value of being 'on time' may be helpful strategies.&#34;&#10;B) &#34;Just let it go for now.Teachers and employers are the best people to help her be on time.&#34;&#10;C) &#34;You need to establish specific time frames for your adolescent and be certain she adheres to them.&#34;&#10;D) &#34;You have a major problem.There must be a lot of screaming in your home.&#34;&#10;

Accepted Answer

Option A provides a practical solution for the issue of chronic lateness by suggesting using specific alarms and reinforcing the importance of punctuality. Option B is not helpful as it suggests ignoring the problem, while option C might be too strict, leading to conflicts between the mother and daughter. Option D is inappropriate and unprofessional as it uses sarcasm and does not provide genuine help.

Question 6

Which topics are appropriate for the nurse to include in a teaching session for an adolescent patient who is experiencing acne? (Select all that apply.)&#10;A) Discouraging the consumption of greasy foods&#10;B) Washing the face twice per day&#10;C) Using a mild soap on the face&#10;D) Scrubbing the face with a washcloth&#10;E) Recommending products that contain oil&#10;

Accepted Answer

The nurse should include washing the face twice per day with a mild soap in the teaching session. Discouraging the consumption of greasy foods may not necessarily improve acne, as diet may not be a significant factor. Scrubbing the face with a washcloth and using products that contain oil may aggravate acne.

Question 7

Which screenings are appropriate for an adolescent who admits to being sexually active during a scheduled health maintenance visit? (Select all that apply.)&#10;A) Herpes simplex virus&#10;B) Gonorrhea&#10;C) Chlamydia&#10;D) Impetigo&#10;E) Mononucleosis&#10;

Accepted Answer

Herpes simplex virus, gonorrhea, and chlamydia are all sexually transmitted infections (STIs) that can be transmitted through sexual activity. Impetigo is a bacterial skin infection that is not sexually transmitted, and mononucleosis is a viral infection that is typically transmitted through contact with saliva.

Question 8

When planning community health promotion activities,which should the nurse consider when catering an educational session to the adolescent?&#10;A) More females smoke cigarettes than males.&#10;B) Marijuana is not an issue until college.&#10;C) Alcohol and drug use often goes hand-in-hand with sexual intercourse.&#10;D) There is no risk of texting and driving during adolescence.&#10;

Accepted Answer

It is important for the nurse to consider that alcohol and drug use often goes hand-in-hand with sexual intercourse in adolescents as this can lead to unintended pregnancies and sexually transmitted infections. The other options are either inaccurate or do not provide valuable information for an educational session on adolescent health promotion.

Question 9

The nurse is planning care for an overweight adolescent.Which topic is appropriate to include in the plan of care?&#10;A) Preventing substance abuse&#10;B) Assessing for school phobia&#10;C) Monitoring for spiritual distress&#10;D) Determining self-esteem&#10;

Accepted Answer

Determining self-esteem is the most appropriate topic to include in the plan of care for an overweight adolescent. It is important to address any potential self-esteem issues in this population as weight can often be a source of insecurity and low self-worth. This can lead to a negative body image, which can further contribute to disordered eating behaviors and potentially exacerbate the adolescent's weight struggles. By addressing self-esteem, the nurse can work with the adolescent to build body positivity and improve self-worth, which can in turn improve their overall health and well-being. Preventing substance abuse, assessing for school phobia, and monitoring for spiritual distress may be important topics for other patients, but they are not as relevant to an overweight adolescent.

Question 10

The parent of an adolescent states,&#34;My daughter slouches all the time.She is so lazy.&#34; Which should the nurse assess in order to provide the parent with the most appropriate anticipatory guidance?&#10;A) Asthma&#10;B) Depression&#10;C) Alcohol use&#10;D) Scoliosis&#10;

Accepted Answer

Scoliosis is a medical condition that can cause a person to have a slouched posture. Therefore, it would be important for the nurse to assess for scoliosis in order to provide appropriate anticipatory guidance. Asthma, depression, and alcohol use may also be important to assess in adolescents, but they are not necessarily related to slouching.

Question 11

Which is a psychological and developmental task of adolescence?&#10;A) Being engaged in tasks&#10;B) Forming a self-identity&#10;C) Having highly imaginative thoughts&#10;D) Wanting to participate in organized activities&#10;

Accepted Answer

The answer of Which is a psychological and developmental task...

Question 12

Which developmental theorist stated that the adolescent is able to logically manipulate abstract,observable,and nonobservable concepts with greater depth?&#10;A) Erikson&#10;B) Freud&#10;C) Kohlberg&#10;D) Piaget&#10;

Accepted Answer

The answer of Which developmental theorist stated that the adolescent...

Question 13

Which is a theoretical reason for why adolescents engage in risky behavior?&#10;A) As a coping mechanism&#10;B) To impress a teacher&#10;C) As a cry for help&#10;D) To receive peer approval&#10;

Accepted Answer

The answer of Which is a theoretical reason for why...

Question 14

The nurse is assessing an adolescent patient to determine her relationships with others.Which nursing action is appropriate?&#10;A) Telling the parents that information will be shared with them after the examination&#10;B) Providing separate times to communicate with the adolescent and the parents&#10;C) Avoiding asking the parents their opinions of the adolescent's friends&#10;D) Telling the parents they are not allowed to come into the examination room&#10;

Accepted Answer

The answer of The nurse is assessing an adolescent patient...

Question 15

According to Erikson,which person has the most influence over the adolescent?&#10;A) Peers&#10;B) Siblings&#10;C) Parents&#10;D) Teachers&#10;

Accepted Answer

The answer of According to Erikson,which person has the most...

Question 16

Which should be included in the anticipatory guidance for high-risk behaviors provided to adolescents and their parents during a health maintenance visit? (Select all that apply.)&#10;A) Alcohol use&#10;B) Tobacco use&#10;C) Sexual preference&#10;D) College application process&#10;E) Motor vehicle accidents&#10;

Accepted Answer

The answer of Which should be included in the anticipatory...

Question 17

Which is often the reason why an adolescent engages in self-harm activities such as cutting?&#10;A) For peer approval&#10;B) For attention&#10;C) To release anger&#10;D) To seek medical attention&#10;

Accepted Answer

The answer of Which is often the reason why an...

Question 18

During a health maintenance visit,an adolescent says,"I have no friends in my new school,and I no longer want to go to college.I know I will be lonely there,too." Which priority screening should the nurse implement?

A) Substance abuse
B) Depression
C) Anorexia nervosa
D) Pregnancy

Accepted Answer

The answer of During a health maintenance visit,an adolescent says,&#34;I...

Question 19

Which nursing action is appropriate when providing care to an adolescent patient who is accompanied to an appointment by a parent?&#10;A) Instructing the parent to stay in the waiting room,with the explanation that the adolescent will provide a report after the examination&#10;B) Telling the parent it is against policy for a parent to accompany the adolescent to the examination room&#10;C) Reassuring the parent that the nurse will discuss any parental concerns or questions after the examination&#10;D) Allowing the parent to come into the examination room with the adolescent&#10;

Accepted Answer

The answer of Which nursing action is appropriate when providing...

Question 20

An obese adolescent who adamantly denies sexual activity has a positive pregnancy test.Which response by the nurse is most appropriate?&#10;A) &#34;When was your last menstrual period (LMP)?&#34;&#10;B) &#34;Tell me how you feel about your body image.&#34;&#10;C) &#34;Let's discuss some activities that you have done within the past few months that could possibly lead to pregnancy.&#34;&#10;D) &#34;Why are you denying sexual intercourse?&#34;&#10;

Accepted Answer

The answer of An obese adolescent who adamantly denies sexual...

Deck 25: Health Promotion of the Adolescent