Question 1

A nurse is planning to present a lecture/discussion on health maintenance to adolescents in their high school health class.Which of these should the nurse include in the presentation? Select all that apply.

A)Limiting refined sugar and high fat intake
B)Include 2-3 servings of dairy products daily to enhance bone formation.
C)Resources for treatment of eating disorders for all adolescents
D)Type 2 diabetes mellitus and insulin resistance
E)The importance of decreasing calcium intake once full adult height is achieved

Limiting refined sugar and high fat intake
Include 2-3 servings of dairy products daily to enhance bone formation.

Accepted Answer

Limiting refined sugar and high fat intake&#10;Include 2-3 servings of dairy products daily to enhance bone formation.

Question 2

A 17-year-old female is planning to attend college after high school graduation.The school nurse informs the student that a health care visit needs to be scheduled prior to the start of college for what primary purpose?

A)To allow the student to obtain birth-control pills
B)To make a nutrition plan for when in classes
C)To obtain immunization updates
D)To assess whether there are any health problems that could interfere with the student's performance

To obtain immunization updates

Accepted Answer

The primary purpose of a health care visit before starting college is to obtain immunization updates. Many colleges and universities require proof of certain immunizations before allowing students to enroll in classes. While birth control and nutrition are important health considerations for college students, they are not the primary reason for this particular health care visit. Additionally, assessing for potential health problems that could interfere with academic performance is important, but this is not the primary purpose of a pre-college health care visit.

Question 3

The school nurse performs screenings on all students in the high school.In addition,the nurse will perform selected screenings on individual teenagers.When planning the screenings for the year,the nurse will include screening all teenagers for: (Select all that apply. )

A)Scoliosis.
B)Tanner staging.
C)Blood pressure measurement.
D)Hepatitis B profile serology.
E)Chest x-ray.

Scoliosis.
Tanner staging.
Blood pressure measurement.

Accepted Answer

Scoliosis screening is recommended for teenagers because this is the age where it commonly develops. Tanner staging is important for monitoring the development of secondary sexual characteristics. Blood pressure measurement is a routine screening that can detect hypertension, which is becoming increasingly common in teenagers due to lifestyle factors such as stress and poor diet. Hepatitis B profile serology and chest x-rays are not recommended as routine screenings for all teenagers.

Question 4

A 15-year-old female adolescent's body mass index (BMI)is 27.&#10;A)Nutritional intake.&#10;B)School performance.&#10;C)Adolescent Mini Mental Health Status Examination.&#10;D)Menstrual cycle.&#10;

Accepted Answer

The adolescent's high BMI indicates that she may be overweight or obese. Nutritional intake should be assessed to see if the high BMI is due to poor dietary choices and/or excessive calorie intake. This can help determine whether lifestyle changes are necessary to improve overall health outcomes.

Question 5

The nurse working in the clinic includes an adolescent history in every client intake interview.Which of these issues should the nurse address when the parents are not present?&#10;A)Possible domestic violence&#10;B)Teen job responsibilities&#10;C)Activities that are done as a family&#10;D)The adolescent's role in the family&#10;

Accepted Answer

Possible domestic violence should be addressed when the parents are not present to ensure the adolescent's safety and well-being. It may be difficult for the adolescent to disclose such information in front of their parents. The other options are more appropriate to discuss with both the adolescent and the parents present.

Question 6

A teenager is accompanied by the mother to the annual physical examination.The nurse is aware of privacy issues related to the teenager.While the mother is in the room,the nurse should avoid questions about which of the following topics? Select all that apply.

A)Sexual activity
B)Cigarette smoking
C)School performance
D)Alcohol use
E)Use of car seat belts

Accepted Answer

The answer of A teenager is accompanied by the mother...

Question 7

A nurse should review the immunization record for hepatitis B status as a priority for which of these adolescents?&#10;A)An adolescent who has chronic acne&#10;B)An adolescent who has overuse injuries from playing varsity sports&#10;C)An adolescent who has chronic asthma&#10;D)An adolescent who is planning on getting a tattoo&#10;

Accepted Answer

Since hepatitis B can be transmitted through contaminated needles, a nurse should prioritize reviewing the immunization record for hepatitis B status for an adolescent who is planning on getting a tattoo. It is important to ensure that the adolescent is up-to-date on their hepatitis B vaccine before undergoing any procedure that involves needles. Chronic acne, overuse injuries, and chronic asthma do not make reviewing the hepatitis B status a priority.

Question 8

A 17-year-old female present at a nurse practitioner's office requests a signature for working papers.The nurse reviews her chart and notes that the girl's last physical examination was two years ago.In addition to providing the signature for the working papers,the nurse should use this visit as:

A)An opportunity to discuss birth-control measures.
B)A time to discuss exercise and sports participation.
C)A health-supervision opportunity.
D)A chance to discuss the important of pursuing post-secondary education.

Accepted Answer

The visit provides an opportunity for health supervision, as the girl has not had a physical examination in two years. The nurse should use this opportunity to assess the patient's overall health and well-being, screen for any potential health issues, and provide appropriate recommendations or referrals. While discussing birth control and education may also be important topics, they are not the primary focus of this visit. Exercise and sports participation may be important to discuss, but only if it is relevant to the patient's health or job requirements.

Question 9

An adolescent report the following: &#34;I get up at six a.m.I attend early-morning band classes three times a week.I play sports for two hours each day after school,and homework takes me three hours every night.I always feel tired.&#34; The priority history question is:&#10;A)&#34;How many hours of sleep do you get each night?&#34;&#10;B)&#34;Do you eat foods high in iron?&#34;&#10;C)&#34;Do you think you are doing too much?&#34;&#10;D)&#34;Have you considered talking with your teachers about decreasing your homework,since you have so many extracurricular activities?&#34;&#10;

Accepted Answer

The most pressing question would be to determine if the adolescent is getting enough sleep, as this could be contributing to their tiredness. The other options may be relevant, but addressing sleep first would be more important.

Question 10

A nursing history on a 16-year-old female reveals that the adolescent takes a multivitamin with 0.5 mg of fluoride and 0.4 mg of folic acid each day.The concern the nurse should bring to the attention of the physician is the:

A)Presence of fluoride in the multivitamin.
B)Amount of fluoride in the multivitamin,which is too low.It should be 1.0 mg each day.
C)Intake of folic acid.
D)Need for a daily iron tablet.

Accepted Answer

The concern that the nurse should bring to the attention of the physician is the presence of fluoride in the multivitamin, as excessive fluoride intake can cause fluorosis and other health problems. The amount of fluoride in the multivitamin is within the recommended range, and there is no evidence to suggest that the adolescent needs an iron supplement. The intake of folic acid is also within normal limits and is not a cause for concern.

Question 11

An obese adolescent who adamantly denies sexual activity has a positive pregnancy test that was performed in the adolescent clinic.The appropriate nursing statement/question to the adolescent is:&#10;A)&#34;Tell me how you feel about your body image.&#34;&#10;B)&#34;When was your last menstrual cycle?&#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;Were you involved in a date rape,and are you hesitant to speak about it?&#34;&#10;

Accepted Answer

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

Question 12

The school nurse is working with a 13-year-old boy who recently was diagnosed with insulin-dependent diabetes.Which of the following would be one of the areas on which the teaching discussion should focus?

A)Encouraging the boy to tell his friends about healthy nutrition,so they are not tempting him with fast food
B)Referring the boy to a psychologist in order to deal with the new diagnosis
C)Reminding the boy of the activities in which he can continue to participate just as he did before the diagnosis
D)Making sure the boy tells everyone about his diagnosis in case there is a problem

Accepted Answer

The answer of The school nurse is working with a...

Question 13

A new school counselor asks the school nurse to present an educational program for the parents of young adolescents.Which of the following would be a priority for inclusion into the program? Select all that apply.

A)Signs of depression and substance abuse
B)Opportunities available in the community to promote physical activity
C)Signs and symptoms of substance abuse
D)The current clothing styles,so their child can "fit in"
E)Driver's education classes

Accepted Answer

The answer of A new school counselor asks the school...

Question 14

An adolescent who recently moved to a new school in a different town presents to an ambulatory care center and describes the following: "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 of these takes priority when speaking with the adolescent?

A)Helping the adolescent realize the value of post-secondary education
B)Promotion of healthy mental health outcomes
C)Acknowledgement of the fact that it takes several months to make new friends at a new school,due to adolescent exclusion behaviors
D)The adolescent should consider the importance of remaining in a close parent-child relationship during these stressful times.

Accepted Answer

The answer of An adolescent who recently moved to a...

Question 15

The nurse is caring for a postoperative 14-year-old female on the pediatric unit.Which consideration is most significant in planning care for this child?&#10;A)The child will want her mother with her at all times.&#10;B)The child is not going to be concerned with her body image while hospitalized.&#10;C)The child of this age is learning to become independent.&#10;D)The child of this age will be glad to miss school.&#10;

Accepted Answer

The answer of The nurse is caring for a postoperative...

Deck 38: Health Promotion and Maintenance: the Adolescent