Deck 10: Adolescents

Question 1

Which of the following is a similarity in males and females going through puberty?

A) The secretion of sex hormones decreases.
B) Lean body mass increases.
C) Gynecomastia may occur.
D) Most teens hit puberty at the same age.
E) Coarse pubic and underarm hair begins to develop.

Answer 1

Required: Similarities in males and females going through pubertys
Justification: Pubic and underarm hair growth is attributable to the hormone called Dihydrotestosterone, which is for the development in males. In females, the Ovaries are accountable for the release of this hormone causing the effect of underarm and pubic hair growth.
Hence, the correct answer is (E) "Coarse pubic and underarm hair begins to develop."

Question 2

Which of the following would demonstrate that the nurse understands acceptable physical assessment
Approaches?

A) The routine pap exam is conducted first.
B) The adolescent is examined in private.
C) The nurse explains to the adolescent that all information will be shared with a parent/guardian.
D) The nurse lists all physical abnormalities for the teen on completion of the exam.

Answer 2

Required: The nurse demonstrates acceptable physical assessment on adolescents
Justification: During physical assessment on adolescents, the nurse should conduct the examination in private to obtain trust and discretion between the healthcare team and clients.
Hence, the correct answer is ( B ) "The adolescent is examined in private."

Question 3

A nursing student verbalizes understanding of proper medication administration in adolescents when she tells her instructor which of the following?

A) "The patient's medicines are only available in capsule form."
B) "Never crush tablets."
C) "Alternative medication preparations might be available. I will check with pharmacy."
D) "Adolescents should be able to swallow any kind of medication."

Answer 3

Situation: The nursing student expresses understanding in appropriate medication administration in adolescents.
Required: Understanding appropriate administration of medicines in teens.
Justification: The "National Institute of Health" 2010 report states that over 75% of medication is not permitted for use in pediatric patients. Due to legalities in testing medicines on children, a majority of the remedies are used "off label" in pediatrics.
Hence, the correct answer is (C) "Alternative medication preparations might be available. I will check with pharmacy."

Question 4

Which of the following is an appropriate response of a nurse to an adolescent's mother questioning why
Her teen would turn to drugs when he knows it's not permitted in their home?

A) "All kids try drugs."
B) "He knows right from wrong."
C) "The adolescent brain is still developing."
D) "Adolescents easily give in to peer pressure."

Question 5

When completing an individual biopsychosocial assessment of an adolescent, the nurse would recognize that a delay in growth and development might be caused by

A) trauma.
B) unpurified drinking water.
C) stressors.
D) all of the above.

Question 6

Which of the following skin conditions might alert a nurse to consider potential child abuse?

A) Tattoos
B) Body piercings
C) Burns
D) Acne

Question 7

General somatic complaints without confirmed diagnostic data can indicate which of the following in an
Adolescent patient?

A) Depression
B) Insomnia
C) Hunger
D) Fatigue

Question 8

The nurse is performing an oral exam. One indication that might cause a nurse to suspect that the adolescent induces intentional vomiting is

A) bruxism.
B) protruding wisdom teeth.
C) gingivitis.
D) tooth erosion.

Question 9

Chronic stomachaches in adolescents could be a sign or symptom of

A) anxiety.
B) the flu.
C) migraines.
D) the menstrual cycle.

Question 10

The strongest factor associated with the onset and timing of puberty is

A) age.
B) genetics.
C) onset of sexual activity.
D) breast development.