Deck 20: The Adolescent

Question 1

The nurse understands that the adolescent's avid sexual orientation to be based on Freud's theory,which describes adolescence as the __________ stage.

A) conceptual
B) genital
C) glandular
D) pubertal

Answer 1

genital

Question 2

An adolescent's parent comments,"My son seems so preoccupied with his appearance these days.Is this normal?" The nurse's best response would be:

A) "It is his attempt to express his individualism. "
B) "His preoccupation with his looks is quite normal. "
C) "He is probably troubled with his physical changes. "
D) "This shows that he has a positive self-image. "

Answer 2

"His preoccupation with his looks is quite normal. "

Question 3

A girl tells the nurse that she and her best friend belong to the popular clique.She states,"I love Lady Gaga,and I want to be a singer." The nurse recognizes the girl's statement as characteristic of peer relationships in:

A) early adolescence.
B) middle adolescence.
C) late adolescence.
D) the entire adolescent period.

Answer 3

early adolescence.

Question 4

The nurse explains that adolescent acne is the result of:

A) ineffective sweat glands.
B) oily skin.
C) inadequate hygiene.
D) a poor diet.

Question 5

Foods that would be a healthy choice for an adolescent who just finished playing in a strenuous game would be:

A) a cheeseburger and soda.
B) a hot fudge sundae.
C) two sausage and egg breakfast sandwiches and orange juice.
D) a bagel and skim milk.

Question 6

The statement made by a parent indicating understanding about helping a 13-year-old manage his allowance is:

A) "I set amounts he can earn for particular chores. "
B) "I give him a certain amount of money for each day. "
C) "I put money into his bank account each month. "
D) "I told him to ask me when he needs money. "

Question 7

A 13-year-old girl tells the school nurse that she is getting fat,especially in her hips and legs.The understanding by the nurse that would best guide the response is:

A) many adolescents are unaware of proper nutrition.
B) adolescents of this age become less active and should eat fewer calories.
C) puberty is often preceded by fat deposits in these areas.
D) as soon as menarche occurs, she will lose this excess weight.

Question 8

The nurse suggests the use of "I" messages to communicate a parent's feeling to an adolescent.The most appropriate example of an "I" message is:

A) "I feel frightened when you stay out past your curfew. "
B) "I am your mother, and I insist that you observe your curfew. "
C) "I am sick and tired of your staying out late. "
D) "I expect you to show me proper respect. "

Question 9

A 16-year-old excitedly tells his parents that he was offered a part-time job.Which response represents an effective problem-solving approach for his parents?

A) "Your studies are too important for you to have a part-time job. "
B) "When we went to high school, academics were the adolescent's priority. "
C) "We want you to put your earnings in a savings account. "
D) "How do you think you will manage your school work and a job?"

Question 10

One psychosocial task of adolescence on which the nurse must focus when planning care is the development of a sense of:

A) initiative.
B) industry.
C) identity.
D) involvement.

Question 11

A parent comments that her adolescent daughter seems to be daydreaming a lot.The nurse understands that this behavior indicates she is:

A) bored.
B) not getting enough rest.
C) trying to block out stress and anxiety.
D) mentally preparing for real situations.

Question 12

The school nurse is planning a program for girls about the physical changes of puberty;this program should be directed to girls of the age of _____ years.

A) 16
B) 14
C) 12
D) 10

Question 13

The nurse planning a safety program for high school students should understand that most accidental deaths in adolescence are related to:

A) firearms.
B) automobiles.
C) drowning.
D) diving injuries.

Question 14

The nurse using the PACE interview guide for persons at risk for substance abuse arrives at a score of 2 for an adolescent patient.The nurse should assess this score as:

A) nonindicative of potential substance abuse.
B) normal experimentation of the adolescent.
C) need to schedule another PACE interview in 3 months.
D) indication for referral for counseling.

Question 15

The nurse suggests a good dietary source of zinc for an adolescent who is a vegetarian would be:

A) green, leafy vegetables.
B) citrus fruits.
C) nuts.
D) enriched breads.

Question 16

When assessing a 13-year-old boy,the nurse would keep in mind physical changes in the pubertal male begin with:

A) development of axillary and facial hair.
B) enlargement of penis.
C) enlargement of testicles.
D) pigmentation of the scrotum.

Question 17

The nurse is leading a discussion group with parents of adolescents.One parent comments,"My son can't do anything without checking with his friends first.My opinion doesn't count anymore." The nurse would formulate a response on the knowledge that this behavior is:

A) unusual for adolescent boys.
B) often more apparent in boys than girls.
C) a normal phenomenon during adolescence.
D) suggestive of feelings of low self-worth.

Question 18

A 13-year-old boy states,"The girls in my class tower over me." The nurse's most informative response would be:

A) "It may seem that way because girls have a growth spurt 2 years earlier than boys. "
B) "Perhaps your parents are not exceptionally tall. "
C) "Boys usually experience a growth spurt 1 year earlier than girls. "
D) "You may feel short, but you are actually average height for your age. "

Question 19

When planning to answer a 16-year-old girl's questions about menstruation,the nurse must consider cognitive development.According to Piaget,the cognitive aspect that is developed during adolescence is the ability to:

A) view a situation from multiple perspectives.
B) focus more on the past than present situations.
C) exercise concrete reasoning.
D) consider hypothetical situations.

Question 20

The nurse points out to a group of parents that the most positive developmental significance of a peer group to the adolescent is that the group serves as a(n):

A) social outlet.
B) association to blur personal identity.
C) platform for "group think. "
D) initial separation from family.

Question 21

A mother confides in the school nurse that she witnessed her son kissing another boy.On which of these concepts should the nurse base his reply? Select all that apply.

A) Homosexual behavior in adolescents is not uncommon.
B) Homosexuality is a mental disorder.
C) Adolescents often desire to explore alternative lifestyles.
D) Homosexual tendencies should be addressed with counseling.
E) Parents should seek a support group for parents of gays.

Question 22

The nurse points out that prior to a big exam,what is the best breakfast to provide high levels of alertness and increased memory? Select all that apply.

A) Pancakes and syrup
B) Coffee and chocolate-covered donuts
C) Bacon and fried eggs
D) Whole grain cereal and yogurt
E) Oatmeal and sliced apples

Question 23

______________ is frequently delayed in girls who are involved in activities that require a lean body and a high level of physical activity.

Question 24

The nurse knows that an adolescent may find making a career choice difficult because there is less clarity in ______________ roles.

Question 25

The nurse stresses the need for using a sunscreen with a Sun Protection Factor (SPF)of at least _____.

Question 26

The nurse considers what "rites of passage" valued by the adolescent in American society? Select all that apply.

A) Attaining legal drinking age
B) Selection of a career
C) Religious affiliation
D) Obtaining a driver's license
E) High school graduation

Question 27

The nurse explains that the restlessness seen in the adolescent is,in part,attributable to what? Select all that apply.

A) Drive to be accepted by society as an individual
B) Urge for independence
C) Establishment of a personal identity
D) Intense libido
E) Rapid body changes
F) None of the above

Question 28

The nurse is amused,but understands that as adolescents strive for individuality,the strongest need of any adolescent in society is that of _______________.