Deck 11: Adolescence

Question 1

Parents ask the nurse what event identifies that their son has reached puberty. What is the best response by the nurse?

A) "Puberty occurs when the person becomes able to reproduce sexually."
B) "Puberty spans the ages between 11 and 20 years of age."
C) "A rapid growth spurt occurs during puberty."
D) "Emotional needs predominate the puberty period."

Answer 1

"Puberty occurs when the person becomes able to reproduce sexually."

Question 2

What is the best explanation of Erikson's theory of psychosocial development during the adolescence period?

A) Cognitive development is cumulative; that is, what is learned is based on what has been known before.
B) The adolescent thinks in the abstract and develops skills to participate in complex problem solving.
C) The adolescent develops many skills during the teen ages, which help adolescents make educational and career choices.
D) The adolescent faces many different decisions during the teen years concerning the future and the adult world.

Answer 2

The adolescent faces many different decisions during the teen years concerning the future and the adult world.

Question 3

What explanation by the nurse about Piaget's formal operations level of cognitive development is accurate?

A) Up to age 2, children learn by touching, tasting, and feeling. They learn to control body movement.
B) Children from ages 2 to 7 years investigate and explore the environment and look at things from their own point of view.
C) From ages 7 to 11 years, children internalize actions and can perform them in the mind.
D) After age 12, children can think in the abstract including complex problem solving.

Answer 3

After age 12, children can think in the abstract including complex problem solving.

Question 4

A family consists of an infant, school-age child, teenager, mother, and father. Which individual exerts the most lasting influence on the ongoing development of the adolescent?

A) Peer group
B) School-age child
C) Mother
D) Father

Question 5

What is the main characteristic of the pubescence stage of development?

A) Desire for independence
B) Grapple with everyday issues
C) Grapple with career choices
D) Fluctuations in self-assurance

Question 6

Which behavior demonstrates the main characteristic of late adolescence stage of development?

A) Walking to school alone
B) Managing time for both chores and hobbies
C) Still sleeps with a favorite stuffed toy
D) Worrying about making the soccer team

Question 7

A male student tells the school nurse that he has started to experience the involuntary discharge of semen while sleeping. The nurse should place a priority on what topic of discussion with this client?

A) Changes that occur during adolescence.
B) Communication with his parents
C) Information about sex and sexuality.
D) Sexually transmitted infections.

Question 8

During the annual physical examination, an adolescent girl shares with the nurse that she is interested in having an intimate relationship with her boyfriend but does not know much about sex. Which topics should the nurse address? Select all that apply.

A) How sexually transmitted diseases (STDs) are spread
B) Review pubertal changes that occur in the body.
C) Provide information about sex and pregnancy.
D) Explain the role of birth control
E) The importance of abstinence

Question 9

Why is it important that the nurse assist in providing sex education when asked questions by an adolescent? Select all that apply.

A) Adolescents will seek answers elsewhere.
B) Incorrect information may be gotten from peers.
C) They will benefit from a reliable source of information.
D) Unsafe sexual activities could result from a lack of knowledge
E) So that the parents can be informed of the child's interest in sex

Question 10

Which interventions should the nurse include in discussions related to counseling adolescent girls regarding potential sexual activities? Select all that apply.

A) Providing statistics on the incidence of teen pregnancies
B) Stressing the importance of having a trusted source of sex information
C) Providing the adolescents with birth control pills
D) Stressing the difference between preventing pregnancy and sexually transmitted diseases (STDs)
E) Describing the appropriate use of condoms

Question 11

A parent expresses concern over the amount of attention her daughter pays to "looking just right." The parent is concerned the teen is experiencing an eating disorder. What information should the nurse provide the parent about her concerns?

A) Teens are generally very concerned about their appearance
B) Eating disorders among teens is rare
C) Bulimia is characterized by eating minimal amounts of food.
D) Anorexia includes binge eating followed by induced vomiting.

Question 12

A nurse is addressing a group of schoolteachers on the importance of sex education for children. Who should the nurse suggest be the primary source of sex education information for adolescents?

A) Clergy
B) Parents
C) Teachers
D) Counselors

Question 13

Based on Erikson's theory of psychosocial development, which statement by an adolescent should cause the nurse the greatest concern?

A) "I don't know if I can trust my friends to be there when I need them."
B) "Mom and Dad just don't understand me."
C) "I don't have any idea who I really am."
D) "I'm afraid of failing and looking foolish."

Question 14

During the annual physical examination, a teenage client tells the nurse about feeling anxious as well as frustrated because of facial acne. Which is the nurse's best response?

A) "This is one of the most common physical changes during adolescence."
B) "It could be serious; seek consultation when your primary care physician examines you."
C) "Most adolescents get acne during adolescence, don't worry."
D) "Let's talk about how to care for your skin."

Question 15

An adolescent initiates a conversation with the school nurse that results in the sharing of feelings of confusion regarding sexual orientation. The client states, "I don't want to be gay." What initial response should the nurse provide to best address the client's concern?

A) Notify the school's administration of the student's conflict
B) Assess the student for depression and suicidal thoughts
C) Share with the client that confused sexual feelings are not uncommon among this age group.
D) Reassure the teen that the confusion presently being experienced is often temporary and doesn't necessarily determine sexual orientation.

Question 16

A teenage boy, reveals to the nurse that he is sexually active and is concerned about acquiring a sexually transmitted disease (STD). How can the nurse best address the teenager's concern?

A) Advise the client to attend a sex education class.
B) Educate the client to use condoms.
C) Educate the client on the various forms of birth control.
D) Advise the client to avoid intimate relationships.

Question 17

Which issues should the nurse identify as being associated with a teen's psychosocial development? Select all that apply.

A) Drinking and driving
B) Drug abuse
C) Managing anger and aggression
D) Peer group selection
E) Problem solving skills

Question 18

When asked by a parent, what factors should the nurse identify as to why adolescents place such importance on the peer group? Select all that apply.

A) The group helps the teen define their identity
B) Provides an environment in which they are independent
C) Teens are focused on belonging to a group
D) It is a place where they always feel confident
E) It is a source of information and advice

Question 19

What interventions should the nurse suggest to a client who is concerned that a teenage son is engaging in dangerous behaviors as a result of peer pressure? Select all that apply.

A) The parent should be a role model for safe habits and practices.
B) Promote home as a safe environment where the son can discuss the pressures.
C) Give information about the hazards of risk taking.
D) Provide appropriate consequence for inappropriate behavior
E) Recognize that the teen years have always been dangerous ones

Question 20

What behavior is most characteristic of a teen in the late adolescence stage?

A) Cries when they don't get their way
B) Prefers to be alone practicing their piano than being with peers
C) Questions the need to good to college
D) Working a part-time job to help support the family financially

Question 21

Parents ask the nurse how they will know when their daughter has reached puberty. What statement indicates that the nurse is providing accurate information to the parents? Select all that apply.

A) "She will have irregular menstrual periods."
B) "Hip and breast development will become obvious."
C) "Increased glandular activity causes an increase in sweat."
D) "Her permanent teeth will come in."
E) "You will notice that she begins developing pubic hair."

Question 22

A 13-year-old female client tells the nurse about an increase in weight and fat deposits during the past year. When considering the girl's developmental stages, which nursing action is most appropriate at this time?

A) Provide reassurance that these are normal changes associated with puberty.
B) Review dietary measures to assist in controlling the weight gain.
C) Encourage increased exercise to control weight gain.
D) Share information on what foods can be eaten on a low-fat diet.