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?

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.)

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?

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?

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,"She was born late and has been late every day of her life." Which response by the nurse is appropriate?

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.)

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.)

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?

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?

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,"My daughter slouches all the time.She is so lazy." Which should the nurse assess in order to provide the parent with the most appropriate anticipatory guidance?

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?

Accepted Answer

Forming a self-identity is one of the main psychological and developmental tasks of adolescence. During this period, individuals engage in the process of discovering and defining their personality, values, and beliefs, which helps them gain a sense of self and direction in life. While engagement in tasks, imagination, and participation in organized activities are also relevant to adolescent development, they are not considered central to the formation of a self-identity.

Question 12

Which developmental theorist stated that the adolescent is able to logically manipulate abstract,observable,and nonobservable concepts with greater depth?

Accepted Answer

Piaget's theory of cognitive development specifies that during adolescence, individuals progress to the formal operational stage, in which they can logically manipulate abstract, observable, and nonobservable concepts with greater complexity and depth.

Question 13

Which is a theoretical reason for why adolescents engage in risky behavior?

Accepted Answer

Adolescents are highly influenced by their peers and often engage in risky behavior to gain acceptance and approval from their peers. This is why they might take part in dangerous activities like smoking, drinking, or drug abuse in the company of their peers. It is a way of fitting in and being accepted by their peer group.

Question 14

The nurse is assessing an adolescent patient to determine her relationships with others.Which nursing action is appropriate?

Accepted Answer

Providing separate times to communicate with the adolescent and the parents is appropriate as it allows the nurse to gather information about the adolescent's relationships with others without potentially breaching their confidentiality. It also respects the adolescent's autonomy and privacy. Option A may not be appropriate as the nurse should prioritize the adolescent's right to privacy unless there is clear indication of harm or danger to self or others. Option C is not relevant to the assessment of the adolescent's relationships with others. Option D is not appropriate as it may increase the adolescent's anxiety and reduce their willingness to communicate.

Question 15

According to Erikson,which person has the most influence over the adolescent?

Accepted Answer

Erikson's theory of psychosocial development emphasizes the importance of peers during adolescence, as this is the stage where individuals seek identity and acceptance among their social groups.

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.)

Accepted Answer

Anticipatory guidance for high-risk behaviors provided to adolescents and their parents during a health maintenance visit should include discussions on high-risk behaviors such as alcohol use, tobacco use, and motor vehicle accidents. Sexual preference and college application process may not necessarily be considered high-risk behaviors and may not be relevant for all adolescents.

Question 17

Which is often the reason why an adolescent engages in self-harm activities such as cutting?

Accepted Answer

Adolescents often engage in self-harm activities such as cutting to cope with overwhelming emotions such as sadness, anxiety, or anger. This behavior is often a coping mechanism to release built-up tension and stress.

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?

Accepted Answer

The adolescent's statement suggests symptoms of depression, such as social withdrawal and hopelessness about the future. Screening for depression should be the priority to assess the adolescent's mental health and provide appropriate support and treatment. Substance abuse, anorexia nervosa, and pregnancy may also be important to screen for during a health maintenance visit, but they are not the priority in this case.

Question 19

Which nursing action is appropriate when providing care to an adolescent patient who is accompanied to an appointment by a parent?

Accepted Answer

Reassuring the parent that the nurse will discuss any parental concerns or questions after the examination respects the adolescent's privacy while also acknowledging the parent's involvement and concerns.

Question 20

An obese adolescent who adamantly denies sexual activity has a positive pregnancy test.Which response by the nurse is most appropriate?

Accepted Answer

As the adolescent is denying sexual activity, the nurse should not make assumptions or judgments. Instead, the nurse should initiate a non-judgmental and supportive conversation, exploring the activities that could have led to the pregnancy and educating the adolescent on various forms of contraception to avoid future pregnancies. Asking about the LMP or questioning the denial of sexual intercourse may not be appropriate at this time. Asking about body image may also not be as relevant in this situation.

Quiz 25: Health Promotion of the Adolescent