Question 1

A student nurse learns that according to Piaget,the adolescent is in the fourth stage of cognitive development,or period of what?&#10;A) Formal operations&#10;B) Concrete operations&#10;C) Conventional thought&#10;D) Postconventional thought

Accepted Answer

Cognitive thinking culminates with capacity for abstract thinking.This stage,the period of formal operations,is Piaget's fourth and last stage.Concrete operations usually develops between ages 7 and 11 years.Conventional and postconventional thought refer to Kohlberg's stages of moral development.

Question 2

In girls,the initial indication of puberty is&#10;A) menarche.&#10;B) growth spurt.&#10;C) growth of pubic hair.&#10;D) breast development.

Accepted Answer

In most girls,the initial indication of puberty is the appearance of breast buds,an event known as thelarche.The usual sequence of secondary sexual characteristic development in girls is breast changes,rapid increase in height and weight,growth of pubic hair,appearance of axillary hair,menstruation,and abrupt deceleration of linear growth.

Question 3

A student nurse learns that according to Erikson,the psychosocial task of adolescence is to develop&#10;A) intimacy.&#10;B) identity.&#10;C) initiative.&#10;D) independence.

Accepted Answer

Traditional psychosocial theory holds that the developmental crises of adolescence lead to the formation of a sense of identity.Intimacy is the developmental stage for early adulthood.Initiative is the developmental stage for early childhood.Independence is not one of Erikson's developmental stages.

Question 4

Which statement by the nurse is most appropriate to a 15-year-old whose friend has mentioned suicide?&#10;A) &#34;Tell your friend to come to the clinic immediately.&#34;&#10;B) &#34;You need to gather details about your friend's suicide plan.&#34;&#10;C) &#34;Your friend's threat needs to be taken seriously and he needs immediate help.&#34;&#10;D) &#34;If your friend mentions suicide again get your friend some help.&#34;

Accepted Answer

Suicide is the second most common cause of death among American adolescents and young adults aged 15 to 24.A suicide threat from an adolescent serves as a dramatic message to others and should be taken seriously.Adolescents at risk should be targeted for supportive guidance and counseling before a crisis occurs.Instructing a 15-year-old to tell a friend to come to the clinic immediately provides the teen with limited information and does not address the concern.The teen should not be responsible for getting more information from the friend.Waiting until the teen discusses suicide a second time may be too late.

Question 5

A nurse wants to volunteer for an organization that helps prevent death in older adolescents.What action by the nurse would have the most impact?&#10;A) Volunteer for a suicide hotline.&#10;B) Teach firework safety classes.&#10;C) Work on a poison control hot line.&#10;D) Educate teens on gun safety.

Accepted Answer

Of the four causes of death listed,suicide ranks highest,being the second most common cause of death in the 15 to 24 age group.The nurse would make the biggest impact volunteering for a suicide hotline.

Question 6

What does the nurse learn that predisposes the adolescent to feel an increased need for sleep?&#10;A) An inadequate diet&#10;B) Rapid physical growth&#10;C) Decreased activity&#10;D) Typical lack of ambition

Accepted Answer

Rapid physical growth,the tendency toward overexertion,and the overall increased activity of this age contributes to fatigue in this population.It is not due to dietary factors,decreased activity,or lack of ambition.

Question 7

The parents of a 14-year-old girl are concerned that their adolescent spends too much time looking in the mirror.Which statement is the most appropriate for the nurse to make?&#10;A) &#34;Your teenager needs clearer and stricter limits about her behavior.&#34;&#10;B) &#34;Your teenager needs more responsibility at home.&#34;&#10;C) &#34;During adolescence this behavior is not unusual.&#34;&#10;D) &#34;The behavior is abnormal and needs further investigation.&#34;

Accepted Answer

Egocentric and narcissistic behavior,such as staring at oneself in the mirror,is normal during this period of development.The teenager is seeking a personal identity.Stricter limits are not an appropriate response for a behavior that is part of normal development.More responsibility at home is not an appropriate response for this situation.The behavior is normal and needs no further investigation.

Question 8

A 17-year-old tells the nurse that he is not having sex because it would make his parents very angry.This response indicates that the adolescent has a developmental lag in which area?&#10;A) Cognitive development&#10;B) Moral development&#10;C) Psychosocial development&#10;D) Psychosexual development

Accepted Answer

The appropriate moral development for a 17-year-old would include evidence that the teenager has internalized a value system and does not depend on parents to determine right and wrong behaviors.Adolescents who remain concrete thinkers may never advance beyond conformity to please others and avoid punishment.Cognitive development is related to moral development,but it is not the pivotal point in determining right and wrong behaviors.Identity formation is the psychosocial development task.Energy is focused within the adolescent,who exhibits behavior that is self-absorbed and egocentric.Although a task during adolescence is the development of a sexual identity,the teenager's dependence on the parents' sanctioning of right or wrong behavior is more appropriately related to moral development.

Question 9

What is the best response a nurse can make to a 15-year-old girl who has verbalized a desire to have a baby?&#10;A) &#34;Have you talked with your parents about this?&#34;&#10;B) &#34;Do you have plans to continue school?&#34;&#10;C) &#34;Will you be able to support the baby?&#34;&#10;D) &#34;Can you tell me how your life will be if you have an infant?&#34;

Accepted Answer

Having the teenager describe how the infant will affect her life will allow the teen to think more realistically.Her description will allow the nurse to assess the teen's perception and reality orientation.Asking the teenager whether she has talked to her parents is not particularly helpful to the teen or the nurse and may terminate the communication.A direct question about continuing school will not facilitate communication.Open-ended questions encourage communication.Asking the teenager about how she will support the child will not facilitate communication.Open-ended questions encourage communication.

Question 10

Many adolescents decide to follow a vegetarian diet during their teen years.The nurse can advise the adolescent and his or her parents that&#10;A) this diet will not meet the nutritional requirements of growing teens.&#10;B) a vegetarian diet can be healthy for this population.&#10;C) an adolescent on a vegetarian diet is less likely to eat high-fat foods.&#10;D) a vegetarian diet requires little extra meal planning.

Accepted Answer

A vegetarian diet is healthy for this population,and the low-fat aspect of the diet can prevent future cardiovascular problems.Several dietary organizations have suggested that a vegetarian diet,if correctly followed,is healthy for this population.As with any adolescent,nurses need to advise teens who follow a vegetarian eating plan to avoid low-nutrient,high-fat foods.The nurse can assist with planning food choices that will provide sufficient calories and necessary nutrients.The focus is on obtaining enough calories for growth and energy from a variety of fruits and vegetables,whole grains,nuts,and soymilk.

Question 11

Which behavior suggests appropriate psychosocial development in the adolescent?&#10;A) The adolescent seeks validation for socially acceptable behavior from older adults.&#10;B) The adolescent is self-absorbed and self-centered and has sudden mood swings.&#10;C) Adolescents move from peers and enjoy spending time with family members.&#10;D) Conformity with the peer group increases in late adolescence.

Accepted Answer

The answer of Which behavior suggests appropriate psychosocial development in...

Question 12

Which is assessed with Tanner staging?&#10;A) Hormone levels&#10;B) Secondary sex characteristics&#10;C) Growth hormone secretion&#10;D) Hyperthyroidism

Accepted Answer

The answer of Which is assessed with Tanner staging?&#10;A) Hormone...

Question 13

Which statement is the most appropriate advice to give parents of a 16-year-old who is rebellious?&#10;A) &#34;You need to be stricter so that your teen stops trying to test the limits.&#34;&#10;B) &#34;Try to collaborate to set limits that are perceived as being reasonable.&#34;&#10;C) &#34;Increasing your teen's involvement with her peers will improve her behavior.&#34;&#10;D) &#34;Allow your teenager to choose the type of discipline that is used in your home.&#34;

Accepted Answer

The answer of Which statement is the most appropriate advice...

Question 14

A parent calls the emergency department (ED)reporting a front tooth completely knocked out of an adolescent's mouth while playing soccer.What information should the nurse provide? (Select all that apply.)

A) Rinse the tooth in lukewarm tap water.
B) Place the tooth in saline, milk, or water.
C) Scrub the tooth with a disinfectant.
D) Come to the ED within 1 hour.
E) Prognosis is best if they are seen within 30 minutes.

Accepted Answer

The answer of A parent calls the emergency department (ED)reporting...

Question 15

A nurse is teaching adolescent boys about pubertal changes.The first sign of pubertal change seen with boys is&#10;A) testicular enlargement.&#10;B) facial hair.&#10;C) scrotal enlargement.&#10;D) voice deepens.

Accepted Answer

The answer of A nurse is teaching adolescent boys about...

Question 16

When planning care for adolescents,the nurse should&#10;A) teach parents first, and they, in turn, will teach the teenager.&#10;B) provide information for long-term health needs.&#10;C) provide explanations for treatment and procedures to the parents only.&#10;D) give information privately to adolescents on specific problems that they identify.

Accepted Answer

The answer of When planning care for adolescents,the nurse should&#10;A)...

Question 17

The nurse is explaining Tanner staging to an adolescent and mother.Which statement best describes Tanner staging?&#10;A) Predictable stages of puberty that are based on chronologic age&#10;B) Staging of puberty based on the initiation of menarche and nocturnal emissions&#10;C) Predictable stages of puberty based on primary and secondary sexual characteristics&#10;D) Staging of puberty based on the initiation of primary sexual characteristics

Accepted Answer

The answer of The nurse is explaining Tanner staging to...

Question 18

A 14-year-old male seems to be always eating,although his weight is appropriate for his height.The parents ask the nurse if they should be concerned about this behavior.Which response by the nurse is best?

A) This is normal because of increase in body mass during this time.
B) This is abnormal and suggestive of possible future obesity.
C) His caloric intake would have to be excessive for him to gain weight.
D) He is substituting food for unfilled needs.

Accepted Answer

The answer of A 14-year-old male seems to be always...

Question 19

A student nurse asks the faculty why peer relationships become more important during adolescence.Which of the following is the nurse's best response?&#10;A) Adolescents dislike their parents.&#10;B) Adolescents no longer need parental control.&#10;C) They provide adolescents with a feeling of belonging.&#10;D) They promote a sense of individuality in adolescents.

Accepted Answer

The answer of A student nurse asks the faculty why...

Question 20

Which factors contribute to early adolescents engaging in risk-taking behaviors? (Select all that apply.)&#10;A) Peer pressure&#10;B) A desire to master their environment&#10;C) Trying to separate from their parents&#10;D) A belief that they are invulnerable&#10;E) Impulsivity

Accepted Answer

The answer of Which factors contribute to early adolescents engaging...

Question 21

Parents of a teenager ask the nurse what signs they should look for if their child is in a gang.The nurse should include which signs when answering? (Select all that apply.)&#10;A) Plans to try out for the debate team at school&#10;B) Skipping classes to go to the mall&#10;C) Hanging out with friends they have had since childhood&#10;D) Unexplained source of money&#10;E) Fear of the police

Accepted Answer

The answer of Parents of a teenager ask the nurse...

Question 22

The school nurse is evaluating the school's athletic programs for safety.What factors should the nurse assess? (Select all that apply.)&#10;A) Students get adequate rest periods.&#10;B) Equipment is in good condition.&#10;C) Practices are appropriate for students.&#10;D) Post-game concussion assessment if needed&#10;E) Adequate fluids are available at all times.

Accepted Answer

The answer of The school nurse is evaluating the school's...

Question 23

The nurse is discussing contraceptive choices with an adolescent girl who wants to become sexually active.Which factors are important to consider? (Select all that apply.)&#10;A) Motivation&#10;B) Cognitive development&#10;C) Chronological age&#10;D) Parental opinions&#10;E) Frequency of intercourse

Accepted Answer

The answer of The nurse is discussing contraceptive choices with...

Question 24

A nurse works for an organization that seeks to limit adolescent violence.In talking with donors,which risk factors for violence may lead to programming decisions? (Select all that apply.)&#10;A) Drug or alcohol use/abuse&#10;B) Poverty&#10;C) Hopelessness about the future&#10;D) Narcissism&#10;E) Lack of supervision

Accepted Answer

The answer of A nurse works for an organization that...

Question 25

A nurse is planning for a sports pre-participation physical exam day.What goals for this event does the nurse set? (Select all that apply.)&#10;A) Comprehensive physical examination&#10;B) Assess general health&#10;C) Identify limiting conditions&#10;D) Provide wellness counseling&#10;E) Adhere to insurance requirements

Accepted Answer

The answer of A nurse is planning for a sports...

Question 26

The school nurse is presenting information on some risks of tattoos.What information should the nurse provide? (Select all that apply.)&#10;A) Amateur tattoos are difficult to remove.&#10;B) Tattoos pose a risk for bloodborne and skin infections.&#10;C) A tattoo may keep you from getting an MRI.&#10;D) Tattoo dyes may cause allergic reactions.&#10;E) Tattoo parlors are well regulated.

Accepted Answer

The answer of The school nurse is presenting information on...

Deck 9: Health Promotion for the Adolescent