Question 1

By what age should concerns about pubertal delay be considered in boys?&#10;A)12 to 12 1/2 years&#10;B)12 1/2 to 13 years&#10;C)13 to 13 1/2 years&#10;D)13 1/2 to 14 years&#10;

Accepted Answer

Concerns about pubertal delay in boys should be considered if there are no signs of puberty by age 13 1/2 to 14 years. This is because the typical age range for the onset of puberty in boys is between 9 and 14 years. If a boy shows no signs of puberty, such as testicular enlargement, by age 13 1/2 to 14, it may indicate a delay in pubertal development.

Question 2

The school nurse tells adolescents in the clinic that confidentiality and privacy will be maintained unless a life-threatening situation arises. This practice is:&#10;A)Not appropriate in a school setting.&#10;B)Never appropriate because adolescents are minors.&#10;C)Important in establishing trusting relationships.&#10;D)Suggestive that nurse is meeting his or her own needs.&#10;

Accepted Answer

Maintaining confidentiality and privacy, except in life-threatening situations, is crucial for establishing trusting relationships between healthcare providers and adolescents. This approach encourages open communication and helps adolescents feel safe in seeking help or advice.

Question 3

In girls, the initial indication of puberty is which of the following?&#10;A)Menarche&#10;B)Growth spurt&#10;C)Growth of pubic hair&#10;D)Breast development&#10;

Accepted Answer

Breast development, known as thelarche, is typically the first sign of puberty in girls. This precedes the other options listed, such as menarche (the first menstrual period), growth spurts, and the growth of pubic hair.

Question 4

Which of the following aspects of cognition develops during adolescence?&#10;A)Becomes capable of using a future time perspective&#10;B)Ability to place things in a sensible and logical order&#10;C)Ability to see things from the point of view of another&#10;D)Progress from making judgments based on what they see to making judgments based on what they reason&#10;

Accepted Answer

During adolescence, individuals develop the ability to think about the future and consider long-term consequences, which is referred to as using a future time perspective.

Question 5

Why do peer relationships become more important during adolescence?&#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.&#10;

Accepted Answer

Peer relationships provide adolescents with a sense of belonging and acceptance, which is crucial for their social development and identity formation during this stage.

Question 6

Which of the following predisposes the adolescent to feel an increased need for sleep?&#10;A)An inadequate diet&#10;B)Rapid physical growth&#10;C)Decreased activity that contributes to a feeling of fatigue&#10;D)The lack of ambition typical of this age group&#10;

Accepted Answer

Rapid physical growth during adolescence requires more energy and can contribute to an increased need for sleep as the body repairs and grows.

Question 7

The mean age of menarche in the United States is how many years?&#10;A)11 1/2&#10;B)12 3/4&#10;C)13 1/2&#10;D)14&#10;

Accepted Answer

The mean age of menarche in the United States is approximately 12 3/4 years. This average has been observed to decrease slightly over the past decades due to various factors including nutrition and health improvements.

Question 8

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&#10;

Accepted Answer

Piaget's fourth stage of cognitive development is the period of Formal Operations, which typically begins around age 12 and is characterized by the ability to think abstractly, reason logically, and manage hypothetical situations.

Question 9

Most of the deaths in the adolescent age group involve which of the following?&#10;A)Drownings&#10;B)Firearms&#10;C)Drug overdoses&#10;D)Motor vehicles&#10;

Accepted Answer

Motor vehicle accidents are the leading cause of death among adolescents, due to factors such as inexperienced driving, speeding, and not wearing seat belts.

Question 10

Matt, age 14 years, seems to be always eating, although his weight is appropriate for his height. The best explanation for this is which of the following?&#10;A)This is normal because of increase in body mass.&#10;B)This is abnormal and suggestive of future obesity.&#10;C)His caloric intake would have to be excessive.&#10;D)He is substituting food for unfilled needs.&#10;

Accepted Answer

This is normal because during adolescence, individuals often experience growth spurts that increase their body mass, requiring more calories to support this growth. Hence, it's common for teenagers like Matt to have increased appetites while maintaining a weight that's appropriate for their height.

Question 11

An adolescent boy tells the nurse that he has recently had homosexual feelings. The nurse's response should be based on knowledge that:&#10;A)This indicates the adolescent is homosexual.&#10;B)This indicates the adolescent will become homosexual as an adult.&#10;C)The adolescent should be referred for psychotherapy.&#10;D)The adolescent should be encouraged to share his feelings and experiences.&#10;

Accepted Answer

The answer of An adolescent boy tells the nurse that...

Question 12

Steve, 14 years old, mentions that he now has to use deodorant but never had to before. The nurse's response should be based on knowledge that:&#10;A)Eccrine sweat glands in the axillae become fully functional during puberty.&#10;B)Sebaceous glands become extremely active during puberty.&#10;C)New deposits of fatty tissue insulate the body and cause increased sweat production.&#10;D)Apocrine sweat glands reach secretory capacity during puberty&#10;

Accepted Answer

The answer of Steve, 14 years old, mentions that he...

Question 13

Adolescents, unless previously immunized, should receive three doses of what vaccine?&#10;A)Pneumovax&#10;B)Hepatitis B&#10;C)Measles-mumps-rubella&#10;D)Diphtheria-pertussis-tetanus&#10;

Accepted Answer

The answer of Adolescents, unless previously immunized, should receive three...

Question 14

According to Erikson, the psychosocial task of adolescence is developing which of the following?&#10;A)Intimacy&#10;B)Identity&#10;C)Initiative&#10;D)Independence&#10;

Accepted Answer

The answer of According to Erikson, the psychosocial task of...

Deck 16: Health Promotion of the Adolescent and Family