Deck 10: Adolescents

Question 1

The nurse is preparing to perform a physical examination of an adolescent who is 13 years of age. Which action by the nurse will decrease the adolescent's anxiety during the examination?

A)Teaching the anatomical names of body parts
B)Verbalizing findings of physical abnormalities
C)Referring patient concerns to the physician
D)Telling the patient what to expect and why

Answer 1

Telling the patient what to expect and why

Question 2

The parents of an adolescent are distressed about the psychological changes in their child. Which example does the nurse validate as being a source of concern?

A)Constantly compares their body with others
B)Comfortable with doing what the crowd does
C)Regularly tests family limits and rules
D)Presents self in a constantly changing personae

Answer 2

Comfortable with doing what the crowd does

Question 3

During admission of an adolescent to the hospital for an acute illness, the nurse asks about the use of complementary and alternative medicine (CAM). In which manner does the nurse approach the topic to obtain an accurate answer?

A)Tells the adolescent that unreported CAM is a major cause of complications
B)Asks the adolescent what kind of CAM is used in the home and among friends
C)Informs the adolescent that CAM must be completely avoided when hospitalized
D)States that CAM is actually a primitive type of modern medication therapy

Answer 3

Asks the adolescent what kind of CAM is used in the home and among friends

Question 4

Identify one or more choices that best complete the statement or answer the question.
Nurses in pediatric emergency departments attend an educational program about identifying victims of human trafficking. Which characteristics have the nurses learned to identify? Select all that apply.

A)Women
B)Age less than 18 years
C)Frequent UTIs and STIs
D)Minors who are pregnant
E)Appearing relaxed and calm

Question 5

Identify one or more choices that best complete the statement or answer the question.
An adolescent who is 12 years of age is a year into treatment for a malignant brain tumor. For which psychosocial and spiritual care will the nurse plan? Select all that apply.

A)Remind the patient that achieving a vocation/career is not likely.
B)Encourage parents to remain hopeful about the adolescent's future.
C)Promote self-esteem and confidence with praise for accomplishments.
D)Assess the patient for indications of fear from facing a premature death.
E)Use developmental age because there may be some developmental delays.

Question 6

Identify one or more choices that best complete the statement or answer the question.
The health department informs the school nurse that a high school student has been identified with active TB, and students are to be given a TB skin test. Which consideration does the nurse make in regards to student testing? Select all that apply.

A)Permission for testing is obtained from parents or guardians.
B)Students and parents/guardians are assured of confidentiality.
C)Only students who were in physical contact with the infected student are tested.
D)Students are informed the test administration will cause minor pain.
E)The rationale for the testing is explained to students and parents/guardians.

Question 7

The nurse in an acute pediatric care setting is providing care for a 15-year-old patient. The patient is recovering from abdominal surgery. Which nursing intervention is appropriate for this patient?

A)Use FACES pain scale to show the patient a sense of humor.
B)Ask if the patient wants to learn how to care for the incision.
C)Tell the patient that IM injections will feel like a small pinch.
D)Discourage long visits by peers by reinforcing the need for rest.

Question 8

The nurse is performing a physical examination on a male who is 15 years of age. The nurse notices the presence of gynecomastia. The patient states, "I hate these breasts and won't even take my shirt off in front of my friends." Which information does the nurse provide for this patient?

A)The condition is self-limiting.
B)Surgical removal is recommended.
C)It indicates the patient is overweight.
D)The male hormone testosterone is deficient.

Question 9

Identify one or more choices that best complete the statement or answer the question.
The nurse is preparing to teach a class of adolescents about the increasing numbers of young people being sexually assaulted. Which advice by the nurse will promote adolescent safety from sex crimes? Select all that apply.

A)Go out with groups of friends.
B)Avoid alcohol and substance use.
C)Remain in public places.
D)Bring a friend along on a date.
E)Research a date's background.

Question 10

The nurse is collecting health data from a 16-year-old male patient. The patient states, "I need to tell you, I had sex with another boy, and I am very confused." Which comment by the nurse is most therapeutic?

A)"Share your thoughts and feelings with me."
B)"Maybe you should speak with your parents."
C)"Tell me what was appealing about this person."
D)"Let's explore your feelings toward the opposite sex."

Question 11

Identify one or more choices that best complete the statement or answer the question.
The nurse is advocating for a transition to home care from a medical inpatient facility for an adolescent patient with a complex medical condition. Which assessment findings/information supports a transition to home for this patient? Select all that apply.

A)Home care is covered by the adolescent's primary and secondary health-care plan.
B)During home care a goal for mainstreaming the adolescent into school is set.
C)The adolescent's parents are older and will benefit from home-care assistance.
D)Home care allows for collaboration and management of care by a medical team.
E)A family member is concerned about the adolescent's complex medication regimen.

Question 12

The nurse is screening adolescents for substance abuse. Which comment by an adolescent will require additional assessment by the nurse?

A)"I don't smoke cigarettes."
B)"My grandpa died of lung cancer,"
C)"I can't afford any kind of smoking."
D)"If I smoke, I pay my own way to college."

Question 13

The nurse is gathering health data on an adolescent who is 16 years of age. Which comment by the adolescent will cause the nurse to seek additional information?

A)"I have to be the clumsiest kid in the world. Always tripping over my own feet."
B)"Some days I just hate school. I want to get out and on to a job or college."
C)"I try to keep my distance from a kid in my class who coughs all day long."
D)"I know that I have always been a skinny kid, but wish I could gain weight."

Question 14

The nurse is providing care for an adolescent patient who is hospitalized following a grand mal seizure. The condition has existed for 5 years and resulted in multiple hospitalizations. Which nursing intervention is appropriate for this client?

A)Ask the patient and family to consider homeschooling.
B)Arrange for home care and regular nursing visitations.
C)Explain methods to minimize the chronic medical events.
D)Refer patient and family to applicable internet resources.

Question 15

The nurse is preparing to perform a physical examination on a female who is 15 years of age. The patient states, "I am anxious about having my pelvic organs examined." Which statement does the nurse make?

A)"Slow breaths and relaxation will manage the pain."
B)"I will only briefly examine your external genitalia."
C)"Pelvic exams are recommended after your periods begin."
D)"The instruments are small and the examination is brief."

Question 16

The nurse is preparing information for an adolescent patient regarding a prescribed medication regimen. Which information does the nurse present to the patient?

A)The nurse directly verbalizes medication warnings to the patient.
B)The patient will receive administration clarification by the pharmacist.
C)Most medications are metabolized faster by adolescent patients.
D)Symbols or phrases are sufficient to warn adolescents of medicine-related risks.

Question 17

The nurse in a pediatric clinic is assessing a female adolescent who is 15 years of age. When the nurse performs a sexuality assessment, the patient states, "I have never had anything but safe sex." Which approach does the nurse take next?

A)Provide birth-control options.
B)Ascertain the number of sex partners.
C)Ask the patient to define "safe sex."
D)Inquire about treatment of an STI.

Question 18

The nurse is aware that the prefrontal cortex of the adolescent brain is still developing. The processes of critical thinking and decision making are in a stage of development. Which change does the nurse expect in the adolescent's thinking?

A)Some awareness of personal limitations
B)Disinterested in politics and social issues
C)Capable of identifying and setting short-term goals
D)Exhibits confidence by not comparing self to peers

Question 19

The nurse working in the emergency department of a pediatric care facility is receiving an adolescent patient with a gunshot wound to the head. The patient is unconscious but exhibiting signs of life-threatening deterioration. Which action does the nurse take?

A)Keep attempting to reach the parents.
B)Determine if the patient is emancipated.
C)Prepare the patient for surgery.
D)Call the facility's legal advisor.

Question 20

Identify one or more choices that best complete the statement or answer the question.
The nurse works in a pediatric emergency department (ED) and frequently sees adolescents who are victims of sexual abuse. Which assessment findings does the nurse recognize as placing an adolescent at greater risk for sexual assault? Select all that apply.

A)Sexual promiscuity and alcohol/substance use
B)An adolescent with developmental disabilities
C)Adolescents with a history of depression and anxiety
D)Frequent visits to the ED to seek attention
E)A female adolescent who dates older men or boys