Deck 37: Health Promotion and Maintenance: the Adolescent

Question 1

The school nurse is working with an adolescent who reports that he gets six hours or less of sleep at night. The nurse explains to the adolescent that some of the common consequences of inadequate sleep include:

A)Hyperactivity.
B)Increased nocturnal emissions.
C)Increased risk of automobile accidents when driving.
D)Moodiness.
E)Being unable to perform well at school.

Answer 1

Increased risk of automobile accidents when driving.
Moodiness.
Being unable to perform well at school.

Question 2

The nurse is assessing a 15-year-old female. The girl's menses began when she was 12 years old. The girl's body mass index (BMI) is 27.5 and her height is 5 feet, 2 inches. She weighs 160 pounds. Her school performance has been spotty. The priority client teaching would be related to:

A)Menstrual cycle.
B)Nutritional intake.
C)School performance.
D)Adolescent mini mental health status examination.

Answer 2

Nutritional intake.

Question 3

An adolescent is being seen in the clinic to discuss health promotion behaviors. The nurse develops and implements a health promotion plan. What will the nurse include in the evaluation of the plan?

A)The effectiveness of the health promotion plan and methods to expand and sustain successful approaches
B)Instruction on what is considered healthy behavior
C)Advice to the adolescent that promoting health behaviors will maintain a healthy lifestyle
D)Information on the adolescent's attitude toward health

Answer 3

The effectiveness of the health promotion plan and methods to expand and sustain successful approaches

Question 4

An adolescent is visiting the clinic for the first time. What should the nurse keep in mind when attending to this patient?

A)The nurse should explain procedures and introduce personnel to adolescents.
B)Adolescents usually are quiet and will offer no opinions.
C)The nurse should attend to and discharge adolescents quickly.
D)Adolescents are comfortable with their surroundings.

Question 5

The eating disorders clinic sees a number of overweight adolescent girls. In addition to monitoring these adolescents for the health problems related to obesity, the nurse will monitor the girls for which mental health problem?

A)Substance abuse
B)School phobia
C)Spiritual distress
D)Negative self-esteem

Question 6

The nurse will want to screen all adolescents for problems associated with the primary developmental task of adolescents. In that area, the nurse will ask questions about:

A)The adolescent's adaptation to high school.
B)Establishing positive peer relationships.
C)Finding a life career.
D)Developing a healthy lifestyle.

Question 7

A school nurse is performing annual height and weight screening. The nurse notes that three females who are close friends each lost 15 pounds over the past year. The priority nursing action is to:

A)Obtain a nutritional history for each of these adolescents.
B)Refer these adolescents to the school psychologist.
C)Call the respective parents to discuss the eating patterns of each adolescent.
D)Speak with the girls in a group to discuss the problems associated with anorexia nervosa.

Question 8

An adolescent comes to the clinic because of a concern with a skin lesion, and he is accompanied by a parent. When the adolescent is called back to the exam room, the parent comes with the adolescent. What approach by the nurse would be most appropriate?

A)Instruct the parent to stay in the waiting room and tell him that the adolescent will give him a report on the exam.
B)Tell the parent he cannot come into the exam room with the adolescent.
C)Reassure the parent that you will talk with him about any of his concerns and questions.
D)Allow the parent to come into the exam room with the adolescent.

Question 9

An adolescent who recently moved to a new school in a different town presents to an ambulatory care center and describes the following: "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 takes priority when speaking with the adolescent?

A)Stressing the importance of remaining in a close parent-child relationship during these stressful times
B)Promoting healthy mental health outcomes
C)Acknowledging the fact that it takes several months to make new friends at a new school due to adolescent exclusion behaviors
D)Helping the adolescent realize the value of postsecondary education

Question 10

The nurse working in the clinic includes an adolescent history in every client intake interview. Which of these issues should the nurse address when the parents are not present?

A)The adolescent's role in the family
B)Teen job responsibilities
C)Possible domestic violence
D)Activities done as a family

Question 11

An adolescent reports that after hearing about all the hazards of cigarette smoking, he has changed to chewing tobacco. The nurse will want to inform that adolescent of the risk factors associated with smokeless tobacco, including:

A)Lung cancer.
B)Nicotine addiction.
C)Mouth cancers.
D)Emphysema .
E)Mouth ulcers.

Question 12

What would be the best way for the nurse to teach adolescents regarding health promotion and health maintenance?

A)Contact the parents and ask what issues they have with their adolescents.
B)Have the adolescents identify a personal health goal.
C)Ask the advice of the counselors at school.
D)Tell the adolescents what you will include in the lecture.

Question 13

An obese adolescent who adamantly denies sexual activity has a positive pregnancy test. Which statements would be most appropriate for the nurse to make to this adolescent?

A)"When was your last menstrual period (LMP)?"
B)"Tell me how you feel about your body image."
C)"Let's discuss some activities that you have done within the past few months that could possibly lead to pregnancy."
D)"Why are you denying sexual intercourse?"

Question 14

The nurse is preparing to see an adolescent patient to assess his relationships with others. What should the nurse do when conducting this assessment?

A)Let the parents know the nurse will share the information with them after the exam.
B)Provide separate time to communicate with both the adolescent and the parents.
C)Avoid asking the parents their opinions of the adolescent's friends.
D)Tell the parents they are not allowed to come into the examination room.

Question 15

While completing the health history of a 15-year-old girl, the nurse learns that the girl is sexually active. Based on this finding, the nurse will screen for which conditions?

A)Herpes simplex virus
B)Gonorrhea
C)Chlamydia
D)Impetigo
E)Mononucleosis

Question 16

A teenager is accompanied by his mother to the annual physical examination. The nurse is aware of privacy issues related to the teenager. While the mother is in the room, which topic should the nurse avoid?

A)School performance
B)Cigarette smoking
C)School friends
D)Seatbelt use

Question 17

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 should the nurse make to this mother?

A)"Setting specific alarms and then reinforce the value of being 'on-time' may be helpful strategies to assist her to be more of an 'on-time' individual."
B)"Just let it go for now.Teachers and, in the future, employers will be the best people to help her be 'on-time'."
C)"You need to establish specific time frames for your adolescent and be certain she adheres to them."
D)"You have a major problem.There must be a lot of screaming in your home."

Question 18

The nurse is speaking with a group of adolescents about what can happen when having unprotected sex. The nurse understands that to communicate effectively with teens, the nurse must:

A)Offer personal opinions on the topic and cite examples of what can happen if they don't listen.
B)Allow for discussion, and bring peers who have had experience related to the topic being discussed.
C)Lecture on the topic for the allotted time without any discussion.
D)Discuss sex education related to religious belief.

Question 19

The school nurse performs screenings on all students in the high school. In addition, the nurse will perform selected screenings on individual teenagers. When planning the screenings for the year, the nurse will include which screening for all teenagers?

A)Respiratory rate
B)Hepatitis B profile
C)Chest X-ray
D)Scoliosis

Question 20

The school nurse is performing health screenings during the physical education class. The nurse plans to weigh, measure, and determine body mass index of the adolescents. The scale has been set up in the open gym to speed the process. What should the nurse do to maintain confidentiality of the findings?

A)Have a student worker record the screening findings on the appropriate adolescent's record.
B)Have a volunteer weigh and measure the adolescents and verbally give the findings to the nurse to calculate the body mass index and record.
C)Provide a privacy screen and have the health aid record the findings directly on the record.The nurse will then calculate body mass index.
D)Use a buddy system with the students, having the students measure each other and record the findings.

Question 21

The school nurse recognizes that an adolescent comes from a family with limited financial resources. The nurse is developing a nursing care plan to assist the adolescent with his needs. An appropriate nursing diagnosis would be:

A)Altered financial support related to inadequate parental support.
B)Imbalanced nutrition: Less than body requirements related to familial financial difficulties.
C)Knowledge deficit related to sources of financial support.
D)Risk for injury related to imbalanced nutrition.

Question 22

While assessing risk factors in adolescents, the nurse recognizes that dental issues may be related to:

A)Fluoridated water.
B)Failure to use a mouth guard when playing physical sports.
C)Adolescent obesity.
D)Diagnosis of bulimia.