Question 1

What 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

Accepted Answer

Rapid physical growth during adolescence requires increased energy expenditure and repair, which leads to an increased need for sleep.

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

Breast development (also known as thelarche) is typically the first sign of puberty in girls, followed by the growth of pubic hair, a growth spurt, and eventually, menarche.

Question 3

A 14-year-old male seems to be always eating,although his weight is appropriate for his height.The best explanation for this is that&#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.

Accepted Answer

During adolescence, increased appetite is normal due to growth spurts and increased energy needs for development.

Question 4

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.

Accepted Answer

During adolescence, individuals are transitioning from childhood to adulthood and are beginning to establish their own identity. One of the ways they do this is by forming connections with peers who share similar interests and experiences. These peer relationships provide adolescents with a sense of belonging, acceptance, and validation which can be important for their self-esteem and emotional well-being. Additionally, adolescents may begin to turn to their peers for support and advice instead of solely relying on their parents.

Question 5

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 adolescent's response suggests that he is focused on avoiding negative consequences from his parents rather than making decisions based on his own personal morals or values, indicating a developmental lag in moral development.

Question 6

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

Piaget believed that the fourth and final stage of cognitive development, which typically begins around age 11 or 12 and extends into adulthood, is characterized by the ability to think abstractly, engage in hypothetical thinking, and engage in logical reasoning about abstract concepts. This stage is referred to as the period of formal operations. Therefore, Choice A is the correct answer. Choices B, C, and D are all incorrect because they refer to other stages of cognitive development or different types of thinking.

Question 7

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

Erikson's theory of psychosocial development suggests that the main task for adolescence is establishing a sense of identity, which involves exploring and forming a coherent sense of self. The other options, intimacy, initiative, and independence, are important developmental tasks but are more closely associated with other stages in Erikson's model. Intimacy is associated with early adulthood, initiative is associated with early childhood, and independence is associated with late adolescence/early adulthood.

Question 8

The most common cause of death in the adolescent age-group involves&#10;A) Drownings&#10;B) Firearms&#10;C) Drug overdoses&#10;D) Motor vehicles

Accepted Answer

Motor vehicle accidents are the most common cause of death in the adolescent age-group.

Question 9

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

The statement "During adolescence this behavior is not unusual." acknowledges the common behavior of teenagers that they become extremely conscious of their looks, which is normal during adolescence. The other options either make assumptions or do not address the concern appropriately.

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 is healthy for this population.&#10;C) An adolescent on a vegetarian diet is less likely to eat high-fat or low-nutrient foods.&#10;D) A vegetarian diet requires little extra meal planning.

Accepted Answer

A vegetarian diet can provide all the necessary nutrients for a growing adolescent, as long as it is well-planned and includes a variety of foods. In fact, a well-balanced vegetarian diet can be healthy for this population, as it may encourage the consumption of more fruits, vegetables, and whole grains, while decreasing the intake of high-fat or low-nutrient foods. While some extra meal planning may be necessary to ensure adequate nutrient intake, this does not mean that a vegetarian diet is inherently impractical or difficult to follow.

Question 11

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

The answer of What is the best response a nurse...

Question 12

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 13

You are working as the triage nurse in a pediatric emergency room.You receive a telephone call from the mother of an adolescent whose front tooth was completely knocked out of his mouth while he was playing soccer.The mother is seeking advice.Which is the appropriate response? 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, such as mouth wash.
D) Bring the child to the emergency room within the next hour for the best prognosis.

Accepted Answer

The answer of You are working as the triage nurse...

Question 14

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 immediate help for your friend is important.&#34;&#10;D) &#34;If your friend mentions suicide a second time, you will want to get your friend some help.&#34;

Accepted Answer

The answer of Which statement by the nurse is most...

Question 15

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 their long-term health needs because teenagers respond best to long-range planning.&#10;C) Maintain the parents' role by providing explanations for treatment and procedures to the parents only.&#10;D) Give information privately to adolescents about how they can manage the specific problems that they identify.

Accepted Answer

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

Question 16

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;You need to collaborate with your daughter and set limits that are perceived as being reasonable.&#34;&#10;C) &#34;Increasing your teen's involvement with her peers will improve her self-esteem.&#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 17

The nurse is explaining Tanner staging to an adolescent and her 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 that are 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

Injuries claim many lives during adolescence.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) Engagement in the process of separation from their parents&#10;D) A belief that they are invulnerable&#10;E) Impulsivity

Accepted Answer

The answer of Injuries claim many lives during adolescence.Which factors...

Question 19

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 20

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

Accepted Answer

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

Question 21

Adolescents' eyes and ears are fully developed and,with the exception of minor infections,the sensory system remains quite healthy during this period of development.The mother of a 12-year-old complains to the nurse that she is concerned that her daughter frequently needs changes to her corrective lenses.This is a condition known as ___________.

Accepted Answer

The answer of Adolescents' eyes and ears are fully developed...

Question 22

In assessing adolescents using Tanner staging,sexual maturity is rated using _________ distinct stages.(Your answer should appear as a number.)

Accepted Answer

The answer of In assessing adolescents using Tanner staging,sexual maturity...

Question 23

The use of electronic or digital media for communication has had a negative effect on the language development of adolescents.Is this statement true or false?

Accepted Answer

The answer of The use of electronic or digital media...

Question 24

Adolescent sexuality refers to the thoughts,feelings,and behaviors related to the teen's sexual identity.The most recent research (2009)indicates that 46% of all adolescents have been involved in some kind of sexual activity.The only complete protection from pregnancy and sexually transmitted diseases (STDs)is ____________.

Accepted Answer

The answer of Adolescent sexuality refers to the thoughts,feelings,and behaviors...

Question 25

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 26

Tattoos have become increasingly popular among mainstream adolescents.Like clothing and hairstyles,tattoos serve to define one's identity.It is important for nurses to caution adolescents on the health risks of obtaining a tattoo.These include (select all that apply)

A) Amateur tattoos are difficult to remove.
B) Tattoos pose a risk for bloodborne and skin infections.
C) Health care professionals must be notified of the existence of a tattoo before a magnetic resonance imaging (MRI) scan.
D) Tattoo dyes may cause allergic reactions.
E) Tattoo parlors are well regulated.

Accepted Answer

The answer of Tattoos have become increasingly popular among mainstream...

Deck 9: Health Promotion for the Adolescent