Deck 20: The Adolescent

Question 1

When planning to answer a 16-year-old girl's questions about menstruation,the nurse must consider cognitive development.What is developed during adolescence according to Piaget?

A) The ability to view a situation from multiple perspectives
B) The ability to focus more on the past than present situations
C) The ability to exercise concrete reasoning
D) The ability to consider hypothetical situations

Answer 1

The ability to consider hypothetical situations

Question 2

The nurse is planning a safety program for high school students.To what will the nurse relay that most accidental deaths in adolescence are related?

A) Firearms
B) Automobiles
C) Drowning
D) Diving injuries

Answer 2

Automobiles

Question 3

A 13-year-old girl tells the school nurse that she is getting fat,especially in her hips and legs.What understanding by the nurse would best guide the response?

A) Many adolescents are unaware of proper nutrition.
B) Adolescents of this age become less active and should eat fewer calories.
C) Puberty is often preceded by fat deposits in these areas.
D) As soon as menarche occurs, she will lose this excess weight.

Answer 3

Puberty is often preceded by fat deposits in these areas.

Question 4

At what stage is the adolescent considered to be,according to Freud's theory?

A) Conceptual
B) Genital
C) Glandular
D) Pubertal

Question 5

The nurse is planning care of an adolescent.What psychosocial task does the nurse understand is important for the adolescent to develop?

A) A sense of initiative
B) A sense of industry
C) A sense of identity
D) A sense of involvement

Question 6

A girl tells the nurse that she and her best friend belong to the popular clique.She states,"I love Katy Perry,and I want to be a singer." The nurse recognizes the girl's statement as characteristic of what time period?

A) Early adolescence
B) Middle adolescence
C) Late adolescence
D) The entire adolescent period

Question 7

The nurse using the PACE interview guide for persons at risk for substance abuse arrives at a score of 2 for an adolescent patient.How would the nurse interpret this score?

A) Nonindicative of potential substance abuse
B) Normal experimentation of the adolescent
C) Need to schedule another PACE interview in 3 months
D) Indication for referral for counseling

Question 8

The nurse suggests the use of "I" messages to communicate a parent's feeling to an adolescent.What is the most appropriate example of an "I" message?

A) "I feel frightened when you stay out past your curfew."
B) "I am your mother, and I insist that you observe your curfew."
C) "I am sick and tired of your staying out late."
D) "I expect you to show me proper respect."

Question 9

A parent comments that her adolescent daughter seems to be daydreaming a lot.What does the nurse understand this behavior to indicate regarding their daughter?

A) She is bored.
B) She is not getting enough rest.
C) She is trying to block out stress and anxiety.
D) She is mentally preparing for real situations.

Question 10

A 13-year-old boy states,"The girls in my class tower over me." What would be the nurse's most informative response?

A) "It may seem that way because girls have a growth spurt 2 years earlier than boys."
B) "Perhaps your parents are not exceptionally tall."
C) "Boys usually experience a growth spurt 1 year earlier than girls."
D) "You may feel short, but you are actually average height for your age."

Question 11

What can the nurse suggests as a good dietary source of zinc for an adolescent who is a vegetarian?

A) Green, leafy vegetables
B) Citrus fruits
C) Nuts
D) Enriched breads

Question 12

The school nurse is planning a program for girls about the physical changes of puberty.Toward what age girl should this program be directed?

A) 10 years
B) 12 years
C) 14 years
D) 16 years

Question 13

What does adolescent acne result from?

A) Ineffective sweat glands
B) Oily skin
C) Inadequate hygiene
D) A poor diet

Question 14

The nurse is assessing a 13-year-old boy.With what do physical changes in the pubertal male begin?

A) Development of axillary and facial hair
B) Enlargement of penis
C) Enlargement of testicles
D) Pigmentation of the scrotum

Question 15

The nurse is leading a discussion group with parents of adolescents.One parent comments,"My son can't do anything without checking with his friends first.My opinion doesn't count anymore." What knowledge in regard to this behavior would the nurse formulate as a response?

A) It is unusual for adolescent boys.
B) It is often more apparent in boys than girls.
C) It is a normal phenomenon during adolescence.
D) It is suggestive of feelings of low self-worth.

Question 16

A 16-year-old excitedly tells his parents that he was offered a part-time job.Which response represents an effective problem-solving approach for his parents?

A) "Your studies are too important for you to have a part-time job."
B) "When we went to high school, academics were the adolescent's priority."
C) "We want you to put your earnings in a savings account."
D) "How do you think you will manage your school work and a job?"

Question 17

What statement made by a parent indicates an understanding about helping a 13-year-old manage his allowance?

A) "I set amounts he can earn for particular chores."
B) "I give him a certain amount of money for each day."
C) "I put money into his bank account each month."
D) "I told him to ask me when he needs money."

Question 18

An adolescent's parent comments,"My son seems so preoccupied with his appearance these days.Is this normal?" What is the nurse's best response?

A) "It is his attempt to express his individualism."
B) "His preoccupation with his looks is quite normal."
C) "He is probably troubled with his physical changes."
D) "This shows that he has a positive self-image."

Question 19

What foods would be a healthy choice for an adolescent who just finished playing in a strenuous sports game?

A) A cheeseburger and soda
B) A hot fudge sundae
C) Two sausage and egg breakfast sandwiches and orange juice
D) A bagel and skim milk

Question 20

What does an adolescent's peer group serve as related to development?

A) Social outlet
B) Association to blur personal identity
C) Platform for "group think"
D) Initial separation from family

Question 21

The nurse knows that an adolescent may find making a career choice difficult because there is less clarity in ______________ roles.

Question 22

The school nurse is educating high school students about guidelines to be followed when participating in sports.Which statement by a student alerts the nurse of the need for further information?

A) "I will eat carbohydrates before practice."
B) "I drink large amounts of fluid when working out."
C) "I wear protective gear every time I play sports."
D) "I avoid caffeine when participating in sports."

Question 23

A mother confides in the school nurse that she witnessed her son kissing another boy.Which concepts should guide the nurse to base a reply?

A) Homosexual behavior in adolescents is not uncommon.
B) Homosexuality is a mental disorder.
C) Adolescents often desire to explore alternative lifestyles.
D) Homosexual tendencies should be addressed with counseling.
E) Parents should seek a support group for parents of gays.

Question 24

The nurse considers what "rites of passage" valued by the adolescent in American society?

A) Attaining legal drinking age
B) Selection of a career
C) Religious affiliation
D) Obtaining a driver's license
E) High school graduation

Question 25

The general appearance of the adolescent tends to be awkward,that is,long-legged and gangling; this growth characteristic is termed _______________ because different body parts mature at different rates.

Question 26

What are the best breakfast choices for the nurse to point out prior to a big exam,to provide high levels of alertness and increased memory?

A) Pancakes and syrup
B) Coffee and chocolate-covered donuts
C) Bacon and fried eggs
D) Whole grain cereal and yogurt
E) Oatmeal and sliced apples

Question 27

The nurse is documenting the pediatrician's assessment of a female patient.When assessing Tanner's stages of breast development there is elevation of papilla only.What stage of development will the nurse document?

A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4

Question 28

The school nurse is discussing challenges of the adolescent years with a group of high school students in health class.What challenges toward adolescent development will the nurse include?

A) Developing intimacy
B) Maintaining dependence on parents
C) Searching for identity
D) Adjusting to body changes
E) Establishing future goals

Question 29

______________ is frequently delayed in girls who are involved in activities that require a lean body and a high level of physical activity.

Question 30

The nurse understands that as adolescents strive for individuality,the strongest need of any adolescent in society is that of _______________.

Question 31

A 13-year-old girl tells the nurse she is concerned because she has not had her first menstrual period.What is the best initial response from the nurse?

A) "Your hormone levels may be irregular."
B) "Could you be pregnant?"
C) "Age of first menstrual cycle varies."
D) "Do not worry about it."

Question 32

The nurse stresses the need for using a sunscreen with a Sun Protection Factor (SPF)of at least _____.

Question 33

To what is the restlessness seen in the adolescent considered to be attributed?

A) Drive to be accepted by society as an individual
B) Urge for independence
C) Establishment of a personal identity
D) Intense libido
E) Slowing of body changes