Deck 16: Health Promotion of the Adolescent and Family

Question 1

A nurse is caring for an adolescent hospitalized for cellulitis.The nurse notes that the adolescent experiences many "mood swings" throughout the day.The nurse interprets this behavior as:

A)requiring a referral to a mental health counselor.
B)requiring some further lab testing.
C)normal behavior.
D)related to feelings of depression.

Answer 1

normal behavior.

Question 2

The most common cause of death in the adolescent age group involves:

A)drownings.
B)firearms.
C)drug overdoses.
D)motor vehicles.

Answer 2

motor vehicles.

Question 3

Which predisposes the adolescent to feel an increased need for sleep?

A)An inadequate diet
B)Rapid physical growth
C)Decreased activity that contributes to a feeling of fatigue
D)The lack of ambition typical of this age group

Answer 3

Rapid physical growth

Question 4

A nurse is planning a teaching session for a group of adolescents.The nurse understands that by adolescence the individual is in which stage of cognitive development?

A)Formal operations
B)Concrete operations
C)Conventional thought
D)Post-conventional thought

Question 5

A 14-year-old male mentions that he now has to use deodorant but never had to before.The nurse's response should be based on knowledge that which occurs during puberty?

A)Eccrine sweat glands in the axillae become fully functional during puberty.
B)Sebaceous glands become extremely active during puberty.
C)New deposits of fatty tissue insulate the body and cause increased sweat production.
D)Apocrine sweat glands reach secretory capacity during puberty.

Question 6

A 14-year-old boy seems to be always eating,although his weight is appropriate for his height.What is the best explanation for this?

A)This is normal because of increase in body mass.
B)This is abnormal and suggestive of future obesity.
C)His caloric intake would have to be excessive.
D)He is substituting food for unfilled needs.

Question 7

According to Erikson,the psychosocial task of adolescence is developing:

A)intimacy.
B)identity.
C)initiative.
D)independence.

Question 8

The nurse should teach the adolescent that the long-term effects of tanning can cause which conditions? (Select all that apply.)

A)Phototoxic reactions
B)Increased number of moles
C)Premature aging
D)Striae
E)Increased risk of skin cancer

Question 9

An adolescent boy tells the nurse that he has recently had homosexual feelings.The nurse's response should be based on knowledge that:

A)this indicates the adolescent is homosexual.
B)this indicates the adolescent will become homosexual as an adult.
C)the adolescent should be referred for psychotherapy.
D)the adolescent should be encouraged to share his feelings and experiences.

Question 10

A young adolescent boy tells the nurse he "feels gawky." The nurse should explain that this occurs in adolescents because of:

A)growth of the extremities and neck precedes growth in other areas.
B)growth is in the trunk and chest.
C)the hip and chest breadth increases.
D)the growth spurt occurs earlier in boys than it does in girls.

Question 11

A nurse is reviewing hormone changes that occur during adolescence.The hormone that is responsible for the growth of beard,mustache,and body hair in the male is:

A)estrogen.
B)pituitary.
C)androgen.
D)progesterone.

Question 12

A school nurse is teaching a group of preadolescent boys about puberty.By which age should concerns about pubertal delay be considered?

A)12 to 12 1/2 years
B)12 1/2 to 13 years
C)13 to 13 1/2 years
D)13 1/2 to 14 years

Question 13

The school nurse tells adolescents in the clinic that confidentiality and privacy will be maintained unless a life-threatening situation arises.This practice is:

A)not appropriate in a school setting.
B)never appropriate because adolescents are minors.
C)important in establishing trusting relationships.
D)suggestive that the nurse is meeting his or her own needs.

Question 14

Which aspect of cognition develops during adolescence?

A)Capability to use a future time perspective
B)Ability to place things in a sensible and logical order
C)Ability to see things from the point of view of another
D)Progress from making judgments based on what they see to making judgments based on what they reason

Question 15

A school nurse is teaching a group of preadolescent girls about puberty.Which is the mean age of menarche for girls in the United States?

A)11 1/2 years
B)12 3/4 years
C)13 1/2 years
D)14 years

Question 16

In girls,the initial indication of puberty is:

A)menarche.
B)growth spurt.
C)growth of pubic hair.
D)breast development.

Question 17

A nurse is conducting parenting classes for parents of adolescents.Which parenting style should the nurse recommend?

A)Laissez-faire
B)Authoritative
C)Disciplinarian
D)Confrontational

Question 18

Parents are concerned about the number of hours their teenage daughter spends with peers.The nurse explains that peer relationships are important during adolescence for which reason?

A)Adolescents dislike their parents.
B)Adolescents no longer need parental control.
C)They provide adolescents with a feeling of belonging.
D)They promote a sense of individuality in adolescents.

Question 19

A 14-year-old adolescent never had chickenpox as a child.Which should the nurse recommend?

A)One dose of the varicella vaccination
B)Two doses of the varicella vaccination 4 weeks apart
C)One dose of the varicella immune globulin
D)No vaccinations-the child is past the age to receive it

Question 20

A 13-year-old is being seen in the clinic for a routine health check.The adolescent has not been in the clinic for 3 years but was up to date on immunizations at that time.Which immunizations should the adolescent receive? (Select all that apply.)

A)DTaP (tetanus, diphtheria, acellular pertussis)
B)MMR (measles, mumps, rubella)
C)Hepatitis B
D)Influenza
E)MCV4 (meningococcal)

Question 21

The estimated average requirement of calcium for an adolescent is _____ milligrams.(Record your answer in a whole number.)

Question 22

Place in order the sequence of maturational changes for girls.Begin with the first change seen,sequencing to the last change.Provide answer in using lowercase letters,separated by commas (e.g., a,b,c,d,e).

A) Growth of pubic hair
B) Rapid increase in height and weight
C) Breast changes
D) Menstruation
E) Appearance of axillary hair

Question 23

Which screening tests should the school nurse perform for the adolescent? (Select all that apply.)

A)Glucose
B)Vision
C)Hearing
D)Cholesterol
E)Scoliosis