Deck 20: The Adolescent

Question 1

The nurse using the PACE interview guide for persons at risk for substance abuse arrives at a score of 2 for an adolescent patient. The nurse should assess this score as:

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

Answer 1

Indication for referral for counseling

Question 2

One psychosocial task of adolescence on which the nurse must focus when planning care, is the development of a sense of:

A) Initiative
B) Industry
C) Identity
D) Involvement

Answer 2

Identity

Question 3

The school nurse is planning a program for girls about the physical changes of puberty; this program should be directed to girls of the age:

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

Answer 3

10 years

Question 4

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

A) Many teenagers are unaware of proper nutrition.
B) Teenagers 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.

Question 5

The nurse explains that the restlessness seen in the adolescent is, in part, attributable to: Select all that apply.

A) Drive to be accepted by society as an individual
B) Surge for independence
C) Establishment of a personal identity
D) Intense libido
E) Rapid body changes
F) None of the above

Question 6

The statement made by a parent indicating understanding about helping a 13-year-old manage allowance money is:

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 7

An adolescent's parent comments, "My son seems so preoccupied with his appearance these days. Is this normal?" The nurse's best response would be:

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 8

The nurse understands that the adolescent's avid sexual orientation to be based on Freud's theory, which describes adolescence as the _____ stage.

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

Question 9

The nurse suggests a good dietary source of zinc for an adolescent who is a vegetarian would be:

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

Question 10

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." The nurse would formulate a response on the knowledge that this behavior is:

A) Unusual for adolescent boys
B) Often more apparent in boys than girls
C) A normal phenomenon during adolescence
D) Suggestive of feelings of low self-worth

Question 11

When planning to answer a 16-year-old girl's questions about menstruation, the nurse must consider cognitive development. According to Piaget, the cognitive aspect that is developed during adolescence is the ability to:

A) View a situation from multiple perspectives
B) Focus more on the past than present situations
C) Exercise concrete reasoning
D) Consider hypothetical situations

Question 12

The nurse teaching a seminar on teen pregnancy tells the parents that they should be alert for indications of a child concealing a pregnancy with such behaviors as: Select all that apply.

A) Wearing baggy clothes
B) Wearing excessive makeup
C) Dieting to lose weight
D) Seeking privacy
E) Ostentatiously purchasing tampons

Question 13

Foods that would be a healthy choice for an adolescent who just finished playing in a strenuous game would be:

A) Cheeseburger and soda
B) Hot fudge sundae
C) Two Egg McMuffins and orange juice
D) Bagel and skim milk

Question 14

A girl tells the nurse that she and her best friend belong to the popular clique. She states, "I love Britney Spears and I want to be a singer." The nurse recognizes the girl's statement as characteristic of peer relationships in:

A) Early adolescence
B) Middle adolescence
C) Late adolescence
D) Entire adolescent period

Question 15

A parent comments that her adolescent daughter seems to be daydreaming a lot these days. The nurse understands that this behavior indicates she is:

A) Bored
B) Not getting enough rest
C) Trying to block out stress and anxiety
D) Mentally preparing for real situations

Question 16

When assessing a 13-year-old boy, the nurse would keep in mind physical changes in the pubertal male, beginning with:

A) Development of axillary and facial hair
B) Enlargement of pectoral muscles
C) Enlargement of testicles
D) Voice changes

Question 17

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

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 18

The nurse planning a safety program for high school students should understand that most accidental deaths in adolescence are related to:

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

Question 19

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 teenager'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 20

The nurse points out to a group of parents that the most positive developmental significance of a peer group to the adolescent is that the group serves as:

A) A social outlet
B) An association to blur personal identity
C) A platform for "group think"
D) An initial separation from family

Question 21

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

Question 22

The nurse considers the "rites of passage" that are valued by the adolescent in American society, which are: Select all that apply.

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

Question 23

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