Deck 40: The Adolescent and Family

Question 1

Which statement is correct about childhood obesity?

A) Heredity is an important factor in the development of obesity.
B) Childhood obesity in Canada is decreasing.
C) Childhood obesity is the result of inactivity.
D) Childhood obesity can be attributed to an underlying disease in most cases.

Answer 1

Heredity is an important factor in the development of obesity.

Question 2

A 14-year-old boy and his parents are concerned about bilateral breast enlargement.What should the nurse's discussion about this concern be based upon?

A) This is usually benign and temporary.
B) This is usually caused by Klinefelter syndrome.
C) Administration of estrogen effectively reduces gynecomastia.
D) Administration of testosterone effectively reduces gynecomastia.

Answer 2

This is usually benign and temporary.

Question 3

Steve,14 years old,mentions that he now has to use deodorant,but that he never had to before.What knowledge is the nurse's response based upon?

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.

Answer 3

Apocrine sweat glands reach secretory capacity during puberty.

Question 4

Which statement is true about smoking in adolescence?

A) Smoking is related to other high-risk behaviours.
B) Smoking is more common among athletes.
C) Smoking is less common when the adolescent's parent(s) smokes.
D) Smoking among adolescents is becoming more prevalent.

Question 5

An adolescent boy tells the nurse that he has recently had homosexual feelings.The nurse's response should be based upon which of the following?

A) This indicates that the adolescent is homosexual.
B) This indicates that 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 6

According to Piaget,the adolescent is in the fourth stage of cognitive development,or the period known as which of the following?

A) Formal operations
B) Concrete operations
C) Conventional thought
D) Postconventional thought

Question 7

Which aspect of cognition develops during adolescence?

A) Ability 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 judgements based on what they see to judgements based on what they reason

Question 8

An adolescent girl asks the school nurse for advice because she has dysmenorrhea.She says that a friend recommended that she try an over-the-counter nonsteroidal anti-inflammatory drug ( NSAID ).The nurse's response is based on knowing which of the following?

A) Aspirin is the drug of choice for the treatment of dysmenorrhea.
B) Over-the-counter NSAIDs are rarely strong enough to provide adequate pain relief.
C) NSAIDs are effective because of their analgesic effect.
D) NSAIDs are effective because they inhibit prostaglandins, leading to a reduction in uterine activity.

Question 9

What is the initial indication of puberty in girls?

A) Menarche
B) Growth spurt
C) Growth of pubic hair
D) Breast development

Question 10

What predisposes adolescents 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

Question 11

Which sentence best describes anorexia nervosa?

A) It occurs most frequently in adolescent males.
B) It occurs most frequently in adolescents from lower socioeconomic groups.
C) It results from a posterior pituitary disorder.
D) It results in severe weight loss in the absence of obvious physical causes.

Question 12

According to Erikson,what is the psychosocial task of adolescence?

A) Intimacy
B) Identity
C) Initiative
D) Independence

Question 13

The school nurse tells adolescents in the clinic that confidentiality and privacy will be maintained unless a life-threatening situation arises.Which of the following statements is true regarding this practice?

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

Question 14

Which statement is true about smokeless tobacco?

A) It is not addicting.
B) It is proven to be carcinogenic.
C) It is easy to stop using.
D) It is a safe alternative to cigarette smoking.

Question 15

Matt,age 14 years,seems to be always eating,although his weight is appropriate for his height.What is the best explanation for this assessment?

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

Question 16

Why do peer relationships become more important during adolescence?

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 17

What is one of the most common causes of death in the adolescent age group?

A) Drownings
B) Firearms
C) Drug overdoses
D) Motor vehicle collisions

Question 18

The psychological effects of being obese during adolescence include which one of the following?

A) Sexual promiscuity
B) Poor body image
C) Memory has no effect on eating behaviour
D) Accurate body image but self-deprecating attitude

Question 19

By what age should the nurse be concerned about pubertal delay in boys?

A) 12 to 12.5 years
B) 12.5 to 13 years
C) 13 to 13.5 years
D) 13.5 to 14 years

Question 20

What is the mean age of menarche for North American girls?

A) 11.5 years
B) 12.75 years
C) 13.5 years
D) 14 years

Question 21

The nurse is caring for an adolescent brought to the hospital with acute drug toxicity.Cocaine is believed to be the drug involved.Data collection should include which one of the following?

A) Mode of administration
B) Actual content of the drug
C) Function the drug plays in the adolescent's life
D) Adolescent's level of interest in rehabilitation

Question 22

Which statement best describes adolescents with bulimia?

A) Strong sense of control over eating behaviour
B) Feelings of elation after the binge-purge cycle
C) Profound lack of awareness that the eating pattern is abnormal
D) Weight that can be average or slightly above average

Question 23

An adolescent girl tells the nurse that she is very suicidal.The nurse asks her if she has a specific plan.This inquiry is which of the following?

A) It is an appropriate part of the assessment.
B) It is not a critical part of the assessment.
C) It suggests that the adolescent needs a plan.
D) It encourages the adolescent to devise a plan.

Question 24

What is the weight loss of anorexia nervosa often triggered by?

A) Sexual abuse
B) School failure
C) Independence from family
D) Traumatic interpersonal conflict

Question 25

Which one of the following is considered to be an unsuccessful smoking cessation program among teens?

A) Peer-led education and support
B) Information on the long-term effects of smoking
C) Programs including the media
D) School-based programs