Deck 35: The Adolescent and Family

Question 1

The parents of a 14 year old express concerns about the number of hours their child spends with friends.The nurse explains that peer relationships become more important during adolescence because:

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.

Answer 1

they provide adolescents with a feeling of belonging.

Question 2

According to Piaget,the adolescent is in the fourth stage of cognitive development with a focus on what area?

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

Answer 2

Formal operations

Question 3

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

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.

Answer 3

The adolescent should be encouraged to share his feelings and experiences.

Question 4

A 14-year-old boy and his parents are concerned about bilateral breast enlargement.The nurse's discussion of their concerns should be based on what understanding?

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

Question 5

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

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

Question 6

The nurse is completing a health history with a 16-year-old male.He informs the nurse that he has started using smokeless tobacco after he plays baseball.Which information regarding smokeless tobacco would be most correct for the nurse to provide to this teen?

A) This form of nicotine is not addicting.
B) It has been proven to be carcinogenic.
C) It is a much easy habit to stop.
D) It is a safe alternative to cigarette smoking.

Question 7

By what age should concerns about pubertal delay be considered 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 8

The nurse is caring for an adolescent diagnosed with acute cocaine toxicity.Initial data collection should include what focus?

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 9

What is the most common cause of death in the adolescent age-group?

A) Drownings
B) Firearms
C) Drug overdoses
D) Motor vehicles

Question 10

Which statement best describes Tanner staging?

A) Predictable stages of puberty that are based on chronologic age.
B) Staging of puberty based on the initiation of menarche and nocturnal emissions.
C) Predictable stages of puberty that are based on primary and secondary sexual characteristics.
D) Staging of puberty based on the initiation of primary sexual characteristics.

Question 11

Which behavior suggests appropriate psychosocial development in the adolescent?

A) The adolescent seeks validation for socially acceptable behavior from older adults.
B) The adolescent is self-absorbed and self-centered and has sudden mood swings.
C) Adolescents move from peers and enjoy spending time with family members.
D) Conformity with the peer group increases in late adolescence.

Question 12

The weight loss of anorexia nervosa is often triggered by what event?

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

Question 13

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

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 14

Which statement is most descriptive of bulimia during adolescence?

A) Strong sense of control over eating behavior
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 normal, slightly above normal, or below normal

Question 15

How may anorexia nervosa best be described?

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

Question 16

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 17

In girls,what is the initial indication of puberty?

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

Question 18

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

Question 19

The mean age of menarche in the United States is:

A) 11.5 years.
B) 12.5 years.
C) 13.5 years.
D) 14 years.

Question 20

A 14 years old,mentions that he now has to use deodorant but never had to before.The nurse's response should be based on what knowledge?

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 21

A 17 year old tells the nurse that he/she is not having sex because it would make his/her parents very angry.This response indicates that the adolescent has a developmental lag in which area?

A) Cognitive development
B) Moral development
C) Psychosocial development
D) Psychosexual development

Question 22

A young adolescent tells the nurse,"I feel gawky." The nurse should explain that this occurs in adolescents because of what physiological event?

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 girls.

Question 23

Which hormone is responsible for the growth of beard,mustache,and body hair in the males?

A) Estrogen
B) Pituitary hormone
C) Androgen
D) Progesterone

Question 24

MATCHING
Place in correct order the sequence of maturational changes for girls. Begin with the first change seen, sequencing to the last change.

First change

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

Question 25

A school nurse is conducting a class with adolescents on suicide.Which true statement about suicide should the nurse include in the teaching session?

A) A sense of hopelessness and despair are a normal part of adolescence.
B) Gay and lesbian adolescents are at a particularly high risk for suicide.
C) Problem-solving skills are of limited value to the suicidal adolescent.
D) Previous suicide attempts are not an indication of risk for completed suicides.

Question 26

MATCHING
Place in correct order the sequence of maturational changes for girls. Begin with the first change seen, sequencing to the last change.

Third change

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

Question 27

The parents of a 15-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?

A) "Your teenager needs clearer and stricter limits about her behavior."
B) "Your teenager needs more responsibility at home."
C) "During adolescence this behavior is not unusual."
D) "The behavior is abnormal and needs further investigation."

Question 28

What is the first sign of pubertal change seen with boys?

A) Testicular enlargement
B) Facial hair
C) Scrotal enlargement
D) Voice deepens

Question 29

MATCHING
Place in correct order the sequence of maturational changes for girls. Begin with the first change seen, sequencing to the last change.

Fourth change

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

Question 30

Which symptoms should the nurse expect to observe during the physical assessment of an adolescent girl with severe weight loss and disrupted metabolism associated with anorexia nervosa?

A) Dysmenorrhea and oliguria
B) Tachycardia and tachypnea
C) Heat intolerance and increased blood pressure
D) Lowered body temperature and brittle nails

Question 31

When planning care for adolescents,the nurse should consider which intervention?

A) Teach parents first, and they, in turn, will teach the teenager.
B) Provide information for their long-term health needs because teenagers respond best to long-range planning.
C) Maintain the parents' role by providing explanations for treatment and procedures to the parents only.
D) Give information privately to adolescents about how they can manage the specific problems that they identify.

Question 32

Which statement is the most appropriate advice to give parents of a 16 year old who is rebellious?

A) "You need to be stricter so that your teen stops trying to test the limits."
B) "You need to collaborate with your child and set limits that are perceived as being reasonable."
C) "Increasing your teen's involvement with peers will improve his/her self-esteem."
D) "Allow your teenager to choose the type of discipline that is used in your home."

Question 33

MATCHING
Place in correct order the sequence of maturational changes for girls. Begin with the first change seen, sequencing to the last change.

Second change

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

Question 34

Which is the most commonly used method in completed suicides?

A) Firearms
B) Drug overdose
C) Self-inflected laceration
D) Carbon monoxide poisoning

Question 35

MATCHING
Place in correct order the sequence of maturational changes for girls. Begin with the first change seen, sequencing to the last change.

Fifth change

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

Question 36

Which statement is most descriptive of central nervous system stimulants?

A) They produce strong physical dependence.
B) They can result in strong psychologic dependence.
C) Withdrawal symptoms are life threatening.
D) Acute intoxication can lead to coma.

Question 37

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 laboratory testing.
C) normal behavior.
D) related to feelings of depression.

Question 38

Young people diagnosed with anorexia nervosa are often described as possessing what personal characteristic?

A) Independent
B) Disruptive
C) Conforming
D) Low achieving

Question 39

Which is the most significant factor in distinguishing those who commit suicide from those who make suicidal attempts or threats?

A) Social isolation
B) Level of stress
C) Degree of depression
D) Desire to punish others

Question 40

Which statement by the nurse is most appropriate to a 15 year old whose friend has mentioned suicide?

A) "Tell your friend to come to the clinic immediately."
B) "You need to gather details about your friend's suicide plan."
C) "Your friend's threat needs to be taken seriously and immediate help for your friend is important."
D) "If your friend mentions suicide a second time, you will want to get your friend some help."