Question 1

Which predisposes the adolescent to feel an increased need for sleep?&#10;A) An inadequate diet&#10;B) Rapid physical growth&#10;C) Decreased activity that contributes to a feeling of fatigue&#10;D) The lack of ambition typical of this age group

Accepted Answer

During growth spurts, the need for sleep increases. Rapid physical growth, the tendency toward overexertion, and the overall increased activity of this age contribute to fatigue.

Question 2

A nurse is caring for an adolescent hospitalized for cellulitis. The nurse notes that the adolescent experiences many &#34;mood swings&#34; throughout the day. How should the nurse interpret this behavior?&#10;A) Requires a referral to a mental health counselor&#10;B) Requires some further lab testing&#10;C) It is normal behavior&#10;D) Related to feelings of depression

Accepted Answer

Adolescents vacillate in their emotional states between considerable maturity and childlike behavior. One minute they are exuberant and enthusiastic; the next minute they are depressed and withdrawn. Because of these mood swings, adolescents are frequently labeled as unstable, inconsistent, and unpredictable, but the behavior is normal. The behavior would not require a referral to a mental health counselor or further lab testing. The mood swings do not indicate depression.

Question 3

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)

DTaP (tetanus, diphtheria, acellular pertussis)
Influenza
MCV4 (meningococcal)

Accepted Answer

The DTaP (tetanus, diphtheria, acellular pertussis) vaccine is recommended for adolescents 11 to 18 years old who have not received a tetanus booster (Td) or DTaP dose and have completed the childhood DTaP/DTP series. Meningococcal vaccine (MCV4) should be given to adolescents 11 to 12 years of age with a booster dose at age 16 years. Annual influenza vaccination with either the live attenuated influenza vaccine or trivalent influenza vaccine is recommended for all children and adolescents. The adolescent, previously up to date on vaccinations, would have received the MMR and hepatitis B as a child.

Question 4

A young adolescent boy tells the nurse he &#34;feels gawky.&#34; How should the nurse explain why this occurs in adolescents?&#10;A) Growth of the extremities and neck precedes growth in other areas&#10;B) Growth is in the trunk and chest&#10;C) The hip and chest breadth increases&#10;D) The growth spurt occurs earlier in boys than it does in girls

Accepted Answer

Growth in length of the extremities and neck precedes growth in other areas, and, because these parts are the first to reach adult length, the hands and feet appear larger than normal during adolescence. Increases in hip and chest breadth take place in a few months followed several months later by an increase in shoulder width. These changes are followed by increases in length of the trunk and depth of the chest. This sequence of changes is responsible for the characteristic long-legged, gawky appearance of early adolescent children. The growth spurt occurs earlier in girls than in boys.

Question 5

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?&#10;A) Formal operations&#10;B) Concrete operations&#10;C) Conventional thought&#10;D) Postconventional thought

Accepted Answer

Cognitive thinking culminates with capacity for abstract thinking. This stage, the period of formal operations, is Piaget's fourth and last stage. Concrete operations usually occur between ages 7 and 11 years. Conventional and postconventional thought refers to Kohlberg's stages of moral development.

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?&#10;A) This is normal because of increase in body mass.&#10;B) This is abnormal and suggestive of future obesity.&#10;C) His caloric intake would have to be excessive.&#10;D) He is substituting food for unfilled needs.

Accepted Answer

In adolescence, nutritional needs are closely related to the increase in body mass. The peak requirements occur in the years of maximal growth. The caloric and protein requirements are higher than at almost any other time of life. Seemingly always eating describes the expected eating pattern for young adolescents; as long as weight and height are appropriate, obesity is not a concern.

Question 7

What is the most common cause of death in the adolescent age group?&#10;A) Drownings&#10;B) Firearms&#10;C) Drug overdoses&#10;D) Motor vehicles

Accepted Answer

Forty percent of all adolescent deaths in the United States are the result of motor vehicle accidents. Drownings, firearms, and drug overdoses are major concerns in adolescence but are not the most common cause of death.

Question 8

A nurse is reviewing hormone changes that occur during adolescence. What is the hormone responsible for the growth of beard, mustache, and body hair in the male?&#10;A) Estrogen&#10;B) Pituitary&#10;C) Androgen&#10;D) Progesterone

Accepted Answer

Beard, mustache, and body hair on the chest, upward along the linea alba, and sometimes on other areas (e.g., back and shoulders) appears in males and is androgen dependent. Estrogen and progesterone are produced by the ovaries in the female and do not contribute to body hair appearance in the male. The pituitary hormone does not have any relationship to body hair appearance in the male.

Question 9

Which aspect of cognition develops during adolescence?&#10;A) Capability to use a future time perspective&#10;B) Ability to place things in a sensible and logical order&#10;C) Ability to see things from the point of view of another&#10;D) Progress from making judgments based on what they see to making judgments based on what they reason

Accepted Answer

Adolescents are no longer restricted to the real and actual. They also are concerned with the possible; they think beyond the present. During concrete operations (between ages 7 and 11 years), children exhibit these characteristic thought processes.

Question 10

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?&#10;A) Eccrine sweat glands in the axillae become fully functional during puberty.&#10;B) Sebaceous glands become extremely active during puberty.&#10;C) New deposits of fatty tissue insulate the body and cause increased sweat production.&#10;D) Apocrine sweat glands reach secretory capacity during puberty.

Accepted Answer

The apocrine sweat glands, nonfunctional in children, reach secretory capacity during puberty. They secrete a thick substance as a result of emotional stimulation that, when acted on by surface bacteria, becomes highly odoriferous. They are limited in distribution and grow in conjunction with hair follicles, in the axilla, genital, anal, and other areas. Eccrine sweat glands are present almost everywhere on the skin and become fully functional and respond to emotional and thermal stimulation. Sebaceous glands become extremely active at this time, especially those on the genitalia and the "flush" areas of the body such as face, neck, shoulders, upper back, and chest. This increased activity is important in the development of acne. New deposits of fatty tissue is not the etiology of apocrine sweat gland activity.

Question 11

A 14-year-old adolescent never had chickenpox as a child. What should the nurse expect the health care provider to recommend?&#10;A) One dose of the varicella vaccination&#10;B) Two doses of the varicella vaccination 4 weeks apart&#10;C) One dose of the varicella immune globulin&#10;D) No vaccinations-the child is past the age to receive it

Accepted Answer

The answer of A 14-year-old adolescent never had chickenpox as...

Question 12

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?&#10;A)   years&#10;B)   years&#10;C)   years&#10;D) 14 years

Accepted Answer

The answer of A school nurse is teaching a group...

Question 13

According to Erikson, which psychosocial task is developing in adolescence?&#10;A) Intimacy&#10;B) Identity&#10;C) Initiative&#10;D) Independence

Accepted Answer

The answer of According to Erikson, which psychosocial task is...

Question 14

What is the initial indication of puberty in girls?&#10;A) Menarche&#10;B) Growth spurt&#10;C) Growth of pubic hair&#10;D) Breast development

Accepted Answer

The answer of What is the initial indication of puberty...

Question 15

A nurse is conducting parenting classes for parents of adolescents. Which parenting style should the nurse recommend?&#10;A) Laissez-faire&#10;B) Authoritative&#10;C) Disciplinarian&#10;D) Confrontational

Accepted Answer

The answer of A nurse is conducting parenting classes for...

Question 16

A school nurse is teaching a group of preadolescent boys about puberty. By which age should concerns about pubertal delay be considered?&#10;A) 12 years&#10;B) 13 years&#10;C) 14 years&#10;D) 15 years

Accepted Answer

The answer of A school nurse is teaching a group...

Question 17

The nurse should teach the adolescent that the long-term effects of tanning can cause which conditions? (Select all that apply.)&#10;A) Phototoxic reactions&#10;B) Increased number of moles&#10;C) Premature aging&#10;D) Striae&#10;E) Increased risk of skin cancer

Accepted Answer

The answer of The nurse should teach the adolescent that...

Question 18

An adolescent boy tells the nurse that he has recently had homosexual feelings. What knowledge should the nurse's response be based on?&#10;A) This indicates the adolescent is homosexual.&#10;B) This indicates the adolescent will become homosexual as an adult.&#10;C) The adolescent should be referred for psychotherapy.&#10;D) The adolescent should be encouraged to share his feelings and experiences.

Accepted Answer

The answer of An adolescent boy tells the nurse that...

Question 19

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?&#10;A) Adolescents dislike their parents.&#10;B) Adolescents no longer need parental control.&#10;C) They provide adolescents with a feeling of belonging.&#10;D) They promote a sense of individuality in adolescents.

Accepted Answer

The answer of Parents are concerned about the number of...

Question 20

The school nurse tells adolescents in the clinic that confidentiality and privacy will be maintained unless a life-threatening situation arises. How should this practice be interpreted?&#10;A) Not appropriate in a school setting&#10;B) Never appropriate because adolescents are minors&#10;C) Important in establishing trusting relationships&#10;D) Suggestive that the nurse is meeting his or her own needs

Accepted Answer

The answer of The school nurse tells adolescents in the...

Question 21

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

Accepted Answer

The answer of The estimated average requirement of calcium for...

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

Accepted Answer

The answer of Place in order the sequence of maturational...

Question 23

Which screening tests should the school nurse perform for the adolescent? (Select all that apply.)&#10;A) Glucose&#10;B) Vision&#10;C) Hearing&#10;D) Cholesterol&#10;E) Scoliosis

Accepted Answer

The answer of Which screening tests should the school nurse...

Deck 15: Health Promotion of the Adolescent and Family