Question 1

According to Erikson,what is the psychosocial task of adolescence?&#10;A) Intimacy&#10;B) Identity&#10;C) Initiative&#10;D) Independence

Accepted Answer

Traditional psychosocial theory holds that the developmental crises of adolescence lead to the formation of a sense of identity.Intimacy is the developmental stage of early adulthood.Initiative is the developmental stage for early childhood.Independence is not one of Erikson's developmental stages.

Question 2

What is the weight loss of anorexia nervosa often triggered by?&#10;A) Sexual abuse&#10;B) School failure&#10;C) Independence from family&#10;D) Traumatic interpersonal conflict

Accepted Answer

Weight loss may be triggered by a typical adolescent crisis such as the onset of menstruation or a traumatic interpersonal incident;situations of severe family stress such as parental separation or divorce;or circumstances in which the young person lacks personal control,such as being teased,changing schools,or entering college.There may,in fact,be a history of sexual abuse;however,this is not the trigger.These girls are often overachievers who are successful in school,not failures.The adolescent is most often enmeshed with his or her family.

Question 3

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

Accepted Answer

The top three most common causes of death in this age group are motor vehicle collisions,homicide,and suicide.Drownings,firearms,and drug overdoses are major concerns in adolescence but do not cause the majority of deaths.

Question 4

According to Piaget,which period is the adolescent in when experiencing the fourth 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.The concrete operations stage usually develops between the ages of 7 and 11 years.Conventional and postconventional thought refer to Kohlberg's stages of moral development.

Question 5

Which statement is true about smokeless tobacco?&#10;A) It is not addicting.&#10;B) It is proven to be carcinogenic.&#10;C) It is easy to stop using.&#10;D) It is a safe alternative to cigarette smoking.

Accepted Answer

Smokeless tobacco is a popular substitute for cigarettes and poses serious health hazards to children and adolescents.It is carcinogenic,particularly associated with cancer of the mouth and jaw.Smokeless tobacco is just as addictive as cigarettes,so although teens believe that it is easy to stop using it,this is not the case.A popular belief among teens is that smokeless tobacco is a safe alternative to cigarettes;this has been proven incorrect.Half of all teens who use smokeless tobacco agree that it poses significant health risks.

Question 6

Which statement is correct about childhood obesity?&#10;A) Genetics is an important factor in the development of obesity.&#10;B) Childhood obesity in Canada is decreasing.&#10;C) Childhood obesity is the result of inactivity.&#10;D) Childhood obesity can be attributed to an underlying disease in most cases.

Accepted Answer

A report by the Government of Canada Standing Committee on Health (2007)has drawn attention to the links between childhood obesity and the key determinants of overall health.In particular,family income,education,social support,geographic location,cultural norms and values,biological and genetic factors,accessibility of services for health,and gender are important determinants of body weight;therefore,genetics is an important factor that contributes to obesity.Identical twins reared apart tend to resemble their biological parents to a greater extent than their adoptive parents.It is difficult to distinguish between hereditary and environmental factors.The rate of childhood obesity has increased so dramatically that it has now reached epidemic proportions.Inactivity is an important contributing factor;however,obesity is the result of a combination of a number of other factors.Fewer than 5% of all cases of obesity can be linked to underlying disease.

Question 7

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

In most girls,the initial indication of puberty is the appearance of breast buds,an event known as the thelarche.The usual sequence of secondary sexual development characteristic in girls is breast changes,rapid increase in height and weight,growth of pubic hair,appearance of axillary hair,menstruation,and abrupt deceleration of linear growth.

Question 8

Which is a psychological effect of being obese during adolescence?&#10;A) Sexual promiscuity&#10;B) Poor body image&#10;C) Memory has no effect on eating behaviour&#10;D) Accurate body image but self-deprecating attitude

Accepted Answer

Common emotional consequences of obesity include poor body image,low self-esteem,social isolation,and depression.Sexual promiscuity is an unlikely effect of obesity.The obese adolescent often substitutes food for affection.Memory and appetite are closely linked and can be modified over time with treatment.Obese adolescents most often have a very poor self-image.

Question 9

Which sentence best describes anorexia nervosa?&#10;A) It occurs most frequently in adolescent males.&#10;B) It occurs most frequently in adolescents from lower socioeconomic groups.&#10;C) It results from a posterior pituitary disorder.&#10;D) It results in severe weight loss in the absence of obvious physical causes.

Accepted Answer

The etiology of anorexia remains unclear,but a distinct psychological component is present.The diagnosis is based primarily on psychological and behavioural criteria.Anorexia nervosa is observed more commonly in adolescent girls and young women.It does not occur most frequently in adolescents from a lower socioeconomic group.In reality,individuals with the disorder are often from families of means who have high parental expectations for achievement.Anorexia is a psychiatric disorder.

Question 10

An adolescent boy tells the nurse that he has recently had homosexual feelings.Which is the basis for the nurse's response?&#10;A) This indicates that the adolescent is homosexual.&#10;B) This indicates that 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

These adolescents are at increased risk for health-damaging behaviours,not because of the sexual behaviour itself,but because of society's reaction to the behaviour.The nurse's first priority is to give the young man permission to discuss his feelings about this topic,knowing that the nurse will maintain confidentially,appreciate his feelings,and remain sensitive to his need to talk.In recent studies among self-identified gay,lesbian,and bisexual adolescents,many reported changing self-labels one or more times during their adolescence.

Question 11

What predisposes adolescents 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

The answer of What predisposes adolescents to feel an increased...

Question 12

Why do peer relationships become more important during adolescence?&#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 Why do peer relationships become more important...

Question 13

The school nurse tells adolescents in the clinic that confidentiality and privacy will be maintained unless a life-threatening situation arises.Which statement is true regarding this practice?&#10;A) It is not appropriate in a school setting.&#10;B) It is never appropriate because adolescents are minors.&#10;C) It is important in establishing trusting relationships.&#10;D) It is suggestive that the nurse is meeting his or her own needs.

Accepted Answer

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Question 14

What is the mean age of menarche for North American girls?&#10;A) 11.8 years&#10;B) 12.3 years&#10;C) 13.7 years&#10;D) 14.2 years

Accepted Answer

The answer of What is the mean age of menarche...

Question 15

Which aspect of cognition develops during adolescence?&#10;A) Ability 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 judgements based on what they see to judgements based on what they reason

Accepted Answer

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Question 16

Which statement is true about smoking in adolescence?&#10;A) Smoking is related to other high-risk behaviours.&#10;B) Smoking is more common among athletes.&#10;C) Smoking is less common when the adolescent's parent(s)smokes.&#10;D) Smoking among adolescents is becoming more prevalent.

Accepted Answer

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Question 17

A 14-year-old male seems to be always eating,although his weight is appropriate for his height.What is the best explanation for this assessment?&#10;A) This is normal because of the increase in his body mass.&#10;B) This is abnormal and suggestive of future obesity.&#10;C) His caloric intake has to be excessive to indicate problems.&#10;D) He is substituting food for unfilled needs.

Accepted Answer

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Question 18

A 14-year-old mentions that he now has to use deodorant but that he never had to before.What knowledge is the nurse's response based on?&#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

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Question 19

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 on?&#10;A) This is usually benign and temporary.&#10;B) This is usually caused by Klinefelter syndrome.&#10;C) Administration of estrogen effectively reduces gynecomastia.&#10;D) Administration of testosterone effectively reduces gynecomastia.

Accepted Answer

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Question 20

By what age should the nurse be concerned about pubertal delay in boys?&#10;A) 12 to 12.5 years&#10;B) 12.5 to 13 years&#10;C) 13 to 13.5 years&#10;D) 13.5 to 14 years

Accepted Answer

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Question 21

Which statement best describes adolescents with bulimia?&#10;A) Strong sense of control over eating behaviour&#10;B) Feelings of elation after the binge-purge cycle&#10;C) Profound lack of awareness that the eating pattern is abnormal&#10;D) Weight that can be average or slightly above average

Accepted Answer

The answer of Which statement best describes adolescents with bulimia?&#10;A)...

Question 22

The nurse is caring for an adolescent brought to the hospital with acute drug toxicity.Cocaine is believed to be the drug involved.Which is a crucial aspect of data collection?&#10;A) Mode of administration&#10;B) Actual content of the drug&#10;C) Function the drug plays in the adolescent's life&#10;D) Adolescent's level of interest in rehabilitation

Accepted Answer

The answer of The nurse is caring for an adolescent...

Question 23

When assessing an adolescent for suicide risk,which are warning signs of suicide? Select all that apply.Express answer in small letters followed by a comma and a space-e.g. ,a,b,c&#10;A) Increased energy and activity&#10;B) Recurrent stomach pain and headaches&#10;C) Antisocial behaviour&#10;D) Improved concentration&#10;E) Focuses on school attendance&#10;F) Alteration in sleep pattern&#10;G) Flat affect

Accepted Answer

The answer of When assessing an adolescent for suicide risk,which...

Question 24

Which is considered to be an unsuccessful smoking cessation program among teens?&#10;A) Youth-to-youth education and support&#10;B) Information on the long-term effects of smoking&#10;C) Programs including the media&#10;D) School-based programs

Accepted Answer

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Question 25

An adolescent girl tells the nurse that she is very suicidal.Which is accurate if the nurse asks her if she has a specific suicide plan?&#10;A) It is an appropriate part of the assessment.&#10;B) It is not a critical part of the assessment.&#10;C) It suggests that the adolescent needs a plan.&#10;D) It encourages the adolescent to devise a plan.

Accepted Answer

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

Deck 39: The Adolescent and Family