Deck 33: Nursing Care of a Family With an Adolescent

Question 1

An adolescent patient is concerned about the presence of facial acne. What should the nurse teach the patient about the cause of this skin disorder?

A) Caused by thyroid gland secretions
B) Develops because of poor personal hygiene
C) Caused by the activation of androgen hormones
D) Appears when there is a vitamin deficiency from an inadequate diet

Answer 1

Caused by the activation of androgen hormones

Question 2

An adolescent is prescribed tretinoin (Retin-A cream) as therapy for acne. What should the nurse instruct the patient about this medication?

A) Avoid unprotected sun exposure.
B) Apply the cream while the face is wet.
C) Avoid using the medication prior to bedtime.
D) Avoid applying the cream directly on lesions.

Answer 2

Avoid unprotected sun exposure.

Question 3

The school nurse is preparing an educational session for adolescents to address the 2020 National Health Goals for healthy habits. What should the nurse include in this presentation? (Select all that apply.)

A) Abstaining from alcohol
B) Avoidance of tobacco products
C) Maintaining a healthy body weight
D) Attending college preparation programs
E) Refusing to participate in substance abuse

Answer 3

Abstaining from alcohol
Avoidance of tobacco products
Maintaining a healthy body weight
Refusing to participate in substance abuse

Question 4

During a physical assessment, a 15-year-old male expresses concern about being short in height. Which should the nurse respond to this patient's concern?

A) Most male adolescents stop growing by age 17 years.
B) Maximum height is typically achieved by age 14 years.
C) The epiphyseal lines of long bones close when signs of puberty occur.
D) The epiphyseal lines of long bones close at about 18 to 20 years of age in males.

Question 5

The nurse is preparing to discuss the most frequent causes of death in adolescents with a group of high school students. On which area should the nurse focus during this discussion?

A) Water safety
B) Home safety
C) Firearm safety
D) Motor vehicle safety

Question 6

The nurse is caring for a 17-year-old patient recovering from a failed suicide attempt. Which factor should the nurse recognize as potentially causing the patient to reattempt suicide?

A) Patient states feeling sad.
B) Patient has three other siblings.
C) Patient performs in the school band.
D) Patient is on the honor roll at school.

Question 7

The nurse is identifying outcomes for an adolescent patient who has been avoiding bread products and grains in order to lose weight. Which outcome should the nurse identify as appropriate for this patient's nutritional needs?

A) Patient will ingest bread and grain products during breakfast.
B) Patient will have no further signs of calcium, iron, and zinc deficiency.
C) Patient will have no further signs of thiamine and riboflavin deficiency.
D) Patient will ingest bread and grain products when eating out with high school friends.

Question 8

The nurse is caring for a 16-year-old adolescent who was arrested for driving while intoxicated. Which teaching method will be most effective in getting the patient to discontinue alcohol use?

A) Scolding the patient for such irresponsible behavior
B) Reviewing the long-term effects of alcohol on the liver
C) Teaching that alcohol eventually will lead to other drug abuse
D) Stressing that the driver's license can be lost if drinking continues

Question 9

An adolescent admits to using marijuana on a daily basis. What should the nurse explain to the patient to help improve performance in school?

A) The effect of marijuana fades fastest if eating occurs after use.
B) Marijuana causes memory gaps that interfere with learning.
C) Marijuana leads to muscle laxness, so it should not be used close to gym class.
D) Marijuana increases blood pressure; running should not be done after smoking it.

Question 10

The nurse is caring for an adolescent who has been diagnosed with obesity. Which nursing diagnosis would the best for the nurse to use when planning this patient's care?

A) Risk for low self-esteem
B) Ineffective individual coping by overeating
C) Anxiety related to concerns about normal growth and development
D) Health-seeking behaviors related to normal growth and development

Question 11

The nurse is caring for an adolescent who is physically challenged. Which activity should the nurse suggest that will foster the developmental task of adolescence?

A) Watching television
B) Deciding when to have a bath
C) Having a teacher bring school homework to the hospital
D) Talking to another adolescent who has a similar disorder

Question 12

The nurse instructs an adolescent on the hazards of body piercings and tattoos. Which outcome indicates that teaching has been effective?

A) The patient gets a small tattoo on the inner ankle.
B) The patient refuses to get eyebrow pierced with girlfriends.
C) The patient observes a tattoo being done and decides to get one with an older brother.
D) The patient limits body piercings and tattoos to areas on the trunk.

Question 13

An adolescent comes into the emergency department with a foot wound. Upon assessment, the nurse learns that the patient is a runaway and has been living on the streets. Which is the most appropriate care for the nurse to provide to the patient at this time?

A) Recommend returning to live with parents.
B) Treat the wound and provide wound care supplies.
C) Discuss the importance of a diet high in protein and vitamin C.
D) Explain how the wound needs to be flushed with water every 4 hours.

Question 14

During a routine health checkup, an adolescent patient expresses concern about being sexually active at such a young age. What can the nurse instruct the patient with sexual issues? (Select all that apply.)

A) Do not be influenced by friends to have sex.
B) There is no 100% method to prevent pregnancy.
C) Learn about and practice safe sexual techniques.
D) Sexual activity does not harm routine physical activity.
E) Adolescence is the time when all sexual activity begins.

Question 15

The nurse is caring for a chronically ill adolescent patient. What can the nurse do to maintain stimulation and support the patient's sense of identity while hospitalized?

A) Plan activities around scheduled rest periods.
B) Explain food choices appropriate to the prescribed diet.
C) Teach the name and indications for use of all medications.
D) Encourage communicating with friends through social media.