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 the United States 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

Smokeless tobacco is:

A)Not addicting.
B)Proven to be carcinogenic.
C)Easy to stop using.
D)A safe alternative to cigarette smoking.

Answer 2

Proven to be carcinogenic.

Question 3

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

Answer 3

13.5 to 14 years

Question 4

Which statement is true about smoking in adolescence?

A)Smoking is related to other high-risk behaviors.
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

According to Erikson,the psychosocial task of adolescence is developing:

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

Question 6

Matt,age 14 years,seems to be always eating,although his weight is appropriate for his height. The best explanation for this is:

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 7

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

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 8

The most common cause of death in the adolescent age-group involves:

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

Question 9

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 10

In girls the initial indication of puberty is:

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

Question 11

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 antiinflammatory drug (NSAID). The nurse's response should be based on knowing that:

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 reduction in uterine activity.

Question 12

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 13

According to Piaget the adolescent is in the fourth stage of cognitive development,or period of:

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

Question 14

The psychologic effects of being obese during adolescence include:

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

Question 15

A 14-year-old boy and his parents are concerned about bilateral breast enlargement. The nurse's discussion of this should be based on knowing that:

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.

Question 16

Anorexia nervosa may best be described as:

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 17

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

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 18

The school nurse tells adolescents in the clinic that confidentiality and privacy will be maintained unless a life-threatening situation arises. This practice is:

A)Not appropriate in a school setting.
B)Never appropriate because adolescents are minors.
C)Important in establishing trusting relationships.
D)Suggestive that the nurse is meeting his or her own needs.

Question 19

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.

Question 20

The mean age of menarche in the United States is:

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

Question 21

Research has shown that the most successful smoking cessation programs among teens include (choose all that apply):

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

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. Data collection should include the:

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 23

An adolescent girl tells the nurse that she is very suicidal. The nurse asks her if she has a specific plan. Asking this should be considered:

A)An appropriate part of the assessment.
B)Not a critical part of the assessment.
C)Suggesting that the adolescent needs a plan.
D)Encouraging the adolescent to devise a plan.

Question 24

The weight loss of anorexia nervosa is often triggered by:

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

Question 25

What is 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