Deck 10: Adolescence

Question 1

The health-care worker reminds a group of parents of adolescents that as they find their own identity,adolescents will demonstrate:

A) increased independence from peers and friends.
B) increased need for parental approval.
C) imitation of parental values and ideals.
D) less emotional dependence on parents.

Answer 1

D
To achieve a sense of self-identity,adolescents must see themselves as separate from their role of child in the family.Parents can help adolescents achieve this identity by offering support and guidance and by giving adolescents freedom to discover their own interests,which differ from those of their parents.

Question 2

When a 16-year-old student tells her mother that she is going to go to work for 30 hours a week to earn money to buy a car,the most therapeutic response would be:

A) "You are healthy and doing well in school. Go for it!"
B) "A car will give you a lot of freedom and will enhance your maturity."
C) "What is the hourly wage?"
D) "Will working 30 hours a week interfere with school?"

Answer 2

D
Adolescents need to be responsible for making decisions.The parental role is to guide the adolescent to see more realistic options rather than to mandate behavior.

Question 3

The high school nurse is intending to present a class on potential health problems associated with body piercing and tattooing.What piece of information is critical to planning the class?

A) Culture affects health-care practices and forms of communication.
B) Adolescents are eager to be told what to do regarding health-care practices.
C) Physical maturity and cognitive maturity occur at the same rate.
D) Peer-group practices need not be a consideration when planning a class on potential health problems.

Answer 3

A
An adolescent's culture affects how he/she thinks and interacts.Focus that is on cultural values and individual strengths will help achieve positive health teaching outcomes.

Question 4

During puberty,girls experience an increase in weight and redistribution of fat.Health-care considerations related to this include:

A) providing reassurance that these changes are normal.
B) suggesting dietary measures to control weight gain.
C) recommending an exercise program to control weight gain.
D) encouraging a low-fat diet to prevent excess deposition of fat.

Question 5

The appropriate term for the initial menstrual period is:

A) ovulation.
B) puberty.
C) menarche.
D) luteinization.

Question 6

A 14-year-old girl tells the school nurse that she has not started to menstruate and that all of her friends have.The nurse's best response to the girl would be to:

A) explain that this is not unusual as sexual maturing can occur as late as 15 years of age.
B) suggest the girl seek medical evaluation.
C) call the girl's parents in for a conference about this situation.
D) recommend that she stop all strenuous exercising until her periods begin.

Question 7

According to Piaget,the cognitive development of the adolescent progresses to the ___________ stage by middle adolescence.

A) preoperational
B) formal
C) concrete
D) sensorimotor

Question 8

When an adolescent boy tells the health-care worker that he has recently had a homosexual encounter with his best friend,the response should be based on knowledge that this event suggests that the adolescent:

A) is homosexual.
B) will become homosexual as an adult.
C) should be referred for psychotherapy.
D) should be encouraged to discuss this event.

Question 9

In planning sex education and contraceptive teaching for adolescents,the health-care worker should recognize that:

A) most adolescents today are knowledgeable about reproductive anatomy and physiology.
B) adolescents frequently do not have a basic understanding of fertility.
C) both contraception and sexual activity require planning.
D) most adolescents who become pregnant do so as an act of defiance against their parents.

Question 10

The leading cause of teenage deaths is related to:

A) motor vehicle accidents.
B) drowning.
C) suicides
D) drug overdoses.

Question 11

The school nurse would inform parents who are seeking information regarding adolescent masturbation that:

A) masturbation at an early age is associated with sexual intercourse at an earlier age.
B) the practice of masturbation encourages homosexuality.
C) masturbation is normal in adolescents and is more common among boys.
D) development of intimate relationships may be delayed when masturbation is regularly practiced.

Question 12

Early adolescence is considered to begin at the age of:

A) 9 years.
B) 10 years.
C) 13 years.
D) 14 years.

Question 13

When providing health teaching for middle adolescents,the health-care worker should recognize that middle adolescents:

A) have adequate opportunities to make decisions based on past experiences.
B) develop the ability to demonstrate deductive reasoning.
C) accept parents' beliefs as their own.
D) have beliefs that become more concrete and founded in observing religious customs.

Question 14

The health-care worker advising parents of an adolescent as to how to avoid conflict and rebellion as they instruct their child in healthy behaviors would suggest the approach of:

A) giving clear, strict guidelines for the adolescent's expected behavior.
B) allowing adolescent to direct his or her own health-seeking behavior to support independence.
C) pointing out behaviors that are not healthy to help channel better decision making.
D) discussing expected guidelines in respectful manner with the adolescent.

Question 15

The initiation of puberty is controlled by the secretions from the:

A) gonads
B) hypothalamus.
C) anterior pituitary
D) posterior pituitary

Question 16

According to Erikson,the psychosocial task of adolescence is developing a sense of _____________.

A) initiative
B) identity
C) independence
D) autonomy

Question 17

The school nurse plans to include information about oral sex in a sex-education class for 15-year-olds.The most significant reason to include this information is that:

A) the information introduces a non-intercourse method of sexual expression.
B) a sex-education class would be incomplete without the information.
C) middle adolescents may not consider oral sex a sexual act or a risk for sexually transmitted diseases (STDs).
D) exposure to sexual expression through TV and movies make the information necessary.

Question 18

A 15-year-old athlete is concerned that the darkening pigment on his scrotum is related to his frequent masturbation.The best response would be based on the knowledge that the color change is:

A) most probably "jock itch."
B) related to frequent nocturnal emissions.
C) the result of increase in androgens.
D) possible bruising from a sports injury.

Question 19

The school nurse tells adolescents that privacy and confidentiality 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) indicative that the nurse is meeting his or her own needs.

Question 20

The health-care worker is sensitive to the fact that health concerns consistent with middle adolescence are focused on:

A) school performance.
B) emotional health issues.
C) physical appearance.
D) future career or employment.

Question 21

According to Kohlberg's moral development,the 15-year-old adolescent is motivated by:

A) what seems most pleasurable.
B) associated rewards for appropriate behavior.
C) the desire to demonstrate responsible behavior.
D) the need to conform and please others.

Question 22

When considering the effect of culture on an adolescent,the health-care worker recognizes that culture:

A) is synonymous with race.
B) refers to a group of people with similar physical attributes.
C) refers to the universal sequence of growth and development.
D) affects the development of health beliefs and health-care practices.

Question 23

A school nurse is conducting a sex-education class for early adolescent girls.One girl asks how to tell when she could become pregnant.The nurse explains that:

A) ovulation, and the most fertile period, occurs immediately after menstruation stops.
B) ovulation, and the most fertile period, occurs just before the start of menstruation.
C) ovulation, and the most fertile period, occurs about 14 days before menstruation begins.
D) if you have irregular menses, there is no way to determine the fertile period.

Question 24

The peer group serves as: (Select all that apply. )

A) a major step in separation from family dependence.
B) a practice area for forming relationships.
C) a source of social interaction.
D) the only source for role modeling.
E) a status symbol of membership.

Question 25

The term__________ refers to the functional ability to reproduce.

Question 26

The birth control option that requires a subdermal insertion and lasts up to 3 years is___________.

Question 27

A group of parents are concerned about their adolescent children and dating.The health-care worker points out that:

A) early adolescence is not the proper time for dating or mixed-sex group activities.
B) dating can have a positive impact on developing problem-solving and social skills.
C) adolescents should be allowed to make their own decisions about when to start dating.
D) parents should set strict guidelines for dating and expect the adolescent to conform to the rules.

Question 28

An adolescent tells the school nurse that she is about 4 months pregnant.She has had no medical care and states that although she smokes,she doesn't use any drugs.The priority nursing action is to:

A) notify her parents.
B) refer her for prenatal care.
C) discuss nutritional needs for herself and the growing fetus.
D) explain the importance of not smoking.

Question 29

The school nurse presenting a sex-education class to a group of 14-year-olds would stress that the birth control method that can prevent STDs,if used correctly,is the:

A) vaginal ring.
B) spermicidal foams.
C) cervical cap.
D) condom.

Question 30

Adolescents are more likely to participate in health-care services when they:

A) understand the potentially negative results of their health behavior.
B) see the health-care provider as caring and respectful.
C) view their health problems as not physical in nature.
D) are allowed to consistently make their own decisions about seeking health care.

Question 31

The factor that has the greatest impact on the likelihood that an adolescent will begin drinking alcohol is:

A) friends drink alcohol.
B) parents drink alcohol.
C) availability of alcohol.
D) enjoyable effects of alcohol.

Question 32

The school nurse is discussing testicular self-examination with adolescent boys.This is important because:

A) inflammation of the testes is common during adolescence.
B) asymptomatic STDs may be present.
C) adolescence is the best time to teach preventative health measures.
D) testicular tumors are common during adolescence.

Question 33

According to the definition of vigorous exercise published by the Centers for Disease Control and Prevention (CDC)in 2006,the exercise should: (Select all that apply. )

A) be at least 30 minutes in duration.
B) produce sweat.
C) be performed before meals.
D) increase respiration.
E) be practiced every day.

Question 34

The parents of an adolescent are concerned about the amount of time their adolescent spends daydreaming and "doing nothing." The health-care worker recognizes that:

A) daydreams help the adolescent think through responses to various situations and can be a safe outlet for strong emotions.
B) daydreaming is a sign of early depression and the child needs medical evaluation.
C) daydreams are time-wasting and the adolescent needs to be involved in more outside activities.
D) daydreaming is always an adolescent's substitute for doing homework and household chores.