Question 1

A nurse is planning to present a lecture/discussion on health maintenance to adolescents in their high school health class.Which of these should the nurse include in the presentation? Select all that apply.

Accepted Answer

A,B

Question 2

A 17-year-old female is planning to attend college after high school graduation.The school nurse informs the student that a health care visit needs to be scheduled prior to the start of college for what primary purpose?

Accepted Answer

The primary purpose of a health care visit before starting college is to obtain immunization updates. Many colleges and universities require proof of certain immunizations before allowing students to enroll in classes. While birth control and nutrition are important health considerations for college students, they are not the primary reason for this particular health care visit. Additionally, assessing for potential health problems that could interfere with academic performance is important, but this is not the primary purpose of a pre-college health care visit.

Question 3

The school nurse performs screenings on all students in the high school.In addition,the nurse will perform selected screenings on individual teenagers.When planning the screenings for the year,the nurse will include screening all teenagers for: (Select all that apply. )

Accepted Answer

Scoliosis screening is recommended for teenagers because this is the age where it commonly develops. Tanner staging is important for monitoring the development of secondary sexual characteristics. Blood pressure measurement is a routine screening that can detect hypertension, which is becoming increasingly common in teenagers due to lifestyle factors such as stress and poor diet. Hepatitis B profile serology and chest x-rays are not recommended as routine screenings for all teenagers.

Question 4

A 15-year-old female adolescent's body mass index (BMI)is 27.

Accepted Answer

The adolescent's high BMI indicates that she may be overweight or obese. Nutritional intake should be assessed to see if the high BMI is due to poor dietary choices and/or excessive calorie intake. This can help determine whether lifestyle changes are necessary to improve overall health outcomes.

Question 5

The nurse working in the clinic includes an adolescent history in every client intake interview.Which of these issues should the nurse address when the parents are not present?

Accepted Answer

Possible domestic violence should be addressed when the parents are not present to ensure the adolescent's safety and well-being. It may be difficult for the adolescent to disclose such information in front of their parents. The other options are more appropriate to discuss with both the adolescent and the parents present.

Question 6

A teenager is accompanied by the mother to the annual physical examination.The nurse is aware of privacy issues related to the teenager.While the mother is in the room,the nurse should avoid questions about which of the following topics? Select all that apply.

Accepted Answer

The answer of A teenager is accompanied by the mother...

Question 7

A nurse should review the immunization record for hepatitis B status as a priority for which of these adolescents?

Accepted Answer

Since hepatitis B can be transmitted through contaminated needles, a nurse should prioritize reviewing the immunization record for hepatitis B status for an adolescent who is planning on getting a tattoo. It is important to ensure that the adolescent is up-to-date on their hepatitis B vaccine before undergoing any procedure that involves needles. Chronic acne, overuse injuries, and chronic asthma do not make reviewing the hepatitis B status a priority.

Question 8

A 17-year-old female present at a nurse practitioner's office requests a signature for working papers.The nurse reviews her chart and notes that the girl's last physical examination was two years ago.In addition to providing the signature for the working papers,the nurse should use this visit as:

Accepted Answer

The visit provides an opportunity for health supervision, as the girl has not had a physical examination in two years. The nurse should use this opportunity to assess the patient's overall health and well-being, screen for any potential health issues, and provide appropriate recommendations or referrals. While discussing birth control and education may also be important topics, they are not the primary focus of this visit. Exercise and sports participation may be important to discuss, but only if it is relevant to the patient's health or job requirements.

Question 9

An adolescent report the following: "I get up at six a.m.I attend early-morning band classes three times a week.I play sports for two hours each day after school,and homework takes me three hours every night.I always feel tired." The priority history question is:

Accepted Answer

The most pressing question would be to determine if the adolescent is getting enough sleep, as this could be contributing to their tiredness. The other options may be relevant, but addressing sleep first would be more important.

Question 10

A nursing history on a 16-year-old female reveals that the adolescent takes a multivitamin with 0.5 mg of fluoride and 0.4 mg of folic acid each day.The concern the nurse should bring to the attention of the physician is the:

Accepted Answer

The concern that the nurse should bring to the attention of the physician is the presence of fluoride in the multivitamin, as excessive fluoride intake can cause fluorosis and other health problems. The amount of fluoride in the multivitamin is within the recommended range, and there is no evidence to suggest that the adolescent needs an iron supplement. The intake of folic acid is also within normal limits and is not a cause for concern.

Question 11

An obese adolescent who adamantly denies sexual activity has a positive pregnancy test that was performed in the adolescent clinic.The appropriate nursing statement/question to the adolescent is:

Accepted Answer

The answer of An obese adolescent who adamantly denies sexual...

Question 12

The school nurse is working with a 13-year-old boy who recently was diagnosed with insulin-dependent diabetes.Which of the following would be one of the areas on which the teaching discussion should focus?

Accepted Answer

The school nurse should focus on reminding the boy of the activities in which he can continue to participate just as he did before the diagnosis. It is important to encourage the boy to maintain a normal lifestyle and not feel limited by his condition.

Question 13

A new school counselor asks the school nurse to present an educational program for the parents of young adolescents.Which of the following would be a priority for inclusion into the program? Select all that apply.

Accepted Answer

Signs and symptoms of depression and substance abuse as well as signs and symptoms of substance abuse are important topics to address as they can have a significant impact on young adolescents and their families. Opportunities available in the community to promote physical activity and driver's education classes are important topics as well, but they may not be as pressing concerns as the others. The current clothing styles of their children is not a priority topic for an educational program aimed at parents of young adolescents.

Question 14

An adolescent who recently moved to a new school in a different town presents to an ambulatory care center and describes the following: "I have no friends in my new school,and I no longer want to go to college.I know I will be lonely there,too." Which of these takes priority when speaking with the adolescent?

Accepted Answer

The priority in this situation is to address the adolescent's mental health and well-being, which is indicated by their feelings of loneliness and lack of desire to attend college. It is important to explore and address the reasons behind these feelings and potentially refer the adolescent to a mental health professional for further support. While post-secondary education and maintaining a close relationship with parents are important considerations, they should not take priority over addressing the adolescent's current mental health concerns.

Question 15

The nurse is caring for a postoperative 14-year-old female on the pediatric unit.Which consideration is most significant in planning care for this child?

Accepted Answer

For a 14-year-old, the most significant consideration in planning care is that they are learning to become independent. This means they will want to participate in their own care, make decisions, and have control over their environment. It is important to involve them in the planning and decision-making process while also providing guidance and support. It is not safe to assume that the child will want her mother with her at all times or that she will be unconcerned with her body image. While missing school may seem like a benefit, it is not a significant consideration in planning care.

Quiz 38: Health Promotion and Maintenance: the Adolescent