Question 1

Which ethnicity allows the adolescent female to begin courting at the age of 15 after the "quince party"?

Accepted Answer

Cuban American females are allowed to begin courting at the age of 15 after the "quince party".

Question 2

The nurse is conducting a health maintenance visit for a 10-year-old patient. The patient's mother states, "My daughter has missed a lot of school this year." Which assessment questions are appropriate to determine whether a school phobia is the reason for this absenteeism? Select all that apply.

Accepted Answer

These questions assess for physical symptoms that may be associated with school phobia, such as headaches and feeling better later in the day.

Question 3

The nurse is providing education to a young adolescent male patient. Which should the nurse include in the educational session regarding nocturnal emissions?

Accepted Answer

Nocturnal emissions, often referred to as "wet dreams," are a normal part of male puberty and typically begin about a year after the penis starts to enlarge, indicating increased activity in the reproductive system. This is a natural developmental stage and does not indicate a problem with the reproductive system or sterility.

Question 4

When assessing the hearing of a school-age child, the nurse notes a deficit. Which is a possible reason for cochlear damage that could be causing this finding?

Accepted Answer

Ear bud use with MP3 player can cause cochlear damage due to prolonged exposure to loud noise.

Question 5

The nurse is conducting a health maintenance physical for a school-age patient. Which finding in the family medical history would necessitate the need for further evaluation if the patient would like to participate in soccer?

Accepted Answer

A family history of early heart disease, such as a father dying of a massive heart attack at a young age (34 years), could indicate a genetic predisposition to cardiovascular problems. This necessitates further evaluation to ensure the safety of the child participating in physically demanding sports like soccer.

Question 6

The nurse is conducting a review of systems during the health history interview for an adolescent patient. Which questions are appropriate during the integumentary portion of the assessment? Select all that apply.

Accepted Answer

Questions B, C, and D are appropriate for assessing the integumentary system. B inquires about acne treatment, C asks about piercings which can affect skin health, and D addresses tanning bed use which impacts skin condition.

Question 7

The nurse conducts health maintenance visits for an adolescent female. In which situation would the nurse recommend a pelvic examination and Pap smear?

Accepted Answer

The answer of The nurse conducts health maintenance visits for...

Question 8

Which has the most influence on the adolescent?

Accepted Answer

Peers have the most influence on adolescents, as this is the stage where individuals start to seek independence from their parents and value the opinions and acceptance of their peers more highly. This influence can affect various aspects of an adolescent's life, including interests, behavior, and personal development.

Question 9

The nurse is conducting a health maintenance assessment for an 11-year-old patient. Which immunization does the nurse anticipate administering based on the patient's age?

Accepted Answer

At 11 years old, the Tdap vaccine (tetanus, diphtheria, and pertussis booster) is typically recommended as part of routine immunizations.

Question 10

The nurse is conducting a nutrition assessment for an adolescent female patient. Which questions are appropriate for the nurse to ask during this assessment? Select all that apply.

Accepted Answer

The answer of The nurse is conducting a nutrition assessment...

Question 11

The nurse is conducting a health maintenance assessment for a 6-year-old patient. Which vaccine does the nurse anticipate as needed based on the patient's age?

Accepted Answer

The Polio vaccine is typically administered to children at ages 2 months, 4 months, 6-18 months, and a booster dose at 4-6 years, making it the anticipated vaccine for a 6-year-old patient based on the standard immunization schedule.

Question 12

Which term is used to describe the cognitive development that occurs during adolescence?

Accepted Answer

Formal operations is the term used by Jean Piaget to describe the stage of cognitive development that occurs during adolescence, where individuals develop the ability to think abstractly, logically, and systematically.

Question 13

The nurse is assessing a school-age patient's ability to cope with stress. Which questions are appropriate? Select all that apply.

Accepted Answer

These questions are appropriate as they explore the child's coping mechanisms and activities that help them manage stress and relax.

Question 14

The nurse is conducting a physical assessment during a scheduled health maintenance visit for a school-age child. Which assessment findings support the diagnosis of allergic rhinitis? Select all that apply.

Accepted Answer

Allergic rhinitis is characterized by symptoms such as a chronic runny nose (A), boggy turbinates due to inflammation and congestion (B), and bluish-purple turbinates (D) which indicate chronic allergic inflammation. Red turbinates (C) might indicate acute infection rather than allergy, and enlarged tonsils (E) are more indicative of infection or other conditions, not specifically allergic rhinitis.

Question 15

The nurse is providing care to a Navajo American adolescent patient who states, "I am an adult now in my culture." Which has occurred for the patient to make this statement?

Accepted Answer

In many Navajo traditions, significant life events such as starting menstruation for females are considered rites of passage into adulthood. This event is often marked by ceremonies and is recognized culturally as a transition into adult status, unlike the other options which are more universally recognized milestones but do not specifically signify adulthood in Navajo culture.

Question 16

The nurse is conducting a health maintenance assessment for an adolescent female. Which medication prescription necessitates the need for counseling about pregnancy prevention?

Accepted Answer

Accutane (isotretinoin) is known to cause severe birth defects if taken during pregnancy, necessitating strict pregnancy prevention counseling before and during its use.

Question 17

An adolescent patient states, "I am interested in a contraception implant." Which will the nurse include in the teaching session based on this statement?

Accepted Answer

Norplant is a contraceptive implant, which is what the patient has expressed interest in. The other options listed are different forms of contraception: Ortho-Novum 777 is an oral contraceptive pill, Depo-Provera is an injectable contraceptive, and the diaphragm is a barrier method of contraception.

Quiz 17: Assessing the School-Age Child and Adolescent