Question 1

The parent of an adolescent reports noting cutting marks on the teen's arms
and asks the primary care pediatric nurse practitioner what it means. What will the nurse practitioner tell this parent?

Accepted Answer

Cutting is often a coping mechanism for emotional distress and is a sign that the adolescent may need help managing their emotions. It is important for the parent and healthcare provider to address the underlying emotional issues and provide appropriate support and resources.

Question 2

During a well child assessment of a 13­year­old male, the primary care
pediatric nurse practitioner notes small testicles and pubic and axillary hair. To further evaluate these findings, the nurse practitioner will ask the patient about

Accepted Answer

D

Question 3

The primary care pediatric nurse practitioner is performing a well child
assessment on a 13­year­old female whose mother asks when her daughter's periods may start. Which information will the nurse practitioner use to help estimate the onset of periods?

Accepted Answer

The age of thelarche (breast development) typically precedes the onset of menstruation by about 2-2.5 years. Therefore, knowing the age at which the patient started breast development can provide an estimate of when she may start menstruating. The age of the mother's menarche, adrenarche, and linear growth are not as directly correlated with the onset of menstruation in the patient.

Question 4

The parent of a 14­year­old child tells the primary care pediatric nurse
practitioner that the adolescent has expressed a desire to be a vegetarian, is refusing all meat served at home, and wants the family to eat vegetarian meals. What will the nurse practitioner tell the parent?

Accepted Answer

The answer of The parent of a 14­year­old child tells...

Question 5

The parent of a 14­year­old child tells the primary care pediatric nurse
practitioner that the child skips classes frequently in spite of various disciplinary measures, such as grounding and extra homework and is earning Cs and Ds in most classes. What will the nurse practitioner recommend?

Accepted Answer

The answer of The parent of a 14­year­old child tells...

Question 6

The primary care pediatric nurse practitioner is performing a well child exam
on a 12­year­old female who has achieved early sexual maturation. The mother reports that she spends more time with her older sister's friends instead of her own classmates. What will the nurse practitioner tell this parent?

Accepted Answer

Research has shown that early­maturing girls who associate with older groups of peers are more likely to engage in sexual activity at an earlier age. It is important to educate the parent on this potential risk and offer strategies to help their daughter find appropriate peer groups.

Question 7

The primary care pediatric nurse practitioner is performing a well child exam
on a 17­year­old female whose mother is present during the history. The mother expresses concern that her daughter wishes to have an eyebrow piercing and states that she is opposed to the idea. What will the nurse practitioner do?

Accepted Answer

The nurse practitioner should provide information about piercings and encourage continued discussion. It is important to acknowledge the adolescent's desire for self-expression and provide information on the risks and benefits of the procedure, while also considering the mother's concerns. The decision ultimately lies with the adolescent, but continued discussion and education can help her make an informed decision. Reminding the adolescent that her mother is responsible for her health ignores the adolescent's autonomy and may not be helpful in resolving the conflict. Stating that piercings are relatively harmless may downplay potential risks such as infection or scarring. Suggesting that she wait until she is 18 years old and can make her own decisions may not address the current conflict and may not take into account the adolescent's desire for self-expression.

Question 8

The parent of a 16­year­old tells the primary care pediatric nurse practitioner
that the teen was recently caught smoking an electronic cigarette (e­cigarette). What will the nurse practitioner tell this parent?

Accepted Answer

Studies have shown that e-cigarette use may be a risk factor for later substance abuse. The National Institute on Drug Abuse reports that teens who use e-cigarettes are more likely to try traditional cigarettes in the future. The nurse practitioner should discuss these risks with the parent and offer resources for smoking cessation and substance abuse prevention.

Question 9

The mother of a 16­year­old male was recently divorced after several years
of an abusive relationship and tells the primary care pediatric nurse practitioner that the adolescent has begun skipping school and hanging out with friends at the local shopping mall. When she confronts her child, he responds by saying that he hates her. What will the nurse practitioner tell this mother?

Accepted Answer

The answer of The mother of a 16­year­old male was...

Question 10

The primary care pediatric nurse practitioner is performing an exam on an
adolescent male who asks about sexual identity because of concern that a friend is worried about being gay. Which response will the nurse practitioner make in this situation?

Accepted Answer

As a healthcare provider, the primary care pediatric nurse practitioner has a duty to maintain confidentiality unless there is a risk to the patient or others. Therefore, telling the adolescent that his sexuality preferences will be kept confidential is the best choice. Providing a questionnaire to gain information about his sexuality may make the adolescent uncomfortable or unwilling to discuss further. Reminding the adolescent of mandatory reporting to parents may deter him from seeking healthcare in the future. Suggesting that he discuss sexual concerns with his parents may not be appropriate in every case as not all parents are supportive or accepting of their child's sexuality.

Question 11

The mother of a 15­year­old adolescent female tells the primary care
pediatric nurse practitioner that her daughter has extreme mood swings prior to her periods, which the adolescent vehemently denies. When asked if she notices anything different just before her periods, the adolescent points to her mother and says, "She gets really hard to live with." This demonstrates which characteristic of adolescent thinking?

Accepted Answer

This scenario demonstrates the characteristic of apparent hypocrisy, which is when adolescents give contradictory responses or behave in ways that contradict their stated beliefs or values. The adolescent in this case denies having mood swings prior to her period but points to her mother as the one who becomes difficult to live with.

Question 12

The primary care pediatric nurse practitioner is examining a 15­year­old
female who reports having her first period at age 13. She states that she has had five periods in the last year, with the last one 2 months prior. She participates in basketball at school.
Which action is correct?

Accepted Answer

The answer of The primary care pediatric nurse practitioner is...

Quiz 8: Developmental Management of Adolescents

The parent of an adolescent reports noting cutting marks on the teen's arms and asks the primary care pediatric nurse practitioner what it means. What will the nurse practitioner tell this parent?

During a well child assessment of a 13yearold male, the primary care pediatric nurse practitioner notes small testicles and pubic and axillary hair. To further evaluate these findings, the nurse practitioner will ask the patient about

The primary care pediatric nurse practitioner is performing a well child assessment on a 13yearold female whose mother asks when her daughter's periods may start. Which information will the nurse practitioner use to help estimate the onset of periods?

The parent of a 14yearold child tells the primary care pediatric nurse practitioner that the adolescent has expressed a desire to be a vegetarian, is refusing all meat served at home, and wants the family to eat vegetarian meals. What will the nurse practitioner tell the parent?

The parent of a 14yearold child tells the primary care pediatric nurse practitioner that the child skips classes frequently in spite of various disciplinary measures, such as grounding and extra homework and is earning Cs and Ds in most classes. What will the nurse practitioner recommend?

The primary care pediatric nurse practitioner is performing a well child exam on a 12yearold female who has achieved early sexual maturation. The mother reports that she spends more time with her older sister's friends instead of her own classmates. What will the nurse practitioner tell this parent?

The parent of a 16yearold tells the primary care pediatric nurse practitioner that the teen was recently caught smoking an electronic cigarette (ecigarette) . What will the nurse practitioner tell this parent?

The primary care pediatric nurse practitioner is performing an exam on an adolescent male who asks about sexual identity because of concern that a friend is worried about being gay. Which response will the nurse practitioner make in this situation?

The primary care pediatric nurse practitioner is examining a 15yearold female who reports having her first period at age 13. She states that she has had five periods in the last year, with the last one 2 months prior. She participates in basketball at school. Which action is correct?

Quiz 8: Developmental Management of Adolescents

The parent of an adolescent reports noting cutting marks on the teen's arms and asks the primary care pediatric nurse practitioner what it means. What will the nurse practitioner tell this parent?

During a well child assessment of a 13­year­old male, the primary care pediatric nurse practitioner notes small testicles and pubic and axillary hair. To further evaluate these findings, the nurse practitioner will ask the patient about

The primary care pediatric nurse practitioner is performing a well child assessment on a 13­year­old female whose mother asks when her daughter's periods may start. Which information will the nurse practitioner use to help estimate the onset of periods?

The parent of a 14­year­old child tells the primary care pediatric nurse practitioner that the adolescent has expressed a desire to be a vegetarian, is refusing all meat served at home, and wants the family to eat vegetarian meals. What will the nurse practitioner tell the parent?

The parent of a 14­year­old child tells the primary care pediatric nurse practitioner that the child skips classes frequently in spite of various disciplinary measures, such as grounding and extra homework and is earning Cs and Ds in most classes. What will the nurse practitioner recommend?

The parent of a 16­year­old tells the primary care pediatric nurse practitioner that the teen was recently caught smoking an electronic cigarette (e­cigarette) . What will the nurse practitioner tell this parent?