Question 1

Nurses working with adolescents should encourage the adolescents to assume more of the responsibility for their healthy behaviors. To promote this personal responsibility, the nurse will want to provide adolescents with information about which health promotion activities?

Accepted Answer

Self-breast exams and self-testicular exams are important health promotion activities for adolescents to learn, as they can help detect early signs of breast or testicular cancer. Encouraging adolescents to take responsibility for their own health includes educating them about these self-exams. The other options (immunizations, communicable diseases, and family meals) are also important health promotion topics, but they may not directly involve personal responsibility in the same way as self-exams.

Question 2

An adolescent is being seen in the clinic to discuss health promotion behaviors. The nurse develops and implements a health promotion plan. What will the nurse include in the evaluation of the plan?

Accepted Answer

The nurse should evaluate the effectiveness of the health promotion plan and determine methods to expand and sustain approaches that were successful. This allows for ongoing improvement of the plan and can lead to better outcomes for the adolescent. While advice on promoting health behaviors and information on attitude toward health may be components of the plan, they are not sufficient for evaluating its effectiveness. Instruction on what is considered healthy behavior may be important in developing the plan, but it does not evaluate its outcomes.

Question 3

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 takes priority when speaking with the adolescent?

Accepted Answer

Promoting healthy mental health outcomes takes priority in this situation. The adolescent is displaying signs of loneliness and hopelessness, which are possible indicators of depression. It is crucial to address these feelings before discussing other potential issues such as the importance of postsecondary education or strategies for making friends at a new school. By addressing the adolescent's mental health needs first, they may be better able to focus on building social connections and planning for their future.

Question 4

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 is an issue that should be addressed when the parents are not present as it may be uncomfortable or unsafe for the adolescent to discuss in front of their parents. It is important for the nurse to ensure the safety of the adolescent and provide appropriate resources if needed. The other options may be discussed in the presence of parents, as it pertains to the family dynamic.

Question 5

An obese adolescent who adamantly denies sexual activity has a positive pregnancy test. Which statements would be most appropriate for the nurse to make to this adolescent?

Accepted Answer

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

Question 6

A mother reports that her adolescent daughter is always late. The mother states, "She was born late and has been late every day of her life." Which response should the nurse make to this mother?

Accepted Answer

The nurse should provide a helpful suggestion to the mother by recommending specific strategies to assist her daughter in being more punctual. One helpful strategy is to use alarms and reinforce the value of being on time.

Question 7

The school nurse is working with an adolescent who reports that he gets six hours or less of sleep at night. The nurse explains to the adolescent that some of the common consequences of inadequate sleep include: Standard Text: Select all that apply.

Accepted Answer

Inadequate sleep can result in increased risk of automobile accidents when driving, moodiness, and difficulty performing well at school. Hyperactivity and increased nocturnal emissions are not common consequences of inadequate sleep.

Question 8

The eating disorders clinic sees a number of overweight adolescent girls. In addition to monitoring these adolescents for the health problems related to obesity, the nurse will monitor the girls for which mental health problem?

Accepted Answer

Overweight adolescent girls are at increased risk for developing negative self-esteem and body image issues, which can contribute to the development of eating disorders. Therefore, the nurse should monitor the girls for signs of negative self-esteem and intervene as necessary to provide support and guidance for healthy body image and self-esteem. While substance abuse, school phobia, and spiritual distress are all important mental health concerns, they are not specifically related to the risks facing overweight adolescent girls.

Question 9

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 which screening for all teenagers?

Accepted Answer

Scoliosis is a common screening performed on all teenagers, as it is a spinal deformity that occurs frequently during adolescence. Respiratory rate and chest X-rays are not typically part of routine screenings for all teenagers, and the Hepatitis B profile may be recommended only for those at higher risk of the infection.

Question 10

The nurse is speaking with a group of adolescents about what can happen when having unprotected sex. The nurse understands that to communicate effectively with teens, the nurse must:

Accepted Answer

Allowing for discussion and peer involvement is the most effective way to communicate with adolescents about sensitive topics such as sex. This helps create a safe and non-judgmental space for teens to ask questions, share their experiences, and learn from one another. Personal opinions and religious beliefs can be polarizing and may not be appropriate to share in a group setting. Lecturing without any discussion can be ineffective and may not engage teens in the conversation.

Question 11

A school nurse is performing annual height and weight screening. The nurse notes that three females who are close friends each lost 15 pounds over the past year. The priority nursing action is to:

Accepted Answer

The priority nursing action when an adolescent loses a significant amount of weight is to assess their nutritional history. This can help determine if the weight loss was intentional and healthy or if there are underlying health concerns such as an eating disorder. Referral to a school psychologist or discussing eating patterns with parents may also be necessary, but obtaining a nutritional history should be the first step. Group discussion about problems associated with anorexia nervosa may not be appropriate if the weight loss was not due to an eating disorder.

Question 12

An adolescent comes to the clinic because of a concern with a skin lesion, and he is accompanied by a parent. When the adolescent is called back to the exam room, the parent comes with the adolescent. What approach by the nurse would be most appropriate?

Accepted Answer

Reassuring the parent that their concerns and questions will be addressed is a respectful and inclusive approach. It acknowledges the parent's interest in the adolescent's health while also respecting the adolescent's privacy and autonomy.

Question 13

The nurse is preparing to see an adolescent patient to assess his relationships with others. What should the nurse do when conducting this assessment?

Accepted Answer

Providing separate time to communicate with both the adolescent and the parents allows for a more thorough assessment of the adolescent's relationships with others. It also respects the adolescent's privacy and autonomy.

Question 14

An adolescent reports that after hearing about all the hazards of cigarette smoking, he has changed to chewing tobacco. The nurse will want to inform that adolescent of the risk factors associated with smokeless tobacco, including: Standard Text: Select all that apply.

Accepted Answer

Smokeless tobacco, such as chewing tobacco, does not cause lung cancer or emphysema because it is not inhaled into the lungs. However, it can still lead to nicotine addiction, various mouth cancers, and mouth ulcers due to the direct contact of the tobacco and its chemicals with the mucous membranes of the mouth.

Question 15

What would be the best way for the nurse to teach adolescents regarding health promotion and health maintenance?

Accepted Answer

Having adolescents identify a personal health goal allows them to take ownership of their health and sets the foundation for behavior change. It also helps to make the information more relevant and applicable to their lives. Contacting parents or asking counselors may not be the most effective way to engage and teach the adolescents directly. Telling them what will be included in the lecture does not give them an opportunity to actively participate in the learning process.

Question 16

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

Accepted Answer

According to the American Academy of Pediatrics, routine health supervision visits are recommended annually for adolescents. During these visits, the focus should be on preventive care, including screening for health concerns, immunizations, and health education. As the patient's last physical examination was within the year, the nurse can use this visit as a health supervision opportunity to discuss any health concerns and provide education on healthy behaviors. While discussions about exercise, birth control, and postsecondary education may be important, they may not be relevant to this particular patient's needs at this time.

Question 17

An adolescent is visiting the clinic for the first time. What should the nurse keep in mind when attending to this patient?

Accepted Answer

Adolescents may be apprehensive and nervous about visiting the clinic for the first time. They may not be familiar with the procedures, and it is essential to explain them and introduce personnel to make them feel comfortable. It is also important to create a welcoming and non-judgmental environment where adolescents can express their opinions and concerns. Rushing them through the appointment or assuming they are comfortable may further exacerbate their anxiety.

Question 18

A teenager is accompanied by his mother to the annual physical examination. The nurse is aware of privacy issues related to the teenager. While the mother is in the room, which topic should the nurse avoid?

Accepted Answer

Cigarette smoking is a personal behavior that the teenager may not want to disclose in front of their mother. It is important to respect the teenager's privacy and create a safe and confidential space for them to share any sensitive information.

Question 19

While completing the health history of a 15-year-old girl, the nurse learns that the girl is sexually active. Based on this finding, the nurse will screen for which conditions? Standard Text: Select all that apply.

Accepted Answer

Sexually active individuals are at risk for sexually transmitted infections (STIs), including Herpes simplex virus, Gonorrhea, and Chlamydia. Impetigo is a bacterial skin infection, and Mononucleosis is typically spread through saliva, not sexual contact.

Question 20

The school nurse is performing health screenings during the physical education class. The nurse plans to weigh, measure, and determine body mass index of the adolescents. The scale has been set up in the open gym to speed the process. What should the nurse do to maintain confidentiality of the findings?

Accepted Answer

Providing a privacy screen and having the health aid record the findings directly on the record is the best choice to maintain confidentiality of the findings. This allows the students to have privacy while being measured and avoids the need for a student worker or volunteer to handle the confidential information.

Quiz 13: Health Promotion and Maintenance of the Adolescent