GDHW6
Which statement by the practicing nurse indicates the need for additional teaching about communication with adolescents?
"I will ask closed-ended questions."
A nurse is planning care for a group of hospitalized children. Which age group does the nurse anticipate will have the greatest problem with separation anxiety?
6 to 30 months
Which vaccination is given to young children to provide protection against tetanus and diphtheria but not pertussis?
DT
A 13-year-old child states, "I don't know if I want to go to college or start working after high school." Which stage of psychosocial development is indicated by this child's uncertainty?
Identity vs. role confusion
A nurse is caring for an adolescent in labor an hour after she was admitted to the birthing unit. The adolescent is anxious and tense. She cries during contractions and asks the nurse for epidural anesthesia. The nurse obtains the adolescent's current vital signs and reviews her history and admission information. What nursing interventions are essential before epidural anesthesia is administered? Select all that apply.
Performing a baseline vaginal examination Telling the adolescent what to expect with each procedure Identifying risk factors that contraindicate epidural anesthesia
Which topic would be most appropriate for health education for adolescents?
Safe sexual practices
The nurse is interacting with the parent of a male adolescent and interprets that the adolescent is in the fourth stage of Piaget's cognitive development theory. Which statement made by the parent supports the nurse's conclusion?
"My child yells at me when I forbid him from attending any late night parties."
When planning discharge teaching for a young adult, the nurse should include the potential health problems common in this age group. What should the nurse include in this teaching plan?
Accidents, including their prevention
Which condition is more common in adolescent girls than boys?
Anorexia nervosa
The parents of an overweight adolescent girl tell the nurse that they are concerned that their daughter feels inferior to her sister, who is an attractive, successful college senior. They ask the nurse what they can do about this problem. What should the nurse do?
Encourage the parents to give the adolescent recognition for her strong points
A nurse is caring for a 20-year-old client. According to Erikson's developmental psychosocial theory, what is expected by 20 years of age?
Having a coherent sense of self and plans for self-actualization
A nurse concludes that a 6-year-old child who has attained an acceptable level of psychosocial development has achieved Erikson's developmental conflicts related to trust, autonomy, and what?
Initiative
A nurse is evaluating a young adult for evidence of achievement of the age-related developmental stage set forth in Erikson's developmental theory. What developmental crisis is associated with this age group?
Intimacy versus isolation
According to Erikson, a young adult must accomplish the tasks associated with which stage?
Intimacy versus isolation
A nurse in the family planning clinic reviews the health history of a sexually active 16-year-old girl whose chief concern is a thick, burning discharge accompanied by a burning sensation and lower abdominal pain. After an examination the girl is informed that she may have a sexually transmitted infection (STI) that requires treatment. The adolescent is concerned that her parents will discover that she has been sexually active and asks the nurse whether her parents will be contacted. The nurse explains that her parents will what?
Not be contacted, because treatment at the clinic is confidential
After orthopedic surgery a 15-year-old adolescent reports pain and rates it a 5 on a scale of 0 to 10. A nurse administers the prescribed 5 mg of oxycodone every 3 hours as needed. Two hours after having been given this medication, the adolescent reports pain and rates it a 10 of 10. What action should the nurse take first?
Request that the health care provider evaluate the need for additional medication
What should the nurse consider when obtaining an informed consent from a 17-year-old adolescent?
The client may or may not be allowed to give consent.
An adolescent sustains a sports-related fracture of the femur, and open reduction and internal fixation with a rod insertion is performed. After the surgery, a nurse notes that the adolescent is very upset. In light of the client's developmental level, what does the nurse conclude is the mostlikely explanation for this distress?
The perception that the rod is a body intrusion
A nurse is planning to discuss the importance of following the prescribed course of treatment with a group of adolescent clients. What is the nurse's priority consideration regarding these clients?
They are involved more with the present than with the future.
When presenting a workshop on adolescent suicide, a community health nurse identifies which risk factors? Select all that apply.
Victim of family violence Dependence on alcohol, drugs, or both Uncertainty related to sexual orientation Repeated demonstration of poor impulse control
