Growth and Development: Adolescents

Which initial indication of puberty in males is identified correctly by the nurse? 1. Testicular enlargement 2. Facial hair 3. Pubic hair 4. Increased size of penis

1

A nurse is providing care to a 14-year-old adolescent post-operatively. What is most significant in planning care for this child? 1. A child this age will miss being in school the most 2. A child this age will only want to be with their parents while in hospital 3. A child this age will be concerned about privacy 4. A child this age is learning to be independent with activities

3

When performing a physical assessment on a hospitalized adolescent, how should the nurse best protect their privacy? 1. Perform the physical assessment on the client over their clothes 2. Wait until there is no one else in the room to perform the physical assessment 3. Ask the physician to perform the physical assessment 4. Ask pertinent questions making sure to address the adolescent first, then, politely ask parents and visitors to step out of the room momentarily in order to complete the physical assessment

4

Which of the following does the nurse correctly identify as the leading cause of mortality in adolescents? 1. Homicide 2. Suicide 3. Cardiac disease 4. Motor vehicle accidents

4

The nurse is performing a sexuality assessment on a 16-year-old adolescent female. What safe sex practices should the nurse assess for? Select all that apply. 1. Sexually transmitted infections (STIs) 2. Birth control options 3. Abstinence 4. Number of partners 5. Pregnancy

1, 2, 3, 4

The nurse demonstrates understanding of which hormones levels are increased during puberty when an adolescent has which hormones tested? Select all that apply. 1. Estrogen 2. Adrenocorticotropic hormone (ACTH) 3. Antidiuretic Hormone (ADH) 4. Androgens 5. Progesterone

1, 4, 5

What is an important concept for a school nurse to consider when planning a class on injury prevention for adolescents? 1. The topic should be general and brief because adolescents usually do not take a lot of risks. 2. Present the material in a way that allows the adolescent to imagine long-term consequences of not protecting oneself from injury. 3. Have the teens discuss the topic with their primary care provider 4. Have the teens watch an education video

2

The nurse is using the CRAFFT screening tool. Which adolescent should the nurse assess with this tool? 1. One who vomits and fasts after overeating 2. A teenager who needs health promotion activities 3. A teenager who is being cyberbullied 4. One who drinks beer every other weekend

4

The nurse is caring for an adolescent who has been hospitalized for an acute condition. What roles/boundaries should the nurse establish when caring for this client? Select all that apply. 1. Be a friend 2. Be respectful 3. Use judgment 4. Develop trust 5. Use humor

2, 4, 5

A 14-year-old female is seen in an outpatient clinic and asks about losing weight. The nurse assesses the client and notes that the client has progressively lost weight in the past six months and is now plotting on the 10th percentile on the weight by age growth chart. What is the nurse's best response to this client? 1. "You are already thin enough and do not need to lose any weight." 2. "Why do you want to lose weight?" 3. "Tell me more about how you are feeling about your body's appearance." 4. "You should speak with a psychologist about your obsession with losing weight."

3

The nurse is admitting an adolescent to the hospital for an acute condition. What should the nurse do to optimize the environment of care? 1. Leave the equipment out for view, so the adolescent can feel like they are apart of their care. 2. Group the adolescent with adults to give them a sense of independency. 3. Allow the adolescents to leave the unit if their condition allows it. 4. Offer only board games or age-appropriate magazines so that the adolescent doesn't exhaust themselves.

3

An adolescent female who has just started her menses is concerned about gaining weight now that she is a teenager. What is the best response by the nurse? 1. "You should avoid salty foods when you have your period. This will help you from gaining water weight." 2. "You should not worry about gaining weight. Teenagers don't eat enough food. You should eat what you want." 3. "Tell me more about what you are experiencing. What is leading you to feel like you are gaining weight?" 4. "You should talk to your mother about what worked for her when she was your age."

3

The nurse is caring for an adolescent who weighs 110 pounds (50 kilograms, kg). Which assessment findings should the nurse report as abnormal? Select all that apply. 1. Heart rate is 50 beats per minute. 2. Blood pressure is 130/60. 3. Daily fluid intake is 1,800 milliliters (mL). 4. Hourly urine output is 30 mL. 5. Cholesterol level is 150 mg/dL (3.88 mmol/L).

1, 2, 3,

A school nurse notes that three females who are close friends each lost nearly 20 pounds recently. What is the priority nursing action in this situation? 1. Tell the girls that they will need to have their weights monitored weekly from now on 2. Interview and assess each of the girls privately and obtain a nutritional history 3. Notify each of the girl's pediatricians of the situation 4. Inform each of their parents of the situation

2

The nurse is assessing an adolescent who states, "I think I might be gay." The nurse knows that what is true of lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youths in comparison to heterosexual youth? 1. They perform worse in school 2. They are more likely to experience psychiatric problems 3. They are less likely to fall in love in school 4. More likely to experience emergence of sexual feelings

2

Which age group is the most often screened for idiopathic scoliosis? 1. Ages 2 - 4 2. Ages 10 - 12 3. Ages 15 - 16 4. Ages 18 - 20

2

The nurse is seeing a 16-year-old female who says she is pregnant. The client expresses she wants to keep the child. How should the nurse respond? Select all that apply. 1. Educate the client about options, such as adoption and terminating the pregnancy. 2. Assist the client in finding an appropriate healthcare provider. 3. Encourage the attendance of parenting classes. 4. Assess feelings about the pregnancy. 5. Provide adoption agency information or a skilled provider specializing in abortion.

2, 3, 4,

An adolescent is seen in the outpatient clinic for an annual physical examination and is with her mother. Which questions should the nurse ask when the mother steps out of the room? Select all that apply. 1. "Do you like school?" 2. "Have you ever tried or used drugs?" 3. "Are you sexually active?" 4. "Do you play sports?" 5. "Have you ever tried alcohol?"

2, 3, 5

Which statements are true regarding the use of complimentary/alternative medicines (CAM) and adolescents? Select all that apply. 1. Teens do not use CAM therapies often. 2. CAM therapies may utilize in the adolescent and their families. 3. Preferences for specific kinds of CAM therapies may become apparent during the adolescent phase of life 4. CAM therapy is only used with adolescents with a chronic illness. 5. CAM therapy usage needs to be assessed with every patient during every admission.

2, 3, 5

When examining an adolescent, which action by the nurse would be most appropriate? Select all that apply. 1. Allow child to participate in the examination 2. Respect the client's privacy at all times 3. Ask all questions directly to the parents 4. Speak with the adolescent directly 5. Ask the physician to accompany them while examining the adolescent

2, 4

A nurse is providing anticipatory guidance to a parent of an adolescent about injury prevention. Which statement, when made by the parent, indicates they understand the teaching? 1. "I will make sure that my teen sits in a booster seat in the car." 2. "I will keep all medications out of reach." 3. "I will make sure that my teen does not stay up past 10pm every night." 4. "I will have ongoing conversations with my teen about rules they will need to follow when they begin to drive."

4

According to Kohlberg's theory of moral development, the nurse knows that adolescents tend to engage in which behavior? 1. Depend on friends in times of crisis 2. Base their value system on that of their family 3. Socialize in co-ed cliques 4. Explore gender roles

4

An adolescent male states "I want to be a police officer just like my father." This adolescent is demonstrating which stage of development according to Erikson? 1. Autonomy vs. Shame 2. Industry vs. Isolation 3. Intimacy vs. Isolation 4. Identity vs. Role confusion.

4

The nurse demonstrates understanding of what a positive Russell's sign is by further assessing an adolescent for which condition(s)? 1. Neuromuscular problems 2. Developmental delay 3. Failure to thrive 4. Bulimia

4

The nurse is teaching a group of adolescents about nutrition. Which statement should the nurse include in the teaching? 1. "It is recommended that most adolescent girls and boys consume 2,800 calories per day." 2. "It is recommended that that dietary supplements are taken in addition to eating healthy to obtain the correct level of vitamins and minerals." 3. "Around 70% of obese adolescents will be obese as adults." 4. "Obesity in adolescence puts you at risk for hypertension and type II diabetes."

4

The nurse knows that developmental changes affect medication absorption, metabolism, and elimination. What should the nurse keep in mind when prescribing a medication to an adolescent? 1. The nurse can rely on symbols or phrases to warn adolescents of medicine-related risks. 2. After puberty, medication metabolism increases to adult levels. 3. Most medications are metabolized slower by a client in puberty. 4. The adolescent understands medication warnings best when informed verbally by the healthcare personnel.

4

When performing the physical examination for an adolescent, the nurse must perform which of the following actions? 1. Address questions to the parent of the adolescent 2. Focus on the negative aspects of the individual because those are the most important to address during the visit 3. Use slang for reference to anatomical body parts 4. Inform the adolescent of your actions and explain the rationales

4

Which is considered one of the best strategies for preventing smoking in teenagers? 1. Provide long term consequences of smoking 2. Showing pictures of lungs in people who smoked for years 3. Involve the teen's parents in a discussion about not smoking 4. Provide social and peer related media about unhealthy consequences of smoking

4