adolescents G& D
the school nurse recognizes that pubertal delay in boys is considered if no enlargement of the testes or scrotal changes have occurred by what age
13 1/2 - 14 yrs
the nurse recognizes that pubertal delay in girls is considered if breast development has not occurred by which age
13 years
the clinic nurse is evaluating a patent w a vaginal infection. the nurse knows that the normal vaginal pH is in which range
4-5
the clinic nurse is evaluationg an adolescent w menses that have stopped occurring. the nurse understands that which minimum amount of time should the menses be absent after a period of menstruation to be diagnoses as secondary amenorrhea
6 months
after a treatment plan for acne has been initiated which time period should the nurse explain to an adolescent before improvement will be seen
6-8 weeks
the school nurse recognizes that adolescents should get how many hrs of sleep each night
9 hrs
an adolescent girl asks the school nurse for advice because she has dysmenorrhea. she says that a friend recommended she try an over the counter NSAID. the nurses response should be based on what
NSAIDs are effective because they inhibit prostaglandins leading to reduction in uterine activity
the nurse is presenting an educational program to a group of parents about differences between anorexia nervosa and buliia nervosa at a community outreach program. what statement by a parent would indicate a need for additional teaching
a child w anorexia nervosa is usually sexually active & seeks intimacy, but a child w bulimia avoids intimacy and is usually not sexually active
the development of sexual orientation during adolescence is what
a devleopmental process
the school nurse is teaching a class on injury prevention. what should be included when discussing firearms
adolescence is the peak age for being a victim or offender in the case of injury involving a firearm
whats an important consideration for the school nurse planning a class on injury prevention for adolescents
adolescents need to discharge energyy often at the expense of logical thinking (play sports)
what menstrual disorders are indications for a pelvic exam
amenorrhea, irregular uterine or vaginal bleeding, dysmenorrhea unresponsive to therapy
an adolescent girl tells the nurse that she's very suicidal. the nurse asks her if she has a specific plan. how should asking about a specific plan be viewed
an appropriate part of the assessment
what are characteristics of middle adolescence (15-17 yrs) w regard to relationships w peers
behavioral standards set by peer group, acceptance of peers extremely important, exploration of ability to attract opposite sex
whats the most descriptive of the spiritual development of older adolescnets
beliefs become more abstract
in girls whats the initial indication of puberty
breast developmetn
the nurse is assessing the tanner stage in an adolescent female. the nurse recognizes that the stages are based on which
breast size & the shape and distribution of pubic hair
the clinic nurse is assessing an adolescent on a topical antibacterial agent. the nurse should assess for which side effects that can be seen w topical antibacterial agents
burning, dryness, erythema
parents of an adolescent ask the school nurse is it ok for our adolescent to get a job? the nurse should answer telling the parents the effect of adolescents who work more than 20 hrs a week are what
can lead to fatigue, can lead to poorer grades, can reduce extracurricular involvement
what aspects of cognition develop during adolescence
capability of using a future time perspective
its important that women w anogenital warts caused by HPV receive adequate treatment because this sexually transmitted infection increases the risk of what
cervical cancer
whats true concerning the development of autonomy during adolescence
conformity to both parents & peers gradually declines toward the end of adolescence
what goal is most important when caring for a child w anorexia nervosa
correct malnutrition
the nurse is teaching an adolescent girl strategies to relieve dysmenorrhea. what should the nurse include in the teaching sesion
effleurage, use of heating pad, massaging the lower back
what guidelines should the nurse use when interviewing adolescents
ensure privacy, use open ended questions, begin w less sensitive issues and proceed to more sensitive ones
during the physical exam of an adolescent w significant weight loss what finding may indicate an eating disorder
erosion of tooth enamel
what is a major physical risk for young adolescents during pregnancy
fetopelvic disproportion is a common problem
what method is most commonly used in completed suicides
firearms
what are characteristics of dating relationships in early adolescence
follow ritualized scripts, involve playing stereotypic roles, participation in mixed gender group activities
according to piaget adolescents tend to be in what stage of cognitive development
formal operational thought
what statement is true concerning adolescent suicide
gay and lesbian adolescents are at particularly high risk for suicide
girls experience an increase in weight and fat deposition during puberty. what do nursing considerations related to this include
give reassurance that these changes are normal
what is the usual presenting symptom for testicular cancer
hard painless mass
what behavior is the nurse most likely to assess in an adolescent w anorexia nervosa
has a marked preoccupation w food
the nurse is teaching an adolescent female about the symptoms of premenstrual syndrome (PMS). what symptoms should the nurse include in the teaching session
headaches, fluid retention, emotional changes, premenstrual cravings
an adolescent asks the nurse about the safety of getting a tattoo. the nurse explains to the adolescent that its important to find a qualified operator using proper sterile technique bc an unsterilized needle or contaminated tattoo ink can cause what
hep c, hep b, HIV, mycobacterium chelonae skin infections
the nurse is teaching an adolescent about acne care. what statement by the adolescent indicates a need for further teaching
i will use my antibacterial soap to cleanse my face (should be mild cleanser)
the middle school nurse is planning a behavior modification program for overweight children. whats the most important goal for participants of the program
identify and eliminate inappropriate eating habits
according to erikson the psychosocial task of adolescent is developing what
identity
how does the onset of the pubertal growth spurt compare in girls and boys
in girls it occurs about 1 yr before it appears in boys
what are the risk factors of testicular cancer
infertility, tobacco use, family history
what are characteristics of late adolescence (18-20 yrs) w regard to sexuality
intimacy involves commitment, grwoing capacity for mutuality & reciprocity, may publicly identify as gay lesbian or bisexual
a 16 yr old adolescent boy tells the school nurse that he's gay. the nurses response should be based on what
its important to provide a nonthreatening environment in which he can discuss this
the nurse is teaching an adolescent w PMS dietary measures to relieve the symptoms of PMS> what should the nurse include in the teaching session
limit salt in the diet, include whole grains in the diet, limit consumption of refined sugar
what is true concerning masturbation during adolescence
many girls don't begin masturbation until after they have intercourse
the nurse is caring for an adolescent brought to the hospital w acute drug toxicity. cocaine is believed to be the drug involved. data collection by the nurse should include what info
mode of administration
a 14 yr old boy is normal weight and his parents are concerned about bilateral breast enlargement. the nurses discussion of this should be based on what
most likely part of normal pubertal development
the nurse is teaching an adolescent about social networking and texting on phones. what statement by the adolescent indicates a need for further teaching
my text messaging during class time in school will not cause any disruption
the nurse is caring for children on an adolescent only unit. what growth and development milestones should the nurse expect from 11 & 14 yr old adolescents
no major conflicts w parents, highly value conformity to group norms, secondary sexual characteristics appear
the nurse is teaching a class on obesity prevention to parents in the community. whats a contributing factor to childhood obesity
parental overweight
the nurse is teaching an adolescent female w primary dysmenorrhea foods that are natural diuretics and create discomfort
peaches, asparagus, watermelon
what strategy is considered 1 of the best for preventing smoking in teens
peer led programs emphasizing the social consequences of smoking
descriptions of young ppl w anorexia nervosa often include which criteria
perfecitonist
an adolescent girl calls the nurse at the clinic because she had unprotected sex the night before and doesn't want to be pregnant. what should the nurse explain
postcoital contraception is available to prevent implantation and therefore pregnancy
the school nurse teaches adolescents that the detrimental long term effects of tanning are what
premature aging of the skin, increased risk for skin cancer, possible photo toxic reactions
what is a priority goal in the postpartum care of an adolescent mother
prevention of subsequent pregnancies
the nurse is preparing a pamphlet for parents of adolescents about guidance during the adolescent years. what suggestion should the nurse include in the pamphlet
provide clear reasonable limits & define consequences when rules are broken
many adolescents use alcohol for self medication. how does an adolescent view the benefit of alocohol
provides a defense against depression
the nurses role in facilitating successful childrearing in unmarried teenage mothers includes what
providing info and feedback about positive parenting skills
the school nurse suspects a testicular torsion in a young adolescent student. what action should the nurse take
refer for immediate medical evaluation
a 13 yr old boy comes to the school nurse complaining of sudden & severe scrotal pain. he denies any trauma to the scrotum. whats the most appropriate nursing action
refer him for immediate medical evaluation
a 15 yr old girl tells the school nurse that she hasn't started to menstruate yet. onset of secondary sexual characteristics was about 2 1/2 years ago. the nurse should take which action
refer the adolescent for an evaluation
what statement is true about smoking in college students
regular cigar use is becoming more common
what do nursing responsibilities regarding weight gain for an adolescent w anorexia nervosa include
restore body weight to w/in 10% of the adolescents ideal weight
th nruse is assessing the tanner stage in an adolescent male. the nurse recognizes that the stages are based off what
size & shape of penis & scrotum and distribution of pubic hair
the school nurse recognizes that students who are targeted for repeated harassment and bullying may exhibit what
skip school, attempt suicide, bring weapons to school, report symptoms of depression
during well child visit the nurse practitioner provides guidance about promoting healthy eating in a child who's overweight. what does the nurse advise
slow down eating meals
what is the most significant factor in distinguishing those who commit suicide from those who make suicidal attempts or threats
social isolation
in boys whats the initial indication of puberty
testicular enlargement
the nurse has determined that an adolescents body mass index is in the 90th percentile. what info should the nurse convey to the adolescent
the adolescent is at risk for becoming overweight
adolescents often don't use reasoned decision making when issues such as substance abuse and sexual behavior are involved. whats this because of
they are dealing w issues that are stressful and emotionally laden
what best describes CNS stimulants
they can result in stron psychological dependence
a pregnant 15 yr old adolescent tells the nurse tha tshe didn't use any form of contraception because she was afraid her parents would find out. the nurse should recognize what
this is a frequent reasons given by adolescents
a 12 yr old girl asks the nurse about an increase in clear white odorless vaginal discharge. what response should the nurse give
this is normal before menstruation starts
the nurse is explaining to an adolescent the rationale for administering a Tdap vaccine 3 yrs after the last Td (tetanus) booster. what should the nurse tell the adolescnet
this vaccine will provide pertussis immunity
during a well child visit the nurse plots the childs BMI on the health record. whats the purpose of the BMI
to provide a consistent measure of obesity
what are characteristics of early adolescence (11-14) yrs w regard to identity
trying out various roles, conformity to group norms, reoccupied w rapid body changes
what conditions are physical complications of obesity
type 2 diabetes, fatty liver disease, abnormal growth acceleration
what factor is most likely to increase the likelihood that an adolescent will misuse alcohol
unconventional behavior
the school nurse is teaching a group of adolescent females which measures to take to prevent genital tract infections. what should the nurse include in the teaching session
use condoms, avoid tight fitting clothing, limit exposure to bubble baths, avoid colored & scented toilet tissue
a sexually active adolescent asks the school nurse about prevention of sexually transmitted infections. what should the nurse recommend
use of condoms
an important distinction in understand substance abuse is that drug misuse, abuse, and addiction are considered what
voluntary behaviors based on psychosocial needs
