Nur 1390- Exam 3
What age is adolescence?
11-21 years old
what age is young adult?
18-35 years old
What is the age of school aged children?
6-12
How many hours should school aged children sleep?
8-12 hrs/night
Tanner Stage of development mnemonic NoBody Elevates 2 Mountains in Adulthood she's NOT a Small CAT
Stage 1- NO glandular tissue Stage 2- breast Buds Stage 3- breast Elevated Stage- 4- Secondary Mound Stage 5- adult size Stage 1- no hair Stage 2- small amount Stage 3- Coarse & Curly Stage 4- Adult like hair stage 5- Thighs not spared
TRUE or FALSE: E-cigarette batteries have been known to explode and cause burns and other injuries
TRUE
TRUE or FALSE: Nicotine is very common in e-cigarettes and nicotine can harm brain development, and your brain continues developing until around age 25
TRUE
TRUE or FALSE: The evidence isnt clear on whether e-cigarettes help people quit smoking regular cigarettes, but we already know that e-cigarette use is a health risk for young people.
TRUE
Each of the following children visits the school nurse on a regular basis. Which of these children would the nurse identify as being at risk for a learning disability and suggest follow up care? a- 10 year old who is inattentive and fidgets constantly b- 1 year old who scored 102 on an IQ test c- 12 year old who a 4000 word vocabulary d- 9 year old whose's parents recently divorced
a- 10 year old who is inattentive and fidgets constantly
According to the American Academy of Pediatrics, at what age should blood pressure screening begin? a- 3 b- 6 c- 9 d- 12
a- 3
Which of the following middle-age adults have successfully transitioned to Erikson's generativity vs stagnation stage of development? a- a 60 year old woman who retired last year and volunteers at a homeless shelter 2 days a week b- a 63 year old man who regrets his career choice and feels he cannot change careers at this late stage of his life. c- a 45 year old woman who resents having to care for her aging mother in law d- a 50 year old man who has not saved for retirement and also spends his discretionary income on solo vacations
a- a 60 year old woman who retired last year and volunteers at a homeless shelter 2 days a week
A nurse has received a grant to provide a community based education series for middle age adults. Which of the following topics would allow the nurse to have the greatest impact on the health of members of this age group? a- diet and exercise b- seat belt use c- depression screening d- cancer prevention
a- diet and exercise
The nurse collects the following assessment data from a woman: Hispanic ethnicity, BMI 29 kg/m2, age 41. Which of the following actions should be taken by the nurse? a- discuss her current dietary and exercise lifestyle habits b- encourage the care recipients to continue her dietary and exercise patterns c- formulate a plan for increased exercise incorporating her preferences for type of exercise d- encourage the care recipient to adopt a low-calorie diet to help control her weight
a- discuss her current dietary and exercise lifestyle habits
Which of the following statements is correct regarding firearms? a- for safety, guns should be stored apart from ammunition b- the second amendment excepts hand guns c- as with video games, toy guns have been shown to increase violence later in life d- all of the above statements are correct
a- for safety, guns should be stored apart from ammunition
Which genetic disorder affecting the x chromosome is found in females? a- turner syndrome b- gynecomastia c- klinefelter syndrome d- menstruation
a- turner syndrome
The university health services nurse is preparing a disease prevention program for college students. Which of the following information should the nurse include in the program? a. Living in the dorm increases one's risk of developing meningococcal disease. b. The mortality rate from meningococcal disease is very low. c. There are no antiviral medications that can treat meningococcal outbreaks. d. A vaccine for meningococcal disease has not been developed.
a. Living in the dorm increases one's risk of developing meningococcal disease.
A school nurse is planning a series on nutrition. Which of the following factors should the nurse take into account? a- each day, approximately 60% of children eat fast food b- television commercials frequently advertise food-related products c- children watch approximately 2 hrs of television a day d- a child is three times more likely to eat in a restaurant than at home
b- television commercials frequently advertise food-related products
Which of the following circumstances accounts for one of the leading cause of death in young adults? a- HIV infection b- Tobacco use c- Binge drinking and driving d- illegal drug use
c- Binge drinking and driving
What is the best definition of puberty? a- cessation of somatic growth b- a tanner stage 3 c- age at which sexual maturity appears d- none of the above
c- age at which sexual maturity appears
Which of the following is the SECOND leading cause of death for teens and young adults, 15-24 years old? a- sport injuries (head trauma) b- accidents c- suicide d- bone cancer
c- suicide
What is Piaget's school aged stage?
concrete operational stage
The school nurse conducting an in-service program for teachers is asked about general growth and development of school-aged children. Which of the following statements would be the best response by the nurse? a- "By age 11, blood pressure readings are the same as for an adult" b- "Because of the rapid growth pattern in this age group, snacks are important to ensure sufficient caloric intake" c- "Children in this age group have some difficulty with coordination and balance, so playground supervision is important" d- "Overall growth in school-age children is slower than during infancy and adolescence"
d- "Overall growth in school-age children is slower than during infancy and adolescence"
The president of the Parent- Teacher Association asks the school nurse about the appropriateness of sponsoring a health fair that focuses on oral health for school age children. Which of the following statements indicates the nurse's correct understanding of this issue? a- "this is not an appropriate focus for a health fair because the incidence of dental caries has dropped dramatically due to the use of sealants" b- "children are not usually receptive to learning about dental care, so the topic is not the best choice for a health fair" c- "dental problems are not as prevalent a problem as asthma, so you might want to consider a health fair about respiratory problems instead" d- "over 40% of children age 2 to 11 have dental caries, so a health fair that focuses on oral care is very appropriate"
d- "over 40% of children age 2 to 11 have dental caries, so a health fair that focuses on oral care is very appropriate"
Which of the following is NOT characteristic of anorexia nervosa? a- Increased frequency or heavy menses due to increased ovulation b- Co-morbid depression or anxiety c- Perfectionism d- Compulsive physical activity
d- Compulsive physical activity
An objective for health care management for young adults includes: a- hypertension screening b- modifying cardiovascular risk c- education on health lifestyle choices d- all of the above
d- all of the above
According to Erikson, which of the following teenagers is at risk for not meeting his developmental task? a- member of the varsity basketball team b- recently broke up with girlfriend c- decided he wants to major in accounting d- arrested for petty theft
d- arrested for petty theft
A child who has a BMI of 34 visits the school nurse. Which of the following factors does the nurse recognize that the child may be experiencing? a- increased self- esteem b- increased motivation to lose weight c- increased resilency d- increased bullying by peers
d- increased bullying by peers
According to Erikson, what is the major development stage of school age? a- autonomy vs shame and doubt b- latency c- trust vs mistrust d- industry vs inferiority
d- industry vs inferiority
A nurse is planning a community health-education program for young adults. Which of the following considerations should be made by the nurse? a- the number of young adults in the United States is increasing b- the maternal mortality rate is at its lowest point since 1980 c- the age span encompassing young adulthood is between 20 and 30 years of age d- the number one cause of death for young adults is injury
d- the number one cause of death for young adults is injury
Erikson's stage of development for middle adulthood?
generativity vs stagnation
Freud's stage for adolescence?
genital stage
Erikson's stage for adolescence?
identity vs role confusion
Erikson's young adulthood stage
intimacy vs isolation
What age is middle adulthood?
40-65 years old
TRUE or FALSE: Heavy metals such as lead, nickel, tin and chromium have been found in e-cigarette aerosol however, they cannot cause respiratory distress and disease.
FALSE
Freud's 7 yrs - puberty stage?
Latency
a 35 year old person asks the nurse working in a dermatology clinic what causes skin to wrinkle. Which of the following statements. would be most appropriate way for the nurse to reply? a- "It is simply a part of normal aging and it is not preventable" b- "as we age, we develop more cellulite under the skin which results in wrinkles" c- "wrinkles appear for a number of reasons, including loss of fat beneath your skin and too much sun exposure" d- "wrinkles are caused by genetic factors combined with Vitamin D deposits under the skin"
c- "wrinkles appear for a number of reasons, including loss of fat beneath your skin and too much sun exposure"
Which of the following adults has transitioned to Erikson's intimacy vs isolation and loneliness stage of development? a- a stable young couple with a long term care relationship who has decided not to marry b- a 21 year old man who has had multiple intimate relationships with women over the course of one year c- a 25 year old man who makes no effort but he is very close to his two dogs d- all of the above meet the criteria on one level or another
a- a stable young couple with a long term care relationship who has decided not to marry
Which of the following behaviors is most reflective of a teenage? a- riding an ATV without a helmet b- obeying a new parental rule without a challenge c- walking away from a group of friends who are smoking cigarettes d- not skiing for fear of falling and getting hurt
a- riding an ATV without a helmet
Why are adolescents more likely to participate in risky activities? a- they see themselves as invincible to bad outcomes b- they have no respect for rules c- they cannot think at an adult level d- due to conflicts with their friends
a- they see themselves as invincible to bad outcomes
A school nurse is obtaining the height and weight of a 9 year old child. Which of the following is the best method to assess overall growth of the child? a- use serial measurements over time b- use this measurement c- use this measurement and compare it with child's peers d- no measurement needed
a- use serial measurements over time
How many hours of sleep do adolescences need?
about 9 hrs
a 70 year old woman complains to the nurse that she has insomnia and sleeps only 6 hrs/night. Which of the following responses should be made by the nurse? a- the doctor may want to run some simple tests to find out why you are having trouble sleeping b- do you feel excessively tired during the day c- prescription sleeping pills are preferable. d- make sure that you do not nap during the day, even if you are tired
b- do you feel excessively tired during the day
Which of the following teenagers is exhibiting a behavior that causes concern and requires further evaluation? a- feels happy on most days but on some days she feels sad b- is agitated and has trouble sleeping c- values his friend's opinion more than his parent's opinion d- has a lot of homework and stays up late to finish it
b- is agitated and has trouble sleeping
The nurse working at the college health center is asked about tanning. Which of the following statements is correct concerning sun exposure? a- good quality sun-block agents protect for the entire day and should be applied in the morning b- sun tanning should be avoided between 10am and 2pm c- tanning beds are much safer than exposure to actual sunlight d- all of the above
b- sun tanning should be avoided between 10am and 2pm
A teenager has a family history of Type 2 diabetes mellitus. He asks the nurse what he can do to try to prevent developing it himself. Which of the following instructions should the nurse give this client? a. Tell him to avoid any and all sweets. b. Tell him to be active and eat a balanced diet. c. Tell him he should talk to his physician about genetic testing. d. Tell him that very little can be done to avoid developing this disorder.
b. Tell him to be active and eat a balanced diet.
Aaron, age 14 has some facial acne. According to his parents, he spends a large amount of time in front of the mirror, tying up the bathroom. They ask the nurse why he does so and what they should do about it. Which remark by the nurse would be least helpful? a- "this is probably the only concern Aaron has about his body, so I wouldn't bother him about it." b- "Aaron appears to be keeping his face well-washed in an effort to reduce the acne" c- "Both boys and girls are anxious about how they will be perceived by their peers, and spend so much time grooming"
c- "Both boys and girls are anxious about how they will be perceived by their peers, and spend so much time grooming"
Parents of an 8 year old boy tells the nurse that they are concerned about their son because he occasionally sleepwalks. Which of the following is the best response from the nurse? a- "sleepwalking is much more common in girls than boys" b- "i am glad you mentioned this. sleepwalking is sometimes a sign of a neurological deficit" c- "this is not abnormal for a child of this age. He will most likely outgrow this tendency as his nervous system matures" d- "nightmares are the cause of most cases of sleepwalking"
c- "this is not abnormal for a child of this age. He will most likely outgrow this tendency as his nervous system matures"
The school nurse has seen several students in the health office. For which of the following students should the nurse suggest a follow up exam? a- a 14 year old girl who has not experienced menarche b- a 7 year old boy who has grown 2 inches in a year c- a 10 year old girl who has gained 11 pounds in a year d- a 8 year old who has lost 8 deciduous teeth in a year
c- a 10 year old girl who has gained 11 pounds in a year
Which of the following statements concerning sleep patterns in teenagers is correct? a- adolescents need 7 to 8 hrs of sleep each night b- extra curricular sports help teens maintain adequate sleep c- electronic devices have been associated with sleep deprivation d- all of the above
c- electronic devices have been associated with sleep deprivation
Which factor has the greatest impact on the likelihood that an adolescent will begin drinking alcohol? a- parents drink alcohol b- television and computer viewing c- friends drink alcohol d- school attendance
c- friends drink alcohol
32 year old woman visits the occupational health nurse because of malaise. Which of the following assessment data indicates that the client may be experiencing achievement-oriented stress? a- sleeping 10 hrs/day b- calling in sick once every 2 weeks for the past month c- unintentional loss of 10 lbs in the past 4 weeks d- expressed fear of company layoffs
c- unintentional loss of 10 lbs in the past 4 weeks
The mother of a 13-year-old girl is concerned because her daughter has not started menstruating yet. The girl developed breast buds and started her height spurt at 12 years of age. Which of the following statements would be the most appropriate response from the nurse? a. "Usually, girls start menstruating when they develop breast buds; an endocrine evaluation might be warranted." b. "Everyone is different; it will happen when it happens." c. "Based on when the breast buds first appeared, she should starting menstruating around the age of 14." d. "She will not start menstruating until her breasts are of adult size and contour."
c. "Based on when the breast buds first appeared, she should starting menstruating around the age of 14."
During a parent-nurse conference, the parent tells the nurse that her child sleeps approximately 7 hours per night. Which of the following potential health problems would be of concern to the nurse? a. Hypertension b. Hyperactivity c. Obesity d. Type 2 diabetes
c. Obesity
A 52-year-old postmenopausal woman tells the nurse that she is afraid she will develop osteoporosis like her mother did. Which of the following statements is the most appropriate response by the nurse? a. "The American diet is much better now than when your mother was your age, so you have enough calcium in your diet to keep your bones strong." b. "You have a strong genetic risk factor. There is not much we can do to stop the process." c. "You need about 1000 mg of calcium a day to keep your bones strong. Let's talk about your diet." d. "Tell me about your diet, how much walking you do each day, and what medications you take."
d. "Tell me about your diet, how much walking you do each day, and what medications you take."
Piaget's stage for adolescence?
formal operational stage
