Adolescents

How should the nurse proceed when discussing safe sexual practices with an adolescent? Assess the adolescent's level of knowledge and concerns. Make sure the conversation remains within the confines of the adolescent's religious beliefs. Make sure the parent or legal guardian is present for the conversation. Obtain an informed consent from the parent before initiating the discussion.

Assess the adolescent's level of knowledge and concerns.

A nurse is caring for an adolescent who underwent surgery for a perforated appendix. What should the nurse keep in mind regarding the main life-stage task for the adolescent when providing care? Developing trust is critical during this stage. The adolescent focuses on resolving conflict with parents. Developing identity and independence is the objective. The adolescent finalizes plans for the future.

Developing identity and independence is the objective.

A girl, age 15, is 7 months pregnant. When teaching parenting skills to an adolescent, the nurse knows that which teaching strategy is most effective? Providing a one-on-one demonstration and requesting a return demonstration, using a live infant model Lecturing the adolescent about infant care Initiating a parent support group with older first- and second-time mothers Providing age-appropriate reading material and time to ask questions

Providing a one-on-one demonstration and requesting a return demonstration, using a live infant model

A child, age 14, is hospitalized for nutritional management and drug therapy after experiencing an acute episode of ulcerative colitis. Which nursing intervention would be appropriate? Providing high-fiber snacks Administering antibiotics with meals as prescribed Administering digestive enzymes before meals as prescribed Providing small, frequent meals

Providing small, frequent meals

An adolescent client is hospitalized with anorexia nervosa. What data support a nursing diagnosis of disturbed body image? The client is wearing jeans and a shirt that fit well. The client uses the full-length mirror each morning. The client sets the goal of gaining 0.5 pounds (0.23 kg) this week. The client expresses a fear of overeating at meals.

The client expresses a fear of overeating at meals.

A nurse brings gifts and appears flirtatious with an older adolescent client. When a coworker confronts the nurse, the nurse replies, "We both know it's just in fun." How should the coworker respond? Write an incident report describing observations objectively. Ensure the nurse is not assigned to this client in the future. Report the observations to the nursing manager. Ask the client for perceptions of the nurse's actions.

Report the observations to the nursing manager.

During chemotherapy for lymphoma, a child, age 15, is at risk for stomatitis. Which statement by the child supports a nursing diagnosis of Deficient knowledge related to mouth care? "I don't use bottled mouthwashes." "I use a soft toothbrush to clean my teeth." "I remove white patches on my tongue and cheeks with my toothbrush." "I rinse my mouth every 2 to 4 hours with a solution of baking soda and water."

"I remove white patches on my tongue and cheeks with my toothbrush."

The parents of a pregnant adolescent are outraged that they are being refused medical information about their daughter's condition. What is the best response by the nurse to address their anger? "Your daughter's medical information is confidential." "I understand your concerns, but she is responsible for her own health." "Your daughter is not ready to share her health information." "If we obtain permission from her, we can include you in our discussions."

"If we obtain permission from her, we can include you in our discussions."

A 13-year-old client tells the nurse, "I have not yet started my period, but all my friends have." Which nursing response is appropriate? "You should not be worried about having a period at this age." "Let's talk with your health care provider about this." "I am concerned that you have not started to menstruate yet." "Some individuals do not start menstruating until age 15 or 16."

"Some individuals do not start menstruating until age 15 or 16."

A 15-year-old client who sustained a spinal cord injury is on bedrest. Which intervention by the nurse might best help the adolescent cope with the prolonged bedrest? Encouraging visitation by his friends Providing the client with video games Providing the client with reading material Allowing his parents unrestricted visiting

Encouraging visitation by his friends

The nurse prepares a young adolescent client for the operating room for an appendectomy. Which is the primary approach used by the nurse for this age group? Provide simple, straightforward explanations about the procedure. Leave a written explanation with pictures and ask the client to view before surgery. Use a doll to demonstrate what will occur during and after surgery. Put a video on for the client to watch regarding post-surgical care.

Provide simple, straightforward explanations about the procedure.

The nurse is reinforcing education with an adolescent about gonorrhea. Which information should be included? Treatment of sexual partners is an essential part of treatment. It is usually treated by multidose administration of penicillin. It may be contracted through contact with a contaminated toilet seat. It is caused by Treponema pallidum.

Treatment of sexual partners is an essential part of treatment.

The nurse is teaching a 16-year old client who has menstruated for more than a year. Which client statement will the nurse respond to as the priority? "I feel so moody and anxious around the time of my cycle." "I was having regular periods before but haven't had one for a couple of months." "Sometimes I have pain when I have a period." "Two weeks before my period, I get one-sided abdominal cramping."

"I was having regular periods before but haven't had one for a couple of months."

As an adolescent is receiving care, he's inadvertently injured with a warm compress. The nurse completes an incident report based on the knowledge that identification of which of the following is a goal of the report? To hold people accountable for their actions To identify the learning needs of staff to prevent incident recurrences To reprimand the nurse-manager responsible for the unit To reprimand the involved staff members for their actions

To identify the learning needs of staff to prevent incident recurrences

A nurse is reinforcing education about type 1 diabetes with an adolescent. Which instruction by the nurse about how to prevent hypoglycemia would be most appropriate for the adolescent? "Check your blood glucose level before exercising, and eat a protein snack if the level is elevated." "Increase the insulin dosage before planned or unplanned strenuous exercise." "Limit participation in planned exercise activities that involve competition." "Carry crackers or fruit to eat before or during periods of increased activity."

"Carry crackers or fruit to eat before or during periods of increased activity."

An adolescent, age 16, is brought to the clinic for evaluation for a suspected eating disorder. To best evaluate the effects of role and relationship patterns on the child's nutritional intake, the nurse should ask: "Do you have any allergies to foods?" "What kinds of foods do you like to eat?" "Do you like yourself physically?" "What activities do you engage in during the day?"

"Do you like yourself physically?"

A 13-year-old boy visits the school nurse because he's experiencing back pain, fatigue, and dyspnea. The nurse suspects that the child may have scoliosis. The nurse should first: inspect the child for uneven shoulder height or uneven hip height. ask the child's mother to take him to a physician immediately. send the child home to recover. arrange for the child to have spinal X-rays as soon as possible.

inspect the child for uneven shoulder height or uneven hip height.

The nurse has conducted a vision assessment for an adolescent client. Which term will the nurse use to document the finding of the client's nearsightedness? hyperopia myopia astigmatism retinitis pigmentosa

myopia

Who should be consulted first about this adolescent's care? pediatric pain specialist nutritionist physical therapist case manager

pediatric pain specialist

The nurse is helping the adolescent deal with diabetes. What characteristic of adolescence should be considered? preoccupation with future plans need to be like peers ability to educate peers about the seriousness of the disease desire to be an individual

need to be like peers

The nurse is working with an adolescent female diagnosed with scoliosis. What problem is commonly encountered by this group? poor appetite renal difficulty respiratory distress poor self-esteem

poor self-esteem

The nurse is talking to an adolescent about preventing sport-related injuries. Which is the best strategy for the nurse to reinforce teaching about this subject? pacing activity moderating intensity building strength warming up

warming up

Which statement by a female adolescent reveals an early indicator of anorexia nervosa? "I have my menstrual period every 28 days." "I go out to eat with my friends at least three times per week." "I jog three times per day for a total of 5 hours per day." "I try to maintain my weight around 115 lb, which is good for my height of 5'."

"I jog three times per day for a total of 5 hours per day."

The parent of an adolescent diagnosed with Legg-Calvé-Perthes disease (LCPD) asks the nurse, "What caused this condition?" Which nursing response is appropriate? "The health care provider can give you more information." "Exposure to toxins in the womb can result in this condition." "The hip joint has been damaged due to lack of blood supply." "Taking antibiotics causes this disorder."

"The hip joint has been damaged due to lack of blood supply."

The nurse is caring for an adolescent with cancer who is well informed about the medical condition and treatment. The adolescent refused the morning medications and states intentions of refusing all future medications. What is the best action by the nurse? Persuade the adolescent to take the medication as ordered. Document the adolescent's choice and offer to discuss feelings about the medication. Ask the adolescent's parents to encourage the adolescent to take the medication. Ensure that the adolescent understands the rationale for taking the medication.

Document the adolescent's choice and offer to discuss feelings about the medication.

Which adolescent client would the school nurse consider at greatest risk for developing acquired immunodeficiency syndrome (AIDS)? a client living with a parent who uses intravenous drugs a client whose sibling died from AIDS last year a client who states they have multiple sexual partners a client in a committed relationship with one partner

a client who states they have multiple sexual partners

A 14-year-old diagnosed with acne vulgaris asks what causes it. Which factors should the nurse identify for this client? Select all that apply: caffeine chocolates and sweets growth of anaerobic bacteria fatty foods increased hormone levels heredity

increased hormone levels growth of anaerobic bacteria heredity

The school nurse is gathering data related to the diabetic status of a 15-year-old athlete. Which physiologic change should the nurse anticipate as a diabetic teenager becomes more physically active during the day? decreased risk of insulin shock increased risk of hyperglycemia decreased need for food increased need for food

increased need for food

The nurse is collecting data from an adolescent with pelvic inflammatory disease (PID). What symptoms are anticipated when reviewing data? lower abdominal pain and urinary tract symptoms cervical discharge with redness and edema a hard, painless, red defined lesion small vesicles on the genital area with itching

lower abdominal pain and urinary tract symptoms

A nurse is conducting a health class at the local middle school about testicular self-examination. What statement by a student would indicate a need for further teaching? "The best time to perform a testicular self-exam is immediately after a bath or shower." "I should start performing testicular self-exams when I am 12 to 15 years old." "I do not need to perform testicular self-exams until I become sexually active." "Testicular self-exams should be performed monthly."

"I do not need to perform testicular self-exams until I become sexually active."

The nurse is teaching a group of adolescent clients about personal hygiene. Which client statement indicates the need for further teaching? "It's good to bathe or shower each day." "I shouldn't share my razor with anyone." "I need to use only my personal lip care products." "It's unsafe to swim during your period."

"It's unsafe to swim during your period."

A 15-year-old girl visits the neighborhood clinic seeking information on how to prevent pregnancy. How should the nurse respond to her request? "Have you've told your parents you're sexually active?" "What precautions are you taking now when you have sex?" "What would you like to know?" "Let's discuss what your friends are doing to keep from getting pregnant."

"What precautions are you taking now when you have sex?"

An adolescent client was offered a babysitting job after school. The nurse coaches the parents to make which response to the client? "Do not make a choice that would detract from your schoolwork." "Your job is to get good grades in school so you can get into a good college." "We'll take you to the bank so you can set up a savings account for your earnings." "What thought have you given as to how you'll manage your responsibilities?"

"What thought have you given as to how you'll manage your responsibilities?"

The nurse is teaching a group of adolescents about safety. Which safety topic takes priority in this age-group? Poisoning prevention Bicycle safety Automobile safety Stranger awareness

Automobile safety

The parents of an adolescent girl have recently learned that their daughter has a terminal illness. At first, as they try to cope, they display avoidance behaviors. Then they demonstrate behaviors that indicate possible acceptance of the diagnosis. Which of the following behaviors would indicate acceptance? Avoidance of staff, family members, or the child Intellectualization about the illness in areas unrelated to the child's condition Expression of feelings, such as sorrow and anger, about the child's condition Failure to recognize the seriousness of the child's condition despite physical evidence

Expression of feelings, such as sorrow and anger, about the child's condition

An adolescent female arrives in the emergency department after a physical assault. How could the male nurse best protect the client's rights during the physical examination? Have a female health care worker present. Keep the client's friends (who are waiting in the lounge area) informed of her medical condition. Keep the suspected attacker away from the examination room. Leave the door open.

Have a female health care worker present.

The nurse is caring for an adolescent, age 14. Which emotional response is typical during early adolescence? Frequent anger Moodiness Combativeness Cooperativeness

Moodiness

The nurse is planning sex and contraceptive education for adolescents. Which factor should the nurse consider? Most teenagers today are knowledgeable about reproduction. Neither sexual activity nor contraception requires planning. Most teenagers are open about contraception, but inconsistently use birth control. Most teenagers use pregnancy as a way to rebel against their parents.

Most teenagers are open about contraception, but inconsistently use birth control.

The nurse cares for an older adolescent client. The nurse observes a visitor wearing a gun and gun holster. Which action does the nurse take? Watch the visitor for signs of threatening behavior or aggression. Evacuate the unit for the safety of the clients and staff. Ask the visitor to take the weapon out of the building. Notify security personnel of the observation and location.

Notify security personnel of the observation and location.

A physician needs to obtain written informed consent for a surgical procedure on an adolescent. Which situation allows the physician to obtain written informed consent from the adolescent rather than the parents? The physician doesn't need to obtain consent because the procedure is a minor one. The adolescent is estranged from the parents and lives independently. The adolescent gives verbal consent to the procedure. The adolescent's 18th birthday is the following week.An adolescent is admitted to the adolescent unit with pain caused by sickle cell crisis.

The adolescent is estranged from the parents and lives independently.

During a health teaching session, a student, age 14, asks the school nurse the reason for using underarm deodorant. The nurse should base the response on which physiologic change occurring during adolescence? The sebaceous glands becoming highly active The eccrine sweat glands becoming fully functional An increase in adipose tissue distribution, which boosts sweat production The apocrine sweat glands reaching secretory capacity

The apocrine sweat glands reaching secretory capacity

A school nurse suspects that a 13-year-old has structural scoliosis. Asking the adolescent to perform which maneuver would be the nurse's priority when gathering data for this condition? The child bends over and touches the toes while the nurse observes from behind. The child stands sideways while the nurse observes the profile. The child arches the back while the nurse observes from behind. The child assumes a knee-chest position on the examination table.

The child bends over and touches the toes while the nurse observes from behind.

An adolescent female client at the health clinic is considering having sexual intercourse. The client tells the nurse that she wants to begin taking oral contraception because "Birth control pills would mean I don't have to worry about pregnancy or HIV." What is the most appropriate initial response from the nurse? "Oral contraceptives do protect against any chance of pregnancy, but we should talk about HIV and other infections." "Nothing prevents HIV, but we also need to discuss the potential side effects of oral contraceptives." "The pill will not protect you from getting sexually transmitted infections, and it isn't 100% effective for preventing pregnancy." "Let's talk about where you found this information, and then we can look for better resources about intercourse."

"The pill will not protect you from getting sexually transmitted infections, and it isn't 100% effective for preventing pregnancy."