Ch 33

The school nurse is conducting a health class with a group of high school students on the topic of sex and sexuality issues. The nurse determines the session is successful when the students correctly choose which aspect as most important? "It is important for adolescents to abstain from sexual activity." "Males, as well as their partners, are responsible for avoiding an unwanted pregnancy." "Adolescents need to know how to use condoms correctly to avoid sexually transmitted infections." "Girls should carry their own condoms and use them to avoid pregnancy."

"Adolescents need to know how to use condoms correctly to avoid sexually transmitted infections."

During a well-child visit for a 12-year-old female client, the parent states, "I have noticed a lot of physical and emotional changes in my child. How will I know when my child has reached puberty?" Which is the best response by the nurse? "By age 14, many girls have the physical appearance of a young woman." "A noticeable growth spurt usually begins for girls between the ages of 10 and 14." "Increased glandular activity causes an increase in sweat." "Your child will display significant mood swings."

"By age 14, many girls have the physical appearance of a young woman."

The parent states to the nurse that their 14-year-old adolescent is moody, shuts themselves in the bedroom, and fights with a younger sibling. Which comment is most helpful to support the parent? "Calmly talk to your adolescent about your concerns." "This is normal for the age." "Take away all of the adolescent's privileges until they start acting better." "Set some rules for family etiquette."

"Calmly talk to your adolescent about your concerns."

A nurse is educating a middle school class of male adolescents about sex education. The topic of multiple partners is discussed. Which of the following statements from the nurse would be the most effective? "Teens account for 25% of all sexually transmitted infections (STI) in the population." "Be careful, or you will end up being a teen parent." "Contraception is a responsibility of both parties involved." "Compared with male teens, female teens are more susceptible to STIs."

"Contraception is a responsibility of both parties involved."

A high school athlete comes to the emergency department with hypertension, aggressiveness, and psychosis. What question would be important for the nurse to ask the client? "Do you take anabolic steroids?" "Do you take human growth hormone?" "Do you take amphetamines?" "Do you take cocaine?"

"Do you take anabolic steroids?"

During an examination, an adolescent client tells the nurse about being anxious and frustrated because of the facial acne. Which nursing response is appropriate? "This is one of the most common physical changes during adolescence." "I will tell your primary health care provider about your acne." "Most people get acne during adolescence. It will go away as you get older." "Consuming fried foods and chocolate can cause acne to develop."

"This is one of the most common physical changes during adolescence."

An adolescent who is depressed states, "Nothing ever seems to be right in my life." How should the nurse respond? "Things will be better when you go off to college." "You are feeling sad right now. It is a hard time." "Try to look at the bright side of things." "Being a teenager is hard work."

"You are feeling sad right now. It is a hard time."

The nurse teaches a 14-year-old client's mother about the adolescent developmental task of identity versus role confusion. What is the best way for the mother to help her adolescent complete this task? Set limits and offer concrete choices. Set limits according to what other adolescents are allowed to do. Allow the adolescent to participate in decisions. Allow the adolescent to set his/her own limits.

Allow the adolescent to participate in decisions.

A client has confided in a nurse that her 13-year-old daughter has recently changed dramatically in her social interactions with others. What is a social behavior most likely to be exhibited by a girl at this age? Banding together with other girls and dressing like them Banding together with boys and girls but maintaining her own unique style Hanging out primarily with boys her own age Hanging out with girls but maintaining her own unique style

Banding together with other girls and dressing like them

The nurse is preparing a presentation for a local health fair depicting the differences in maturity between preadolescents. Which differing factor should the nurse prioritize in the presentation? Boys grow at a slower, steadier rate than do girls. Girls grow at a slower, steadier rate than do boys. Boys grow at a rapid, sporadic rate. Boys and girls grow at the same rate.

Boys grow at a slower, steadier rate than do girls.

During the admission process the nurse learns a 14-year-old female client has not experienced menarche yet. Which nursing action is appropriate? Notify the primary health care provider. Assess the client's hormonal levels. Continue with the admission process. Determine when the client's mother experienced menarche.

Continue with the admission process.

To help prevent obesity, which intervention would the nurse include in an adolescent's plan of care? Plan a diet of 1,500 calories per day. Describe a normal serving size. Describe sources of low calorie proteins. Plan a diet of 2,000 calories per day.

Describe a normal serving size.

A 17-year-old adolescent chats excitedly with the nurse about plans for college and a career. The adolescent states having checked out every college in the region and determined which one is the best fit and would give the adolescent the best career options. The nurse recognizes which developmental aspect in this client? Formal operational thought Socialization Identification of identity Sensorimotor

Formal operational thought

The school nurse is developing a school wellness program to promote healthy eating habits and regular physical activity. What is the most important element to emphasize to maximize compliance, healthy habits, and long-term change? Eliminate sweetened, carbonated beverages in the cafeteria. Serve fruits and vegetables in the cafeteria. Incorporate activity in parts of the daily schedule. Include both parents and children in the wellness program.

Include both parents and children in the wellness program.

The nurse is meeting with a group of caregivers of adolescents. Which example should the nurse point out is most effective for the caregiver to support the adolescent? Leave pamphlets about topics such as drugs and alcohol in their room so they can read them. Let them choose their hairstyle, even though it may not look the best for them. Discourage spending too much time with school friends since we know they can be a negative influence. Our house rules are stricter than their friends but everyone follows the same rules in our home.

Let them choose their hairstyle, even though it may not look the best for them.

A 15-year-old girl is in the hospital for surgery and is confined to bed. The nurse can tell that the client is nervous about being in the hospital. She tells the nurse that she feels "gross" and "on display" in her hospital gown. What should the nurse do to encourage a sense of autonomy and dignity related to the girl's body image? Offer to assist the girl in washing her hair and let her pick the shampoo. Allow the girl to wear her own clothes, despite hospital policy. Brush the girl's hair for her. Assist the girl with using the bed pan to urinate.

Offer to assist the girl in washing her hair and let her pick the shampoo.

The mother of a 15-year-old boy confides in the nurse that she is concerned because her son is about to turn 16 and is pressuring her and her husband to buy him a motorcycle. Her husband is okay with the idea, but she is concerned about his safety. What information should the nurse mention to the mother regarding motorcycle safety? Select all that apply. Require the son to wear a helmet. Require the son to wear long pants. Require the son to wear full body covering. Require the son to learn all relevant safety rules. Require the son to wear a seat belt. Insist on age and not emotional maturity as the qualification for obtaining a driver's license.

Require the son to wear a helmet. Require the son to wear long pants. Require the son to wear full body covering. Require the son to learn all relevant safety rules.

The nurse is caring for an adolescent who braggingly states smoking cigarettes. Though not always effective, the nurse correctly instructs the adolescent on which topic(s)? Select all that apply. Smoking damages the respiratory system. Smokeless tobacco damages gums and teeth. Adolescent who smoke are more likely to use alcohol and drugs. Smoking is associated with fighting and unprotected sex. Tobacco use is addicting (nicotine). Tobacco increases the potency of alcohol.

Smoking damages the respiratory system. Smokeless tobacco damages gums and teeth. Adolescent who smoke are more likely to use alcohol and drugs. Smoking is associated with fighting and unprotected sex. Tobacco use is addicting (nicotine).

A 16-year-old client has been hospitalized 100 miles from home for 1 week to repair a fractured patella suffered in a skateboarding accident. She was cheerful and chatty when she first arrived, but the nurse notes in recent days she has become increasingly quiet and seems lonely. Which nursing intervention should the nurse prioritize for this client? Call the hospital's mental health unit to see if she can get some counseling. Take her to the teen lounge so she can meet and interact with other teens. Suggest that she read books and magazines from the hospital bookmobile. Ask her caregivers to bring her siblings and friends to visit.

Take her to the teen lounge so she can meet and interact with other teens.

An 18-year-old adolescent reveals the presence of nipple ring and is looking to get a tattoo in the next few months. What is the most important thing that the nurse can teach the adolescent at this time? Complications are more likely when you tattoo yourself. Review the safety rules for those who do the tattooing. Tattooing carries risks such as infection, disease, and nerve damage. It is not recommended to get the tattoo from your friend in his garage.

Tattooing carries risks such as infection, disease, and nerve damage.

While assessing a 17-year-old client, the nurse notes the following: blood pressure 152/96 mm Hg, pulse 124 beats/minute, respirations 20 breaths/minute, temperature 98.8°F (37.1°C), dilated pupils, euphoric state, and pressured speech. Which intervention would the nurse anticipate the health care provider to prescribe first? Low-sodium diet Urine drug screen Hydrochlorothiazide daily Magnetic resonance imaging (MRI)

Urine drug screen

The adolescent comes to the clinic seeking information about sexuality concerns. The clinic nurse assures the adolescent that confidentiality and privacy will be maintained unless a life-threatening situation occurs. Which nursing goal(s) is the nurse highlighting in this process? Select all that apply. development of a trusting relationship compliance with existing laws inappropriate response because adolescents are minors an environment where adolescents can be truthful concern from parents who pay the office visit bill

development of a trusting relationship compliance with existing laws an environment where adolescents can be truthful

A 17-year-old girl has come to the clinic to get a rubella immunization that is required by the college she plans to attend. Before administering this immunization, the child should have which screening or test? pregnancy test screening for tuberculosis scoliosis screening HIV test

pregnancy test

Glycogen loading is practiced regularly by the local high school football team. What is most important for the nurse to monitor in these students? the amount of protein the student is eating how often the students engage in this practice the amount of carbohydrates the student is eating how many hours the student exercises each day

the amount of carbohydrates the student is eating

An adolescent's parent states not knowing what to do with the adolescent. The parent reports the teenager is taking two or three showers a day when not that long ago the parent could barely get the teen to take a shower at all. What should the nurse's reply be to the parent? "Reinforce the family rules but also allow the adolescent to develop one's own routine." "Remind the adolescent about needing to be on a schedule so as to not disrupt the family." "Do not encourage multiple baths; it can be very drying to the skin." "Reevaluate the adolescent's ability to perform hygiene care since showering is so frequent."

"Reinforce the family rules but also allow the adolescent to develop one's own routine."

The nurse is teaching the parents about common approaches when raising a 12-year-old child. Which instruction is important? "Find out if their friends are worthy of them." "Try to be open to their views." "Maintain a firm set of rules." "Remind your adolescent that they are still your little boy."

"Try to be open to their views."

During a health maintenance visit, a 15-year-old adolescent mentions that they are not happy with gaining excess weight. Which approach is best for the nurse to take? "Good observation. Let's talk about diet and exercise." "Do not worry; you are within the weight and height guidelines." "What specifically have you been noticing?" "Tell me about your parents. Are they overweight?"

"What specifically have you been noticing?"

The school nurse is assessing a 15-year-old female client. The client states, "I just want to be pretty and to look like everyone else." Which response by the nurse is appropriate? "You seem concerned. Let's talk about your feelings." "I think you are beautiful just as you are." "Looking like everyone else is not what makes someone pretty." "Do you not think you are pretty now?"

"You seem concerned. Let's talk about your feelings."

A school nurse is assisting in Sports Physical Day with a 15-year-old teen who has a pierced navel. Which of the following statements by the nurse would be the best for health promotion? "I hope the equipment used in your piercing was clean." "You will need to clean the navel several times a day." "This piercing puts you at risk for hepatitis and tetanus." "This piercing is considered a wound and could get infected."

"You will need to clean the navel several times a day."

A 17-year-old female is meeting with the nurse for an annual well-visit and is asking the nurse questions about how to know when one is in love. The nurse should point out which factor to help decide if both individuals have reached a mutual agreement and are ready for an intimate relationship? A sense of trust and identity An ability to be autonomous A willingness to take initiative An understanding of socialization and of isolation

A sense of trust and identity

A nurse is explaining cognitive development in children to a client, with the help of Piaget's theory of cognitive development. What would be the best explanation by the nurse about the formal operations level of cognitive development? Up to age 2, children learn by touching, tasting, and feeling. They learn to control body movement. Children from ages 2 to 7 years investigate and explore the environment and look at things from their own point of view. From ages 7 to 11 years, children internalize actions and can perform them in the mind. After age 12 children can think in the abstract, including complex problem solving.

After age 12 children can think in the abstract, including complex problem solving.

The family reports to the nurse that their adolescent always wants to argue, will not participate in family functions, and has poor school grades. What recommendation should the nurse make for an adolescent client who presents with these symptoms? Encourage participation in sports. Have the child visit the school counselor. Make an appointment with the health care provider. Supervise homework sessions.

Make an appointment with the health care provider.

A female client tells the nurse about noticing an increase in weight and fat deposits during the past year. The nurse reviews the client's chart and recognizes that the client is most likely going through puberty. Which nursing action is most appropriate at this time? Provide reassurance that these are normal changes. Review dietary measures to assist in controlling weight gain. Encourage increased exercise to control weight gain. Share what foods can be eaten on a low-fat diet to prevent fat deposits.

Provide reassurance that these are normal changes.

The nurse is preparing to participate in a community discussion on the needs of the adolescents in the local school. The nurse should point out which goal is the primary concern for these young individuals as the committee makes plans? Teens are busy developing their own personal identity. They want to successfully complete activities. Each child is learning to do things on his or her own. They understand and respond to discipline.

Teens are busy developing their own personal identity.

A nurse is examining a 17-year-old adolescent in the emergency room who is being disruptive in the waiting area. On assessment, the nurse finds dilated pupils, and the teen is talking very fast. Which of the following drugs does the nurse suspect the teen may be abusing? opiates marijuana amphetamines barbiturates

amphetamines