Ch 21

Which of the following are symptoms or warning signs of anorexia nervosa? (Select all that apply.) a. Lack of menstruation in females b. Preoccupation with food c. Eating only small amounts of certain foods d. Dramatic weight fluctuations

A,B,C,D

Which of the following behaviors is most reflective of a teenager? a. Riding an ATV without a helmet b. Not skiing for fear of falling and getting hurt c. Obeying a new parental rule without a challenge d. Walking away from a group of friends who are smoking cigarettes

A

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

A

Which of the following statements is correct concerning adolescent pregnancies? a. Low birth weight is associated with teen pregnancies. b. Teen pregnancies have increased over the last two decades. c. Blacks have the highest rate of teen pregnancies. d. All of the above statements are correct.

A

Which of the following statements is correct concerning tobacco use in adolescents? a. Smoking is most prevalent in Caucasian teenagers as compared to Blacks and Hispanics. b. Advertising has not been shown as effective in promoting smoking in teens.Rather peer pressure is effective. c. Electronic cigarettes involve flavored liquids with very low levels of actual smoke. d. All of the above statements are correct.

A

According to Erikson, which of the following teenagers is at risk for not meeting his developmental task? a. Arrested for petty theft b. Decided he wants to major in accounting c. Has recently broke up with his girlfriend d. Is a member of the varsity basketball team

A

After offering a teenager the HPV vaccine, the teenager responds by saying, "I can't have the vaccine because I have already been sexually active." Which of the following statements is the best response by the nurse? a. "You can still benefit from the vaccine, but there is a chance it will not be as effective." b. "The best way to protect yourself now is to make sure all your future sexual partners have received the vaccine." c. "You are correct, the vaccine is only indicated for females who have never been sexually active." d. "It depends on the number of partners you have had. If you have had less than five partners, you are still eligible for the vaccine."

A

During a physical exam, a teenager asks the nurse if she can have a stronger medication for her constipation because the laxatives she has been taking are not helping. During the physical exam, the nurse observes mild to moderate erosion of the tooth enamel. Which of the following disorders is the client most likely experiencing? a. Bulimia nervosa b. Binge eating disorder c. Idiopathic constipation d. Irritable bowel syndrome

A

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, eat a balanced diet, and maintain normal weight. 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

A teenager has been using acne medications for the last 14 days. Her acne is no better, and in fact, it is a little worse. What information should the nurse offer this girl? a. "Wash your face at least four times a day, making sure to scrub well." b. "The medications can make acne appear worse at first; try to give it a few more weeks." c. "Avoid all chocolate products." d. "Because it is summertime, it would be good for your skin if you lie out in the sun for a few hours each day."

B

According to Piaget, which of the following developmental stages is applicable for the teenage years? a. Concrete operational b. Formal operations c. Abstract operations d. Inductive operational

B

From the perspective of the parents of the teenager, which of the following is an adaptive and beneficial approach to the task of parenting teenagers? a. Set strict rules to prevent the teenager from getting into any trouble. b. Learning how to let go c. Transition from the role of parent to friend/peer d. Drop rules and limits so as to foster maturity and self-determination.

B

Which of the following is the SECOND leading cause of death for teens and young adults, 15 to 24 years? a. Accidents b. Suicide c. Bone cancer d. Sport injuries, especially head trauma

B

Which of the following statements concerning sleep patterns in teenagers is correct? a. Adolescents need 7 to 8 h of sleep nightly. b. Electronic devises have been associated with sleep deprivation. c. Extra-curricular sports, like all exercise, help teens maintain adequate sleep. d. All of the above statements are correct.

B

Which of the following teenagers is exhibiting a behavior that cause for 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. Has a lot of homework and stays up late to finish it d. Values his friend's opinion more than his parent's opinion

B

Which stage of female breast development is characterized by enlargement of the areolar diameter along with a small area of elevation around the papillae? a. 1 b. 2 c. 3 d. 4

B

A nurse is discussing being a safe driver as part of a driver's education course. Which of the following recommendations would the nurse include in this presentation? (Select all that apply.) a. Driving mid-sized two door vehicles is recommended. b. Avoiding talking on cell phones c. Driving during daytime hours d. Wearing safety belt

B,C,D

A 14-year-old female is in for a physical exam. Which finding requires further investigation? a. A height spurt since her last visit b. Facial acne c. The lack of breast buds or breast development d. Noticeable sweating and body odor with activity

C

A teenager asks the school nurse for advice before getting a tattoo. Which of the following responses would be most appropriate for the nurse? a. "You should only get tattoos which can be covered by clothing on a job interview." b. "It is okay to get a tattoo providing that you only go to a licensed artist." c. "Tattoos are popular; however, they can lead to infection and/or bleeding." d. "A body piercing would be safer and less permanent."

C

Parents recently discovered that their teenage daughter has been consuming alcohol on a regular basis. They ask the nurse for advice on how best to help their daughter. In addition to closer supervision to prevent such activity, which of the following recommendations should the nurse give to the parents? a. Talk to their daughter at length regarding the dangers associated with drinking. b. Have her favorite aunt, with whom she is very close, talk to her about drinking. c. Enroll their daughter in a peer support group focused on teenage drinking. d. Provide their daughter with literature regarding the dangers of drinking.

C

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 in the near future." c. "Based on when the breast buds first appeared, she should start menstruating around in the age of 14." d. "She will not start menstruating until her breasts are of adult size and contour."

C

When do females usually begin puberty? a. 1 year before males b. 1 year after males c. 2 years before males d. 2 years after males

C

Which Tanner stage of male genital development is characterized by initial enlargement of the penis, mainly in length along with further growth of the testes and scrotum? a. 1 b. 2 c. 3 d. 4

C

Which genetic disorder affecting the x chromosome is found in females? a. Gynecomastia b. Menstruation c. Turner syndrome d. Klinefelter syndrome

C

Which of the following statements is NOT correct concerning adolescent sexual issues? a. Sexting is becoming an increasingly common practice among teenagers. b. Experimenting with same sex intimacy may put teens at risk for suicide. c. Fantasizing about sexual activities has been shown to lead to promiscuity. d. Anticipatory guidance appropriately includes information about contraception and STDs.

C

Which of the following statements is correct regarding substance abuse and teenagers? a. Marijuana is the most frequently abused substance by teenagers. b. Opioid overdosing is on the decline secondary to better education on the hazards. c. Heroin is now purer than in the past, sometimes laced with fentanyl. d. Opioids when legally prescribed are safe and rarely lead to the use of street drugs.

C

A teenager is expecting her menstrual period on May 14. On which of the following dates would the nurse recommend that she perform a self-breast exam? a. May 11 b. May 14 c. May 17 d. May 23

D

Which genetic disorder affecting the x chromosome is found in males and is often diagnosed at puberty? a. Gynecomastia b. Menstruation c. Turner syndrome d. Klinefelter syndrome

D