Chapter 33: Nursing Care of a Family With an Adolescent

The school nurse is preparing an educational session for adolescents to address the 2030 National Health Goals for healthy habits. What should the nurse include in this presentation? Select all that apply. A. abstaining from alcohol B. avoidance of tobacco products C. providing support in times of crisis D. attending college preparation programs E. refusing to participate in substance abuse

A,B,C,E

Which intervention would probably be most effective in preventing an adolescent from attempting suicide with an overdose again? A. Assessing financial situation B. Helping to learn better problem solving C. Teaching the parents to keep medicine in a locked cabinet D. Helping to locate a close friend at school

B

An adolescent asks the nurse what the term "puberty" means. What is the nurse's best response? A. "It is the age at which one first becomes capable of sexual reproduction." B. "It denotes the beginning of secondary sex characteristics." C. "It is the time span between 12 and 18 years." D. "It is the time span that denotes the onset of maturity."

A

An adolescent is prescribed tretinoin (Retin-A cream) as therapy for acne. After teachig the adolescent about this medication, the nurse determines that the teaching was successful based on which client statement? A. "I need to make sure I protect myself when I'm outside." B. "I should apply the cream while my face is wet." C. "I should avoid using the medication prior to bedtime." D. "The cream should not be applied directly to the acne lesions."

A

The nurse is caring for a 16-year-old client. The client confides in the nurse that they use of marijuana daily. Which action by the nurse is appropriate? A. Discuss adverse side effects with the client. B. Notify local law enforcement. C. Ask the client where the marijuana is obtained. D. Determine how long the client has used marijuana.

A

The nurse is caring for a 17-year-old client recovering from a failed suicide attempt. Which factor should the nurse recognize as potentially causing the client to reattempt suicide? A. The client states feeling sad. B. The client has three other siblings. C. The client performs in the school band. D. The client is on the honor roll at school.

A

During a routine health checkup, an adolescent expresses concern about pregnancy and sexually transmitted infections. The adolescent states being sexually active. What information can the nurse provide the adolescent? Select all that apply. A. Do not be influenced by friends to have sex. B. If you have intercourse, there is no 100% method to prevent pregnancy. C. Learn about and practice safe sexual techniques. D. Sexual activity does not harm routine physical activity. E. Adolescence is the time when all sexual activity begins.

A,B,C,D

A 15-year-old adolescent is seen at a health care facility for facial acne. When counseling the teen, the nurse would teach that the basic cause of acne is: A. lack of showering adequately after gym class. B. activation of androgen hormones. C. vitamin deficiency from an inadequate diet. D. thyroid-gland secretions increasing with adolescence.

B

An adolescent admits to using marijuana on a daily basis. What should the nurse explain to the client to help improve performance in school? A. The effect of marijuana fades fastest if eating occurs after use. B. Marijuana causes memory gaps that interfere with learning. C. Marijuana leads to muscle laxness, so it should not be used close to gym class. D. Marijuana increases blood pressure; running should not be done after smoking it.

B

An adolescent comes into the emergency department with a foot wound. Upon assessment, the nurse learns that the client is a runaway and has been living on the streets. Which is the most appropriate care for the nurse to provide to the client at this time? A. Recommend returning to live with parents. B. Treat the wound and provide wound care supplies. C. Discuss the importance of a diet high in protein and vitamin C. D. Explain how the wound needs to be flushed with water every 4 hours.

B

The nurse instructs an adolescent on the hazards of body piercings and tattoos.Which outcome indicates that teaching has been effective? A. The client gets a small tattoo on the inner ankle. B. The client describes the signs and symptoms to report to the provider. C. The client observes a tattoo being done and decides to get one with an older brother. D. The client limits body piercings and tattoos to areas on the trunk.

B

The nurse is providing education on adolescent safety to a group of caregivers. Which statement by a caregiver indicates additional teaching is needed? A. "Teenagers should not cook on the stove when home alone." B. "Taking a course on driving safety is sufficient to teach safe driving skills." C. "Firearms should be kept in locked boxes, closets, or cabinets." D. "Setting limits is beneficial when rearing teenagers."

B

A 16-year-old girl who has been confined to a wheelchair since early childhood has been acting rebellious and rude. Her parents ask the nurse, "Are all adolescents like this?" What is the nurse's best response? A. "Yes. Although your daughter's behaviors are more like those of an adolescent boy." B. "No. Your daughter must need some help in dealing with her feelings." C. "Your daughter's behavior seems to be typical adolescent behavior. Let's talk more about it." D. "Your daughter's behavior results from feelings about her disability; ignore them."

C

An adolescent is concerned that he is going to be unusually short. The nurse would advise him that the epiphyseal lines of long bones in boys that govern growth usually close between ages: A. 13 and 14 years. B. 14 and 15 years. C. 17 and 18 years. D. 20 and 22 years.

C

An adolescent is prescribed retinoic acid cream as therapy for his acne. About which of the following would you caution him? A. not putting the medication on just prior to bedtime B. applying the cream while his face is wet C. avoiding staying in the sun for extended periods of time D. not applying the cream directly on lesions

C

An adolescent shares with you that she wishes her breasts would grow larger. Which initial nursing response is best? A. "It is unlikely that your breasts will grow any more. I wouldn't spend time thinking about it." B. "You look fine to me. Why would you want larger breasts?" C. "Breast growth usually stops by the age of 16 years. What is the reason you were hoping yours would grow more?" D. "Let's talk about your concern. You know that breast size has nothing to do with ability to reproduce."

C

During a health visit, an adolescent client tells the nurse, "Why am I having all this acne?" Which response by the nurse would be appropriate? A. "Your thyroid gland is secreting more hormones as you grow." B. "Your acne is most likely from not keeping your skin clean enough." C. "Your body is producing hormones called androgens that are responsible for your acne." D. "You must have a vitamin deficiency because you're not eating healthy."

C

The nurse is identifying outcomes for an adolescent client who has been avoiding bread products and grains in order to lose weight. Which outcome should the nurse identify as appropriate for this client's nutritional needs? A. The client will ingest bread and grain products during breakfast. B. The client will have no further signs of calcium, iron, and zinc deficiency. C. The client will have no further signs of thiamine and riboflavin deficiency. D. The client will ingest bread and grain products when eating out with high school friends.

C

What activity would best foster the developmental task of an adolescent who uses a wheelchair to ambulate? A. Allowing the adolescent to decide when to bathe B. Watching television on the set in the adolescent's room C. Talking to another adolescent who has a similar situation D. Having a teacher bring school work to the adolescent

C

Which action would provide an indication that an adolescent's parents understand their child's need for increased independence? A. Verbalizing, "We try to do everything we can to make things easier for her." B. Reporting they understand that their child's chief need is for increased privacy C. Stating they are encouraging their child in the search for an after-school job D. Saying, "We will always be here for her whenever our child needs us."

C

Which nursing action will best assist a 15-year-old client accomplish the developmental task according to Erikson? A. Permit the client to make decision regarding one's care B. Praise the client for correctly performing self-care C. Allow the client's friends to visit while the client is hospitalized D. Provide the client with crafts and puzzles to complete independently

C

An adolescent is concerned that although he has pubic hair, he has no facial hair yet. He wishes facial hair would grow to cover acne lesions. The nurse would advise him that facial hair: A. usually grows before pubic hair. B. is rarely present before 20 years of age. C. is delayed in boys with acne. D. usually follows pubic hair growth.

D

During a physical assessment, a 15-year-old male expresses concern about being short in height. When responding to the client, the nurse would incorporate an understanding of which information about growth? A. Most male adolescents stop growing by age 17 years. B. Maximum height is typically achieved by age 14 years. C. The epiphyseal lines of long bones close when signs of puberty occur. D. The epiphyseal lines of long bones close at about 18 to 20 years of age in males.

D

The nurse is caring for a 16-year-old adolescent who was arrested for driving while intoxicated. Which teaching method is most effective in changing the adolescent's behavior? A. scolding the client for such irresponsible behavior B. reviewing the long-term effects of alcohol on the liver C. teaching that alcohol eventually will lead to other drug abuse D. stressing that the driver's license can be lost if drinking continues

D

The nurse is caring for a chronically ill adolescent client. When developing the plan of care for this client, which area would the nurse focus on to maintain stimulation and support the client's sense of identity while hospitalized? A. Plan interventions to fall around scheduled rest periods. B. Teach the client about food choices appropriate to the prescribed diet. C. Instruct on the name and indications for use of all medications. D. Encourage keeping in contact with friends through social media.

D

The nurse is preparing to discuss the most frequent causes of death in adolescents with a group of high school students. On which area should the nurse focus during this discussion? A. water safety B. home safety C. firearm safety D. motor vehicle safety

D