NURS 405 Ch29 (Quiz 1)
The nurse is assessing an adolescent's risk for harm from guns being present in the home. What question would be best to ask during the assessment? "Are the guns in your home locked in a safe?" "Do you understand that it is important for you not to handle a gun?" "Do you and your dad hunt?" "Have you been taught how to use a gun?"
"Are the guns in your home locked in a safe?"
An adolescent who is depressed states, "Nothing ever seems to be right in my life." How should the nurse respond? "Try to look at the bright side of things." "You are feeling sad right now. It is a hard time." "Things will be better when you go off to college." "Being a teenager is hard work."
"You are feeling sad right now. It is a hard time."
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? Hanging out with girls but maintaining her own unique style Hanging out primarily with boys her own age Banding together with other girls and dressing like them Banding together with boys and girls but maintaining her own unique style
Banding together with other girls and dressing like them
To help prevent obesity, which intervention would the nurse include in an adolescent's plan of care? Describe a normal serving size. Describe sources of low calorie proteins. Plan a diet of 1,500 calories per day. Plan a diet of 2,000 calories per day.
Describe a normal serving size.
The nurse is caring for a 16-year-old client. The client confides in the nurse that they use marijuana daily. Which action by the nurse is appropriate? Notify local law enforcement. Discuss adverse side effects with the client. Determine how long the client has used marijuana. Ask the client where the marijuana is obtained.
Discuss adverse side effects with the client.
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? Sensorimotor Socialization Identification of identity Formal operational thought
Formal operational thought
While caring for a 16-year-old client expected to be hospitalized for several months, the nurse will perform which action to assist the client in meeting the current stage of psychosocial development? Explain medical concepts by providing handouts and brochures. Permit peers to visit during open visitation hours. Allow the client to touch equipment before procedures. Provide video games for the client to play.
Permit peers to visit during open visitation hours.
With summer approaching, the nurse discusses sun safety with a group of teen girls. Which suggestion is most likely to be followed? Wear sunglasses. Do not attempt to get a tan. Limit sun exposure between 10:00 AM and 2:00 PM. Wear a hat when in the sun.
Wear sunglasses.
A teenage boy tells the nurse that his parents embarrass him in front of his friends when they kiss him goodbye. The nurse is aware that this teenager is revisiting which stage of development identified by Erikson? initiative autonomy generativity industry
autonomy
The nurse is talking to a 13-year-old boy about choosing friends. Which function do peer groups provide that can have a negative result? developing stability sharing problems following role models negotiating differences
following role models
A nurse is preparing a teaching session for a group of high-school students about making safe choices and the consequences when safe choices are not made. Which situation will the nurse point out as the most common cause of adolescent injuries? drowning motor vehicle accidents sports suicide
motor vehicle accidents
Nurses should provide anticipatory guidance to males to prepare them for what particular pubertal change in middle-to-late adolescence? lengthening of the penis nocturnal emissions reddening of the scrotum pubic hair growth
nocturnal emissions
The nurse is educating an adolescent female who needs to increase dietary iron but has expressed concern about weight gain. What dietary choices would the nurse recommend? cottage cheese, crackers, oranges chicken, whole-wheat bread, watermelon pasta, broccoli, pear raspberry yogurt, granola, apple
pasta, broccoli, pear
The nurse is promoting nutrition to a teen who is going through a growth spurt. Which food should the nurse recommended for its high iron content? fat-free milk fresh orange juice organic carrots whole grain bread
whole grain bread
The nurse is promoting nutrition to a teen who is going through a growth spurt. Which food should the nurse recommended for its high iron content? fat-free milk whole grain bread fresh orange juice organic carrots
whole grain bread
The adolescent comes to the clinic reporting "being tired all the time." What assessment data is important for the nurse to ask about the adolescent's symptoms? Select all that apply. "How many hours did you sleep last night?" "Do you play in an organized sport?" "Do you think your friends really like you?" "Have you been ill recently?" "Are you doing any illegal activities?"
"How many hours did you sleep last night?" "Do you play in an organized sport?" "Have you been ill recently?"
A teacher refers a student to the school nurse because the student is frequently falling asleep during class. After talking with the student, the nurse is most concerned by which statement by the student? "I guess I need to be more careful about my curfew on school nights." "I just can't seem to stay awake during that class because it's boring." "My mom keeps telling me to turn off my television when I go to bed." "I get 7 hours of sleep every night so I don't know why I am so tired."
"I get 7 hours of sleep every night so I don't know why I am so tired."
The nurse is counseling an overweight, sedentary 15-year-old girl. The nurse is assisting her to make appropriate menu choices. Which statement indicates the adolescent understands how to make appropriate dietary selections? "To lose weight my protein intake should be limited to 2 to 4 servings per day." "I need to eat plenty of fruit each day." "I avoid all fat intake." "Because of my age, my dairy intake is unlimited."
"I need to eat plenty of fruit each day."
During the assessment of a 15-year-old female, the nurse notes a new body piercing in the navel. Which statements by the nurse would be appropriate in regard to this new piercing? Select all that apply. "You are very young to have a navel piercing. Do your parents know you have this?" "I really like your belly ring. Where did you get it?" "I notice you have a new piercing. Be sure to clean it twice a day so you don't get an infection." "Did they tell you when you got your piercing how important cleaning it is? Infections can take up to a year to heal in a naval piercing." "A navel piercing is a lot better than a tattoo. At least the piercing doesn't have to be permanent if you don't want it to be."
"I notice you have a new piercing. Be sure to clean it twice a day so you don't get an infection." "Did they tell you when you got your piercing how important cleaning it is? Infections can take up to a year to heal in a naval piercing."
The parents are concerned their 14-year-old child is always eating. The child weighs 54 kg and is 65 inches (165 cm) tall. What is the best explanation the nurse can give the parents? "He is substituting food for unfilled needs." "He needs the calories because he participates in sports." "His calorie intake predisposes him to future obesity." "The calories help his body increase muscle mass."
"The calories help his body increase muscle mass."
The clinic nurse is assessing a 14-year-old client. The client states "I am worried I have a brain tumor. I am so clumsy when I play sports now that it is totally embarrassing." Which response by the nurse is appropriate? "You are experiencing rapid and uneven growth now which can interfere with coordination." "I understand why you are worried. Has anyone else in your family had a brain tumor." "I will request the primary health care provider prescribe a magnetic resonance image (MRI)." "Have you noticed any changes in your vision or hearing lately?"
"You are experiencing rapid and uneven growth now which can interfere with coordination."
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? From ages 7 to 11 years, children internalize actions and can perform them in the mind. Children from ages 2 to 7 years investigate and explore the environment and look at things from their own point of view. Up to age 2, children learn by touching, tasting, and feeling. They learn to control body movement. 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.
A chronically ill adolescent is readmitted to the hospital with an infected wound requiring long-term dressing changes. What is the best way the nurse can encourage independence for this client? Teach the parents to perform dressing changes at home. Have the school provide homework. Have the adolescent go to the teen room every day. Allow the adolescent to choose the time for the dressing change.
Allow the adolescent to choose the time for the dressing change.
For reasons of anticipatory guidance, nurses should be aware that menarche appears earlier in some ethnic groups than others. In which ethnic group is menarche likely to appear first? Hispanic Black White South Asian
Black
A 15-year-old adolescent shows a pattern of gaining weight, not a large amount but a little more each visit. The adolescent is not active in any sports and eats out frequently with parents. What is the best way for the nurse to assess the adolescent's eating pattern? Ask the adolescent to show the nurse what a healthy portion looks like. Ask the adolescent to recall what was eaten in the last 3 days. Have the adolescent keep a food diary for 1 week. Have the adolescent guess the calorie intake in a 24-hour period.
Have the adolescent keep a food diary for 1 week.
The parents of a 16-year-old male are worried about recent changes in his behavior, ignoring his schoolwork and sports, and spending almost all of his free time interacting with his girlfriend. Which suggestion should the nurse point out would best address this situation? He is not developmentally mature enough to have an intimate relationship with one girl; they should encourage him to spend time with groups of friends rather than time alone with his girlfriend. He has chosen a girl who is overly dependent on him...including doing the schoolwork he enjoys, in any relationship. He has developed his own identity by now; being able to establish close relationships with girls is important preparation for all of his adult relationships...as long as he has completed his schoolwork for the day. He is not developmentally mature enough to make healthy choices about the ways in which he spends his time, so...
He has developed his own identity by now; being able to establish close relationships with girls is important preparation for all of his adult relationships. They should honor his need to be with, or talk to, his girlfriend as long as he has completed his schoolwork for the day.
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? 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.
Offer to assist the girl in washing her hair and let her pick the shampoo.
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: lack of showering adequately after gym class. thyroid-gland secretions increasing with adolescence. vitamin deficiency from an inadequate diet. activation of androgen hormones.
activation of androgen hormones.
An adolescent female with anemia has been prescribed a diet high in iron. Selection of which meal indicates to the nurse that the client understands the prescribed diet? fried chicken, carrots, and mashed potatoes cookies, candy, and crackers shrimp, corn on the cob with butter, and cookie baked chicken, steamed cauliflower, garden salad
baked chicken, steamed cauliflower, garden salad
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 carbohydrates the student is eating the amount of protein the student is eating how often the students engage in this practice how many hours the student exercises each day
the amount of carbohydrates the student is eating Glycogen loading is a procedure used to ensure there is adequate glycogen to sustain energy through an athletic event. Several days before a sports event, athletes lower their carbohydrate intake and exercise heavily to deplete muscle glycogen stores. They then switch to a diet high in carbohydrates. With the renewed carbohydrate intake, muscle glycogen is stored at 2 to 3 times the usual level, which supplies them with up to 2 times the glucose needed for sustained energy. Athletes need more energy from carbohydrates than protein. Participating in this practice would cause a negative nitrogen balance, not a positive one.
The mother of a 9-year-old female voices concern to the nurse about her daughter developing breasts "at such a young age." How should the nurse respond? "Do the females in your family typically develop at an early age?" "This is rather young to be developing breasts. I will be sure to let the doctor know." "I am sure you are concerned but children develop at different rates." "I understand your concern, but girls typically enter puberty around the age of 9 or 10."
"I understand your concern, but girls typically enter puberty around the age of 9 or 10."
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? Review dietary measures to assist in controlling weight gain. Provide reassurance that these are normal changes. 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 collecting data from an adolescent being seen for a well-child check. During the interview, the teen reports he sleeps about 6 hours per night during the week but is able to sleep 8 to 9 hours on the weekend. What response by the nurse is most appropriate? "Let's talk about ways to increase the amount of rest you get during the week." "I am glad to see you are getting the amount of rest you need." "You would benefit by trying to sleep a little less on the weekends." "Sleeping during the weekend to catch up on missed rest is a good thing to do."
"Let's talk about ways to increase the amount of rest you get during the week."
The mother of a 13-year-old boy confides to the pediatric nurse practitioner that her son has recently had a nocturnal seminal emission. The mother is concerned, and the nurse explains "wet dreams" and the other male traits of puberty to the mother. Which response indicates a need for further discussion? "My son is not doing anything to cause the nocturnal emissions; they occur spontaneously." "My son must be sexually active or having overly sexual thoughts to have a nocturnal emission." "My son is developing normally and the traits of puberty vary from child to child." "My son's spontaneous erections and nocturnal emissions are very normal."
"My son must be sexually active or having overly sexual thoughts to have a nocturnal
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
The mother of a 15-year-old boy expresses sadness to the nurse that her son is "much more connected to his friends than his family." What understanding would benefit this parent? Select all that apply. Peers can be positive or negative influences. Peers provide opportunity to learn and practice social roles. Adolescents need parental support and guidance as they move toward greater peer involvement. Peers are needed for emotional security while stepping away from family. Parents should wait until the adolescent introduces them to their peers.
Peers are needed for emotional security while stepping away from family. Peers provide opportunity to learn and practice social roles. Peers can be positive or negative influences. Adolescents need parental support and guidance as they move toward greater peer involvement.
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? Tattooing carries risks such as infection, disease, and nerve damage. It is not recommended to get the tattoo from your friend in his garage. 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.
The nurse is caring for an adolescent athlete who is being seen for a fractured arm. The parent reports that this is the third sports injury in the past 2 years. The parent asks the nurse why the adolescent—who is healthy overall— continues to have injuries. How should the nurse respond? Some adolescents are accident-prone. The bones, joints, and tendons of adolescents are vulnerable to injury due to their rapid state of growth. There may be some underlying problems that your adolescent should be evaluated for. These are accidents and random in occurrence.
The bones, joints, and tendons of adolescents are vulnerable to injury due to their rapid state
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? 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. Call the hospital's mental health unit to see if she can get some counseling. Suggest that she read books and magazines from the hospital bookmobile.
Take her to the teen lounge so she can meet and interact with other teens.
The nurse is assessing a teenage client and notes his lower front teeth are slightly crossed over. The nurse points out to his caregiver that he should see an orthodontist about this to prevent which potential situation? Leaving even slightly crooked teeth will lead to more cavities later in life. This could have a lasting effect on his future to include everything from dating to hiring. Uncorrected malocclusions lead to infection and ultimately tooth loss. Even slight malocclusions make chewing and jaw function less efficient.
Even slight malocclusions make chewing and jaw function less efficient
The father of a 15-year-old daughter is concerned she is not getting adequate nutrition to play high school basketball. Her games are on Friday nights. Which suggestion should the nurse point out will best suit the needs of this adolescent?
Three daily meals that include choices from each of the food groups; Friday's lunch eaten around 2 p.m. with a small amount of fat and a somewhat larger than usual portion of complex carbohydrates.
A parent brings the adolescent to the clinic to get a sports physical. After the exam, when the adolescent is not in the room, the parent mentions worrying about the adolescent participating in risky behaviors and that the adolescent's dependence on peers is growing stronger. The parent asks what can be done to make sure the adolescent is safe. How should the nurse respond? Encourage the family to spend more time together playing games or watching movies. Suggest that the adolescent invite friends to the house and include them in family activities. Remind the parent that family connectedness is a strong factor in helping adolescents to remain resilient. Remind the parent that this is normal behavior that the adolescent will eventually outgrow.
Remind the parent that family connectedness is a strong factor in helping adolescents to remain resilient.
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. Insist on age and not emotional maturity as the qualification for obtaining a driver's license. Require the son to wear a seat belt. Require the son to wear full body covering. Require the son to learn all relevant safety rules. Require the son to wear long pants.
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.
