Peds Sherpath Growth and Development and Health Promotion of Adolescents

An adolescent patient is concerned by sore gums and worries that it is a manifestation of a serious disease. Which actions does the nurse recommend to address the underlying cause of the patient's symptoms? Select all that apply. "Only eat soft, bland foods." "Use only a medium bristled toothbrush." "Be sure to clean around your braces really well." "Eliminate sweets and sugary beverages from your diet." "Gargle with a mix of salt and baking soda a few times per day."

"Be sure to clean around your braces really well." "Eliminate sweets and sugary beverages from your diet." "Gargle with a mix of salt and baking soda a few times per day."

The nurse teaches the 14-year-old patient about reliable resources for sexual education. The nurse knows further teaching is needed when the patient makes what statements? Select all that apply. "I have a friend whose older brother has had a bunch of girlfriends." "I look at websites on the back of the pamphlet from the health department." "Sometimes I go to my friends' house and we look at videos of naked girls." "I talk about sex with my older friends who know things because they've done 'it'." "Once a year they do this thing at school where they talk about condoms and stuff."

"I have a friend whose older brother has had a bunch of girlfriends." "Sometimes I go to my friends' house and we look at videos of naked girls." "I talk about sex with my older friends who know things because they've done 'it'."

An adolescent reports eating primarily salads with low-fat dressing and raw vegetables. Which recommendations should the nurse make to ensure the patient consumes a healthy nutritious diet? Select all that apply. "Have cooked vegetables sometimes." "Include an energy drink every afternoon." "Drink a supplement drink between meals." "Include chicken, tuna, or tofu in your salad." "Add a slice of whole wheat bread to your meal."

"Include chicken, tuna, or tofu in your salad." "Add a slice of whole wheat bread to your meal."

The 16-year-old patient talks excitedly with the nurse about the freedom of having a driver's license. Which statements by the patient need clarification by the nurse? Select all that apply. "Driving really cheers me up when I feel upset about anything at school." "Sometimes I accidentally leave my phone off even after I get out of the car." "My friends and I are headed to the water fall this weekend for a camping trip." "It feels good to know that if things get too out of control at home that I can leave." "Soon I'll be able to get a job and buy my own clothes without getting them approved."

"My friends and I are headed to the water fall this weekend for a camping trip." "It feels good to know that if things get too out of control at home that I can leave."

The 14-year old female patient tells the nurse she is concerned about being taller than her peers and is worried she will continue to grow in height. Which question by the nurse regarding expected changes in height related to puberty? "How tall is your mother?" "What was your height at age 11?" "Have you noticed any pubic hair?" "When did you start menstruation?"

"When did you start menstruation?"

Match the situation with the type of cognitive development. Early adolescent abstract thinking- Understanding bad grades will harm chances of getting into college Late adolescent abstract thinking- Analyzing career paths and taking pre-emptive action Adolescent logical reasoning- Comprehending the importance of community recycling

....

A female patient who experienced her first period on her 13th birthday can expect her peak height to be achieved by age___?

15

A female patient who experiences menarche at age 12 would be expected to reach reproductive maturity by no later than age____?

17

Which newly acquired cognitive/language milestones are achieved by the adolescent? Select all that apply. Understanding conservation Arguing a hypothesis Reversing a math problem Expressing abstract concepts Planning for college

Arguing a hypothesis expressing abstract concepts planning for college.

The nurse assesses the 14-year-old patient for suicide risk after the parents reported the patient was cutting. Which intervention is the priority action by the nurse? Discuss positive coping strategies. Assess the patient for a suicide plan. Refer the family to counseling services. Explain the infection risk from cutting.

Assess the patient for a suicide plan.

A 15-year-old patient is a member of the school's swim team. When educating on water safety, which water safety recommendation takes priority? Avoid drugs and alcohol Wear appropriate attire Attend practice regularly Refrain from playing around the pool

Avoid drugs and alcohol

Which statement best characterizes the early adolescent mindset regarding body image and self-perception? Unaware of physical changes Comfortable in his or her body Concerned only with him/herself Not concerned about body changes

Concerned only with him/herself

What are the major psychosocial developments that should occur during adolescence? Select all that apply. Becoming independent Determining gender identity Increasing desire to please others Developing a sense of industry Solidifying future plans for an occupation

Becoming independent determining gender identity solidifying future plans for an occupation.

The school administrators are trying to help an adolescent who constantly gets in trouble for fighting. Which of the following are risk factors for adolescent use of violence? Select all that apply. Being raised by an abusive parent Doing chores after school every day Playing video games involving shooting Supervised gun use at the shooting range Watching television with family each night

Being raised by an abusive parent Playing video games involving shooting

While taking a history from an adolescent with behavioral problems, the nurse learns that the adolescent has a fondness for violent activities and physical punishment is used at home. Which safety recommendation takes priority when addressing the adolescent's violence risk? Teach alternatives to physical punishment. Restrict movies and shows with adult content. Minimize time allowed playing shooting sports. Eliminate computerized games featuring fighting.

Teach alternatives to physical punishment.

An adolescent reports following the juicing diet in order to lose weight. The adolescent complains about being hungry even after juicing. What should the nurse tell the adolescent about their hunger? The body is trying to adjust. The body needs more calories. The adolescent should juice more often to satiate hunger. The body needs more protein during the juicing process.

The body needs more calories.

The nurse teaches the adolescent about engaging in risk-taking behaviors. In most states, the adolescent will be able to obtain care under the Minors' Consent Law for which issues? Select all that apply. Depression HIV exposure Prenatal care Alcohol abuse Contraception services Self-inflicted violence

Depression HIV exposure Prenatal care Alcohol abuse Contraception services

Which milestone associated with fine/gross motor control are achieved by the adolescent? Select all that apply. Driving a car Jumping in place Playing an agility sport Texting on a smart phone Playing a complex musical instrument

Driving a car playing an agility sport texting on a smart phone playing a complex musical instrument.

Why would an adolescent engage in "sexting"? Select all that apply. Fit in with peers. Attract a partner. Decrease sexual activity. Delay having sex with a partner. Make himself feel more important.

Fit in with peers. Attract a partner. Make himself feel more important.

Which person is most important to the identity development of an adolescent? Friend Sibling Mentor Parent

Friend

Puberty is considered delayed in males if which physical changes do not occur by age 14? Growth of testes Gynecomastia Penis enlargement Axillary hair growth Scrotum color darkening

Growth of testes.

An adolescent reports feeling fatigued and unable to focus during the day. Which lifestyle changes can the nurse recommend for this patient? Select all that apply. Taking a nap after school Implementing a sleep routine Eating a full meal before bed Avoiding caffeine before bed Discontinuing use of electronic devices at least one hour before bedtime

Implementing a sleep routine Avoiding caffeine before bed Discontinuing use of electronic devices at least one hour before bedtime

Which physical changes are experienced by boys during the adolescent years? Select all that apply. Thelarche Increased height Growth of sexual organs Increased fat deposits Growth of pubic hair

Increased height growth of sexual organs growth of pubic hair.

A girl in Tanner Stage 3 would be expected to exhibit which characteristics regarding breast development? Select all that apply. Breast mound elevation Mature nipple projection Lack of contour separation Areola forming secondary mound Breast and areola enlargement

Lack of contour separation breast and areola enlargement.

Which statement below describes one of the ways that male physical development differs from females? Males develop increased muscle mass. Males develop increased adipose tissue. Males experience height increase of 3.15 in (8 cm)/year. Males experience an increase in body mass index.

Males develop increased muscle mass.

Which physical changes are experience by girls during the adolescent years? Select all that apply. Menarche Pubic hair growth Breast development Formation of ovaries Decrease in adipose tissue

Menarche pubic hair growth breast development.

According to Holland-Hall and Bernstein, which developmental change in the brain allows for the adolescent's ability to think critically and solve problems? Select all that apply. Becoming independent Determining gender identity Increasing desire to please others Developing a sense of industry Solidifying future plans for an occupation

Neuron maturation

Which developmental changes are expected in females begging with menarche? Select all that apply. Regular periods Budding of breasts Ovulation Increase in progesterone Increase in estrogen

Ovulation increase in estrogen.

An adolescent gives the nurse a 24-hour diet recall of: Breakfast: black coffee; lunch: chicken salad with tomatoes and lettuce; snack: yogurt and granola with fruit and an energy drink; dinner: cheese omelet with broccoli; snack: whole grain toast with peanut butter. Which recommendations or observations should the nurse make to improve or reinforce the nutritional choices of this patient? Select all that apply. Substitute the energy drink for the morning coffee. Peanut butter is a good choice for meals and snacks. Only eat eggs or omelets during the morning mealtime. Discuss appetizing breakfast foods to include in the diet. Eating yogurt more often is a good way to increase calcium.

Peanut butter is a good choice for meals and snacks. Discuss appetizing breakfast foods to include in the diet. Eating yogurt more often is a good way to increase calcium.

An adolescent experiences an avulsed tooth while playing football. The family recovers the tooth and brings the adolescent to the emergency room. What is the priority action by the nurse? Place tooth in milk. Scrub the tooth clean. Place tooth back in socket. Ensure that all debris is removed from tooth.

Place tooth in milk.

What is one way adolescents receive inappropriate or incorrect information regarding sex and sexuality? The internet Outdated books Health teacher Talking to parents

The internet

Which are common reasons that adolescents pierce or tattoo their bodies? Select all that apply. To avoid being bullied Because parents have body art To express individualism To represent a deep belief To identify with a specific peer group

To express individualism To identify with a specific peer group

Which safety recommendation is a priority for the adolescent who reports previously drinking alcohol at a party? Use a ride-home agreement Drive slowly on secondary roads Do not use the phone while driving Call parents on arrival to the destination

Use a ride-home agreement

What are potential adverse effects when adolescents do not use sunscreen? Select all that apply. Wrinkles Melanoma Facial acne Facial scars Contact dermatitis

Wrinkles Melanoma