Care of the adolescent

Which question would be most important for a nurse to ask when taking a history from a client who is suspected of having amenorrhea?

Are you sexually active?

An adolescent client is concerned about the presence of facial acne. What should the nurse teach the client about the cause of this skin disorder?

Caused by the activation of androgen hormones

A school nurse performs screenings on all the students in the school. When planning screenings for all students for the year, which screenings will be included? Select all that apply

Scoliosis BMI Vision Hearing

An adolescent female is experiencing dysmenorrhea. What should the nurse teach the patient to help with this disorder?

Take over-the-counter ibuprofen

A 16-year-old adolescent tells the nurse about having severe dysmenorrhea. Which action would be the besthealth teaching measure?

Take over-the-counter ibuprofen for its prostaglandin action

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

The nurse is caring for a 13-year-old girl. As part of a routine health assessment the nurse needs to address areas relating to sexuality and substance use. Which statement or question should the nurse say first to encourage communication?

Tell me about some of your current activities at school

The nurse is admitting a 15-year-old adolescent to the hospital pediatric unit. What does the nurse recognize as a priority for this adolescent?

The adolescent's need for privacy should be respected

A 12-year-old client comes to the clinic for an annual checkup. The nurse needs to take a health history and perform a physical exam. Which method would be the most appropriate when obtaining the client's health history?

Ask the client if it's OK for the parent to be in the room

The school nurse is monitoring a student athlete who experienced a concussion 2 weeks ago during a soccer game. The student reports having difficulty in a course in which the child previously performed well. Which action should the nurse's take first?

Ask the student to describe the issues he is having in the class

A 16-year-old girl with acne has been prescribed tretinoin (Retin-A cream). Which of the following instructions should the nurse give this girl related to prevention of a common side effect of this medication?

Avoid prolonged sun exposure

An adolescent is prescribed tretinoin (Retin-A cream) as therapy for acne. What should the nurse instruct the client about this medication?

Avoid unprotected sun exposure

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

A nurse is conducting an assessment of a 16-year-old's cognitive development. The nurse determines that the adolescent's cognitive development is within acceptable parameters for the adolescent's age based on which assessment finding? Select all that apply.

Demonstrates thinking that the adolescent is invincible. Uses scientific methods to solve verbal problems. Shows a beginning interest and concern with societal and political issues.

A public health nurse is instructing on the short-term and long-term effects of sexually transmitted infections. Which effects would be included? (Select all that apply.)

Emotional stress Implications for fertility Relationships with future partners

A 15-year-old girl has been experiencing dysmenorrhea for the past year. Over the past 6 months, she has been taking ibuprofen and oral contraceptives, with no improvement. What underlying condition should be assessed for in this client at this point

Endometriosis

Infectious mononucleosis ("mono") is caused by which of the following?

Epstein-Barr virus

The nurse is caring for a family with a chronically ill adolescent. The parents are frustrated that the adolescent will not complete the treatment plan during the school day. Which approach by the nurse will be most appropriate?

Explaining to the parents that the adolescent may be struggling to fit in with his peers

The nurse is caring for a 12-year-old with cerebral palsy who is unable to communicate verbally. Which pain assessment tool is the most appropriate for the nurse to use when assessing pain in this client?

Face, leg, activity, cry, and consolability (FLACC) descriptors

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?

I need to have 4 servings of fruit each day

A 14-year-old boy is far quieter than usual when he visits his physician's office. The nurse asks him if anything is wrong, and the boy replies that he did not make the cut for the football team. What would be mostappropriate for the nurse to say?

I'm really sorry; I know that must be a big disappointment

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 must be sexually active or having overly sexual thoughts to have a nocturnal emission

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

Billy's mother is with him at a visit for a sore throat. During the interview she states that she does not know what to do with him. "He's taking two or three showers a day and it was not that long ago that I could barely get him to take a bath at all." Which response by the nurse would be most appropriate?

Reinforce the family rules but also allow him to develop his own routine

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

Computer use at home and at school has increased adolescents' comfort in gaining access to and using the Internet. This has expanded their exposure to risks. What potential risks are there for an adolescent to be exposed to?

Teens can be exposed to inappropriate materials, harassment, threats, and potential for molestation

The nurse has provided an education conference for a group of teachers about suicide risks for adolescents. Which statement by a teacher indicates a correct understanding of the nurse's teaching?

Teens who have attempted suicide once are at increased risk to try to commit suicide again

The physician has made a notation in the medical record of a 17-year-old that the teen is not demonstrating successful completion of Erikson's stages of development. What behavior would be consistent with this assessment?

The teen is uncertain and frequently unable to make decisions.

A single male caregiver of a 14-year-old girl accompanies his daughter to her pre-high school physical. In the course of discussion about how his daughter is developing, he remarks, "She's terrific most of the time. Of course when she gets her period, she's miserable and mean, but I tell her that's just what it's like to be a woman." What would be the most appropriate response by the nurse?

There are nutritional and medical things she can do to lessen the symptoms; I'll give both of you information about some strategies and we'll track her for a few months

An 18-year-old client is planning to attend college in the fall. The health care nurse informs the adolescent that a visit with the primary care physician (PCP) will need to be scheduled before the start of college. What primary purpose does this PCP visit serve?

To update immunizations

The nurse is teaching the parents of a 12-year-old boy about common approaches when raising an adolescent. Which instruction is most important?

Try to be open to his views

To teach an adolescent how to prevent the recurrence of a sexually transmitted infection, the nurse would include which information in the teaching plan? Select all that apply

Use a condom with every sexual encounter. Abstinence is the best protection against sexually transmitted infection. Wash genitals well with soap and water after sexual activity

The mother of an adolescent has called to talk to the pediatric nurse over concern that her daughter is not getting proper nutrition now that she has started following a vegetarian diet. Which response should the nurse prioritize for this mother?

Vegetarian diets can be healthy; ensure she includes whole-grain products, legumes, nuts, seeds, and soy dairy substitutes

A 15-year-old male patient diagnosed with gonorrhea states, "I can't tell my partner about this." What is the best response by the nurse?

What concerns you about telling your partner?

When obtaining information from a teen concerning the reason for seeking health care, which question would be most important?

What health concerns are you having?

The nurse is assessing a 16-year-old girl at an annual well-clinic visit and notes the girl started menses at 13 years of age and grew 1 inch (2.5 cm) over the past year. When questioned by the young lady if this is normal, which answer should the nurse prioritize?

You're following expected patterns of growth

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?

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

The nurse is interviewing an adolescent. What should the nurse recognize as an important aspect of interviewing the adolescent?

Adolescents will share more about themselves in a private conversation

The nurse is educating the parents of a 10-year-old girl in ways to help their child avoid tobacco. Which suggestion should be part of the nurse's advice

As parents, you need to be good role models

The nurse is caring for a 16-year-old client. The client confides in the nurse the use of marijuana daily. Which action by the nurse is appropriate?

Discuss adverse side effects with the client

The school nurse is planning to teach a segment on smoking during the freshman health classes. The nurse is aware that this needs to be a forum rather than a lecture. Which of the following techniques will also help deliver a "don't smoke" message?

Listening to all comments nonjudgmentally

The school nurse is teaching parents risk factors for suicide in adolescents. What would the nurse discuss? Select all that apply

Mental health changes History of previous suicide attempt Family disorganization Substance use disorder

The nurse is promoting learning and school attendance for a 13-year-old girl. Which factor will affect the child's attitude most?

Peer group behaviors and attitudes

The nurse is teaching safety to a group of adolescents. Which common cause of death among adolescents will the nurse include in the teaching?

unintentional injuries