Chapter 35
The parents of a 15-year-old girl are concerned that their adolescent spends too much time looking in the mirror. Which statement is the most appropriate for the nurse to make?
"During adolescence this behavior is not unusual"
Which statement is the most appropriate advice to give parents of a 16-year-old who is rebellious?
"You need to collaborate with your child and set limits that are preceived as being reasonable"
Which statement by the nurse is most appropriate to a 15-year-old whose friend has mentioned suicide?
"Your friend's threat needs to be taken seriously and immediate help for your friend is important"
The mean age of menarche in the United States is:
12.5 years
By what age should concerns about pubertal delay be considered in boys?
13.5 to 14 years
Which hormone is responsible for the growth of beard, mustache, and body hair in the males?
Androgen
A 14 year old, mentions that he now has to use deodorant but never had to before. The nurse's response should be based on what knowledge?
Apocrine sweat glands reach secretory capacity during puberty
In girls, what is the initial indication of puberty?
Breast development
Which aspect of cognition develops during adolescence?
Capability to use a future time perspective
Young people diagnosed with anorexia nervosa are often described as possessing what personal characteristics?
Conforming
Which is the most commonly used method in completed suicides?
Firearms
According to Piaget, the adolescent is in the forth stage of cognitive development with a focus on what area?
Formal operations
A school nurse is conducting a class with adolescents on suicide. Which true statement about suicide should the nurse include in the teaching session?
Gay and lesbian adolescents are at a particularly high risk for suicide.
When planning care for adolescents, the nurse should consider which intervention?
Give information privately to adolescents about how they can manage the specific problems that they identify.
A young adolescent tells the nurse, "I feel gawky." The nurse should explain that this occurs in adolescents because of what physiological event?
Growth of the extremities and neck precedes growth in other areas
According to Erikson, what is the psychosocial task of adolescence?
Identity
The nurse is completing a health history with a 16-year-old male. He informs the nurse that he has started using smokeless tobacco after he plays baseball. Which information regarding smokeless tobacco would be most correct for the nurse to provide to this teen?
It has been proven to be carcinogenic
Which symptoms should the nurse expect to observe during the physical assessment of an adolescent girl with severe weight loss and disrupted metabolism associated with anorexia nervosa?
Lowered body temperature and brittle nails
The nurse is caring for an adolescent diagnosed with acute cocaine toxicity. Initial data collection should include what focus?
Mode of administration
A 17 year-old tells the nurse that he/she is not having sex because it would make he/she parents very angry. This response indicates that the adolescent has a developmental lag in which area?
Moral development
What is the most common cause of death in the adolescent age-group?
Motor vehicles
The nurse is caring for an adolescent hospitalized for cellulitis. The nurse notes that the adolescent experiences many "mood swings" throughout the day. The nurse interprets this behavior as:
Normal behavior
Which statement best describes Tanner staging?
Predictable stages of puberty that are based on primary and secondary sexual characteristics
Which predisposes the adolescent to feel an increased need for sleep?
Rapid physical growth
How may anorexia nervosa best be described?
Resulting in severe weight loss in the absence of obvious physical causes
Which is the most significant factor in distinguishing those who commit suicide from those who make suicidal attempts or threats?
Social isolation
What is the first sign of pubertal change seen with boys?
Testicular enlargement
Which behavior suggests appropriate psychosocial development in the adolescent?
The adolescent is self-absorbed and self-centered and sudden mood swings
An adolecent boy tells the nurse that he has recently had homosexual feelings. The nurse's response should be based on what knowledge?
The adolescent should be encouraged to share his feelings and experiences.
Which statement is most descriptive of central nervous system stimulants?
They can result in strong psychologic dependence.
The parents of a 14 year old expresse concerns about the number of hours their child spends with friends. The nurse explains that peer relationships become more important during adolescence because:
They provide adolescents with a feeling of belonging
Matt, age 14 years, seems to be always eating, although his weight is appropriate for his height. What is the best explanation for this situation?
This is normal because of increase in body mass
A 14-year-old boy and his parents are concerned about bilateral breast enlargement. The nurse's discussion of their concerns should be based on what understanding?
This is usually a benign and temporary condition
The weight loss of anorexia nervosa is often triggered by what event?
Traumatic interpersonal conflict
Which statement is most descriptive of bulimia during adolescence?
Weight can be normal, slightly over normal, or below normal
