Chapter 29 Growth and Development of the Adolescent

23. A mother calls the school nurse and is concerned because her 13-year-old daughter's friends wear heavy makeup and black clothes. Which of the following is the best advice or the mother?

"Teen appearance might not accurately reflect their actual values."

24. During a health check-up without his parents, a 17-year-old tells the nurse he is gay. Which of the following approaches should the nurse take?

"Tell me what makes you think you are gay."

11. The nurse is teaching the parents of a 12-year-old boy about appropriate approaches when raising an adolescent. Which of the following comments should be included in the discussion?

"Try to be open to his views."

21. During a health maintenance visit, a 15-year-old girl mentions that she is not happy with how overweight she is. Which of the following approaches is best for the nurse to take?

"What specifically have you been noticing?"

30. The school nurse is teaching parents risk factors for suicide in adolescents. Which of the following would the nurse discuss? Select all answers that apply.

A) Mental health changes, B) History of previous suicide attempt, E) Family disorganization, F) Substance abuse

5. After assessing a 10-year-old girl, the nurse documents the appearance of breast buds, identifying this as which of the following?

Thelarche

16. The nurse teaching safety to teens knows that which of the following is the leading cause of death among adolescents?

Unintentional injuries

12. The mother of a 14-year-old girl complains to the nurse that her daughter is moody, shuts herself in her room, and fights with her younger sister. Which of the following comments is most valuable to the mother?

"Calmly talk to her about your concerns."

19. The nurse is promoting nutrition to a 13-year-old boy who is overweight. Which of the following comments should the nurse expect to include in the discussion?

"Keep a food diary."

17. When assessing adolescents for health risks, the nurse must keep in mind the factors related to the prevalence of adolescent injuries. Which of the following accurately describe these factors? Select all answers that apply.

A) Increased physical growth B) Insufficient psychomotor coordination E) Peer pressure F) Inexperience

10. The school nurse is conducting a seminar for parents of adolescents on how to communicate with teenagers. Which of the following guidelines might the nurse recommend? Select all answers that apply.

A) Talk face to face and be aware of body language. B) Ask questions to see why he or she feels that way. F) Don't pretend you know all the answers.

27. The school nurse is preparing a program on sexuality and birth control for a class of 14- to 16-year-olds. Which of the following behaviors will have the most influence on how the information is presented?

Adolescents tend to take risks.

14. The nurse is performing risk assessments on adolescents in the school setting. Which one of the following teens should the nurse screen for hypertension?

An African American male

3. The nurse is performing an assessment of the reproductive system of a 17-year-old girl. Which of the following would alert the nurse to a developmental delay in this girl?

Occurrence of first menstrual period

9. The nurse assesses the spirituality of an adolescent. Which of the following are normal moral and spiritual milestones in this age group? Select all answers that apply.

B) Adolescents develop their own set of morals and values and question the status quo. C) Adolescents undergo the process of developing their own set of morals at different rates. D) Adolescents are more interested in the spiritualism of their religion than in the actual practices of their religion.

13. The adolescent continues to develop self-concept and self-esteem. Which of the following is most important to a teen's self-esteem?

Body image

28. The nurse is preparing a class for a group of adolescents about promoting safety. Which of the following would the nurse plan to include as the leading cause of adolescent injuries?

Car accidents

6. When describing the various changes that occur in organ systems during adolescence, which of the following would the nurse include?

Decrease in heart rate

7. The school nurse is performing a physical examination on a 13-year-old boy who is on the soccer team. Which of the following is a physical quality that develops during these early adolescent years?

Endurance

8. Based on Erikson's developmental theory, which of the following is the major developmental task of the adolescent?

Finding an identity

2. The nurse has seen a 15-year-old girl and a 16-year-old boy during health surveillance visits. Which of the following physical characteristics would be seen in both teenagers?

Increased shoulder, chest, and hip widths

26. 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

29. The nurse is discussing ways to promote discipline with parents who are becoming increasingly frustrated with their teenager. Which of the following would the nurse identify as most important?

Make your responses consistent.

22. The school nurse knows that dating is a milestone for adolescents. Which of the following statements accurately describes a trend in teen dating?

Most teens have been involved in at least one romantic relationship by middle adolescence.

4. The school nurse is performing health assessments on students in middle school. Of which of the following developmental milestones should the nurse be aware?

Peak height velocity (PHV) occurs at approximately 12 years of age in girls or about 6 to 12 months after menarche.

20. The nurse is providing suggestions to a female adolescent about foods to help meet her nutritional requirements for iron. Which food would the nurse suggest as a good source of iron?

Peanut butter

25. The nurse is promoting learning and school attendance to an 11-year-old girl. Which of the following factors will affect the child's attitude most?

Peer group behaviors and attitudes

1. The nurse teaches parents of adolescents that adolescents need the support of parents and nurses to facilitate healthy lifestyles. Which of the following should be a priority focus of this guidance?

Reducing risk-taking behavior

15. The nurse knows that barriers to the adolescent's health and successful achievement of the tasks of adolescence exist. Which of the following is the major barrier to health for this population?

Socioeconomic

18. The nurse is helping the parents and their underweight adolescent collaborate on planning a healthy menu. Of which of the following nutritional requirements of adolescents should the nurse be aware?

Teenagers have a need for increased calories, zinc, calcium, and iron for growth.