course point adolecent
An adolescent with a new piercing comes to the health center at the school. The client reports feeling hot. Which action will the nurse complete first? a. Assess the client for signs of infection. b. Inquire about the piercing technique used. c. Determine when the client started feeling hot. d. Ask the client if any other piercings are present.
a. Assess the client for signs of infection.
The nurse is preparing a presentation for a local health fair depicting the differences in maturity between preadolescents. Which differing factor should the nurse prioritize in the presentation? a. Boys grow at a slower, steadier rate than do girls. b. Girls grow at a slower, steadier rate than do boys. c. Boys grow at a rapid, sporadic rate. d. Boys and girls grow at the same rate.
a. Boys grow at a slower, steadier rate than do girls.
What anticipatory guidance can the nurse provide the girl who has noted the development of breast buds? a. Menarche should follow in about 2 years. b. The growth spurt will begin immediately with menarche. c. Breast development will be complete with 12 months. d. Adult height will be reached at the time of menarche.
a. Menarche should follow in about 2 years.
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? a. Provide reassurance that these are normal changes. b. Review dietary measures to assist in controlling weight gain. c. Encourage increased exercise to control weight gain. d. Share what foods can be eaten on a low-fat diet to prevent fat deposits.
a. Provide reassurance that these are normal changes.
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? a. following role models b. sharing problems c. negotiating differences d. developing stability
a. following role models
According to Erikson, the adolescent develops their own sense of being an independent person with individual thoughts and goals. This stage is referred to as: a. identity vs. role confusion. b. autonomy vs. doubt and shame. c. industry vs. inferiority. d. intimacy vs. isolation.
a. identity vs. role confusion.
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? a. "I avoid all fat intake." b. "Because of my age, my dairy intake is unlimited." c. "I need to eat plenty of fruit each day." d. "To lose weight my protein intake should be limited to 2 to 4 servings per day."
c. "I need to eat plenty of fruit each day."
The school nurse is developing a school wellness program to promote healthy eating habits and regular physical activity. What is the most important element to emphasize to maximize compliance, healthy habits, and long-term change? a. Eliminate sweetened, carbonated beverages in the cafeteria. b. Serve fruits and vegetables in the cafeteria. c. Incorporate activity in parts of the daily schedule. d. Include both parents and children in the wellness program.
d. Include both parents and children in the wellness program
A 16-year-old adolescent is talking with the nurse at a local health clinic about skin care. Which comments by the teen does the nurse determine require additional conversation? Select all that apply. a. "I only tan before going on spring break to get a base tan so I won't burn." b. "My mom had melanoma so she always makes me wear a sunscreen with an SPF of 30." c. "My favorite time of day to be outside is the middle of the day, around noon." d. "Our coach makes us wear sun-protective clothes when we practice outside on the weekends." e. "The more exposure and burns I get now will toughen my skin so I won't get skin cancer when I'm older."
a, c, e
A 17-year-old female is meeting with the nurse for an annual well-visit and is asking the nurse questions about how to know when one is in love. The nurse should point out which factor to help decide if both individuals have reached a mutual agreement and are ready for an intimate relationship? a. A sense of trust and identity b. An ability to be autonomous c. A willingness to take initiative d. An understanding of socialization and of isolation
a. A sense of trust and identity
The nurse is talking with parents of a depressed 16-year-old boy. Which question is of the most importance? a. Is there a gun in your home? b. How is his personal hygiene? c. Have his sleeping and eating habits changed? d. Does he exercise?
a. Is there a gun in your home?
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? a. Offer to assist the girl in washing her hair and let her pick the shampoo. b. Allow the girl to wear her own clothes, despite hospital policy. c. Brush the girl's hair for her. d. Assist the girl with using the bed pan to urinate.
a. Offer to assist the girl in washing her hair and let her pick the shampoo.
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? a. Teens are busy developing their own personal identity. b. They want to successfully complete activities. c. Each child is learning to do things on his or her own. d. They understand and respond to discipline.
a. Teens are busy developing their own personal identity.
The nurse is providing a class for a group of girls. When discussing the changes surrounding puberty, what information should be included? Select all that apply. a. Breast bud development will normally precede menarche by about 3 years. b. Most girls begin menstruation between ages 12 and 13. c. Pubic hair starts prior to breast bud development. d. Thelarche occurs as early as age 9 years. e. Black girls experience menarche earlier than white girls.
b, d, e
A 15-year-old client's parent comments on the fact that the adolescent seems to always choose the opposite of what everyone else wants and that mood swings are a common occurrence. What statement shows the nurse that the client's parent understands these changes? a. "I know that my adolescent is doing this because of all the hormones." b. "This is common for this age group and it will get better with time." c. "This is my adolescent's temperament, and we will have to learn how to deal with it." d. "My adolescent will never find anyone to live with if the adolescent acts like this."
b. "This is common for this age group and it will get better with time."
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? a. Call the hospital's mental health unit to see if she can get some counseling. b. Take her to the teen lounge so she can meet and interact with other teens. c. Suggest that she read books and magazines from the hospital bookmobile. d. Ask her caregivers to bring her siblings and friends to visit.
b. Take her to the teen lounge so she can meet and interact with other teens.
A high school athlete comes to the emergency department with hypertension, aggressiveness, and psychosis. What question would be important for the nurse to ask the client? a. "Do you take anabolic steroids?" b. "Do you take human growth hormone?" c. "Do you take amphetamines?" d. "Do you take cocaine?"
a. "Do you take anabolic steroids?"
An adolescent confides in the nurse about a current sexual relationship with a same-sex classmate. The adolescent states, "I am not sure if I am really gay?" What is the best response by the nurse? a. "Some adolescents experiment with same-sex relationships at this age. It may take some time before you determine if you are gay." b. "It is too early for you to determine if you are gay or not. A lot of adolescents experiment with same-sex relationship behavior." c. "It would probably be best for you to talk with your health care provider about this. Your health care provider may be able to help you determine if you are gay." d. "Maybe your parents could help you figure out if you are gay. They know you better than anyone."
a. "Some adolescents experiment with same-sex relationships at this age. It may take some time before you determine if you are gay."
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? a. Banding together with other girls and dressing like them b. Banding together with boys and girls but maintaining her own unique style c. Hanging out primarily with boys her own age d. Hanging out with girls but maintaining her own unique style
a. Banding together with other girls and dressing like them
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? a. Formal operational thought b. Socialization c. Identification of identity d. Sensorimotor
a. Formal operational thought
The nurse is educating a 17-year-old adolescent after a new diagnosis of diabetes. What does the nurse understand about teaching an adolescent? a. The adolescent will likely have the greatest influence on one's own decisions. b. The parents will need to be instructed separately from the adolescent. c. The siblings of the adolescent will need to be taught healthy cooking classes related to diabetes. d. The adolescent will respond best to teaching about how to avoid future complications.
a. The adolescent will likely have the greatest influence on one's own decisions.
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? a. The adolescent's need for privacy should be respected. b. The adolescent should be encouraged to call friends often. c. The adolescent's need for parental support should be discussed. d. The adolescent should be given freedom to participate in unit activities as desired.
a. The adolescent's need for privacy should be respected.
Nurses should provide anticipatory guidance to males to prepare them for what particular pubertal change in middle-to-late adolescence? a. nocturnal emissions b. lengthening of the penis c. reddening of the scrotum d. pubic hair growth
a. nocturnal emissions
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? a. "Have you been taught how to use a gun?" b. "Are the guns in your home locked in a safe?" c. "Do you understand that it is important for you not to handle a gun?" d, "Do you and your dad hunt?"
b. "Are the guns in your home locked in a safe?"
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? a. "I just can't seem to stay awake during that class because it's boring." b. "I get 7 hours of sleep every night so I don't know why I am so tired." c. "I guess I need to be more careful about my curfew on school nights." d. "My mom keeps telling me to turn off my television when I go to bed."
b. "I get 7 hours of sleep every night so I don't know why I am so tired."
The parent of a Black adolescent voices concern to the nurse because the daughter, "has gotten her period before all of her friends." How should the nurse respond? a. "Some girls just get their period earlier than others." b. "On average Black girls start their period earlier than other ethnicities." c. "How old are most of her friends? Maybe that is the issue instead of it being a sign of something abnormal." d. "I will be sure to let the health care provider know this. We do not want to miss something that may be wrong."
b. "On average Black girls start their period earlier than other ethnicities."
An adolescent who is depressed states, "Nothing ever seems to be right in my life." Which would be the most appropriate response by the nurse? a. "Things will be better when you go off to college." b. "You are feeling sad right now. It's a hard time." c. "Try to look at the bright side of things." d. "Being a teenager is hard work."
b. "You are feeling sad right now. It's a hard time."
The nursing instructor is leading a class discussion on the various aspects of adolescents. The instructor determines the class is successful after the students correctly choose which milestone as the beginning of adolescence? a. The deciduous teeth falling out b. The beginning of puberty c. The child becoming self-supported d. The fine motor skills fully developed
b. The beginning of puberty
The nurse is discussing an adolescent's development with the client's parents. Which statement by the parents indicate an understanding of the nurse's teaching? a. "We will work toward ensuring our adolescent is developing trusting relationships." b. "It is most important for our adolescent to achieve independence from our dominance." c. "Our adolescent is working toward achieving a sense of personal identity." d. "It is vital our adolescent learns to help others achieve their goals."
c. "Our adolescent is working toward achieving a sense of personal identity."
What activity would best foster the developmental task of an adolescent who uses a wheelchair to ambulate? a. Allowing the adolescent to decide when to bathe b. Watching television on the set in the adolescent's room c. Talking to another adolescent who has a similar situation d. Having a teacher bring school work to the adolescent
c. Talking to another adolescent who has a similar situation
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? a. Some adolescents are accident-prone. b. There may be some underlying problems that your adolescent should be evaluated for. c. The bones, joints, and tendons of adolescents are vulnerable to injury due to their rapid state of growth. d. These are accidents and random in occurrence.
c. The bones, joints, and tendons of adolescents are vulnerable to injury due to their rapid state of growth.
The school nurse is preparing health promotion presentations regarding unintentional injuries for a high school health fair. On which topic should the nurse place as the priority when preparing the presentation? a. poison prevention b. water sports injuries c. motor vehicle safety d. drug and alcohol use prevention
c. motor vehicle safety
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? a. "He needs the calories because he participates in sports." b. "His calorie intake predisposes him to future obesity." c. "He is substituting food for unfilled needs." d. "The calories help his body increase muscle mass."
d. "The calories help his body increase muscle mass."
The nurse is assessing a 14-year-old male client when the client's parent jokes about the changes in the client's voice and the hair under his armpits. Which response by the nurse to the client's parent is most appropriate? a. "Based on your child's age, changes in hair distribution and voice pitch are expected." b. "I remember that time in my life, it was so awkward and uncomfortable." c. "It would be helpful to discuss with your child your trials with puberty and the changes you experienced." "d. Your child can become modest and self-conscious and teasing may cause embarrassment."
d. "Your child can become modest and self-conscious and teasing may cause embarrassment."
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? a. The teen is distrustful of others. b. The teen is anxious to move away from his parent's home. c. The teen is sexually promiscuous. d. The teen is uncertain and frequently unable to make decisions.
d. The teen is uncertain and frequently unable to make decisions.
The school nurse is providing nutritional guidance to a 9th-grade health class. Which foods should the nurse recommend as good sources for calcium? a. strawberries, watermelon, and raisins b. beans, poultry, and fish c. peanut butter, tomato juice, and whole grain bread d. cheese, yogurt, and white beans
d. cheese, yogurt, and white beans
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? a. "I am sure you are concerned but children develop at different rates." b. "Do the females in your family typically develop at an early age?" c. "I understand your concern, but girls typically enter puberty around the age of 9 or 10." d. "This is rather young to be developing breasts. I will be sure to let the doctor know."
c. "I understand your concern, but girls typically enter puberty around the age of 9 or 10."
A 15-year-old female adolescent tells the nurse she would like to get a tattoo. What response by the nurse is most appropriate? a. "You are too young to have a tattoo." b. "You need to remember that a tattoo will be with you forever." c. "Tattoos are invasive and there is the potential for disease with their application." d. "If you are determined to get a tattoo you need to get a small one so you can hide it if you want."
c. "Tattoos are invasive and there is the potential for disease with their application."
A nurse is attending to a group of boys at a school. The nurse is required to document the sexual development in boys on a regular basis. The nurse would anticipate which clients having the highest incidence of nocturnal emissions? a. Clients who have reached adulthood b. Clients in the age group of 18 to 20 years c. Clients who are showing pubertal changes d. Clients with strong, muscular appearance
c. Clients who are showing pubertal changes
The nurse is meeting with a group of caregivers of adolescents and discussing sex and sexuality, including how to discuss these issues with their children. Which comment should the nurse prioritize with this group of caregivers? a. Teenagers spend so much time with their peers, and that is usually how they find out about sex. b. Being honest and straightforward with teenagers will encourage them to ask about subjects like sexuality. c. Most schools have excellent programs to teach adolescents about sex and sexuality. d. Internet resources, movies, and television have the most accurate and current information for your adolescent to learn about sexuality issues.
b. Being honest and straightforward with teenagers will encourage them to ask about subjects like sexuality
The nurse is preparing to talk with an adolescent about contraception. During the interaction, which communication techniques will be beneficial? Select all that apply. a, Face the teen during the interaction. b. Stand while the teen remains sitting. c. Use open-ended questions. d. Let the teen know that you may not know all the answers for their questions. e. Ask that the teen be open and patient when you are providing information.
a, c, e
The nurse is providing anticipatory guidance to the parents of a 15-year-old who voice concerns with their teenager's sleep habits. They state, "Left to her own devices, I'm sure she'd stay up until 3:00 in the morning on the weekends and sleep until after lunchtime." Which should the nurse explain to the parents? a. "I can hear that this is exasperating for you, but know that children do grow out of this in time, with no ill effects." b. "That must be hard for you to manage. Perhaps we can explore some strategies with her to establish more predictable sleep patterns." c. "This is expected at this stage of development. Are there any ways that you could adjust your family routines to accommodate this?" d. "It's very important that you communicate to your daughter that this is unacceptable because it can have a negative effect on her health."
b. "That must be hard for you to manage. Perhaps we can explore some strategies with her to establish more predictable sleep patterns."
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? a. Have the school provide homework. b. Allow the adolescent to choose the time for the dressing change. c. Have the adolescent go to the teen room every day. d. Teach the parents to perform dressing changes at home.
b. Allow the adolescent to choose the time for the dressing change.
To help prevent obesity, which intervention would the nurse include in an adolescent's plan of care? a. Plan a diet of 1,500 calories per day. b. Describe a normal serving size. c. Encourage sources of proteins with fat. d. Plan a diet of 3,000 calories per day.
b. Describe a normal serving size.
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? a. He is not developmentally mature enough to make healthy choices about the ways in which he spends his time, so it would be helpful if they would make a schedule for him that includes about a half-hour per day to talk with his girlfriend. b. 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. c. 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. d. He has chosen a girl who is overly dependent on him. They should talk to him about making sure he meets his own needs, including doing the schoolwork he enjoys, in any relationship.
b. 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.
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? a. Leave pamphlets about topics such as drugs and alcohol in their room so they can read them. b. Let them choose their hairstyle, even though it may not look the best for them. c. Discourage spending too much time with school friends since we know they can be a negative influence. d. Our house rules are stricter than their friends but everyone follows the same rules in our home.
b. Let them choose their hairstyle, even though it may not look the best for them.
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? a. industry b. autonomy c. initiative d. generativity
b. autonomy
A nurse is reading a journal article about adolescents and major causes of injuries in this age group. The nurse demonstrates understanding of this information by identifying which situation as the major cause of adolescent injuries? a. drowning b. motor vehicle crashes c. violence d. suicide
b. motor vehicle crashes
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. a. "You are very young to have a navel piercing. Do your parents know you have this?" b. "I really like your belly ring. Where did you get it?" c. "I notice you have a new piercing. Be sure to clean it twice a day so you don't get an infection." d. "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." "e, 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."
c, d
The nurse is collecting data from a 15-year-old boy who is being seen at the ambulatory care clinic for immunizations. During the initial assessment, he voices concerns about being shorter than his peers. What response by the nurse is indicated? a. "Being short is nothing to be ashamed of." b. "I am sure you are not the shortest guy in your class." c. "Boys your age will often continue growing for a few more years." d. "Are the other men in your family short?"
c. "Boys your age will often continue growing for a few more years."
The nurse is caring for a 13-year-old adolescent. The adolescent has been identified as overweight with no underlying psychologic or secondary causes. The nurse is reviewing the adolescent's weight-loss progress and nutrition at a follow-up visit. What statement by the parent indicates a need for further discussion and teaching? a. "My adolescent is helping us plan our family's weekly menu." b. "My adolescent has begun to eat slowly, putting down the fork between bites." c. "My adolescent's goal is to be a size smaller by our vacation in 2 weeks." d. "Our whole family has changed our eating habits."
c. "My adolescent's goal is to be a size smaller by our vacation in 2 weeks."
Which nursing action will best assist a 15-year-old client accomplish the developmental task according to Erikson? a. Permit the client to make decision regarding one's care b. Praise the client for correctly performing self-care c. Allow the client's friends to visit while the client is hospitalized d. Provide the client with crafts and puzzles to complete independently
c. Allow the client's friends to visit while the client is hospitalized
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? a. Up to age 2, children learn by touching, tasting, and feeling. They learn to control body movement. b. Children from ages 2 to 7 years investigate and explore the environment and look at things from their own point of view. c. From ages 7 to 11 years, children internalize actions and can perform them in the mind. d. After age 12 children can think in the abstract, including complex problem solving.
d. After age 12 children can think in the abstract, including complex problem solving.
