Question 1

A 13-year-old girl tells the nurse she is concerned because she has not had her first menstrual period.What is the best initial response from the nurse?

Accepted Answer

A)  "Your hormone levels may be irregular." 
B)  "Could you be pregnant?" 
C)  "Age of first menstrual cycle varies." 
D)  "Do not worry about it." 
A)  "Your hormone levels may be irregular." 
B)  "Could you be pregnant?" 
C)  "Age of first menstrual cycle varies." 
D)  "Do not worry about it."

Question 2

An adolescent's parent comments,"My son seems so preoccupied with his appearance these days.Is this normal?" What is the nurse's best response?

Accepted Answer

A)  "It is his attempt to express his individualism." 
B)  "His preoccupation with his looks is quite normal." 
C)  "He is probably troubled with his physical changes." 
D)  "This shows that he has a positive self-image." 
A)  "It is his attempt to express his individualism." 
B)  "His preoccupation with his looks is quite normal." 
C)  "He is probably troubled with his physical changes." 
D)  "This shows that he has a positive self-image."

Question 3

The nurse suggests the use of "I" messages to communicate a parent's feeling to an adolescent.What is the most appropriate example of an "I" message?

Accepted Answer

A)  "I feel frightened when you stay out past your curfew." 
B)  "I am your mother, and I insist that you observe your curfew." 
C)  "I am sick and tired of your staying out late." 
D)  "I expect you to show me proper respect." 
A)  "I feel frightened when you stay out past your curfew." 
B)  "I am your mother, and I insist that you observe your curfew." 
C)  "I am sick and tired of your staying out late." 
D)  "I expect you to show me proper respect."

Question 4

A girl tells the nurse that she and her best friend belong to the popular clique.She states,"I love Katy Perry,and I want to be a singer." The nurse recognizes the girl's statement as characteristic of what time period?

Accepted Answer

A)  Early adolescence 
B)  Middle adolescence 
C)  Late adolescence 
D)  The entire adolescent period 
A)  Early adolescence 
B)  Middle adolescence 
C)  Late adolescence 
D)  The entire adolescent period

Question 5

A 13-year-old boy states,"The girls in my class tower over me." What would be the nurse's most informative response?

Accepted Answer

A)  "It may seem that way because girls have a growth spurt 2 years earlier than boys." 
B)  "Perhaps your parents are not exceptionally tall." 
C)  "Boys usually experience a growth spurt 1 year earlier than girls." 
D)  "You may feel short, but you are actually average height for your age." 
A)  "It may seem that way because girls have a growth spurt 2 years earlier than boys." 
B)  "Perhaps your parents are not exceptionally tall." 
C)  "Boys usually experience a growth spurt 1 year earlier than girls." 
D)  "You may feel short, but you are actually average height for your age."

Question 6

A 13-year-old girl tells the school nurse that she is getting fat,especially in her hips and legs.What understanding by the nurse would best guide the response?

Accepted Answer

A)  Many adolescents are unaware of proper nutrition. 
B)  Adolescents of this age become less active and should eat fewer calories. 
C)  Puberty is often preceded by fat deposits in these areas. 
D)  As soon as menarche occurs, she will lose this excess weight. 
A)  Many adolescents are unaware of proper nutrition. 
B)  Adolescents of this age become less active and should eat fewer calories. 
C)  Puberty is often preceded by fat deposits in these areas. 
D)  As soon as menarche occurs, she will lose this excess weight.

Question 7

A 16-year-old excitedly tells his parents that he was offered a part-time job.Which response represents an effective problem-solving approach for his parents?

Accepted Answer

A)  "Your studies are too important for you to have a part-time job." 
B)  "When we went to high school, academics were the adolescent's priority." 
C)  "We want you to put your earnings in a savings account." 
D)  "How do you think you will manage your school work and a job?" 
A)  "Your studies are too important for you to have a part-time job." 
B)  "When we went to high school, academics were the adolescent's priority." 
C)  "We want you to put your earnings in a savings account." 
D)  "How do you think you will manage your school work and a job?"

Question 8

______________ is frequently delayed in girls who are involved in activities that require a lean body and a high level of physical activity.

Accepted Answer

Menarche
Menarche can be delay

Question 9

The school nurse is discussing challenges of the adolescent years with a group of high school students in health class.What challenges toward adolescent development will the nurse include?

Accepted Answer

A)  Developing intimacy 
B)  Maintaining dependence on parents 
C)  Searching for identity 
D)  Adjusting to body changes 
E)  Establishing future goals 
A)  Developing intimacy 
B)  Maintaining dependence on parents 
C)  Searching for identity 
D)  Adjusting to body changes 
E)  Establishing future goals

Question 10

The nurse is assessing a 13-year-old boy.With what do physical changes in the pubertal male begin?

Accepted Answer

A)  Development of axillary and facial hair 
B)  Enlargement of penis 
C)  Enlargement of testicles 
D)  Pigmentation of the scrotum 
A)  Development of axillary and facial hair 
B)  Enlargement of penis 
C)  Enlargement of testicles 
D)  Pigmentation of the scrotum

Question 11

What can the nurse suggests as a good dietary source of zinc for an adolescent who is a vegetarian?

Accepted Answer

A)  Green, leafy vegetables 
B)  Citrus fruits 
C)  Nuts 
D)  Enriched breads 
A)  Green, leafy vegetables 
B)  Citrus fruits 
C)  Nuts 
D)  Enriched breads

Question 12

The nurse is planning care of an adolescent.What psychosocial task does the nurse understand is important for the adolescent to develop?

Accepted Answer

A)  A sense of initiative 
B)  A sense of industry 
C)  A sense of identity 
D)  A sense of involvement 
A)  A sense of initiative 
B)  A sense of industry 
C)  A sense of identity 
D)  A sense of involvement

Question 13

What does an adolescent's peer group serve as related to development?

Accepted Answer

A)  Social outlet 
B)  Association to blur personal identity 
C)  Platform for "group think" 
D)  Initial separation from family 
A)  Social outlet 
B)  Association to blur personal identity 
C)  Platform for "group think" 
D)  Initial separation from family

Exam 20: The Adolescent

A 13-year-old girl tells the nurse she is concerned because she has not had her first menstrual period.What is the best initial response from the nurse?

An adolescent's parent comments,"My son seems so preoccupied with his appearance these days.Is this normal?" What is the nurse's best response?

The nurse suggests the use of "I" messages to communicate a parent's feeling to an adolescent.What is the most appropriate example of an "I" message?

A girl tells the nurse that she and her best friend belong to the popular clique.She states,"I love Katy Perry,and I want to be a singer." The nurse recognizes the girl's statement as characteristic of what time period?

A 13-year-old boy states,"The girls in my class tower over me." What would be the nurse's most informative response?

A 13-year-old girl tells the school nurse that she is getting fat,especially in her hips and legs.What understanding by the nurse would best guide the response?

A 16-year-old excitedly tells his parents that he was offered a part-time job.Which response represents an effective problem-solving approach for his parents?

______________ is frequently delayed in girls who are involved in activities that require a lean body and a high level of physical activity.

The school nurse is discussing challenges of the adolescent years with a group of high school students in health class.What challenges toward adolescent development will the nurse include?

The nurse is assessing a 13-year-old boy.With what do physical changes in the pubertal male begin?

What can the nurse suggests as a good dietary source of zinc for an adolescent who is a vegetarian?

The nurse is planning care of an adolescent.What psychosocial task does the nurse understand is important for the adolescent to develop?

What does an adolescent's peer group serve as related to development?

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Prenatal Care and Adaptations to Pregnancy

Nursing Care of Women with Complications During Pregnancy

Nursing Care of Mother and Infant During Labor and Birth

Nursing Management of Pain During Labor and Birth

Nursing Care of Women with Complications During Labor and Birth

The Family After Birth

Nursing Care of Women with Complications After Birth

The Nurse’s Role in Women’s Health Care

The Term Newborn

Preterm and Postterm Newborns

The Newborn with a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

The Infant

The Toddler

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The Child’s Experience of Hospitalization

Health Care Adaptations for the Child and Family

The Child with a Sensory or Neurological Condition

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The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic System

The Child with a Gastrointestinal Condition

The Child with a Genitourinary Condition

The Child with a Skin Condition

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Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child Patient

The Child with an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

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