Question 1

Steve,14 years old,mentions that he now has to use deodorant,but that he never had to before.What knowledge is the nurse's response based upon?

Accepted Answer

A)  Eccrine sweat glands in the axillae become fully functional during puberty. 
B)  Sebaceous glands become extremely active during puberty. 
C)  New deposits of fatty tissue insulate the body and cause increased sweat production. 
D)  Apocrine sweat glands reach secretory capacity during puberty. 
A)  Eccrine sweat glands in the axillae become fully functional during puberty. 
B)  Sebaceous glands become extremely active during puberty. 
C)  New deposits of fatty tissue insulate the body and cause increased sweat production. 
D)  Apocrine sweat glands reach secretory capacity during puberty. D

Question 2

A 14-year-old boy and his parents are concerned about bilateral breast enlargement.What should the nurse's discussion about this concern be based upon?

Accepted Answer

A)  This is usually benign and temporary. 
B)  This is usually caused by Klinefelter syndrome. 
C)  Administration of estrogen effectively reduces gynecomastia. 
D)  Administration of testosterone effectively reduces gynecomastia. 
A)  This is usually benign and temporary. 
B)  This is usually caused by Klinefelter syndrome. 
C)  Administration of estrogen effectively reduces gynecomastia. 
D)  Administration of testosterone effectively reduces gynecomastia. A

Question 3

What is one of the most common causes of death in the adolescent age group?

Accepted Answer

A)  Drownings 
B)  Firearms 
C)  Drug overdoses 
D)  Motor vehicle collisions 
A)  Drownings 
B)  Firearms 
C)  Drug overdoses 
D)  Motor vehicle collisions D

Question 4

Matt,age 14 years,seems to be always eating,although his weight is appropriate for his height.What is the best explanation for this assessment?

Accepted Answer

A)  This is normal because of the increase in his body mass. 
B)  This is abnormal and suggestive of future obesity. 
C)  His caloric intake has to be excessive to indicate problems. 
D)  He is substituting food for unfilled needs. 
A)  This is normal because of the increase in his body mass. 
B)  This is abnormal and suggestive of future obesity. 
C)  His caloric intake has to be excessive to indicate problems. 
D)  He is substituting food for unfilled needs.

Question 5

Which statement is true about smoking in adolescence?

Accepted Answer

A)  Smoking is related to other high-risk behaviours. 
B)  Smoking is more common among athletes. 
C)  Smoking is less common when the adolescent's parent(s) smokes. 
D)  Smoking among adolescents is becoming more prevalent. 
A)  Smoking is related to other high-risk behaviours. 
B)  Smoking is more common among athletes. 
C)  Smoking is less common when the adolescent's parent(s) smokes. 
D)  Smoking among adolescents is becoming more prevalent.

Question 6

What predisposes adolescents to feel an increased need for sleep?

Accepted Answer

A)  An inadequate diet 
B)  Rapid physical growth 
C)  Decreased activity that contributes to a feeling of fatigue 
D)  The lack of ambition typical of this age group 
A)  An inadequate diet 
B)  Rapid physical growth 
C)  Decreased activity that contributes to a feeling of fatigue 
D)  The lack of ambition typical of this age group

Question 7

The psychological effects of being obese during adolescence include which one of the following?

Accepted Answer

A)  Sexual promiscuity 
B)  Poor body image 
C)  Memory has no effect on eating behaviour 
D)  Accurate body image but self-deprecating attitude 
A)  Sexual promiscuity 
B)  Poor body image 
C)  Memory has no effect on eating behaviour 
D)  Accurate body image but self-deprecating attitude

Question 8

Which aspect of cognition develops during adolescence?

Accepted Answer

A)  Ability to use a future time perspective 
B)  Ability to place things in a sensible and logical order 
C)  Ability to see things from the point of view of another 
D)  Progress from making judgements based on what they see to judgements based on what they reason 
A)  Ability to use a future time perspective 
B)  Ability to place things in a sensible and logical order 
C)  Ability to see things from the point of view of another 
D)  Progress from making judgements based on what they see to judgements based on what they reason

Question 9

Which statement is true about smokeless tobacco?

Accepted Answer

A)  It is not addicting. 
B)  It is proven to be carcinogenic. 
C)  It is easy to stop using. 
D)  It is a safe alternative to cigarette smoking. 
A)  It is not addicting. 
B)  It is proven to be carcinogenic. 
C)  It is easy to stop using. 
D)  It is a safe alternative to cigarette smoking.

Question 10

What is the weight loss of anorexia nervosa often triggered by?

Accepted Answer

A)  Sexual abuse 
B)  School failure 
C)  Independence from family 
D)  Traumatic interpersonal conflict 
A)  Sexual abuse 
B)  School failure 
C)  Independence from family 
D)  Traumatic interpersonal conflict

Question 11

Why do peer relationships become more important during adolescence?

Accepted Answer

A)  Adolescents dislike their parents. 
B)  Adolescents no longer need parental control. 
C)  They provide adolescents with a feeling of belonging. 
D)  They promote a sense of individuality in adolescents. 
A)  Adolescents dislike their parents. 
B)  Adolescents no longer need parental control. 
C)  They provide adolescents with a feeling of belonging. 
D)  They promote a sense of individuality in adolescents.

Question 12

What is the mean age of menarche for North American girls?

Accepted Answer

A)  11.5 years 
B)  12.75 years 
C)  13.5 years 
D)  14 years 
A)  11.5 years 
B)  12.75 years 
C)  13.5 years 
D)  14 years

Question 13

Which statement is correct about childhood obesity?

Accepted Answer

A)  Heredity is an important factor in the development of obesity. 
B)  Childhood obesity in Canada is decreasing. 
C)  Childhood obesity is the result of inactivity. 
D)  Childhood obesity can be attributed to an underlying disease in most cases. 
A)  Heredity is an important factor in the development of obesity. 
B)  Childhood obesity in Canada is decreasing. 
C)  Childhood obesity is the result of inactivity. 
D)  Childhood obesity can be attributed to an underlying disease in most cases.

Question 14

The school nurse tells adolescents in the clinic that confidentiality and privacy will be maintained unless a life-threatening situation arises.Which of the following statements is true regarding this practice?

Accepted Answer

A)  It is not appropriate in a school setting. 
B)  It is never appropriate because adolescents are minors. 
C)  It is important in establishing trusting relationships. 
D)  It is suggestive that the nurse is meeting his or her own needs. 
A)  It is not appropriate in a school setting. 
B)  It is never appropriate because adolescents are minors. 
C)  It is important in establishing trusting relationships. 
D)  It is suggestive that the nurse is meeting his or her own needs.

Question 15

The nurse is caring for an adolescent brought to the hospital with acute drug toxicity.Cocaine is believed to be the drug involved.Data collection should include which one of the following?

Accepted Answer

A)  Mode of administration 
B)  Actual content of the drug 
C)  Function the drug plays in the adolescent's life 
D)  Adolescent's level of interest in rehabilitation 
A)  Mode of administration 
B)  Actual content of the drug 
C)  Function the drug plays in the adolescent's life 
D)  Adolescent's level of interest in rehabilitation

Question 16

According to Piaget,the adolescent is in the fourth stage of cognitive development,or the period known as which of the following?

Accepted Answer

A)  Formal operations 
B)  Concrete operations 
C)  Conventional thought 
D)  Postconventional thought 
A)  Formal operations 
B)  Concrete operations 
C)  Conventional thought 
D)  Postconventional thought

Question 17

Which sentence best describes anorexia nervosa?

Accepted Answer

A)  It occurs most frequently in adolescent males. 
B)  It occurs most frequently in adolescents from lower socioeconomic groups. 
C)  It results from a posterior pituitary disorder. 
D)  It results in severe weight loss in the absence of obvious physical causes. 
A)  It occurs most frequently in adolescent males. 
B)  It occurs most frequently in adolescents from lower socioeconomic groups. 
C)  It results from a posterior pituitary disorder. 
D)  It results in severe weight loss in the absence of obvious physical causes.

Question 18

By what age should the nurse be concerned about pubertal delay in boys?

Accepted Answer

A)  12 to 12.5 years 
B)  12.5 to 13 years 
C)  13 to 13.5 years 
D)  13.5 to 14 years 
A)  12 to 12.5 years 
B)  12.5 to 13 years 
C)  13 to 13.5 years 
D)  13.5 to 14 years

Question 19

Which statement best describes adolescents with bulimia?

Accepted Answer

A)  Strong sense of control over eating behaviour 
B)  Feelings of elation after the binge-purge cycle 
C)  Profound lack of awareness that the eating pattern is abnormal 
D)  Weight that can be average or slightly above average 
A)  Strong sense of control over eating behaviour 
B)  Feelings of elation after the binge-purge cycle 
C)  Profound lack of awareness that the eating pattern is abnormal 
D)  Weight that can be average or slightly above average

Question 20

An adolescent girl tells the nurse that she is very suicidal.The nurse asks her if she has a specific plan.This inquiry is which of the following?

Accepted Answer

A)  It is an appropriate part of the assessment. 
B)  It is not a critical part of the assessment. 
C)  It suggests that the adolescent needs a plan. 
D)  It encourages the adolescent to devise a plan. 
A)  It is an appropriate part of the assessment. 
B)  It is not a critical part of the assessment. 
C)  It suggests that the adolescent needs a plan. 
D)  It encourages the adolescent to devise a plan.

Exam 40: The Adolescent and Family

Steve,14 years old,mentions that he now has to use deodorant,but that he never had to before.What knowledge is the nurse's response based upon?

A 14-year-old boy and his parents are concerned about bilateral breast enlargement.What should the nurse's discussion about this concern be based upon?

What is one of the most common causes of death in the adolescent age group?

Matt,age 14 years,seems to be always eating,although his weight is appropriate for his height.What is the best explanation for this assessment?

Which statement is true about smoking in adolescence?

What predisposes adolescents to feel an increased need for sleep?

The psychological effects of being obese during adolescence include which one of the following?

Which aspect of cognition develops during adolescence?

Which statement is true about smokeless tobacco?

What is the weight loss of anorexia nervosa often triggered by?

Why do peer relationships become more important during adolescence?

What is the mean age of menarche for North American girls?

Which statement is correct about childhood obesity?

The school nurse tells adolescents in the clinic that confidentiality and privacy will be maintained unless a life-threatening situation arises.Which of the following statements is true regarding this practice?

The nurse is caring for an adolescent brought to the hospital with acute drug toxicity.Cocaine is believed to be the drug involved.Data collection should include which one of the following?

According to Piaget,the adolescent is in the fourth stage of cognitive development,or the period known as which of the following?

Which sentence best describes anorexia nervosa?

By what age should the nurse be concerned about pubertal delay in boys?

Which statement best describes adolescents with bulimia?

An adolescent girl tells the nurse that she is very suicidal.The nurse asks her if she has a specific plan.This inquiry is which of the following?

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