Question 1

MATCHING
Place in correct order the sequence of maturational changes for girls. Begin with the first change seen, sequencing to the last change.

-Fifth change

Accepted Answer

A) Growth of pubic hair 
B) Rapid increase in height and weight 
C) Breast changes 
D) Menstruation 
E) Appearance of axillary hair 
A) Growth of pubic hair 
B) Rapid increase in height and weight 
C) Breast changes 
D) Menstruation 
E) Appearance of axillary hair D

Question 2

Which statement is the most appropriate advice to give parents of a 16 year old who is rebellious?

Accepted Answer

A)  "You need to be stricter so that your teen stops trying to test the limits." 
B)  "You need to collaborate with your child and set limits that are perceived as being reasonable." 
C)  "Increasing your teen's involvement with peers will improve his/her self-esteem." 
D)  "Allow your teenager to choose the type of discipline that is used in your home." 
A)  "You need to be stricter so that your teen stops trying to test the limits." 
B)  "You need to collaborate with your child and set limits that are perceived as being reasonable." 
C)  "Increasing your teen's involvement with peers will improve his/her self-esteem." 
D)  "Allow your teenager to choose the type of discipline that is used in your home." B

Question 3

Which aspect of cognition develops during adolescence?

Accepted Answer

A)  Capability 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 judgments based on what they see to making judgments based on what they reason. 
A)  Capability 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 judgments based on what they see to making judgments based on what they reason. A

Question 4

The mean age of menarche in the United States is:

Accepted Answer

A)  11.5 years. 
B)  12.5 years. 
C)  13.5 years. 
D)  14 years. 
A)  11.5 years. 
B)  12.5 years. 
C)  13.5 years. 
D)  14 years.

Question 5

A young adolescent tells the nurse,"I feel gawky." The nurse should explain that this occurs in adolescents because of what physiological event?

Accepted Answer

A)  Growth of the extremities and neck precedes growth in other areas. 
B)  Growth is in the trunk and chest. 
C)  The hip and chest breadth increases. 
D)  The growth spurt occurs earlier in girls. 
A)  Growth of the extremities and neck precedes growth in other areas. 
B)  Growth is in the trunk and chest. 
C)  The hip and chest breadth increases. 
D)  The growth spurt occurs earlier in girls.

Question 6

The nurse is caring for an adolescent diagnosed with acute cocaine toxicity.Initial data collection should include what focus?

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 7

When planning care for adolescents,the nurse should consider which intervention?

Accepted Answer

A)  Teach parents first, and they, in turn, will teach the teenager. 
B)  Provide information for their long-term health needs because teenagers respond best to long-range planning. 
C)  Maintain the parents' role by providing explanations for treatment and procedures to the parents only. 
D)  Give information privately to adolescents about how they can manage the specific problems that they identify. 
A)  Teach parents first, and they, in turn, will teach the teenager. 
B)  Provide information for their long-term health needs because teenagers respond best to long-range planning. 
C)  Maintain the parents' role by providing explanations for treatment and procedures to the parents only. 
D)  Give information privately to adolescents about how they can manage the specific problems that they identify.

Question 8

Which hormone is responsible for the growth of beard,mustache,and body hair in the males?

Accepted Answer

A)  Estrogen 
B)  Pituitary hormone 
C)  Androgen 
D)  Progesterone 
A)  Estrogen 
B)  Pituitary hormone 
C)  Androgen 
D)  Progesterone

Question 9

MATCHING
Place in correct order the sequence of maturational changes for girls. Begin with the first change seen, sequencing to the last change.

-Third change

Accepted Answer

A) Growth of pubic hair 
B) Rapid increase in height and weight 
C) Breast changes 
D) Menstruation 
E) Appearance of axillary hair 
A) Growth of pubic hair 
B) Rapid increase in height and weight 
C) Breast changes 
D) Menstruation 
E) Appearance of axillary hair

Question 10

A 14 years old,mentions that he now has to use deodorant but never had to before.The nurse's response should be based on what knowledge?

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.

Question 11

MATCHING
Place in correct order the sequence of maturational changes for girls. Begin with the first change seen, sequencing to the last change.

-Fourth change

Accepted Answer

A) Growth of pubic hair 
B) Rapid increase in height and weight 
C) Breast changes 
D) Menstruation 
E) Appearance of axillary hair 
A) Growth of pubic hair 
B) Rapid increase in height and weight 
C) Breast changes 
D) Menstruation 
E) Appearance of axillary hair

Question 12

Which statement by the nurse is most appropriate to a 15 year old whose friend has mentioned suicide?

Accepted Answer

A)  "Tell your friend to come to the clinic immediately." 
B)  "You need to gather details about your friend's suicide plan." 
C)  "Your friend's threat needs to be taken seriously and immediate help for your friend is important." 
D)  "If your friend mentions suicide a second time, you will want to get your friend some help." 
A)  "Tell your friend to come to the clinic immediately." 
B)  "You need to gather details about your friend's suicide plan." 
C)  "Your friend's threat needs to be taken seriously and immediate help for your friend is important." 
D)  "If your friend mentions suicide a second time, you will want to get your friend some help."

Question 13

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?

Accepted Answer

A)  This form of nicotine is not addicting. 
B)  It has been proven to be carcinogenic. 
C)  It is a much easy habit to stop. 
D)  It is a safe alternative to cigarette smoking. 
A)  This form of nicotine is not addicting. 
B)  It has been proven to be carcinogenic. 
C)  It is a much easy habit to stop. 
D)  It is a safe alternative to cigarette smoking.

Question 14

How may anorexia nervosa best be described?

Accepted Answer

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

Question 15

Which statement is most descriptive of central nervous system stimulants?

Accepted Answer

A)  They produce strong physical dependence. 
B)  They can result in strong psychologic dependence. 
C)  Withdrawal symptoms are life threatening. 
D)  Acute intoxication can lead to coma. 
A)  They produce strong physical dependence. 
B)  They can result in strong psychologic dependence. 
C)  Withdrawal symptoms are life threatening. 
D)  Acute intoxication can lead to coma.

Question 16

A 17 year old tells the nurse that he/she is not having sex because it would make his/her parents very angry.This response indicates that the adolescent has a developmental lag in which area?

Accepted Answer

A)  Cognitive development 
B)  Moral development 
C)  Psychosocial development 
D)  Psychosexual development 
A)  Cognitive development 
B)  Moral development 
C)  Psychosocial development 
D)  Psychosexual development

Question 17

The parents of a 14 year old express concerns about the number of hours their child spends with friends.The nurse explains that peer relationships become more important during adolescence because:

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 18

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?

Accepted Answer

A)  "Your teenager needs clearer and stricter limits about her behavior." 
B)  "Your teenager needs more responsibility at home." 
C)  "During adolescence this behavior is not unusual." 
D)  "The behavior is abnormal and needs further investigation." 
A)  "Your teenager needs clearer and stricter limits about her behavior." 
B)  "Your teenager needs more responsibility at home." 
C)  "During adolescence this behavior is not unusual." 
D)  "The behavior is abnormal and needs further investigation."

Question 19

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?

Accepted Answer

A)  Dysmenorrhea and oliguria 
B)  Tachycardia and tachypnea 
C)  Heat intolerance and increased blood pressure 
D)  Lowered body temperature and brittle nails 
A)  Dysmenorrhea and oliguria 
B)  Tachycardia and tachypnea 
C)  Heat intolerance and increased blood pressure 
D)  Lowered body temperature and brittle nails

Question 20

Which predisposes the adolescent 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

Exam 35: The Adolescent and Family

MATCHING Place in correct order the sequence of maturational changes for girls. Begin with the first change seen, sequencing to the last change. -Fifth change

Which statement is the most appropriate advice to give parents of a 16 year old who is rebellious?

Which aspect of cognition develops during adolescence?

The mean age of menarche in the United States is:

A young adolescent tells the nurse,"I feel gawky." The nurse should explain that this occurs in adolescents because of what physiological event?

The nurse is caring for an adolescent diagnosed with acute cocaine toxicity.Initial data collection should include what focus?

When planning care for adolescents,the nurse should consider which intervention?

Which hormone is responsible for the growth of beard,mustache,and body hair in the males?

MATCHING Place in correct order the sequence of maturational changes for girls. Begin with the first change seen, sequencing to the last change. -Third change

A 14 years old,mentions that he now has to use deodorant but never had to before.The nurse's response should be based on what knowledge?

MATCHING Place in correct order the sequence of maturational changes for girls. Begin with the first change seen, sequencing to the last change. -Fourth change

Which statement by the nurse is most appropriate to a 15 year old whose friend has mentioned suicide?

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?

How may anorexia nervosa best be described?

Which statement is most descriptive of central nervous system stimulants?

A 17 year old tells the nurse that he/she is not having sex because it would make his/her parents very angry.This response indicates that the adolescent has a developmental lag in which area?

The parents of a 14 year old express concerns about the number of hours their child spends with friends.The nurse explains that peer relationships become more important during adolescence because:

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?

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?

Which predisposes the adolescent to feel an increased need for sleep?

21st Century Maternity Nursing

The Family, culture, spirituality, and Home Care

Assessment and Health Promotion

Reproductive System Concerns

Infertility, contraception, and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High-Risk Pregnancy

High-Risk Perinatal Care: Preexisting Conditions

High-Risk Perinatal Care: Gestational Conditions

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Postpartum Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High-Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication and Physical Assessment of the Child and Family

Pain Assessment and Management in Children

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

Impact of Chronic Illness, disability, or End-Of-Life Care for the Child and Family

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

The Child With Respiratory Dysfunction

The Child With Gastrointestinal Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Genitourinary Dysfunction

The Child With Cerebral Dysfunction

The Child With Endocrine Dysfunction

The Child With Musculoskeletal or Articular Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

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