Question 1

A 14-year-old male 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

Question 2

According to Piaget,which period is the adolescent in when experiencing the fourth stage of cognitive development?

Accepted Answer

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

Question 3

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. C

Question 4

When assessing an adolescent for suicide risk,which are warning signs of suicide? Select all that apply.Express answer in small letters followed by a comma and a space-e.g. ,a,b,c

Accepted Answer

A)   Increased energy and activity
B)   Recurrent stomach pain and headaches
C)   Antisocial behaviour
D)   Improved concentration
E)   Focuses on school attendanceF)  Alteration in sleep patternG)  Flat affect

Question 5

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

Question 6

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.

Question 7

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

Question 8

Which is considered to be an unsuccessful smoking cessation program among teens?

Accepted Answer

A)   Youth-to-youth education and support
B)   Information on the long-term effects of smoking
C)   Programs including the media
D)   School-based programs

Question 9

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

Question 10

What is the initial indication of puberty in girls?

Accepted Answer

A)   Menarche
B)   Growth spurt
C)   Growth of pubic hair
D)   Breast development

Question 11

An adolescent girl tells the nurse that she is very suicidal.Which is accurate if the nurse asks her if she has a specific suicide plan?

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.

Question 12

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

Question 13

The nurse is caring for an adolescent brought to the hospital with acute drug toxicity.Cocaine is believed to be the drug involved.Which is a crucial aspect of data collection?

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

Question 14

The school nurse tells adolescents in the clinic that confidentiality and privacy will be maintained unless a life-threatening situation arises.Which statement 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.

Question 15

Which is a psychological effect of being obese during adolescence?

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

Question 16

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.

Question 17

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.

Question 18

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

Question 19

Which statement is correct about childhood obesity?

Accepted Answer

A)   Genetics 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 20

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 on?

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.

Exam 39: The Adolescent and Family