Chapter 7: Health promotion of Adolescents (12-20 years)

Question 1

The final ____ of height is achieved during puberty

Answer 1

20-25%

Question 2

What may appear during adolescence?

Answer 2

Acne

Question 3

When do girls stop growing?

Answer 3

2-2.5 years after onset of menarche (they grow 2-8 inches, and gain 15.5-55 lbs)

Question 4

What is the order of sexual maturation in girls?

Answer 4

1. Breast development
2. Pubic hair growth (some girls experience hair growth before breast development)
3. Axillary hair growth
4. Menstruation

Question 5

What is the order of sexual maturation in boys?

Answer 5

1. Testicular enlargement
2. Pubic hair growth
3. Facial hair growth
4. Vocal changes

Question 6

What is the cognitive development (Piaget) stage for this group (adolescents)

Answer 6

Formal operations

Question 7

What is Erikson’s stage of psychosocial development for adolescents?

Answer 7

Identity vs. Role confusion

Question 8

When does the transition of same sex friendship to intimate relationships develop?

Answer 8

Middle adolescence

Question 9

When is sexual identity formed?

Answer 9

Late adolescence

Question 10

T/F: Adolescents question relevance of existing moral values to society and individuals.

Answer 10

True

Question 11

Adolescents view themselves in relation to similarities with peers during ____ and view themselves according to their unique characteristics as the adolescent years ____

Answer 11

Younger; progress

Question 12

What happens if you didn’t get your immunizations for 11 and 12 years old?

Answer 12

Catch up on those between ages 13-18

Question 13

If you got the MCV4 at 13-5, do you get it again at 16-18?

Answer 13

Yes, a recommended booster MCV4

Question 14

If you got MCV4 for the first time at age 16, will you need a booster dose later on?

Answer 14

No

Question 15

What health screening should be continued?

Answer 15

Scoliosis

Question 16

What is needed during times of rapid growth?

Answer 16

Additional calcium, iron, and zinc is needed

Question 17

What is commonly inadequate for adolescence?

Answer 17

Folic acid
Vit B6
Vit A
Iron
Calcium
Zinc

Question 18

Be aware of changes in mood in adolescents. Monitor for self harm in adolescents who are at risk. What are 5 signs to watch for?

Answer 18

• Poor school performance
• Lack of interest in things that were of interest in the past
• Social isolation
• Disturbances in sleep or appetite
• Expression of suicidal thoughts

Question 19

A nurse is providing teaching about expected changes in puberty to a group of parents of early adolescent girls. Which of the following statements by one of the parents indicates an understanding of the teaching?
A. “Girls usually stop growing about 2 years after menarche”
B. “Girls are expected to gain 65 lbs during puberty”
C. “Girls experience menstruation prior to breast development”
D. Girls typically grow more than 10 inches during puberty”

Answer 19

A

Question 20

A nurse is providing anticipatory guidance to the parent of a 13 year old. The nurse should recommend which of the following screenings for the adolescent. (select all that apply)
A. BMI
B. Blood lead level
C. Height
D. Weight
E. Scoliosis

Answer 20

A. C, D, E

Question 21

A nurse is caring for an adolescent whose mother expresses concerns about her son sleeping such long hours. The nurse should inform the mother that additional sleep is needed during adolescence due to which of the following?
A. Sleep terrors
B. Rapid growth
C. Elevated zinc levels
D. Slowed metabolism

Answer 21

B

Question 22

A nurse is teaching a class about puberty in males. Which of the following should the nurse include as the first manifestation of sexual maturation?
A. Pubic hair growth
B. Vocal changes
C. Testicular enlargement
D. Facial hair growth

Answer 22

C