Adolescent health Flashcards
When discussing the onset of adolescence with parents, the nurse explains that it occurs at which of the following times?
a) Same age for both boys and girls.
b) 1 to 2 years earlier in boys than in girls.
c) 1 to 2 years earlier in girls than in boys.
d) 3 to 4 years later in boys than in girls.
c) 1 to 2 years earlier in girls than in boys.
Parents report that they think their 15-year-old son is moody and rude. The nurse develops a plan with the parents that includes which of the following initially?
a) Talking with other parents of adolescents
b) Obtaining family counselling.
c) Discussing their feelings with him.
d) Limiting involvement in non-school activities.
c) Discussing their feelings with him.
An 18-year-old adolescent client expresses fear over a complex, painful, sterile procedure, and asks that the chaplain be allowed to stay in the room and close by while it is being performed. The best nursing action would be to:
a) Let the chaplain stand way back in a far corner of the room during the procedure
b) Place the chaplain in sterile apparel and allow him or her to be close to the client during the procedure
c) Explain that the procedure is sterile, and that the chaplain cannot stay, but can return as soon as it is completed
d) Place the chaplain by a window where the client can see him or her during the procedure
b) Place the chaplain in sterile apparel and allow him or her to be close to the client during the procedure
A 15-year-old client with cancer, together with her parents, has decided against further treatment. Which nursing action would be most helpful?
a) Accepting the decision and making no comments to the family
b) Talking to the parents and trying to persuade the client to think about reversing the decision
c) Informing the client’s physician, and asking her/him to talk to the client and intervene, if necessary
d) Making sure the client has accurate information and understands the consequences of the decision
d) Making sure the client has accurate information and understands the consequences of the decision
A fifteen year old girl has been admitted to the Obstetrics unit after delivering her second baby in two years. The focus of health promotion activities should be:
a) A lecture on the perils of unprotected sexual intercourse
b) Methods of birth control
c) Obtaining income support to feed the children
d) A discussion on the morality of having children out of wedlock
b) Methods of birth control
A mother states that her 14-year-old daughter has abdominal cramps during menstruation. What should the nurse advise?
a) “Have your daughter rest and apply warmth to the abdomen.”
b) “Use an ice pack to the abdomen.”
c) “Take your daughter to the Emergency Department.”
d) “It sounds as though your daughter wants to stay home from school.”
a) “Have your daughter rest and apply warmth to the abdomen.”
The school nurse is invited to attend a meeting with several parents who express frustration with the amount of time their adolescents spend in front of the mirror and the length of time it takes them to get dressed. The nurse explains that this behaviour is indicative of which of the following?
a) A way of testing the parents’ limit-setting
b) A method of procrastination
c) A result of developing self-concept
d) An abnormal narcissism
c) A result of developing self-concept
An 18-year-old woman reports the following health history: sexual activity beginning age 14, multiple sex partners, and previous Trichomonas vaginitis. Based on this history, the nurse knows that an essential screening exam to prepare the client for will be:
a) Papanicolaou (Pap) test
b) Chest x-ray
c) Drug screen
d) Breast exam and mammography
a) Papanicolaou (Pap) test
A client is noncompliant about adhering to dietary restrictions designed to manage his diabetes. Which statement by the nurse would be most likely to motivate the client to comply with treatment?
a) “Not following your diet may shorten your life.”
b) “I understand that following this diet is hard for you. Can you share with me why this has been difficult?”
c) “Let me review your diet with you again, because you don’t seem to understand it.”
d) “I don’t understand why you don’t follow your diet.”
b) “I understand that following this diet is hard for you. Can you share with me why this has been difficult?”
Several high-school seniors are referred to the school nurse because of suspected alcohol misuse. When the nurse assesses the situation, which of the following would be most important to determine?
a) The reasons they choose to use alcohol
b) The type of alcohol they usually drink
c) What they know about the legal implications of drinking
d) When and with whom they use alcohol
a) The reasons they choose to use alcohol
A nineteen year old student has had a breast biopsy and is nervous about the results. The resident physician peeks into her room and says, “The biopsy is negative.” The nurse finds the student in her room sobbing. What is the nurse’s best response to this situation?
a) “The term ‘negative’ in this case is good!”
b) “Why are you crying with such good news?”
c) “You seem upset. Do you want to talk to me about the test results?”
d) “What did the physician tell you?”
c) “You seem upset. Do you want to talk to me about the test results?”
The school nurse develops a plan with an adolescent to provide relief of dysmenorrhea to aid in her development of which of the following?
a) Positive self-identity.
b) A sense of autonomy.
c) A sense of independence.
d) Positive peer relations.
a) Positive self-identity.
An adolescent tells the school nurse that she would like to use tampons during her period. Which of the following would be most appropriate for the nurse to do?
a) Provide information about preventing toxic shock syndrome
b) Determine whether she is sexually active
c) Refer her to a specialist in adolescent gynaecology.
d) Assess her usual menstrual flow pattern
a) Provide information about preventing toxic shock syndrome
