Ch. 21 Adolescent Flashcards
When do females usually begin puberty?
A. 1 year before males
B. 1 year after males
C. 2 years before males
D. 2 years after males
C. 2 years before males
A teenager has been using acne medications for the last 14 days. Her acne is no better, and in fact, it is a little worse. What information should the nurse offer this girl?
A. “Wash your face at least four times a day, making sure to scrub well.”
B. “The medications can make acne appear worse at first; try to give it a few more weeks.”
C. “Avoid all chocolate products.”
D. “Because it is summertime, it would be good for your skin if you lie out in the sun for a few hours each day.”
B. “The medications can make acne appear worse at first; try to give it a few more weeks.”
The mother of a 13-year old girl is concerned because her daughter has not started menstruating yet. The girl developed breast buds and started her height spurt at 12 years of age. Which of the following statements would be the most appropriate response from the nurse?
A. “Usually, girls start menstruating when they develop breast buds; an endocrine evaluation might be warranted.”
B. “Everyone is different; it will happen in the near future.”
C. “Based on when the breast buds first appeared, she should start menstruating around in the age of 14.”
D. “She will not start menstruating until her breasts are of adult size and contour.”
C. “Based on when the breast buds first appeared, she should start menstruating around in the age of 14.”
Which genetic disorder affecting the X chromosome is found in females?
A. Gynecomastia
B. Menstruating
C. Turner syndrome
D. Klinefelter syndrome
C. Turner syndrome
Which genetic disorder affecting the X chromosome is found in males and is often diagnosed at puberty?
A. Gynecomastia
B. Menstruation
C. Turner syndrome
D. Klinefelter syndrome
D. Klinefelter syndrome
Parents recently discovered that their teenage daughter has been consuming alcohol on a regular basis. They ask the nurse for advice on how best to help their daughter. In addition to closer supervision to prevent such activity, which of the following recommendations should the nurse give to their parents?
A. Talk to their daughter at length regarding the dangers associated with drinking
B. Have her favorite aunt, with whom she is very close, talk to her about drinking
C. Enroll their daughter in a peer support group focused on teenage drinking
D. Provide their daughter with literature regarding the dangers of drinking
C. Enroll their daughter in a peer support group focused on teenage drinking
Which of the following behaviors is most reflective of a teenager?
A. Riding an ATV without a helmet
B. Not skiing for fear of falling and getting hurt
C. Obeying a new parental rule without a challenge
D. Walking away from a group of friends who are smoking cigarettes
A. Riding an ATV without a helmet
Which of the following is NOT characteristic of anorexia nervosa?
A. Increased frequency or heavy menses due to increased ovulation
B. Co-morbid depression of anxiety
C. Perfectionism
D. Compulsive physical activity
A. Increased frequency or heavy menses due to increased ovulation
During a physical exam, a teenager asks the nurse if she can have a stronger medication for her constipation because of the laxatives she has been taking are not helping. During the physical exam, the nurse observes mild to moderate erosion of the tooth enamel. Which of the following disorders is the client most likely experiencing?
A. Bulimia nervosa
B. Binge eating disorder
C. Idiopathic constipation
D. Irritable bowel syndrome
A. Bulimia nervosa
A teenager has a family history of Type 2 diabetes mellitus. He asks the nurse what he can do to try to prevent developing it himself. Which of the following instructions should the nurse give this client?
A. Tell him to avoid any and all sweets
B. Tell him to be active, eat a balanced diet, and maintain normal weight
C. Tell him he should talk to his physician about genetic testing
D. Tell him that very little can be done to avoid developing this disorder
B. Tell him to be active, eat a balanced diet, and maintain normal weight
Which of the following statements concerning sleep patterns in teenagers is correct?
A. Adolescents need 7 to 8 h of sleep nightly
B. Electronic devises have been associate with sleep deprivation
C. Extra-curricular sports, like all exercise, help teens maintain adequate sleep
D. All of the above statements are correct
B. Electronic devises have been associate with sleep deprivation
According to Piaget, which of the following developmental stages is applicable for the teenage years?
A. Concrete operational
B. Formal operations
C. Abstract operations
D. Inductive operational
B. Formal operations
According to Erikson, which of the following teenagers is at risk for not meeting his developmental task?
A. Arrested for petty theft
B. Decided he wants to major in accounting
C. Has recently broke up with his girlfriend
D. Is a member of the varsity basketball team
A. Arrested for petty theft
From the perspective of the parents of the teenager, which of the following is an adaptive and beneficial approach to the task of parenting teenagers?
A. Set strict rules to prevent the teenager from getting into any trouble
B. Learning how to let go
C. Transition from the role of parent to friend/peer
D. Drop rules and limits so as to foster maturity and self-determination
B. Learning how to let go
Which of the following statements is NOT correct concerning adolescent sexual issues?
A. Sexting is becoming an increasingly common practice among teenagers
B. Experimenting with same sex intimacy may put teens at risk for suicide
C. Fantasizing about sexual activities has been shown to lead to promiscuity
D. Anticipatory guidance appropriately includes information about contraception and STDs
C. Fantasizing about sexual activities has been show to lead to promiscuity
