ch 29 g/d adolescents Flashcards
the nurse teaches parents of adolescents that adolescents need the support of parents and nurses to facilitate healthy lifestyles. what should be the priority focus of this guidance?
reducing risk taking behavior
the nurse has seen a 15 year old girl and a 16 year old boy during health surveillance visits. which physical characteristics would be seen in both teenagers?
increased shoulder, chest, and hip widths
the nurse is performing an assessment of the reproductive system of a 17 year old girl. what would alert the nurse to a developmental delay in this girl?
absence of the first menstrual period
the school nurse is performing health assessments on students in middle school. of what developmental milestone should the nurse be aware?
peak height velocity (PHV) occurs at approx. 12 years of age in girls or about 6-12 months after menarche
after assessing a 10 year old girl, the nurse documents the appearance of breast buds, identifying this as what body change?
thelarche
when describing the various changes that occur in organ system during adolescence, what would the nurse include?
decrease in heart rate
the school nurse is performing a physical examination on a 13 year old boy who is on the soccer team. what is a physical quality that develops during these early adolescent years?
endurance
based on eriksons developmental theory, what is the major developmental task for the adolescent?
finding an identity
the nurse assesses the spirituality of an adolescent. what are normal moral and spiritual milestones in this age group? select all that apply.
-adolescents develop their own sets of morals and values and question the status quo
-adolescents undergo the process of developing their own set of morals at different rates
-adolescents are more interested in the spiritualism of tier religion than in the actual practices of their religion
the school nurse is conducting a seminar for parents of adolescents on how to communicate with teenagers. which guidelines might the nurse recommend? select all that apply.
-talk face to face and be aware of body language
-ask questions to see why he or she feels that way
-don’t pretend you know all the answers
the nurse is teaching the parents of a 12 year old boy about appropriate approaches when raising an adolescent. which comment should be included in the discussion?
try to be open to his views
the mother of a 14 year old girl reports to the nurse that her daughter is moody, shuts herself in her room, and fights with her younger sister. which comment is most valuable to the mother?
calmly talk to her about your concerns
the adolescent continues to develop self concept and self esteem. what is most important to a teens self esteem?
body image
the nurse is performing risk assessments on adolescents in the school setting. which teen should the nurse screen for hypertension?
an african american male
the nurse knows that barriers to the adolescent health and successful achievement of the tasks of the adolescent exist. what is the major barrier to health of this population
socioeconomic
the nurse teaching safety to teen knows that which of these is the leading cause of death among adolescents
unintentional injuries
when assessing adolescents for health risks, the nurse must keep in mind the factors related to the prevalence of adolescent injuries. what accurately describes these factors? select all that apply.
-increased physical growth
-insufficient psychomotor coordination
-peer pressure
-inexperience
the nurse is helping the parents and their underweight adolescent collaborate on planning a healthy menu. of which nutritional requirement of adolescents should the nurse be aware?
teenagers have a need for increased calories, zinc, calcium, and iron for growth
the nurse is promoting nutrition to a 13 year old boy who is overweight. which comment should the nurse expect to include in the discussion?
keep a food diary
the nurse is providing suggestions to a female adolescent about foods to help meet her nutritional requirements for iron. which food would the nurse suggest as a good source of iron?
peanut butter
during a health maintenance visit, a 15 year old girl mentions that she is not happy with being overweight. which approach is best for the nurse to take?
what specifically have you been noticing?
the school nurse knows that dating is a milestone for adolescents. which statement accurately describes a trend in teen dating?
most teen have been involved in at least one romantic relationship by late adolescents
during a health check up without his parents, a 17 year old tells the nurse he is gay. which approach should the nurse take?
tell me what makes you think you are gay
the nurse is promoting learning and school attendance to a 13 year old girl. which factor will affect the child’s attitude most?
peer group behaviors and attitudes
the nurse is preparing a program on sexuality and birth control for a class of 14-16 year olds. which behavior will have the most influence on how the information is presented?
adolescents tend to take risks
the nurse is preparing a class for a group of adolescents about promoting safety. what would the nurse plan to include as the leading cause of adolescent injuries?
motor vehicles
the nurse is discussing ways to promote discipline with parents who are becoming increasingly frustrated with their teenager. what would the nurse identify as most important?
make your responses consistent
the school nurse is teaching parents risk factors for suicide in adolescents. what would the nurse discuss? select all that apply.
-mental health changes
-history of previous suicide attempt
-family disorganization
-substance abuse
the nurse is performing a cognitive assessment on a 16 year old client. which behaviors demonstrated will the nurse identify as middle formal operational, according to Piaget’s theory? select all that apply.
-reporting that he smokes marijuana occasionally
-wanting to make decisions about health care independently
-being very concerned with implications of the affordable care act regarding healthcare benefits.
a 12 year old boy reports to the nurse that he is one of the shortest kids in his class. he asks the nurse is he will ever grow. what response by the nurse is most appropriate?
there is no way to know how tall you will grow because you are still well within the window for growth
