Chapter 29 Flashcards
The nurse teaches parents of adolescents that adolescents need the support of parents
and nurses to facilitate healthy lifestyles. Which of the following should be a priority
focus of this guidance?
A) Reducing risk-taking behavior
B) Promoting adequate physical growth
C) Maximizing learning potential
D) Teaching personal hygiene routines
A) Reducing risk-taking behavior
The nurse has seen a 15-year-old girl and a 16-year-old boy during health surveillance
visits. Which of the following physical characteristics would be seen in both teenagers?
A) Decreased respiratory rates of 15 to 20 breaths per minute
B) Eruption of last four molars
C) Increased shoulder, chest, and hip widths
D) Fully functioning sweat and sebaceous glands
C) Increased shoulder, chest, and hip widths
The nurse is performing an assessment of the reproductive system of a 17-year-old girl. Which of the following would alert the nurse to a developmental delay in this girl?
A) Areola and papilla separate from the contour of the breast
B) Mature distribution and coarseness of pubic hair
C) Developed breast tissue
D) Occurrence of first menstrual period
D) Occurrence of first menstrual period
The school nurse is performing health assessments on students in middle school. Of
which of the following developmental milestones should the nurse be aware?
A) Height in girls increases rapidly after menarche and usually ceases immediately
after menarche.
B) Boys’ growth spurt usually begins between the ages of 8 and 14 years and ends
between the ages of 131/2 and 171/2 years.
C) Peak height velocity (PHV) occurs at approximately 12 years of age in girls or
about 6 to 12 months after menarche.
D) Boys reach PHV and peak weight velocity (PWV) at about 16 years of age.
C) Peak height velocity (PHV) occurs at approximately 12 years of age in girls or
about 6 to 12 months after menarche.
After assessing a 10-year-old girl, the nurse documents the appearance of breast buds,
identifying this as which of the following?
A) Menarche
B) Thelarche
C) Puberty
D) Tanner stage 5
B) Thelarche
When describing the various changes that occur in organ systems during adolescence,
which of the following would the nurse include?
A) Significant increase in brain size
B) Ossification completed later in girls
C) Decrease in heart rate
D) Decrease in activity of sebaceous glands
C) Decrease in heart rate
The school nurse is performing a physical examination on a 13-year-old boy who is on the soccer team. Which of the following is a physical quality that develops during these early adolescent years? A) Coordination B) Endurance C) Speed D) Accuracy
B) Endurance
Based on Erikson's developmental theory, which of the following is the major developmental task of the adolescent? A) Gaining independence B) Finding an identity C) Coordinating information D) Mastering motor skills
B) Finding an identity
The nurse assesses the spirituality of an adolescent. Which of the following are normal moral and spiritual milestones in this age group? Select all answers that apply.
A) Adolescents will base their actions on the avoidance of punishment and the
attainment of pleasure.
B) Adolescents develop their own set of morals and values and question the status
quo.
C) Adolescents undergo the process of developing their own set of morals at different
rates.
D) Adolescents are more interested in the spiritualism of their religion than in the
actual practices of their religion.
E) Adolescents can understand the concepts of right and wrong and are developing a
conscience.
F) Adolescents are able to understand and incorporate into their behavior the concept
of the “golden rule.”
B) Adolescents develop their own set of morals and values and question the status
quo.
C) Adolescents undergo the process of developing their own set of morals at different
rates.
D) Adolescents are more interested in the spiritualism of their 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 of the following guidelines might the nurse recommend? Select all answers that apply.
A) Talk face to face and be aware of body language.
B) Ask questions to see why he or she feels that way.
C) Do not give praise unless the adolescent deserves it.
D) Speak to your child as an authority figure, not an equal.
E) Don’t admit that you make mistakes.
F) Don’t pretend you know all the answers.
A) Talk face to face and be aware of body language.
B) Ask questions to see why he or she feels that way.
F) 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 of the following comments should be included in the
discussion?
A) “Find out if his friends are worthy of him.”
B) “Try to be open to his views.”
C) “Maintain a firm set of rules.”
D) “Remind him that he is still your little boy.”
B) “Try to be open to his views.”
The mother of a 14-year-old girl complains to the nurse that her daughter is moody,
shuts herself in her room, and fights with her younger sister. Which of the following
comments is most valuable to the mother?
A) “Calmly talk to her about your concerns.”
B) “This is normal for her age.”
C) “She may be hanging with a bad crowd.”
D) “Set some rules for family etiquette.”
A) “Calmly talk to her about your concerns.”
The adolescent continues to develop self-concept and self-esteem. Which of the
following is most important to a teen’s self-esteem?
A) Strong authority figures
B) Spirituality
C) Morals and values
D) Body image
D) Body image
The nurse is performing risk assessments on adolescents in the school setting. Which
one of the following teens should the nurse screen for hypertension?
A) An Asian female
B) A white male
C) An African American male
D) A Jewish male
C) An African American male
The nurse knows that barriers to the adolescent’s health and successful achievement of
the tasks of adolescence exist. Which of the following is the major barrier to health for
this population?
A) Cultural
B) Socioeconomic
C) Marital status
D) Racial
B) Socioeconomic
The nurse teaching safety to teens knows that which of the following is the leading cause of death among adolescents? A) Drowning B) Poisoning C) Diseases D) Unintentional injuries
D) Unintentional injuries
When assessing adolescents for health risks, the nurse must keep in mind the factors
related to the prevalence of adolescent injuries. Which of the following accurately
describe these factors? Select all answers that apply.
A) Increased physical growth
B) Insufficient psychomotor coordination
C) Tiredness, lack of energy
D) Lack of impulsivity
E) Peer pressure
F) Inexperience
A) Increased physical growth
B) Insufficient psychomotor coordination
E) Peer pressure
F) Inexperience
The nurse is helping the parents and their underweight adolescent collaborate on
planning a healthy menu. Of which of the following nutritional requirements of
adolescents should the nurse be aware?
A) Teenagers have a need for increased calories, zinc, calcium, and iron for growth.
B) Teenage girls who are active require about 1,800 calories per day.
C) Teenage boys who are active require between 2,000 and 2,500 calories per day.
D) Adolescents require about 1,000 to 1,200 mg of calcium each day.
A) 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 of the following comments should the nurse expect to include in the discussion? A) “You need to go on a low-fat diet.” B) “Eat what your parents eat.” C) “Go out for a sport at school.” D) “Keep a food diary.”
D) “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? A) Broccoli B) Yogurt C) Peanut butter D) White beans
C) Peanut butter
During a health maintenance visit, a 15-year-old girl mentions that she is not happy with how overweight she is. Which of the following approaches is best for the nurse to take?
A) “Good observation. Let’s talk about diet and exercise.”
B) “Don’t worry; you are within the weight and height guidelines.”
C) “What specifically have you been noticing?”
D) “Tell me about your parents. Are they overweight?”
C) “What specifically have you been noticing?”
The school nurse knows that dating is a milestone for adolescents. Which of the
following statements accurately describes a trend in teen dating?
A) Most late adolescents spend more time in activities with mixed-sex groups, such as dances and parties, than they do dating as a couple.
B) Most teens have been involved in at least one romantic relationship by middle adolescence.
C) Teens that date frequently report slightly lower levels of self-esteem and decreased
autonomy.
D) Homosexual behavior as a teen usually indicates that the adolescent will maintain a
homosexual orientation.
B) Most teens have been involved in at least one romantic relationship by middle adolescence.
A mother calls the school nurse and is concerned because her 13-year-old daughter’s
friends wear heavy makeup and black clothes. Which of the following is the best advice
for the mother?
A) “This can lead to piercings and tattoos.”
B) “The teen years are a time for experimenting.”
C) “Encourage her to socialize with the kids at church.”
D) “Teen appearance might not accurately reflect their actual values.”
D) “Teen appearance might not accurately reflect their actual values.”
During a health check-up without his parents, a 17-year-old tells the nurse he is gay.
Which of the following approaches should the nurse take?
A) “Tell me what makes you think you are gay.”
B) “This puts you in an at-risk category.”
C) “We need to talk about safe sex.”
D) “You’re not gay; you’re confused.”
A) “Tell me what makes you think you are gay.”
