Nursing care of a family with adolescents Flashcards
1
Q
- The parents of a 12-year-old girl ask why their non-sexually active daughter should receive the human papillomavirus
(HPV) vaccine. The nurse should tell the parents:
a. “The vaccine is most effective against cervical cancer if given before becoming sexually active.”
b. “Parents are never sure when their child might become sexually active.”
c. “HPV is most common is teens and women in their late twenties.”
d. “If your daughter is sexually assaulted, she may be exposed to HPV
A
A. The vaccine is most effective against cervical cancer if given before becoming sexually active.
2
Q
- An adolescent tells the school nurse that she would like to use tampons during her period. The nurse should first:
a. . Assess her usual menstrual flow pattern.
b. Determine whether she is sexually active.
c. Provide information about preventing toxic shock syndrome.
d. Refer her to a specialist in adolescent gynecology
A
C. Provide information about preventing toxic shock syndrome
3
Q
3. 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 peer relations. b. Positive self-identity. c. A sense of autonomy. d. A sense of independence
A
B. Positive self identity
4
Q
- Several high-school seniors are referred to the school nurse because of suspected alcohol misuse. When the nurse
assesses the situation, what would be most important to determine?
a. What they know about the legal implications of drinking.
b. The type of alcohol they usually drink.
c. The reasons they choose to use alcohol.
d. When and with whom they use alcohol
A
C. The reason they choose to use alcohol.
5
Q
- Initiation of which of the following immunizations is recommended prior to the adolescent entering college?
a. Diphtheria, tetanus, and acellular pertussis (DTaP).
b. Varicella.
c. Meningococcal.
d. Pneumococcal conjugate vaccine (PCV).
A
B. Meningococcal
6
Q
- A nurse is assessing the growth and development of a 14-year-old boy. He reports that his 13-year-old sister is 2
inches taller than he is. The nurse should advise the boy that the growth spurt in adolescent boys, compared with the
growth spurt of adolescent girls:
a. Occurs at the same time.
b. Occurs 2 years earlier.
c. Occurs 2 years later.
d. Occurs 1 year earlier.]]
A
C. Occurs 2 years later
7
Q
- Parents of a 15-year-old state that he is moody and rude. The nurse should advise his parents to:
a. Restrict his activities.
b. Discuss their feelings with their child.
c. Obtain family counseling.
d. Talk to other parents of adolescents
A
b. Discuss their feelings with their child
8
Q
- 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.
A
c. 1 to 2 years earlier in girls than in boys
9
Q
- A 13-month-old has a febrile seizure one month after the administration of the chicken pox vaccine. The nurse should:
a. Recognize that the events are unrelated.
b. Report the event through the Vaccine Adverse Event Reporting System.
c. Explain to the parents that this is a rare but acceptable risk.
d. Report the incident through the vaccine manufacturer’s hotline
A
b. Report the event through the Vaccine Adverse Event Reporting System
10
Q
- 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 behavior indicates:
a. An abnormal narcissism.
b. A method of procrastination.
c. A way of testing the parents’ limit-setting.
d. A result of developing self-concept
A
d. A result of developing self-concept
