Question 1

After assessing a 10-year-old girl, the nurse documents the appearance of breast buds, identifying this as which of the following?

Accepted Answer

A)   Menarche
B)   Thelarche
C)   Puberty
D)   Tanner stage 5E) B) and C)
F) A) and B)

Question 2

The nurse is performing risk assessments on adolescents in the school setting. Which one of the following teens should the nurse screen for hypertension?

Accepted Answer

A)   An Asian female
B)   A white male
C)   An African American male
D)   A Jewish maleE) All of the above
F) B) and D)

Question 3

The school nurse is preparing a program on sexuality and birth control for a class of 14- to 16-year-olds. Which of the following behaviors will have the most influence on how the information is presented?

Accepted Answer

A)   Teens are adjusting to new body images.
B)   Adolescents tend to take risks.
C)   Teenagers are able to think in the abstract.
D)   Adolescents understand that actions have consequences.E) A) and D)
F) None of the above

Question 4

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?

Accepted Answer

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.E) B) and D)
F) All of the above

Question 5

The adolescent continues to develop self-concept and self-esteem. Which of the following is most important to a teen's self-esteem?

Accepted Answer

A)   Strong authority figures
B)   Spirituality
C)   Morals and values
D)   Body imageE) A) and B)
F) A) and C)

Question 6

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?

Accepted Answer

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."E) A) and C)
F) B) and C) A

Question 7

The school nurse is planning to teach a segment on smoking during the freshman health classes. The nurse is aware that this needs to be a forum rather than a lecture. Which of the following techniques will also help deliver a "don't smoke" message?

Accepted Answer

A)   Showing a command of the facts on smoking
B)   Speaking with a tone of authority
C)   Keeping your personal experiences out of it
D)   Listening to all comments nonjudgmentallyE) A) and D)
F) All of the above

Question 8

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?

Accepted Answer

A)   Reducing risk-taking behavior
B)   Promoting adequate physical growth
C)   Maximizing learning potential
D)   Teaching personal hygiene routinesE) A) and B)
F) A) and C)

Question 9

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.

Accepted Answer

A)   Increased physical growth
B)   Insufficient psychomotor coordination
C)   Tiredness, lack of energy
D)   Lack of impulsivity
E)   Peer pressureF)  InexperienceG) B) and D)
H) A) and D)

Question 10

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.

Accepted Answer

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."G) All of the above
H) B) and F) B, C, D

Question 11

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?

Accepted Answer

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."E) All of the above
F) B) and C)

Question 12

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?

Accepted Answer

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?"E) A) and B)
F) A) and C)

Question 13

The nurse teaching safety to teens knows that which of the following is the leading cause of death among adolescents?

Accepted Answer

A)   Drowning
B)   Poisoning
C)   Diseases
D)   Unintentional injuriesE) A) and D)
F) A) and B)

Question 14

The school nurse knows that dating is a milestone for adolescents. Which of the following statements accurately describes a trend in teen dating?

Accepted Answer

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.E) B) and D)
F) A) and C)

Question 15

The nurse is preparing a class for a group of adolescents about promoting safety. Which of the following would the nurse plan to include as the leading cause of adolescent injuries?

Accepted Answer

A)   Car accidents
B)   Firearms
C)   Water
D)   FiresE) C) and D)
F) A) and C)

Question 16

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?

Accepted Answer

A)   Coordination
B)   Endurance
C)   Speed
D)   AccuracyE) None of the above
F) C) and D) B

Question 17

The school nurse is performing health assessments on students in middle school. Of which of the following developmental milestones should the nurse be aware?

Accepted Answer

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.E) B) and C)
F) A) and B)

Question 18

The school nurse is teaching parents risk factors for suicide in adolescents. Which of the following would the nurse discuss? Select all answers that apply.

Accepted Answer

A)   Mental health changes
B)   History of previous suicide attempt
C)   Higher socioeconomic status
D)   Greatly improved school performance
E)   Family disorganizationF)  Substance abuseG) E) and F)
H) All of the above

Question 19

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?

Accepted Answer

A)   Broccoli
B)   Yogurt
C)   Peanut butter
D)   White beansE) B) and D)
F) A) and D)

Question 20

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?

Accepted Answer

A)   Cultural
B)   Socioeconomic
C)   Marital status
D)   RacialE) A) and B)
F) A) and C)

Exam 29: Growth and Development of the Adolescent

After assessing a 10-year-old girl, the nurse documents the appearance of breast buds, identifying this as which of the following?

Correct AnswerverifiedShow Answer

The nurse is performing risk assessments on adolescents in the school setting. Which one of the following teens should the nurse screen for hypertension?

Correct AnswerverifiedShow Answer

The school nurse is preparing a program on sexuality and birth control for a class of 14- to 16-year-olds. Which of the following behaviors will have the most influence on how the information is presented?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

The adolescent continues to develop self-concept and self-esteem. Which of the following is most important to a teen's self-esteem?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedA

The school nurse is planning to teach a segment on smoking during the freshman health classes. The nurse is aware that this needs to be a forum rather than a lecture. Which of the following techniques will also help deliver a "don't smoke" message?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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.

Correct AnswerverifiedShow Answer

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.

Correct AnswerverifiedB, C, D

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?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

The nurse teaching safety to teens knows that which of the following is the leading cause of death among adolescents?

Correct AnswerverifiedShow Answer

The school nurse knows that dating is a milestone for adolescents. Which of the following statements accurately describes a trend in teen dating?

Correct AnswerverifiedShow Answer

The nurse is preparing a class for a group of adolescents about promoting safety. Which of the following would the nurse plan to include as the leading cause of adolescent injuries?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedB

The school nurse is performing health assessments on students in middle school. Of which of the following developmental milestones should the nurse be aware?

Correct AnswerverifiedShow Answer

The school nurse is teaching parents risk factors for suicide in adolescents. Which of the following would the nurse discuss? Select all answers that apply.

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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A

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B, C, D

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B

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