San Jacinto College - RNSG 2201

Chapter 15: Health Promotion of the Adolescent and Family Hockenberry: Wong’s Essentials of Pediatric Nursing, 10th Edition

MULTIPLE CHOICE

1)What is the initial indication of puberty in girls?

1. 1. Menarche
   2. Growth spurt
   3. Growth of pubic hair
   4. Breast development

2. 

   A school nurse is teaching a group of preadolescent girls about puberty. Which is the mean age of menarche for girls in the United States?
   1. years
   2. years

1. 3. years
   4. 14 years

3. A school nurse is teaching a group of preadolescent boys about puberty. By which age should concerns about pubertal delay be considered?
   1. 12 years
   2. 13 years
   3. 14 years
   4. 15 years

4. A 14-year-old male mentions that he now has to use deodorant but never had to before. The nurse’s response should be based on knowledge that which occurs during puberty?
   1. Eccrine sweat glands in the axillae become fully functional during puberty.
   2. Sebaceous glands become extremely active during puberty.
   3. New deposits of fatty tissue insulate the body and cause increased sweat production.
   4. Apocrine sweat glands reach secretory capacity during puberty.

5. According to Erikson, which psychosocial task is developing in adolescence?
   1. Intimacy
   2. Identity
   3. Initiative
   4. Independence

6. A nurse is planning a teaching session for a group of adolescents. The nurse understands that by adolescence the individual is in which stage of cognitive development?
   1. Formal operations
   2. Concrete operations
   3. Conventional thought
   4. Postconventional thought

7. Which aspect of cognition develops during adolescence?
   1. Capability to use a future time perspective
   2. Ability to place things in a sensible and logical order
   3. Ability to see things from the point of view of another
   4. Progress from making judgments based on what they see to making judgments based on what they reason

8. Parents are concerned about the number of hours their teenage daughter spends with peers. The nurse explains that peer relationships are important during adolescence for which reason?
   1. Adolescents dislike their parents.
   2. Adolescents no longer need parental control.
   3. They provide adolescents with a feeling of belonging.
   4. They promote a sense of individuality in adolescents.

9. An adolescent boy tells the nurse that he has recently had homosexual feelings. What knowledge should the nurse’s response be based on?
   1. This indicates the adolescent is homosexual.
   2. This indicates the adolescent will become homosexual as an adult.
   3. The adolescent should be referred for psychotherapy.
   4. The adolescent should be encouraged to share his feelings and experiences.

10. The school nurse tells adolescents in the clinic that confidentiality and privacy will be maintained unless a life-threatening situation arises. How should this practice be interpreted?
    1. Not appropriate in a school setting
    2. Never appropriate because adolescents are minors
    3. Important in establishing trusting relationships
    4. Suggestive that the nurse is meeting his or her own needs

11. A 14-year-old boy seems to be always eating, although his weight is appropriate for his height. What is the best explanation for this?
    1. This is normal because of increase in body mass.
    2. This is abnormal and suggestive of future obesity.
    3. His caloric intake would have to be excessive.
    4. He is substituting food for unfilled needs.

12. Which predisposes the adolescent to feel an increased need for sleep?

1. 1. An inadequate diet
   2. Rapid physical growth
   3. Decreased activity that contributes to a feeling of fatigue
   4. The lack of ambition typical of this age group

13. What is the most common cause of death in the adolescent age group?
    1. Drownings
    2. Firearms
    3. Drug overdoses
    4. Motor vehicles

14. A young adolescent boy tells the nurse he “feels gawky.” How should the nurse explain why

this occurs in adolescents?

1. 1. Growth of the extremities and neck precedes growth in other areas
   2. Growth is in the trunk and chest
   3. The hip and chest breadth increases
   4. The growth spurt occurs earlier in boys than it does in girls

15. A nurse is reviewing hormone changes that occur during adolescence. What is the hormone responsible for the growth of beard, mustache, and body hair in the male?
    1. Estrogen
    2. Pituitary

1. 3. Androgen
   4. Progesterone

16. A nurse is caring for an adolescent hospitalized for cellulitis. The nurse notes that the adolescent experiences many “mood swings” throughout the day. How should the nurse interpret this behavior?
    1. Requires a referral to a mental health counselor
    2. Requires some further lab testing
    3. It is normal behavior
    4. Related to feelings of depression

17. A nurse is conducting parenting classes for parents of adolescents. Which parenting style should the nurse recommend?
    1. Laissez-faire
    2. Authoritative
    3. Disciplinarian
    4. Confrontational

18. A 14-year-old adolescent never had chickenpox as a child. What should the nurse expect the health care provider to recommend?
    1. One dose of the varicella vaccination
    2. Two doses of the varicella vaccination 4 weeks apart
    3. One dose of the varicella immune globulin
    4. No vaccinations—the child is past the age to receive it

MULTIPLE RESPONSE

1. A 13-year-old is being seen in the clinic for a routine health check. The adolescent has not been in the clinic for 3 years but was up to date on immunizations at that time. Which immunizations should the adolescNenUtRrSeIcNeGivTeB?.C(SOeMlect all that apply.)
   1. DTaP (tetanus, diphtheria, acellular pertussis)
   2. MMR (measles, mumps, rubella)
   3. Hepatitis B
   4. Influenza
   5. MCV4 (meningococcal)

2. The nurse should teach the adolescent that the long-term effects of tanning can cause which conditions?
   1. Phototoxic reactions
   2. Increased number of moles
   3. Premature aging

1. 4. Striae
   5. Increased risk of skin cancer

3. Which screening tests should the school nurse perform for the adolescent?
   1. Glucose
   2. Vision
   3. Hearing
   4. Cholesterol
   5. Scoliosis

COMPLETION

1.   The estimated average requirement of calcium for an adolescent is        milligrams. (Record your answer in a whole number.)

OTHER

1. Place in order the sequence of maturational changes for girls. Begin with the first change seen, sequencing to the last change. Provide answer in using lowercase letters, separated by commas (e.g., a, b, c, d, e).