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Test bank for introduction to maternity and pediatric nursing 6th edition by leifer

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462 OBJ: 2 TOP: Physical Development KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development... 460 OBJ: 3 TOP: Development-Daydrea

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Instant download : Test Bank for Introduction to Maternity and Pediatric

Nursing 6th Edition by Leifer

CLICK HERE

Chapter 20: The Adolescent

MULTIPLE CHOICE

1 When assessing a 13-year-old boy, the nurse would keep in mind

physical changes in the pubertal male begin with:

a development of axillary and facial hair

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MSC: NCLEX: Health Promotion and Maintenance: Growth and

Development

2 A 13-year-old boy states, “The girls in my class tower over me.” The nurse’s most informative response would be:

a “It may seem that way because girls have

a growth spurt 2 years earlier than boys.”

b “Perhaps your parents are not

exceptionally tall.”

c “Boys usually experience a growth spurt 1

year earlier than girls.”

d “You may feel short, but you are actually

average height for your age.”

ANS: A

Although the age for growth spurts during puberty varies, growth spurts occur

2 years earlier for girls than for boys

DIF: Cognitive Level: Application REF: p 462 OBJ: 2 TOP: Physical Development KEY: Nursing Process Step: Implementation

MSC: NCLEX: Health Promotion and Maintenance: Growth and

Development

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3 A parent comments that her adolescent daughter seems to be

daydreaming a lot The nurse understands that this behavior indicates she is:

a bored

b not getting enough rest

c trying to block out stress and anxiety

d mentally preparing for real situations

ANS: D

Daydreaming allows adolescents to act out in their imaginations what will be said or done in certain situations This helps them to prepare for and cope with interactions with others

DIF: Cognitive Level: Analysis REF: p 460 OBJ: 3 TOP: Development-Daydreams KEY: Nursing Process Step: Assessment

MSC: NCLEX: Health Promotion and Maintenance: Growth and

Development

4 The nurse planning a safety program for high school students should understand that most accidental deaths in adolescence are related to:

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a “Your studies are too important for you to

have a part-time job.”

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b “When we went to high school, academics

were the adolescent’s priority.”

c “We want you to put your earnings in a

savings account.”

d “How do you think you will manage your

school work and a job?”

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DIF: Cognitive Level: Knowledge REF: p 456, Box 20-1

OBJ: 3 TOP: Psychosocial Development

KEY: Nursing Process Step: Planning

MSC: NCLEX: Health Promotion and Maintenance: Growth and

Development

7 A 13-year-old girl tells the school nurse that she is getting fat, especially

in her hips and legs The understanding by the nurse that would best guide the response is:

a many adolescents are unaware of proper

nutrition

b adolescents of this age become less

active and should eat fewer calories

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c puberty is often preceded by fat deposits

in these areas

d as soon as menarche occurs, she will lose

this excess weight

DIF: Cognitive Level: Analysis REF: p 455, Box 20-2

OBJ: 2 TOP: Physical Development

KEY: Nursing Process Step: Planning

MSC: NCLEX: Health Promotion and Maintenance: Growth and

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d 10

ANS: D

Because puberty can occur in girls as early as age 10 years, instruction must

be given by that age

DIF: Cognitive Level: Comprehension REF: p 455 OBJ: 2 TOP: Physical Development KEY: Nursing Process Step: Planning

MSC: NCLEX: Health Promotion and Maintenance: Growth and

Development

9 The statement made by a parent indicating understanding about helping

a 13-year-old manage his allowance is:

a “I set amounts he can earn for particular

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ANS: A

If money is simply handed out as requested, it is difficult to develop

responsibility for finances and money management The older adolescent is able to get a job The younger adolescent can earn money by doing particular chores

DIF: Cognitive Level: Application REF: p 460 OBJ: 5 TOP: Development-Responsibility KEY: Nursing Process Step: Evaluation

MSC: NCLEX: Health Promotion and Maintenance: Growth and

Development

10 The nurse suggests a good dietary source of zinc for an

adolescent who is a vegetarian would be:

a green, leafy vegetables

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11 An adolescent’s parent comments, “My son seems so

preoccupied with his appearance these days Is this normal?” The nurse’s best response would be:

a “It is his attempt to express his

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OBJ: 14 TOP: Development

KEY: Nursing Process Step: Planning

MSC: NCLEX: Health Promotion and Maintenance: Growth and

Development

12 Foods that would be a healthy choice for an adolescent who just finished playing in a strenuous game would be:

a a cheeseburger and soda

b a hot fudge sundae

c two sausage and egg breakfast

sandwiches and orange juice

d a bagel and skim milk

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13 When planning to answer a 16-year-old girl’s questions about menstruation, the nurse must consider cognitive development According to Piaget, the cognitive aspect that is developed during adolescence is the ability to:

a view a situation from multiple

perspectives

b focus more on the past than present

situations

c exercise concrete reasoning

d consider hypothetical situations

KEY: Nursing Process Step: Planning

MSC: NCLEX: Health Promotion and Maintenance: Growth and

Development

14 A girl tells the nurse that she and her best friend belong to the popular clique She states, “I love Lady Gaga, and I want to be a

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singer.” The nurse recognizes the girl’s statement as characteristic of peer relationships in:

Cliques of unisex friends, having a best friend, and hero worship are

characteristics of the early adolescent

DIF: Cognitive Level: Comprehension REF: p 454, Table 20-1

OBJ: 8 TOP: Social Development

KEY: Nursing Process Step: Assessment

MSC: NCLEX: Health Promotion and Maintenance: Growth and

Development

15 The nurse is leading a discussion group with parents of

adolescents One parent comments, “My son can’t do anything without checking with his friends first My opinion doesn’t count anymore.” The nurse would formulate a response on the knowledge that this behavior is:

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a unusual for adolescent boys

b often more apparent in boys than girls

c a normal phenomenon during

DIF: Cognitive Level: Application REF: p 459 OBJ: 9 TOP: Peer Relationships KEY: Nursing Process Step: Planning

MSC: NCLEX: Health Promotion and Maintenance: Growth and

Development

16 The nurse points out to a group of parents that the most positive developmental significance of a peer group to the adolescent is that the group serves as a(n):

a social outlet

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b association to blur personal identity

c platform for “group think.”

d initial separation from family

ANS: D

Being a member of a peer group and communicating with and seeking

approval from this group are the first separation from the family

DIF: Cognitive Level: Analysis REF: p 458, Table 20-1

OBJ: 9 TOP: Peer Groups KEY: Nursing Process Step: N/A

MSC: NCLEX: Health Promotion and Maintenance: Growth and

Development

17 The nurse understands that the adolescent’s avid sexual

orientation to be based on Freud’s theory, which describes adolescence

as the stage

a conceptual

b genital

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DIF: Cognitive Level: Knowledge REF: p 452, Box 20-1

OBJ: 4 TOP: Freud KEY: Nursing Process Step: Assessment

MSC: NCLEX: Health Promotion and Maintenance: Growth and

Development

18 The nurse using the PACE interview guide for persons at risk for substance abuse arrives at a score of 2 for an adolescent patient The nurse should assess this score as:

a nonindicative of potential substance

abuse

b normal experimentation of the adolescent

c need to schedule another PACE interview

in 3 months

d indication for referral for counseling

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MSC: NCLEX: Health Promotion and Maintenance: Growth and

Development

19 The nurse explains that adolescent acne is the result of:

a ineffective sweat glands

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TOP: Acne KEY: Nursing Process Step: Implementation

MSC: NCLEX: Health Promotion and Maintenance: Growth and

Development

20 The nurse suggests the use of “I” messages to communicate a parent’s feeling to an adolescent The most appropriate example of an

“I” message is:

a “I feel frightened when you stay out past

your curfew.”

b “I am your mother, and I insist that you

observe your curfew.”

c “I am sick and tired of your staying out

OBJ: 1 TOP: “I” statements

KEY: Nursing Process Step: Implementation

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MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation

MULTIPLE RESPONSE

21 The nurse explains that the restlessness seen in the adolescent

is, in part, attributable to what? Select all that apply

a Drive to be accepted by society as an

individual

b Urge for independence

c Establishment of a personal identity

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KEY: Nursing Process Step: Implementation

MSC: NCLEX: Health Promotion and Maintenance: Growth and

Development

22 The nurse points out that prior to a big exam, what is the best breakfast to provide high levels of alertness and increased memory? Select all that apply

a Pancakes and syrup

b Coffee and chocolate-covered donuts

c Bacon and fried eggs

d Whole grain cereal and yogurt

e Oatmeal and sliced apples

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MSC: NCLEX: Physiological Integrity: Physiological Adaptation

23 The nurse considers what “rites of passage” valued by the

adolescent in American society? Select all that apply

a Attaining legal drinking age

b Selection of a career

c Religious affiliation

d Obtaining a driver’s license

e High school graduation

ANS: A, D, E

Rites of passage are socially recognized milestones that signify adulthood Legal drinking age, driver’s license, and matriculation through high school are such signals Religious affiliation and selection of a career path do not

necessarily signal adulthood

DIF: Cognitive Level: Analysis REF: p 466, Nursing Tip

OBJ: 8 TOP: Rites of Passage

KEY: Nursing Process Step: Assessment

MSC: NCLEX: Health Promotion and Maintenance: Growth and

Development

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24 A mother confides in the school nurse that she witnessed her son kissing another boy On which of these concepts should the nurse base his reply? Select all that apply

a Homosexual behavior in adolescents is

not uncommon

b Homosexuality is a mental disorder

c Adolescents often desire to explore

alternative lifestyles

d Homosexual tendencies should be

addressed with counseling

e Parents should seek a support group for

DIF: Cognitive Level: Analysis REF: p 462 OBJ: 13 TOP: Homosexuality KEY: Nursing Process Step: Implementation

MSC: NCLEX: Health Promotion and Maintenance: Growth and

Development

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ANS:

gender

The blurring of gender roles in the United States—women holding jobs as engineers, lawyers, and physicians; and men entering nursing and culinary pursuits—has caused confusion with the selection of a career path

DIF: Cognitive Level: Analysis REF: p 452 OBJ: 13

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TOP: Blurred Gender Roles KEY: Nursing Process Step: Planning

MSC: NCLEX: Health Promotion and Maintenance: Growth and

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