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
Trang 1Instant download : Test Bank for Introduction to Maternity and Pediatric
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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
Trang 2MSC: 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:
Trang 4a “Your studies are too important for you to
have a part-time job.”
Trang 5b “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?”
Trang 6DIF: 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
Trang 7c 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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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
Trang 1011 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
Trang 11OBJ: 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
Trang 1213 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
Trang 13singer.” 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:
Trang 14a 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
Trang 15b 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
Trang 16DIF: 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
Trang 17MSC: NCLEX: Health Promotion and Maintenance: Growth and
Development
19 The nurse explains that adolescent acne is the result of:
a ineffective sweat glands
Trang 18TOP: 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
Trang 19MSC: 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
Trang 20KEY: 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
Trang 21MSC: 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
Trang 24TOP: Blurred Gender Roles KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Growth and