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

Instant download : Test Bank for Introduction to Maternity and Pediatric Nursing 6th Edition by Leifer CLICK HERE Chapter 20: The Adolescent MULTIPLE CHOICE 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 b enlargement of penis c enlargement of testicles d pigmentation of the scrotum ANS: C In boys, pubertal changes begin with enlargement of the testicles and internal structures DIF: Cognitive Level: Comprehension TOP: Physical Development Process Step: Assessment REF: p 454 KEY: OBJ: Nursing MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 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 years earlier than boys.” b “Perhaps your parents are not exceptionally tall.” c “Boys usually experience a growth spurt 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 years earlier for girls than for boys DIF: Cognitive Level: Application TOP: Physical Development Process Step: Implementation REF: p 462 KEY: MSC: NCLEX: Health Promotion and Maintenance: Growth and Development OBJ: Nursing 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 TOP: Development-Daydreams Assessment REF: p 460 OBJ: KEY: Nursing Process Step: MSC: NCLEX: Health Promotion and Maintenance: Growth and Development The nurse planning a safety program for high school students should understand that most accidental deaths in adolescence are related to: a firearms b automobiles c drowning d diving injuries ANS: B The chief safety hazard for the adolescent is automobiles DIF: TOP: Cognitive Level: Knowledge Safety REF: p 465 OBJ: 14 KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: Growth and Development A 16-year-old excitedly tells his parents that he was offered a part-time job Which response represents an effective problem-solving approach for his parents? a “Your studies are too important for you to have a part-time job.” 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 you think you will manage your school work and a job?” ANS: D An effective approach to help adolescents learn to solve problems is for parents to guide them in exploring alternatives DIF: box Cognitive Level: Application OBJ: Evaluation TOP: Parenting REF: p 463, Health Promotion KEY: Nursing Process Step: MSC: NCLEX: Health Promotion and Maintenance: Growth and Development One psychosocial task of adolescence on which the nurse must focus when planning care is the development of a sense of: a initiative b industry c identity d involvement ANS: C Psychosocial milestones that must be accomplished during adolescence include the five Is—image of self, identity, independence, interpersonal relationships, and intellectual maturity DIF: OBJ: Cognitive Level: Knowledge TOP: REF: p 456, Box 20-1 Psychosocial Development KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 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 c puberty is often preceded by fat deposits in these areas d as soon as menarche occurs, she will lose this excess weight ANS: C Secondary sexual characteristics become apparent before menarche Fat is deposited in the hips, thighs, and breasts, causing them to enlarge DIF: OBJ: Cognitive Level: Analysis TOP: REF: p 455, Box 20-2 Physical Development KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: Growth and Development The school nurse is planning a program for girls about the physical changes of puberty; this program should be directed to girls of the age of _ years a 16 b 14 c 12 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 TOP: Physical Development Process Step: Planning KEY: OBJ: Nursing MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 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 chores.” b “I give him a certain amount of money for each day.” c “I put money into his bank account each month.” d “I told him to ask me when he needs money.” 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 TOP: Development-Responsibility Evaluation REF: p 460 OBJ: KEY: Nursing Process Step: 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 b citrus fruits c nuts d enriched breads ANS: C Zinc is essential for growth and sexual maturation in adolescence Good vegetable sources include nuts, legumes, and wheat germ DIF: TOP: Cognitive Level: Comprehension Nutrition REF: p 464 OBJ: KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 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 individualism.” b “His preoccupation with his looks is quite normal.” c “He is probably troubled with his physical changes.” d “This shows that he has a positive selfimage.” ANS: B Preoccupation with self-image is normal and accounts for the constant primping of adolescents DIF: Cognitive Level: Application REF: p 458, Table 20-1 11 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 ANS: D A bagel provides a rapid supply of carbohydrates to the muscles, and skim milk provides a slow release of carbohydrates to the muscles DIF: TOP: Cognitive Level: Application Nutrition REF: p 464 KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance: Growth and Development OBJ: 11 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 ANS: D According to Piaget, in the formal operations stage adolescents have the ability to think abstractly DIF: OBJ: Cognitive Level: Comprehension TOP: REF: p 452, Box 20-1 Cognitive Development 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 singer.” The nurse recognizes the girl’s statement as characteristic of peer relationships in: a early adolescence b middle adolescence c late adolescence d the entire adolescent period ANS: A Cliques of unisex friends, having a best friend, and hero worship are characteristics of the early adolescent DIF: OBJ: Cognitive Level: Comprehension TOP: REF: p 454, Table 20-1 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 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: a unusual for adolescent boys b often more apparent in boys than girls c a normal phenomenon during adolescence d suggestive of feelings of low self-worth ANS: C Parents may need help understanding that the adolescent’s exaggerated conformity is necessary for moving away from dependence and obtaining approval from persons outside the nuclear family DIF: Cognitive Level: Application TOP: Peer Relationships Planning REF: p 459 OBJ: KEY: Nursing Process Step: 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 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: OBJ: N/A Cognitive Level: Analysis TOP: REF: Peer Groups p 458, Table 20-1 KEY: Nursing Process Step: 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 c glandular d pubertal ANS: B Freud describes the adolescent period as genital DIF: Cognitive Level: Knowledge OBJ: Assessment TOP: Freud REF: p 452, Box 20-1 KEY: Nursing Process Step: 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 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 months d indication for referral for counseling ANS: D The PACE guide recommends that a score of or higher would suggest the need for a referral for counseling about substance abuse DIF: Cognitive Level: Knowledge TOP: PACE Interview Assessment REF: p 466 OBJ: 14 KEY: Nursing Process Step: MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 19 The nurse explains that adolescent acne is the result of: a ineffective sweat glands b oily skin c inadequate hygiene d a poor diet ANS: B Adolescent acne is the result of overactive sweat glands and oily skin DIF: Cognitive Level: Comprehension REF: p 454 OBJ: 14 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 late.” d “I expect you to show me proper respect.” ANS: B This is the only statement that associates the parent’s feelings associated with the adolescent behavior that is not aggressive or accusatory DIF: box OBJ: Cognitive Level: Analysis TOP: REF: “I” statements KEY: Nursing Process Step: Implementation p 463, Health Promotion 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 d Intense libido e Rapid body changes ANS: A, B, C, D, E All the options listed are sources of stress to the adolescent and are stimulants to restlessness DIF: TOP: Cognitive Level: Comprehension REF: Sources of Stress for the Adolescent pp 451-452 OBJ: 13 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 ANS: D, E Meals high in protein will break down into norepinephrine and increase alertness Meals with a high sugar content result in a soothing sleepy response Meals high in fats digest slowly and draw blood from the brain during the lengthy digestive process DIF: TOP: Cognitive Level: Application Nutrition REF: p 465 OBJ: KEY: Nursing Process Step: Implementation 11 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 not necessarily signal adulthood DIF: OBJ: Cognitive Level: Analysis TOP: REF: p 466, Nursing Tip Rites of Passage KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 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 parents of gays ANS: A, C Adolescents may experiment with an alternate sexual expression as part of their self-discovery Homosexual activities are not uncommon in adolescence DIF: Cognitive Level: Analysis TOP: Homosexuality Implementation REF: p 462 OBJ: 13 KEY: Nursing Process Step: MSC: NCLEX: Health Promotion and Maintenance: Growth and Development COMPLETION 25 The nurse is amused, but understands that as adolescents strive for individuality, the strongest need of any adolescent in society is that of _ ANS: conformity For all of the stress from coming of age as an individual in his own right, the adolescent also has an equal drive for conformity DIF: Cognitive Level: Analysis TOP: Conformity REF: p 452 OBJ: KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 26 The nurse knows that an adolescent may find making a career choice difficult because there is less clarity in roles 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 TOP: Blurred Gender Roles Planning KEY: Nursing Process Step: MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 27 The nurse stresses the need for using a sunscreen with a Sun Protection Factor (SPF) of at least _ ANS: 15 A sunscreen with a SPF of at least 15 is recommended to block sun rays that cause cancer DIF: TOP: Cognitive Level: Knowledge Sunscreen REF: p 465 OBJ: 10 KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 28 is frequently delayed in girls who are involved in activities that require a lean body and a high level of physical activity  ... money into his bank account each month.” d “I told him to ask me when he needs money.” ANS: A If money is simply handed out as requested, it is difficult to develop responsibility for finances and. .. equal drive for conformity DIF: Cognitive Level: Analysis TOP: Conformity REF: p 452 OBJ: KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance: Growth and Development... 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 singer.”