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

Link download full: http://testbankair.com/download/test-bank-forintroduction-to-maternity-and-pediatric-nursing-6th-edition-by-leifer/ TEST BANK FOR INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 6TH EDITION BY LEIFER 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: Cognitiv Com e Level: preh ensi on REF : p 454 TOP: Physical Development Process Step: Assessment OBJ: KEY: Nursing MSC: NCLEX: Health Promotion and Maintenance: Growth and Development A 13-year-old boy states, “The girls in my class towe nurse’s most informative response would be: a “It may seem that way becau a growth spurt years earl b “Perhaps your parents are n exceptionally tall.” c “Boys usually experience a year earlier than girls.” d “You may feel short, but yo 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 : TOP: Cognitive Level: Analysis Development-Daydreams REF: p 460 OBJ: KEY Nursing Process Step: : Assessment 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 studiesoimportantaretofr you to have a part-time job.” b “When we went to high schoo were the adolescent’s prior c “We want you to put your ea savings account.” d “How you think you will 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: Cognitive Level: Application box 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 : Cognitive Level: Knowledge OBJ: KEY : Nursing Process Step: Planning TOP: REF: p 456, Box 20-1 Psychosocial Development 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 : Cognitive Level: Analysis OBJ: KEY : Nursing Process Step: Planning TOP: REF: p 455, Box 20-2 Physical Development 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: TOP: Physical Development Process Step: Planning p 455 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 chores.” b “I give him a certain amoun each day.” c “I put money into his bank month.” d “I told him to ask me when money.” c glandular d pubertal ANS: B Freud describes the adolescent period as genital DIF : OBJ: Cognitive Level: Knowledge TOP: REF: Freud p 452, Box 20-1 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 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 : TOP: Cognitive Level: Knowledge PACE Interview REF: p 466 KEY Nursing Process Step: : Assessment 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 OBJ: ANS: B Adolescent acne is the result of overactive sweat glands and oily skin 14 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 parent’s feeling to an adolescent The most approp “I” message is: a “I feel frightened when you your curfew.” b “I am your mother, and I in observe your curfew.” c “I am sick and tired of you late.” d “I expect you to show me pr ANS: B This is the only statement that associates the parent the adolescent behavior that is not aggressive or accusatory DIF : box OBJ: Cognitive Level: Analysis TOP: “I” REF: statements p 463, Health Promotion KEY: Nursing Process Step: Implementation 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: Cognitive Level: Comprehension TOP: Sources of Stress for the Adolescent REF: 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 : Cognitive Level: Application TOP: Nutrition REF: p 465 OBJ: 11 KEY : Nursing Process Step: Impleme ntation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 23 The nurse considers what “rites of passage” va 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 licens 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 matriculati such signals Religious affiliation and selection of a career path not necessarily signal adulthood DIF : Cognitive Level: Analysis OBJ: KEY : Nursing Process Step: Assessment TOP: REF: Rites of Passage p 466, Nursing Tip 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 : TOP: Cognitive Level: Analysis Homosexuality Implementation REF: p 462 OBJ: KEY Nursing Process Step: : 13 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 KEY Nursing Process Step: : Planning 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 ... put money into his bank month.” d “I told him to ask me when money.” ANS: A If money is simply handed out as requested, it is difficult to develop responsibility for finances and money management... 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... 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 parent’s feeling to