Ch.10 Puberty And Adolescence – Test Verified Test Bank 6e

Chapter 10. Puberty and Adolescence – Test Questions

1. In girls, puberty ends with the:

2. One of the major changes of puberty is:

3. Secondary sex characteristics include:

4. The adolescent period ends with:

5. Adolescents who are not accepted and cannot engage in group activities are often:

6. Formal operative thought processes allow for:

7. The adolescent’s moral decisions are usually made based on a concept of:

8. Which of the following promote(s) a healthy lifestyle?

9. Prolonged sadness may be a sign of:

10. In a year, adolescent male children can grow as much as:

11. The average blood loss during menstrual flow is:

12. Deepening of the voice in male adolescents is caused by:

13. Feelings of self-doubt in the teenage years can be stimulated by:

14. Bulimia is an eating disorder characterized by:

15. In teen health promotion, the nurse must emphasize:

16. Fifteen-year-old Vista complains of fatigue and weakness. A common cause of these symptoms in girls Vista’s age is:

17. The predominant experience shared by adolescents is:

18. The teen’s need for freedom and independence may result in:

19. The incidence of depression increases at adolescence because of:

20. Which of the following is a common frustration experienced by teens?

21. Piaget’s formal operational period extends from:

22. All of the following are possible warning signs of a potential suicide attempt except:

23. Masturbation:

24. Preparing a young girl for her first menstrual period:

25. How is the AIDS virus transmitted?

26. Puberty is best defined as the period in which:

27. A parent may suspect their teenage son is using drugs because of which of the following? (Select all that apply.)

a. Seeking more privacy

b. Lack of interest in friends

c. Change in appetite

d. Episodes of watery eyes

e. Change in hygiene habits

28. The nurse completing a history and physical assessment on a teenager recognizes that this patient binges on alcohol because he states:

a. “I have a beer once I’ve finished studying at night”

b. “We party every weekend, and I have five to six shots of vodka in a row”

c. “When we play baseball and win, we celebrate with two shots of bourbon”

d. “I have a glass of wine occasionally when I’m with friends”

29. After several weeks in rehabilitation, 15-year-old Carol tells the nurse “to regain all this weight lost when I get out of here, I’ll need to have a few energy drinks each day.” The nurse’s best response is:

a. “Yes, that will put the weight back on quickly and boost your energy”

b. “They do provide multiple important nutrients that your body needs”

c. “These drinks are high in caffeine, which can affect your heart, kidneys, and liver”

d. “They provide good protection against diabetes”

30. To promote self-esteem in the adolescent, parents must be which of the following? (Select all that apply.)

a. Sensitive

b. Respectful

c. Demanding

d. Combative

e. Supportive

31. The nurse at the health clinic must encourage the adolescent boy or girl to receive which of the following?

a. Second dose of varicella vaccine

b. Human papillomavirus immunization

c. Hepatitis B vaccine

d. Pneumococcal immunization

32. The mother shouting at her teenage son that his room and clothing smell does not understand that at this age:

a. Bedwetting still occurs frequently because the bladder is growing

b. The rate of pubic hair growth increases the production of the oil glands

c. Boys often change their clothes

d. Sweat glands enlarge and produce an odorous secretion.

Chapter 10. Puberty and Adolescence – Test Questions With Answers and Rationales

1. In girls, puberty ends with the:

Rationale: The onset of menses signals the end of puberty.

Nursing Process: Assessment

Client Needs: Physiological Integrity

2. One of the major changes of puberty is:

Rationale: Marked growth and a change in body proportion occur during puberty.

Nursing Process: Assessment

Client Needs: Physiological Integrity

3. Secondary sex characteristics include:

Rationale: The sweat glands become active during puberty.

Nursing Process: Assessment

Client Needs: Physiological Integrity

4. The adolescent period ends with:

Rationale: Physical maturity is attained during adolescence.

Nursing Process: Assessment

Client Needs: Physiological Integrity

5. Adolescents who are not accepted and cannot engage in group activities are often:

Rationale: Adolescents need peers and group activities to promote a healthy self-image.

Nursing Process: Evaluation

Client Needs: Psychosocial Integrity

6. Formal operative thought processes allow for:

Rationale: According to Piaget, abstract thinking occurs during school age when much learning occurs.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

7. The adolescent’s moral decisions are usually made based on a concept of:

Rationale: Moral decisions are influenced by one’s concept of right and wrong.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

8. Which of the following promote(s) a healthy lifestyle?

Rationale: Good nutrition promotes a healthy lifestyle.

Nursing Process: Evaluation

Client Needs: Health Promotion and Maintenance

9. Prolonged sadness may be a sign of:

Rationale: Intense sadness may signal the onset of depression.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

10. In a year, adolescent male children can grow as much as:

Rationale: Male teens frequently grow 4 to 12 inches per year.

Nursing Process: Assessment

Client Needs: Physiological Integrity

11. The average blood loss during menstrual flow is:

Rationale: Usual blood loss during menstruation is about 30 to 60 mL.

Nursing Process: Assessment

Client Needs: Physiological Integrity

12. Deepening of the voice in male adolescents is caused by:

Rationale: Vocal cords become enlarged during adolescence, causing a deepening of the voice.

Nursing Process: Assessment

Client Needs: Physiological Integrity

13. Feelings of self-doubt in the teenage years can be stimulated by:

Rationale: Teens have a great deal of difficulty selecting a vocation or goal.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

14. Bulimia is an eating disorder characterized by:

Rationale: Bulimia is defined as an eating disorder characterized by binging and purging.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

15. In teen health promotion, the nurse must emphasize:

Rationale: Hearing loss can occur during the teen years as a result of listening to very loud music.

Nursing Process: Implementation

Client Needs: Health Promotion and Maintenance

16. Fifteen-year-old Vista complains of fatigue and weakness. A common cause of these symptoms in girls Vista’s age is:

Rationale: Teenagers may be prone to anemia secondary to inadequate diets.

Nursing Process: Assessment

Client Needs: Physiological Integrity

17. The predominant experience shared by adolescents is:

Rationale: Adolescents test out values and beliefs as part of learning to incorporate these into their own belief system.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

18. The teen’s need for freedom and independence may result in:

Rationale: Teens need freedom and independence to try out new roles and beliefs.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

19. The incidence of depression increases at adolescence because of:

Rationale: Society places great demands on teens. They are expected to act grown up, to select a career path, and to take on responsibility.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

20. Which of the following is a common frustration experienced by teens?

Rationale: Teens express added concerns about their appearance.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

21. Piaget’s formal operational period extends from:

Rationale: Formal operational thinking is more logical than concrete thinking, and it begins during puberty.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

22. All of the following are possible warning signs of a potential suicide attempt except:

Rationale: Consistent school grades do not indicate the possibility of severe depression leading to a suicide attempt.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

23. Masturbation:

Rationale: Masturbation is a normal part of sexual expression and has no harmful effects.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

24. Preparing a young girl for her first menstrual period:

Rationale: Adequate preparation leads to a more positive initial experience.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

25. How is the AIDS virus transmitted?

Rationale: The AIDS virus is spread through contact with semen or through vaginal, rectal, or oral intercourse.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

26. Puberty is best defined as the period in which:

Rationale: Puberty describes the period of development in which the body prepares for the changes necessary for reproduction.

Nursing Process: Assessment

Client Needs: Physiological Integrity

27. A parent may suspect their teenage son is using drugs because of which of the following? (Select all that apply.)

1. Seeking more privacy
2. Lack of interest in friends
3. Change in appetite
4. Episodes of watery eyes
5. Change in hygiene habits

Rationale: Signs of drug abuse include lack of interest in friends, change in appetite, and change in hygiene habits.

Nursing Process: Evaluation

Client Needs: Psychosocial Integrity

28. The nurse completing a history and physical assessment on a teenager recognizes that this patient binges on alcohol because he states:

1. “I have a beer once I’ve finished studying at night”
2. “We party every weekend, and I have five to six shots of vodka in a row”
3. “When we play baseball and win, we celebrate with two shots of bourbon”
4. “I have a glass of wine occasionally when I’m with friends”

Rationale: Binge drinking is defined as five or more drinks in a row for men and four or more in a row for women within 2 hours.

Nursing Process: Evaluation

Client Needs: Psychosocial Integrity

29. After several weeks in rehabilitation, 15-year-old Carol tells the nurse “to regain all this weight lost when I get out of here, I’ll need to have a few energy drinks each day.” The nurse’s best response is:

1. “Yes, that will put the weight back on quickly and boost your energy”
2. “They do provide multiple important nutrients that your body needs”
3. “These drinks are high in caffeine, which can affect your heart, kidneys, and liver”
4. “They provide good protection against diabetes”

Rationale: Energy drinks are fortified with sugar, caffeine—which is a stimulant—and other types of dietary supplements that can lead to diabetes, heart disease, and liver and kidney disease.

Nursing Process: Implementation

Client Needs: Psychosocial Integrity

30. To promote self-esteem in the adolescent, parents must be which of the following? (Select all that apply.)

1. Sensitive
2. Respectful
3. Demanding
4. Combative
5. Supportive

Rationale: To promote self-esteem in the adolescent, parents must be sensitive, respectful, positive, and supportive and encourage and praise achievements.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

31. The nurse at the health clinic must encourage the adolescent boy or girl to receive which of the following?

1. Second dose of varicella vaccine
2. Human papillomavirus immunization
3. Hepatitis B vaccine
4. Pneumococcal immunization

Rationale: Boys and girls should receive the human papillomavirus vaccine at age 11 to 12 years old. This—and many other immunizations—is underutilized, and the nurse has a responsibility to contribute to health promotion.

Nursing Process: Implementation

Client Needs: Health Promotion

32. The mother shouting at her teenage son that his room and clothing smell does not understand that at this age:

1. Bedwetting still occurs frequently because the bladder is growing
2. The rate of pubic hair growth increases the production of the oil glands
3. Boys often change their clothes
4. Sweat glands enlarge and produce an odorous secretion.

Rationale: In adolescents, the body is rapidly growing, body systems are developing, and there is an increase in height and weight, muscle and bone mass, and sweat glands become active.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity