Health Promotion Of The Adolescent Exam Questions Chapter 22 - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 22: Health Promotion of the Adolescent
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Myelination of neurons in which lobe of the brain allows for more critical thinking and reasoning in adolescents?
1) | Parietal |
2) | Occipital |
3) | Frontal |
4) | Temporal |
____ 2. Rapid skeletal growth occurs during which age range for females and males, respectively?
1) | 8–10 years old; 12–14 years old |
2) | 10–12 years old; 12–14 years old |
3) | 12–14 years old; 12–14 years old |
4) | 14–16 years old; 16–18 years old |
____ 3. Which is often the reason why an adolescent engages in self-harm activities such as cutting?
1) | For peer approval |
2) | For attention |
3) | To release anger |
4) | To seek medical attention |
____ 4. Adolescents need more calcium to support their rapid skeletal growth. Which food would be the best source of dietary calcium?
1) | Carrots |
2) | Bananas |
3) | Spinach |
4) | Chicken |
____ 5. Teenage girls with heavy menstrual bleeding may be at risk for which nutritional deficiency?
1) | Vitamin A deficiency |
2) | Iron deficiency |
3) | Calcium deficiency |
4) | Zinc deficiency |
____ 6. A teenage patient reports having a difficult time getting up in the morning and falling asleep at night. Which recommendation should the nurse make?
1) | Exercise 1 hour before bedtime. |
2) | Watch a movie in bed. |
3) | Keep the lights off in the room when you wake up. |
4) | Avoid caffeinated beverages after 4 p.m. |
____ 7. Which developmental marker is associated with the middle adolescence phase of cognitive development?
1) | Beginning use of formal logical operations in academic work |
2) | Using analysis with more depth and sophistication |
3) | Thinking about greater global issues |
4) | Early formation of verbalizing one’s own thoughts, opinions, and views |
____ 8. Which of the following is not considered a normal behavior for teens?
1) | Being self-centered in life and conversations |
2) | Beginning to doubt their abilities if they don’t receive encouragement |
3) | Arguing purely for the sake of arguing with adults |
4) | Rapidly jumping to conclusions |
____ 9. The nurse is educating a young adolescent with gender dysphoria. What should the nurse tell the patient about treatment?
1) | “Young adolescents often have gender-affirming surgical procedures.” |
2) | “Treatment cannot be done in early adolescence.” |
3) | “Treatment in young adolescence currently consists of suppressing the release of gonadotropin-releasing hormone.” |
4) | “You’ll need to begin hormone replacement therapy (estrogen or testosterone) to develop the secondary sex characteristics of the identified gender.” |
____ 10. Which of the following is not an age-appropriate recreational activity for a teenager?
1) | Physical recreation |
2) | Caring for a pet |
3) | Playing with dolls |
4) | Journaling |
____ 11. The nurse is educating a mother and her teenager about the human papillomavirus (HPV) vaccine. Which statement by the mother indicates a need for further education?
1) | “HPV is a sexually transmitted infection.” |
2) | “The vaccine is recommended for females only.” |
3) | “The vaccine consists of three doses.” |
4) | “HPV is associated with the development of several types of cancer.” |
____ 12. The nurse is educating a teen patient about the causes of increased acne in teens. Which of the following should the nurse include?
1) | Hormones secreted during adolescence stimulate the sebaceous glands to become overactive. |
2) | Adolescents often have decreased hygiene standards. |
3) | Teenagers eat more chocolate than other age groups. |
4) | Adolescents have more dead skin cells, so their pores are clogged more. |
____ 13. Which of the following is a sign of cyberbullying?
1) | Growing closer to family |
2) | Feeling excited to go to school |
3) | Laughing out loud when using the computer |
4) | Being angry after using the computer |
____ 14. The nurse suspects that a teenage patient is engaging in high-risk behaviors. Which would not be an appropriate method for the nurse to assist the patient?
1) | Providing honest information about the consequences of high-risk behavior |
2) | Helping the teen weigh the risks of the danger with the perceived benefits |
3) | Telling the teen that his or her behavior is not a big deal |
4) | Being a role model of health and decision-making |
____ 15. According to Erikson’s theory of psychosocial development, the teen is in which phase of development?
1) | Intimacy v. isolation |
2) | Identity v. role confusion |
3) | Industry v. inferiority |
4) | Generativity v. stagnation |
____ 16. What is the Tanner scale used to assess?
1) | External changes that take place during sexual development |
2) | Stages of emotional development |
3) | Level of affiliation with a religious group |
4) | Risk for relationship violence |
____ 17. The nurse is planning to teach a group of adolescents about what can happen during unprotected sex. Which nursing action allows effective communication with the group?
1) | Offering personal opinions on the topic |
2) | Allowing for discussion among the participants |
3) | Lecturing on the topic for the allotted time without any discussion |
4) | Discussing sex education related to religious belief |
____ 18. The nurse is assessing an adolescent patient to determine her relationships with others. Which nursing action is appropriate?
1) | Telling the parents that information will be shared with them after the examination |
2) | Providing separate times to communicate with the adolescent and the parents |
3) | Avoiding asking the parents their opinions of the adolescent’s friends |
4) | Telling the parents that they are not allowed to come into the examination room |
____ 19. Which nursing action is appropriate when providing care to an adolescent patient who is accompanied to an appointment by a parent?
1) | Instructing the parent to stay in the waiting room with the explanation that the adolescent will provide a report after the examination |
2) | Telling the parent that it is against policy for a parent to accompany the adolescent to the examination room |
3) | Reassuring the parent that the nurse will discuss any parental concerns or questions after the examination |
4) | Allowing the parent to come into the examination room with the adolescent |
____ 20. The school nurse is performing annual height and weight screenings. The nurse notes that three adolescent girls who are close friends have each lost 15 pounds over the past year. Which is the priority nursing action?
1) | Obtaining a nutritional history for each of these adolescents |
2) | Referring these adolescents to the school psychologist |
3) | Calling the respective parents to discuss the eating pattern of each adolescent |
4) | Speaking with the adolescents in a group to discuss the problems associated with anorexia nervosa |
____ 21. An obese adolescent who adamantly denies sexual activity has a positive pregnancy test. Which response by the nurse is most appropriate?
1) | “When was your last menstrual period (LMP)?” |
2) | “Tell me how you feel about your body image.” |
3) | “Let’s discuss some activities that you have done within the past few months that could possibly lead to pregnancy.” |
4) | “Why are you denying sexual intercourse?” |
____ 22. A mother reports that her adolescent daughter is always late. The mother states, “She was born late and has been late every day of her life.” Which response by the nurse is appropriate?
1) | “Setting specific alarms and then reinforcing the value of being ‘on time’ may be helpful strategies.” |
2) | “Just let it go for now. Teachers and employers are the best people to help her be on time.” |
3) | “You need to establish specific time frames for your adolescent and be certain that she adheres to them.” |
4) | “You have a major problem. There must be a lot of screaming in your home.” |
____ 23. During a health maintenance visit, an adolescent says, “I have no friends in my new school, and I no longer want to go to college. I know I will be lonely there, too.” Which priority screening should the nurse implement?
1) | Substance abuse |
2) | Depression |
3) | Anorexia nervosa |
4) | Pregnancy |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 24. Which difficulties faced by an adolescent are attributed to normal development? (Select all that apply.)
1) | Risk-taking |
2) | Rebelliousness |
3) | Peer socialization |
4) | Lack of cooperation |
5) | Hostility toward authority |
____ 25. Which topics are appropriate for the nurse to include in a teaching session for an adolescent patient who is experiencing acne? (Select all that apply.)
1) | Discouraging the consumption of greasy foods |
2) | Washing the face twice per day |
3) | Using a mild soap on the face |
4) | Scrubbing the face with a washcloth |
5) | Recommending products that contain oil |
Chapter 22: Health Promotion of the Adolescent
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Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer
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