Recommended textbook solutions
Consumer Behavior: Buying, Having, Being13th EditionMichael R Solomon 449 solutions Social Psychology10th EditionElliot Aronson, Robin M. Akert, Timothy D. Wilson 525 solutions Myers' Psychology for AP2nd EditionDavid G Myers 900 solutions HDEV56th EditionSpencer A. Rathus 380 solutions Which intervention would probably be most effective in preventing an adolescent from attempting suicide with an overdose again? a) Assessing his financial level Helping him learn better problem solving Explanation: According to Erikson, the adolescent develops their own sense of being independent people with their own thoughts and goals. This stage is referred to as which of the following? a) Autonomy vs. doubt and shame Identity vs. role confusion They must develop their own personal identity—a sense of being independent people with unique ideals and goals. Computer use at home and at school has increased adolescents' comfort in gaining access to and using the Internet. This has expanded their exposure to risks. What potential risks are there for an adolescent to be exposed to? a) Teens can become addicted to the online gaming and
role-playing that is popular with their peers. Teens can be exposed to inappropriate materials, harassment, threats, and potential for molestation. Explanation: What anticipatory guidance can the nurse provide the girl who has noted the development of breast buds? Menarche should follow in about 2 years. Explanation: A client tells the nurse that she has noticed an increase in weight and fat deposits during the last year. The nurse reviews the client's chart and recognizes that the client is most likely going through puberty. Which nursing action is most appropriate at this time? a) Review dietary measures to assist in controlling the weight gain. Provide reassurance that these are normal changes. Explanation: The school nurse is providing nutritional guidance during a 9th grade health class. Which foods should the nurse recommend as good sources for calcium? a) Strawberries, watermelon, and raisins Cheese, yogurt, and white beans Explanation: The nurse is providing anticipatory guidance for violence prevention to a group of parents with adolescents. Which parental action should the nurse include as the most effective in preventing suicide? a) Checking for signs of depression or lack of friends Checking for signs of depression or lack of friends Explanation: The nurse is talking to a 13-year-old boy about choosing friends. Which function do peer groups provide that can have a negative result? a) Developing loyalties Following role models Explanation: The nurse is talking with parents of a depressed 16-year-old boy. Which question is of most importance? a) Have his sleeping and eating habits changed? Is there a gun in your home? Explanation: For reasons of anticipatory guidance, nurses should be aware that menarche appears earlier in some ethnic groups than others. In which ethnic group is menarche likely to appear first? a) Mexican-American African-American Explanation: A 17-year-old boy chats excitedly with the nurse about his plans for college and a career. He says he has checked out every college in the region and determined which one is the best fit for him and which one offers the best career options for him. The nurse recognizes which developmental aspect in this young man? a) Socialization Formal operational thought Explanation: A 15-year-old is seen at a health care facility for facial acne. When counseling him, you would teach him that the basic cause of his acne is Activation of androgen hormones Explanation: The activity that would best foster the developmental task of an adolescent who is physically challenged would be a) watching television on the set in her room. talking to another adolescent who has a similar disorder. Explanation:
The school nurse is discussing various topics with a group of adolescent girls. One of the girls states, "I just want to be pretty and to look like everyone else." The nurse recognizes that the girl's feelings about herself and her body relate to the development of which of the following? a) Modesty Self-esteem Explanation: Billy's mother is with him at a visit for a sore throat. In the interview she states that she does not know what to do with him: He is taking two or three showers a day, when not that long ago she could barely get him to take a bath at all. What should the nurse's reply be to the mother? a) "Do not encourage multiple baths, it can be very drying to the skin." "Reinforce the family rules but also allow him to develop his own routine." Explanation: The nurse is caring for a 13-year-old girl. The child has been identified as overweight with no underlying psychological or secondary causes. The nurse is reviewing the child's weight-loss progress and nutrition at a follow-up visit. Which of the following indicates a need for further discussion and teaching? a) "We are using family outings and activities as a reward for weight loss." "Her goal is to be a size smaller by our vacation in two weeks." Explanation: The school nurse is talking with a group of 11-year-old girls. One of the girls states, "I just feel like my whole body is changing and I don't know why." The best response by the nurse would be which of the following? a) "Your other friends are feeling like this too." "You have lots of hormone changes going on right now." Explanation:
The nurse is discussing psychosocial development of the adolescent with a group of family caregivers. Which of the following statements made by the caregiver is an example of the most effective way the caregiver can support the adolescent? "The hairstyles she chooses are not what I think looks good on her, but I just let her do what she wants to with her hair." Explanation: The mother of a 13-year-old boy confides to the pediatric nurse practitioner that her son has recently had a nocturnal seminal emission. The mother is concerned and the nurse reviews "wet dreams" and the other male traits of puberty to the mother. Which of the following responses indicates a need for further discussion? a) "My son must be sexually active or having overly sexual thoughts to have a nocturnal emission." My son must be sexually active or having overly sexual thoughts to have a nocturnal emission." Explanation: Jenny is a 15-year-old who is being seen today in the clinic, and her mom comments on the fact that Jenny seems to always choose the opposite of what everyone else wants and that her mood swings are a common occurrence. What statement below shows the nurse that Jenny's mom understands these changes? a) "She will never find anyone to live with her if she acts like this." "This is common for this age group and it will get better with time." Explanation: A nurse is explaining cognitive development in children to a client, with the help of Piaget's theory of cognitive development. What would be the best explanation by the nurse about the formal operations level of cognitive development? a) Children from ages 2 to 7 years investigate and explore the environment and look at things from their own point of view. After age 12 children can think in the abstract including complex problem solving. Nurses work to prevent tobacco use by teens because: (Select all that apply.) a) Smokeless tobacco damages gums and teeth. • Smoking damages the respiratory system. The nurse knows that the 13-year-old girl in the exam room is in the process of developing her own set of values. Which activity will this child be experiencing according to Kohlberg's theory? a) Wondering what is the meaning of life Wondering what is the meaning of life Explanation: The nurse is admitting a 15-year-old to the pediatric unit. Which of the following does the nurse recognize as a priority for this child? a) The child should be encouraged to call friends
often. The child's need for privacy should be respected. Explanation: Based on the most frequent cause of death in adolescents, what preventive measure would you most want to teach an adolescent? a) Home safety Motor-vehicle safety Explanation: The school nurse is assessing a 16-year-old girl who was removed from class because of disruptive behavior. She arrives in the nurse's office with dilated pupils and is talking rapidly. Which drug might she be using? a) Barbiturates 16 to 17 years old Explanation: A 13-year-old girl has grown rapidly in height over the past 2 years and is still taller than most of the boys in her class. She wonders when she will stop growing. Which of the following should the nurse tell her as a general guideline for the ages at which most girls stop growing? a) 14 to 15 years old Show Bettina where the teen lounge in the hospital is so she can meet other teens, use a phone, and check her e-mail. Explanation: In discussing the psychosocial development of the adolescent, it is important to understand that in order for adolescents to be in intimate relationships in which feelings are mutually shared, both persons must have which of the following? a) An ability to be autonomous Achieving their own identity Explanation: Sixteen-year-old Bettina has been hospitalized 100 miles from home for a week. She is recovering from surgery to repair a broken kneecap, an injury incurred while skateboarding. She was cheerful and chatty when she first arrived, but the nurse notes in recent days she has become increasingly quiet and seems lonely. Which of the following nursing interventions would be most appropriate for Bettina? The nurse should a) Show Bettina where the teen lounge in the hospital is so she can meet other teens, use a phone, and check
her e-mail. Uses critical thought processes to handle a problem Explanation: When discussing the growth and development of an adolescent, the nurse refers to various theories and phases of development. A nurse is discussing Erikson's theory of psychological development with an adolescent client. Based on Erikson's theory of psychosocial development, which should the nurse identify as the major priority challenge faced by adolescents? a) Helping others achieving their goals Achieving their own identity Explanation: Which behavior by an 18-year-old is consistent with successful progression through the stages of Piaget's theory of development? a) Reflects a strong moral code Uses critical thought processes to handle a problem Explanation: The nurse is planning to talk to a 12½-year-old boy who says, "I am too short! Girls are taller than I am. Guess I won't be playing basketball." What points of information will the nurse share? Select all that apply. a) "If you know how tall you were at age 3, you can double that and predict fairly well how tall you will get." -->"You could add as much as 12 inches to your height before you stop growing." -->There are a lot of size differences in your age group now because everyone enters puberty and grows at slightly different times than others." --> "Girls begin to grow rapidly at a younger age than boys do. Boys start later and grow longer." The information about girls growing faster than boys, about differences in size within his age group, and about his growth potential is accurate and addresses concerns implied in his comments to the nurse. Most boys' growth spurts begin near 14 years, not 12r. Height should be doubled at 2 years to predict adult size. The growth control and basketball remarks minimize his concerns and provide no information. During the annual physical examination, a teenage client tells the nurse that she is anxious as well as frustrated because of the acne on her face. Which is the best response for the nurse? a)
"You must be eating fried foods or sweets in large quantities." "This is one of the most common physical changes during adolescence." It is important for the nurse to inform the client that acne is one of the physical changes that characterizes adolescence as a result of increased glandular activity. The client need not seek consultation with the primary care provider, because the condition is not serious. The client should not be reprimanded; the condition should be explained as a natural phase. The client's worries should not be trivialized or ignored either. The nurse is performing a health surveillance visit with a 12-year-old boy. Which characteristic suggests the boy has entered adolescence? a) Shows growing interest in attracting girls' attention Experiences frequent mood changes Explanation: The nurse is caring for an 11-year-old girl. The girl's mother complains that the girl does not want to play team sports like soccer or volleyball anymore. Her daughter insists she does not enjoy them. The mother is concerned that her daughter will not get enough physical activity and asks the nurse for guidance. How should the nurse respond? a) "Why don't you sign her up for an aerobics or dance class?" "Give her some options; it's important to find something she enjoys." Explanation:
The period in which physical changes relating to sexual maturation take place is called: a) Role confusion. c) Puberty. Explanation: The nurse is counseling an overweight, sedentary 15-year-old girl. The nurse is assisting her to make appropriate menu choices. Which statement indicates the adolescent understands how to make appropriate dietary selections? a) "I avoid all fat intake." "I need to have 4 servings of fruit each day." Explanation: The nurse is discussing the topics of sex and sexuality and how to discuss these issues with a group of caregivers of adolescents. Which of the following statements made by the nurse is most appropriate to tell this group of caregivers? a) "Being honest and straightforward with teenagers will encourage them to ask their parents about subjects like sexuality." "Being honest and straightforward with teenagers will encourage them to ask their parents about subjects like sexuality." Explanation: Puberty is said to begin when which of the following occurs? a) The voice deepens in the male. Puberty Explanation: What is the best explanation of Erikson's theory of psychosocial development during the adolescence period? The adolescent faces many different decisions during the teen years concerning the future and the adult world. Explanation: A 15-year-old girl is in the hospital for surgery and is confined to bed. The nurse can tell that the client is nervous about being in the hospital. She tells the nurse that she feels "gross" and "on display" in her hospital gown. Which of the following should the nurse do to encourage a sense of autonomy and dignity related to the girl's body image? a) Assist the girl with using the bed pan to urinate Offer to assist the girl in washing her hair and let her pick the shampoo Explanation: In comparing the rate of growth in preadolescent girls and preadolescent boys, which of the following is the most accurate about growth rate? a) Boys and girls grow at the same rate. Boys grow at a slower, steadier rate than do girls. Explanation: The nurse is promoting nutrition to a teen who is going through a growth spurt. Which food should the nurse recommended for its high iron content? a) Fresh orange juice Whole grain bread Explanation: The nurse is talking to a 13-year-old boy about choosing friends. Which function do peer groups provide that can have a negative result? a) Negotiating differences Explanation: The nurse is collecting data from a 15-year-old boy who is being seen at the ambulatory care clinic for immunizations. During the initial assessment, he voices concerns about being shorter than his peers. What response by the nurse is indicated? a) "Boys your age will often continue growing a few more years." "Boys your age will often continue growing a few more years." Explanation: The mother of a 15-year-old boy confides in the nurse that she is concerned because her son is about to turn 16 and is pressuring her and her husband to buy him a motorcycle. Her husband is okay with the idea, but she is concerned about his safety. Which of the following should the nurse mention to the mother regarding motorcycle safety? (Select all that apply.) a) Insist on age and not emotional maturity as the qualification for obtaining a driver's license • Require the son to wear a
helmet Explanation: Nurses should provide anticipatory guidance to males to prepare them for what particular pubertal change in late adolescence? a) Nocturnal emissions Nocturnal emissions Explanation: The nurse is promoting safe sex to a 14-year old boy who is frequently dating. Which of the following points is most likely to be made during the talk? a) "Adolescents account for 25% of sexually transmitted infection (STI) cases." "Contraception is a shared responsibility." Explanation: The mother of a 15-year-old boy expresses sadness to the nurse that her son is "much more connected to his friends than his family." What understanding would benefit this parent? (Select all that apply.) a) Adolescents need parental support and guidance as they move toward greater peer involvement. • Adolescents need parental support and guidance as they move toward greater peer involvement. Explanation: The nurse is meeting with a 16-year-old girl who reports being physically active on the track and basketball teams at school. The child reports a weight loss of 7 lb (3.2 kg) since she began training for the track season. When reviewing her caloric needs the nurse recognizes the diet should include how many calories? a) 1,800 calories per day 2,200 calories per day Explanation: The activity that would best foster the developmental task of an adolescent who is physically challenged would be a) watching television on the set in her room. talking to another adolescent who has a similar disorder. Explanation: Which action would provide an indication that an adolescent's parents understand their daughter's need for increased independence? a) Verbalizing, "We try to do everything we can to make things easier for her." Telling you that they are encouraging their daughter in her search for an after-school job Explanation: Jordan is coming back to the office for a follow-up visit. He is 15 years old and he shows a pattern of gaining weight, not a large amount but a little more each visit. Jordan says that he is not active in any sports but that he and his father eat out a lot. What is the best way for the nurse to assess Jordan's eating pattern? a) Ask Jordan to show you what a healthy portion looks like. Have Jordan keep a food diary for one week. Explanation: While taking care of a teenager in the late adolescence stage, what behavior of the client will the nurse most likely observe during data collection for annual physical examination? a) True attitude of maturity True attitude of maturity Explanation: The nurse is caring for a 13-year-old girl. The child has been identified as overweight with no underlying psychological or secondary causes. The nurse is reviewing the child's weight-loss progress and nutrition at a follow-up visit. Which of the following indicates a need for further discussion and teaching? a) "My daughter is helping us plan our family's weekly menu." "Her goal is to be a size smaller by our vacation in two weeks." Explanation: A 17-year-old girl needs to increase her iron intake but is concerned about weight gain. The nurse will suggest which of the following? a) Raspberry yogurt, granola, apple Chicken, whole-wheat bread, watermelon The time period known as adolescence usually begins with which of the following occurrences. a) The beginning of puberty. The beginning of puberty. Explanation: The mother of a 13-year-old boy confides to the pediatric nurse practitioner that her son has recently had a nocturnal seminal emission. The mother is concerned and the nurse reviews "wet dreams" and the other male traits of puberty to the mother. Which of the following responses indicates a need for further discussion? a) "My son's spontaneous erections and nocturnal emissions are very normal." "My son must be sexually active or having overly sexual thoughts to have a nocturnal emission." The nurse is working with a teenage patient. He has relatively straight teeth, but his lower front teeth are slightly crossed over. The nurse suggests to the child's caregiver that an orthodontist see him. What is the reason the nurse might make this suggestion? a) Leaving even slightly crooked teeth will lead to more cavities later in life. Even slight malocclusions make chewing and jaw function less efficient. Explanation: An adolescent with multiple tattoos and piercings comes to the health center at the child's school. The child is complaining of feeling hot. In collecting further data the nurse finds the child has a new piercing. The nurse recognizes the need for the adolescent to be given information related to personal health. Which of the following topics would the nurse identify as the area that the child needs immediate information regarding? a) Prevention of sexually transmitted infection Signs of infection Explanation: By being honest and nonjudgmental with 15-year-old Tony, the nurse has built a relationship in which Tony feels he can talk about things that worry him. He has shared with the nurse that his parents believe he is too young to know about or think about sex. Tony tells the nurse that he has been having wet dreams and is ashamed and afraid he will get into trouble. Which of the following statements would be appropriate for the nurse to respond? a) "Since your parents feel you are not ready to talk about sex, you need to honor their wishes. You should try talking to your parents about this." "Wet dreams are not the result of anything you are doing but are simply the body's way of ridding itself of excess semen." Explanation: A client tells the nurse that she has noticed an increase in weight and fat deposits during the last year. The nurse reviews the client's chart and recognizes that the client is most likely going through puberty. Which nursing action is most appropriate at this time? a) Encourage increased exercise to control weight gain. Provide reassurance that these are normal changes. Explanation: Billy's mother is with him at a visit for a sore throat. In the interview she states that she does not know what to do with him: He is taking two or three showers a day, when not that long ago she could barely get him to take a bath at all. What should the nurse's reply be to the mother? a) "Do not encourage multiple baths, it can be very
drying to the skin." "Reinforce the family rules but also allow him to develop his own routine." Explanation: The nurse is discussing psychosocial development of the adolescent with a group of family caregivers. Which of the following statements made by the caregiver is an example of the most effective way the caregiver can support the adolescent? a) "I leave pamphlets about topics such as drugs and alcohol in his room so he can read them any time." "The hairstyles she chooses are not what I think looks good on her, but I just let her do what she wants to with her hair." Explanation: Jerry and his mother have come to the office for a routine visit. In the hall away from Jerry, his mother confides that she is concerned because Jerry is playing games that the girls play and she has noticed that when he plays any role-playing games his character is very feminine. She tells you that she is worried about his sexual orientation. What is the best response to her concerns? a) "This is a concern; you should examine what you are exposing him to that could affect his behavior." This behavior may be exploratory or reflect peer pressure, so do not make assumptions regarding sexual orientation." A 16-year-old girl has arrived for her sports physical with a new piercing in her navel. Which response by the nurse is best? a) "This is a wound and can become infected." ... The father of a 15-year-old basketball player is following a very low carbohydrate diet. He realizes his daughter should not follow the same eating plan. Which of the following would be most advisable for this father to serve his daughter so that she can perform at her optimum level in a Friday basketball game that starts at 6 p.m.? Three daily meals that include choices from each of the food groups; Friday's lunch should be eaten around 2 p.m. and include a small amount of fat and a somewhat larger than usual portion of complex carbohydrates A nurse is attending to a group of boys at a school. The nurse is required to document for the sexual development in boys on a regular basis. The nurse would anticipate which clients of having the highest incidence of experiencing nocturnal emissions? a) Clients in the age group of 18 to 20 years Clients who are showing pubertal changes Parents comment that their son seemed more coordinated on the basketball floor at 12 years than he does now at 14. The nurse can include what information in the response? a) Rapid and uneven growth of early adolescence (11 to 14 years) can interfere with coordination. Rapid and uneven growth of early adolescence (11 to 14 years) can interfere with coordination. Explanation: |