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?

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."
b) "It could be serious; seek consultation when your primary care physician examines you."
c) "Most of us get acne during adolescence. Even some adults do. Don't worry."
d) "This is one of the most common physical changes during adolescence."


Answer: "This is one of the most common physical changes during adolescence."

Puberty is said to begin when what occurs?

Puberty is said to begin when what occurs?

a) The production of sperm in the male.
b) The voice deepens in the male.
c) The growth spurt in the female ends.
d) The areola separate from the contour of the breasts in the female.


Answer: The production of sperm in the male.

Suicide is so common in adolescents it ranks third as a cause of death in the 10- to 24-year-old age group.

Suicide is so common in adolescents it ranks third as a cause of death in the 10- to 24-year-old age group.

a) False
b) True


Answer: True

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?

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
b) Fat-free milk
c) Whole grain bread
d) Organic carrots


Answer: Whole grain bread

A 14-year-old boy is far quieter than usual when he visits his physician's office. The nurse asks him if anything is wrong, and the boy replies that he did not make the cut for the football team. What would be most appropriate for the nurse to say?

A 14-year-old boy is far quieter than usual when he visits his physician's office. The nurse asks him if anything is wrong, and the boy replies that he did not make the cut for the football team. What would be most appropriate for the nurse to say?

a) "That's okay; you can try out for basketball in a few months."
b) "Don't let it get you down; sports are a waste of time, anyway."
c) "I'm really sorry; I know that must be a big disappointment."
d) "It's not that big of a deal; a lot of kids don't make the football team."


Answer: "I'm really sorry; I know that must be a big disappointment."

The developmental task of the adolescent period, according to Erikson, is to form a sense of:

The developmental task of the adolescent period, according to Erikson, is to form a sense of:

a) identity versus role confusion.
b) decisiveness versus indecisiveness.
c) initiative versus guilt.
d) autonomy versus shame or doubt.


Answer: identity versus role confusion.

The nurse is discussing nutrition with a group of adolescents. The nurse would encourage the adolescents to eat which foods to increase their intake of iron? Select all that apply.

The nurse is discussing nutrition with a group of adolescents. The nurse would encourage the adolescents to eat which foods to increase their intake of iron? Select all that apply.

a) Peanuts
b) Hard-boiled eggs
c) Cheese sticks
d) Grapes
e) Dried fruits
f) Milk shakes


Answer:

• Dried fruits
• Peanuts
• Hard-boiled eggs

A boy and his mother are visiting the clinic so he can get his sports physical. After the exam, when the boy is not in the room his mother mentions that she worries that he is participating in risk behaviors and that his dependence on his peers is growing stronger. She asks what she as the parent can do to make sure that Caleb is safe.

A boy and his mother are visiting the clinic so he can get his sports physical. After the exam, when the boy is not in the room his mother mentions that she worries that he is participating in risk behaviors and that his dependence on his peers is growing stronger. She asks what she as the parent can do to make sure that Caleb is safe.

a) Suggest that he invite his friends over to the house and include them in family activities.
b) Remind her that family connectedness is a strong factor in helping kids to remain resilient.
c) Encourage the family to spend more time together playing games or watching movies.
d) Remind her that this is normal behavior that Caleb will eventually outgrow.


Answer: Remind her that family connectedness is a strong factor in helping kids to remain resilient.

A 16-year-old girl with acne has been prescribed tretinoin (Retin-A cream). Which of the following instructions should the nurse give this girl related to prevention of a common side effect of this medication?

A 16-year-old girl with acne has been prescribed tretinoin (Retin-A cream). Which of the following instructions should the nurse give this girl related to prevention of a common side effect of this medication?

a) If taking an oral contraceptive, switch to a different type of contraception while taking this medication
b) Be certain of the expiration date on the drug
c) Avoid prolonged sun exposure
d) Take the medication on an empty stomach


Answer: Avoid prolonged sun exposure

What anticipatory guidance can the nurse provide the girl who has noted the development of breast buds?

What anticipatory guidance can the nurse provide the girl who has noted the development of breast buds?

a) Breast development will be complete with 12 months.
b) Adult height will be reached at the time of menarche.
c) The growth spurt will begin immediately with menarche.
d) Menarche should follow in about 2 years.


Answer: Menarche should follow in about 2 years.

The nurse is performing a physical assessment on an 11-year-old girl during a health surveillance visit. Which of the following findings would suggest the child has reached adolescence?

The nurse is performing a physical assessment on an 11-year-old girl during a health surveillance visit. Which of the following findings would suggest the child has reached adolescence?

a) The child has higher blood pressure
b) Eruption of last four molars
c) Increased shoulder, chest and hip widths
d) A significant muscle mass increase


Answer: The child has higher blood pressure

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?

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."
b) "Girls are more susceptible to STIs than boys."
c) "Be careful or you'll wind up being a teenage dad."
d) "Contraception is a shared responsibility."


Answer: "Contraception is a shared responsibility."

An adolescent asks you what the term "puberty" means. What is your best response?

An adolescent asks you what the term "puberty" means. What is your best response?

a) "It denotes the beginning of secondary sex characteristics."
b) "It is the time span between 12 and 18 years."
c) "It is the time span that denotes the onset of maturity."
d) "It is the age at which one first becomes capable of sexual reproduction."


Answer: "It is the age at which one first becomes capable of sexual reproduction."

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.)

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) Require the son to wear long pants
b) Require the son to wear a helmet
c) Require that the son to wear a seat belt
d) Require the son to wear full body covering
e) Require the son to learn all relevant safety rules
f) Insist on age and not emotional maturity as the qualification for obtaining a driver's license


Answer:

• Require the son to wear long pants
• Require the son to wear a helmet
• Require the son to wear full body covering
• Require the son to learn all relevant safety rules

A client has confided in a nurse that her 13-year-old daughter has recently changed dramatically in her social interactions with others. Which of the following is a social behavior most likely to be exhibited by a girl at this age?

A client has confided in a nurse that her 13-year-old daughter has recently changed dramatically in her social interactions with others. Which of the following is a social behavior most likely to be exhibited by a girl at this age?

a) Hanging out with girls but maintaining her own unique style
b) Banding together with boys and girls but maintaining her own unique style
c) Hanging out primarily with boys her own age
d) Banding together with other girls and dressing like them


Answer: Banding together with other girls and dressing like them

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?

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.
b) Have Jordan guess what his calorie intake is in a 24-hour period.
c) Have Jordan keep a food diary for one week.
d) Ask Jordan to recall what he has had to eat in the last three days.


Answer: Have Jordan keep a food diary for one week.

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 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
b) Brush the girl's hair for her
c) Offer to assist the girl in washing her hair and let her pick the shampoo
d) Allow the girl to wear her own clothes, despite hospital policy


Answer: Offer to assist the girl in washing her hair and let her pick the shampoo

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 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."
b) "Our house rules are strict and we know many of his friends are not, but they all follow the same rules at our house."
c) "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."
d) "We discourage him from spending too much time with his school friends since we know they can be a negative influence."


Answer: "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."

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?

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) "Being short is nothing to be ashamed of."
b) "Are the other men in your family short?"
c) "I am sure you are not the shortest guy in your class."
d) "Boys your age will often continue growing a few more years."


Answer: "Boys your age will often continue growing a few more years."

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.

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) "There are a lot of size differences in your age group now because everyone enters puberty and grows at slightly different times than others."
b) "If you know how tall you were at age 3, you can double that and predict fairly well how tall you will get."
c) "You are at the age now when most boys begin their growth spurt and grow very rapidly."
d) "Girls begin to grow rapidly at a younger age than boys do. Boys start later and grow longer."
e) "You can't control when and how much you will grow. Basketball can use some really fast guards."
f) "You could add as much as 12 inches to your height before you stop growing."


Answer:

• "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."
• "You could add as much as 12 inches to your height before you stop growing."

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 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.
b) Up to age 2, children learn by touching, tasting, and feeling. They learn to control body movement.
c) From ages 7 to 11 years, children internalize actions and can perform them in the mind.
d) After age 12 children can think in the abstract including complex problem solving.


Answer: After age 12 children can think in the abstract including complex problem solving.

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 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) 20 to 21 years old
b) 18 to 19 years old
c) 14 to 15 years old
d) 16 to 17 years old


Answer: 16 to 17 years old

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?

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
b) 2,200 calories per day
c) 2,000 calories per day
d) 2,400 calories per day


Answer: 2,200 calories per day

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.?

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.?

a) Boiled eggs with bacon or ham and a glass of orange juice for breakfast on Thursday and Friday mornings along with some sliced turkey and a salad at noon on Friday.
b) 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
c) Three daily meals that include choices from each of the food groups with an additional serving of fruit and several extra glasses of water on Friday.
d) Pasta with a small amount of meat sauce and two slices of bread for dinner on Wednesday and Thursday evenings and again at 2 p.m. on Friday.


Answer: 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

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?

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) Introspection and fluctuations in self assurance
b) Seclusion and moodiness
c) True attitude of maturity
d) Childish ways of appearing, thinking and behaving


Answer: True attitude of maturity

The nurse is performing an assessment on a 12-year-old boy. Which finding is consistent with the child's age?

The nurse is performing an assessment on a 12-year-old boy. Which finding is consistent with the child's age?

a) No pubic hair
b) Curling pubic hair
c) Coarse pubic hair
d) Sparse pubic hair


Answer: Curling pubic hair

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?

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) "Close parental monitoring of his activities has been shown to decrease these behaviors."
b) "Do not allow him to play any of these games, get him some manly games."
c) "This is a concern; you should examine what you are exposing him to that could affect his behavior."
d) "This behavior may be exploratory or reflect peer pressure, so do not make assumptions regarding sexual orientation."


Answer: "This behavior may be exploratory or reflect peer pressure, so do not make assumptions regarding sexual orientation."

Based on the most frequent cause of death in adolescents, what preventive measure would you most want to teach an adolescent?

Based on the most frequent cause of death in adolescents, what preventive measure would you most want to teach an adolescent?

a) Motor-vehicle safety
b) Firearm safety
c) Water safety
d) Home safety


Answer: Motor-vehicle safety

A 13-year-old girl has recently begun menstruating. She is active in sports at school. Increased intake of which of the following nutrients should the nurse recommend to the girl to prevent anemia associated with menstruation?

A 13-year-old girl has recently begun menstruating. She is active in sports at school. Increased intake of which of the following nutrients should the nurse recommend to the girl to prevent anemia associated with menstruation?

a) Vitamin D
b) Iron
c) Calcium
d) Zinc


Answer: Iron

The nurse is performing a health surveillance visit with a 12-year-old boy. Which characteristic suggests the boy has entered adolescence?

The nurse is performing a health surveillance visit with a 12-year-old boy. Which characteristic suggests the boy has entered adolescence?

a) Feels secure with his body image
b) Understands that actions have consequences
c) Experiences frequent mood changes
d) Shows growing interest in attracting girls' attention


Answer: Experiences frequent mood changes

Nurses should provide anticipatory guidance to males to prepare them for what particular pubertal change in late adolescence?

Nurses should provide anticipatory guidance to males to prepare them for what particular pubertal change in late adolescence?

a) Breast enlargement
b) Reddening of the scrotum
c) Nocturnal emissions
d) Lengthening of the penis



Answer: Nocturnal emissions

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 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) "I hope for your sake the needle was clean."
b) "This is a risk for hepatitis, tetanus, and AIDS."
c) "Be sure to clean the navel several times a day."
d) "This is a wound and can become infected."


Answer: "Be sure to clean the navel several times a day."

The time period known as adolescence usually begins with which of the following occurrences.

The time period known as adolescence usually begins with which of the following occurrences.

a) The fine motor skills fully developed.
b) The child becoming self-supported
c) The beginning of puberty.
d) The deciduous teeth falling out.


Answer: The beginning of puberty.

When adolescents form relationships with members of the opposite sex, the relationship is categorized as what type of relationship?

When adolescents form relationships with members of the opposite sex, the relationship is categorized as what type of relationship?

a) A heterosexual relationship
b) A bisexual relationship
c) A homosexual relationship
d) An unhealthy relationship


Answer: A heterosexual relationship

The high school soccer coach asks the nurse how soft tissue ankle injuries to the players might be prevented. The nurse's main recommendation is:

The high school soccer coach asks the nurse how soft tissue ankle injuries to the players might be prevented. The nurse's main recommendation is:

a) Use semi-rigid ankle orthoses.
b) Wear high-top athletic shoes.
c) Exercises to improve coordination and proprioception.
d) Ankle conditioning and strength training.


Answer: Use semi-rigid ankle orthoses

Jamie, an 18-year-old, comes to the clinic. In the health history she reveals that she has a nipple ring and is looking to get a tattoo in the next few months. What is the most important thing that the nurse can teach her at this time?

Jamie, an 18-year-old, comes to the clinic. In the health history she reveals that she has a nipple ring and is looking to get a tattoo in the next few months. What is the most important thing that the nurse can teach her at this time?

a) Complications are more likely when they are done on your own.
b) Review the safety rules for those who do the tattooing.
c) It is not recommended to get the tattoo from your friend in his garage.
d) Tattooing carries risks such as infection, disease, and nerve damage.


Answer: Tattooing carries risks such as infection, disease, and nerve damage.

What is the best explanation of Erikson's theory of psychosocial development during the adolescence period?

What is the best explanation of Erikson's theory of psychosocial development during the adolescence period?

a) The adolescent develops many skills during the teen ages, which help adolescents make educational and career choices.
b) The adolescent faces many different decisions during the teen years concerning the future and the adult world.
c) Cognitive development is cumulative; that is, what is learned is based on what has been known before.
d) The adolescent thinks in the abstract and develops skills to participate in complex problem solving.


Answer: The adolescent faces many different decisions during the teen years concerning the future and the adult world.

A 14-year-old girl arrives at the nurse's office carrying a tooth knocked out in gym. The nurse knows, prior to dental care, the action that will best preserve the tooth is:

A 14-year-old girl arrives at the nurse's office carrying a tooth knocked out in gym. The nurse knows, prior to dental care, the action that will best preserve the tooth is:

a) Place the tooth in a dry, sterile container.
b) Reinsert the tooth into the socket.
c) Rinse the tooth and place in a container of warm water.
d) Place the tooth on ice in a clean container.


Answer: Reinsert the tooth into the socket.

During an office visit for a sports injury, 16-year-old Derek's caregivers tell the nurse they are worried about changes in Derek's behavior. He has always been industrious in his schoolwork and very focused on sports. Now he has a girlfriend and seems to spend almost all of his time with her or on the phone with her and little or no time on his schoolwork. What information might the nurse offer these caregivers about Derek's behavior?

During an office visit for a sports injury, 16-year-old Derek's caregivers tell the nurse they are worried about changes in Derek's behavior. He has always been industrious in his schoolwork and very focused on sports. Now he has a girlfriend and seems to spend almost all of his time with her or on the phone with her and little or no time on his schoolwork. What information might the nurse offer these caregivers about Derek's behavior?

a) Derek has chosen a girl who is overly dependent on him. They should talk to him about making sure he meets his own needs, including doing the schoolwork he enjoys, in any relationship.
b) Derek has developed his own identity by now; being able to establish close relationships with girls is important preparation for all of his adult relationships. They should honor his need to be with or talk to his girlfriend as long as he has completed his schoolwork for the day.
c) Derek is not developmentally mature enough to make healthy choices about the ways in which he spends his time, so it would be helpful if they would make a schedule for him that includes about a half-hour per day to talk with his girlfriend.
d) Derek is not developmentally mature enough to have an intimate relationship with one girl; they should encourage him to spend time with groups of friends rather than time alone with his girlfriend.


Answer: Derek has developed his own identity by now; being able to establish close relationships with girls is important preparation for all of his adult relationships. They should honor his need to be with or talk to his girlfriend as long as he has completed his schoolwork for the day.

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?

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
b) Developing trust
c) Achieving their own identity
d) Achieving independence from parental dominance


Answer: Achieving their own identity

A 16-year-old girl with acne has been prescribed tretinoin (Retin-A cream). Which of the following instructions should the nurse give this girl related to prevention of a common side effect of this medication?

A 16-year-old girl with acne has been prescribed tretinoin (Retin-A cream). Which of the following instructions should the nurse give this girl related to prevention of a common side effect of this medication?

a) Take the medication on an empty stomach
b) Be certain of the expiration date on the drug
c) If taking an oral contraceptive, switch to a different type of contraception while taking this medication
d) Avoid prolonged sun exposure


Answer: Avoid prolonged sun exposure

A 16-year-old uses marijuana daily. To help her do better in school, what advice would you offer that would be most important?

A 16-year-old uses marijuana daily. To help her do better in school, what advice would you offer that would be most important?

a) Marijuana increases blood pressure; she should not run after smoking it.
b) The effect of marijuana fades fastest if she eats after use.
c) Marijuana causes memory gaps that interfere with learning.
d) Marijuana leads to muscle laxness, so it should not be used close to gym class.


Answer: Marijuana causes memory gaps that interfere with learning.

Linda and her mother are in the office. As Linda uses the restroom, her mother asks you about the changes that Linda is going through. She would like to talk to her about sexuality and its changes but she is unsure of how to do this. As the nurse, what reminders should you give her when she discusses sex?

Linda and her mother are in the office. As Linda uses the restroom, her mother asks you about the changes that Linda is going through. She would like to talk to her about sexuality and its changes but she is unsure of how to do this. As the nurse, what reminders should you give her when she discusses sex?

a) Promote open lines of communication; listen instead of lecture; and share family values.
b) Discuss with the teen the experiences that you had so that she can connect on a personal level.
c) Encourage her to talk to her peers and teachers in health class.
d) Do not initiate any conversation; let the teen come and seek the advice of the parent.


Answer: Promote open lines of communication; listen instead of lecture; and share family values.

The period in which physical changes relating to sexual maturation take place is called:

The period in which physical changes relating to sexual maturation take place is called:

a) Role confusion.
b) Identity diffusion.
c) Adolescent turmoil.
d) Puberty.


Answer: Puberty

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.

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.
b) Peers provide opportunity to learn and practice social roles.
c) Peers can be positive or negative influences.
d) Peers are needed for emotional security while stepping away from family.


Answer:

• Adolescents need parental support and guidance as they move toward greater peer involvement.
• Peers provide opportunity to learn and practice social roles.
• Peers can be positive or negative influences.
• Peers are needed for emotional security while stepping away from family.

A nurse is taking care of a teenager who complains about involuntary discharge of semen while sleeping. The nurse observes that the client is confused and does not know about the pubertal changes that are taking place in his body. Based on this information, what is the highest priority area that should be reviewed with the client?

A nurse is taking care of a teenager who complains about involuntary discharge of semen while sleeping. The nurse observes that the client is confused and does not know about the pubertal changes that are taking place in his body. Based on this information, what is the highest priority area that should be reviewed with the client?

a) Provide information about sex and sexuality
b) Educate the client about the changes that occur during adolescence
c) Convince him that involuntary discharge of semen during sleeping needs immediate attention of the primary care provider
d) Review about sexually transmitted diseases


Answer: Educate the client about the changes that occur during adolescence

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?

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) "Because of my age, my dairy intake is unlimited."
b) "To lose weight my protein intake should be limited to 2 to 4 servings per day."
c) "I avoid all fat intake."
d) "I need to have 4 servings of fruit each day."


Answer: "I need to have 4 servings of fruit each day."

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?

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) Even slight malocclusions make chewing and jaw function less efficient.
b) The more common braces become, the more unacceptable crooked teeth are in society at large, affecting everything from dating possibilities to hiring.
c) Uncorrected malocclusions lead to infection and ultimately tooth loss.
d) Leaving even slightly crooked teeth will lead to more cavities later in life.


Answer: Even slight malocclusions make chewing and jaw function less efficient.

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?

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) Marijuana
b) Opiates
c) Barbiturates
d) Amphetamines


Answer: Amphetamines

With summer approaching, the nurse discusses sun safety with a group of teen girls. Which suggestion is most likely to be followed?

With summer approaching, the nurse discusses sun safety with a group of teen girls. Which suggestion is most likely to be followed?

a) Limit sun exposure between 10:00 AM and 2:00 PM.
b) Do not attempt to get a tan.
c) Wear a hat when in the sun.
d) Wear sunglasses.


Answer: Wear sunglasses.

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?

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) Signs of substance addiction
b) Signs of infection
c) Prevention of sexually transmitted infection
d) Prevention of pregnancy


Answer: Signs of infection

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?

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
b) Assuming everyone is interested in her favorite pop star
c) Wishing her parents were more understanding
d) Comparing morals with those of peers


Answer: Wondering what is the meaning of life

What exercise recommendation should nurses give to adolescents?

What exercise recommendation should nurses give to adolescents?

a) Participate in physical activities that cause sweating and hard breathing weekly.
b) Participate in 60 minutes of moderate to vigorous physical activity each day.
c) Engage in aerobic exercise for 30 minutes three days per week.
d) Engage in at least one competitive sport during the school year.


Answer: Participate in 60 minutes of moderate to vigorous physical activity each day.

For what reasons do nurses work to prevent tobacco use by teens? Select all that apply.

For what reasons do nurses work to prevent tobacco use by teens? Select all that apply.

a) Teens who smoke are more likely to use alcohol and drugs.
b) Smoking damages the respiratory system.
c) Smokeless tobacco damages gums and teeth.
d) Smoking is associated with fighting and unprotected sex.
e) Tobacco use is addicting (nicotine).


Answer:

• Smoking damages the respiratory system.
• Smokeless tobacco damages gums and teeth.
• Teens who smoke are more likely to use alcohol and drugs.
• Smoking is associated with fighting and unprotected sex.
• Tobacco use is addicting (nicotine).

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 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) Provide reassurance that these are normal changes.
b) Share what foods can be eaten on a low fat diet to prevent fat deposits.
c) Review dietary measures to assist in controlling the weight gain.
d) Encourage increased exercise to control weight gain.


Answer: Provide reassurance that these are normal changes.

A 17-year-old girl needs to increase her iron intake but is concerned about weight gain. The nurse will suggest which foods?

A 17-year-old girl needs to increase her iron intake but is concerned about weight gain. The nurse will suggest which foods?

a) Egg white omelet, broccoli, pear
b) Chicken, whole-wheat bread, watermelon
c) Cottage cheese, crackers, oranges
d) Raspberry yogurt, granola, apple


Answer: Chicken, whole-wheat bread, watermelon

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?

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
b) Sharing problems
c) Following role models
d) Developing loyalties


Answer: Following role models

A 15-year-old female adolescent is seen in the office. During the examination, the client asks the nurse about having sex. Her mother states that she has been asking questions lately regarding this topic. Which should be the nurse's response?

A 15-year-old female adolescent is seen in the office. During the examination, the client asks the nurse about having sex. Her mother states that she has been asking questions lately regarding this topic. Which should be the nurse's response?

a) "That is not something we will discuss today."
b) "Tell me what you know about sex."
c) "Are you actively having sex at this time?"
d) "We can discuss that as well as other aspects of sexuality."


Answer: "We can discuss that as well as other aspects of sexuality."

Evan, a 14-year-old, and his mother are in the office for an annual visit and his mother jokes openly in front of you about the changes in Evan's voice and the hair under his armpits. What is an appropriate response from the nurse when she is talking with the mother?

Evan, a 14-year-old, and his mother are in the office for an annual visit and his mother jokes openly in front of you about the changes in Evan's voice and the hair under his armpits. What is an appropriate response from the nurse when she is talking with the mother?

a) "I remember that time in my life, it was so awkward and uncomfortable."
b) "Discuss with Evan your trials with puberty and the changes you experienced."
c) "Has he gone through the big change, smelly armpits and hair all over his body?"
d) "Remember that he can become modest and self-conscious and teasing may cause embarrassment."


Answer: "Remember that he can become modest and self-conscious and teasing may cause embarrassment."

In comparing the rate of growth in preadolescent girls and preadolescent boys, which of the following is the most accurate about growth rate?

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.
b) Boys grow at a slower, steadier rate than do girls.
c) Boys grow at a rapid, sporadic rate.
d) Girls grow at a slower, steadier rate than do boys.


Answer: Boys grow at a slower, steadier rate than do girls.

What anticipatory guidance can the nurse provide the girl who has noted the development of breast buds?

What anticipatory guidance can the nurse provide the girl who has noted the development of breast buds?

a) The growth spurt will begin immediately with menarche.
b) Adult height will be reached at the time of menarche.
c) Menarche should follow in about 2 years.
d) Breast development will be complete with 12 months.


Answer: Menarche should follow in about 2 years.

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?

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
b) Caucasian
c) African-American
d) Indian-American


Answer: African-American

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?

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
b) Watching for aggressive behavior or racist remarks
c) Becoming acquainted with the teen's friends
d) Monitoring video games, TV shows, and music


Answer: Checking for signs of depression or lack of friends

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?

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) "This is her temperament and we will have to learn how to deal with her."
b) "She will never find anyone to live with her if she acts like this."
c) "This is common for this age group and it will get better with time."
d) "I know that she is doing this because of all the hormones."


Answer: "This is common for this age group and it will get better with time."

Which behavior by an 18-year-old is consistent with successful progression through the stages of Piaget's theory of development?

Which behavior by an 18-year-old is consistent with successful progression through the stages of Piaget's theory of development?

a) Uses critical thought processes to handle a problem
b) Is able to be part of a large group of peers while maintaining a sense of self
c) Reflects a strong moral code
d) Has a strong sense of understanding of internal identity


Answer: Uses critical thought processes to handle a problem

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?

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) "Most schools have excellent programs to teach adolescents about sex and sexuality."
b) "Being honest and straightforward with teenagers will encourage them to ask their parents about subjects like sexuality."
c) "Internet resources, movies, and television have the most accurate and current information for your adolescent to learn about sexuality issues."
d) "Teenagers spend so much time with their peers, and that is usually how they find out about sex."


Answer: "Being honest and straightforward with teenagers will encourage them to ask their parents about subjects like sexuality."

The school nurse is providing nutritional guidance during a 9th grade health class. Which foods should the nurse recommend as good sources for calcium?

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) Beans, poultry, and fish
b) Strawberries, watermelon, and raisins
c) Peanut butter, tomato juice, and whole grain bread
d) Cheese, yogurt, and white beans


Answer: Cheese, yogurt, and white beans

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?

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) Identity vs. role confusion
b) Industry vs. inferiority
c) Autonomy vs. doubt and shame
d) Intimacy vs. isolation


Answer: Identity vs. role confusion

The nurse is talking with parents of a depressed 16-year-old boy. Which question is of the most importance?

The nurse is talking with parents of a depressed 16-year-old boy. Which question is of the most importance?

a) Does he exercise?
b) Have his sleeping and eating habits changed?
c) Is there a gun in your home?
d) How is his personal hygiene?


Answer: Is there a gun in your home?

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?

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) " You may feel like you are changing, but you still look the same."
b) "Your other friends are feeling like this too."
c) "You have lots of hormone changes going on right now."
d) "You will feel better about yourself as you get older."


Answer: "You have lots of hormone changes going on right now."

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?

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) "Reinforce the family rules but also allow him to develop his own routine."
b) "Do not encourage multiple baths, it can be very drying to the skin."
c) "Remind him that he needs to be on a schedule so that he does not disrupt the family."
d) "Reevaluate his ability to do hygiene care since he is showering so frequently."


Answer: "Reinforce the family rules but also allow him to develop his own routine."

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?

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?"
b) "Give her some options; it's important to find something she enjoys."
c) "Organized sports are just a complementary activity to other physical activities."
d) "Remind her of the importance of regular physical activity for good health."


Answer: "Give her some options; it's important to find something she enjoys."

The activity that would best foster the developmental task of an adolescent who is physically challenged would be

The activity that would best foster the developmental task of an adolescent who is physically challenged would be

a) talking to another adolescent who has a similar disorder.
b) deciding whether she wants her bath before or after lunch.
c) watching television on the set in her room.
d) having a teacher bring her school homework in for her.


Answer: talking to another adolescent who has a similar disorder.

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

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) Suggest that she read books and magazines from the hospital bookmobile.
b) Ask Bettina's caregivers to bring her siblings and friends to visit.
c) Call the hospital's mental health unit to see if Bettina can get some counseling.
d) Show Bettina where the teen lounge in the hospital is so she can meet other teens, use a phone, and check her e-mail.


Answer: Show Bettina where the teen lounge in the hospital is so she can meet other teens, use a phone, and check her e-mail.

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?

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's need for parental support should be discussed.
b) The child should be encouraged to call friends often.
c) The child's need for privacy should be respected.
d) The child should be given freedom to participate in unit activities as desired.


Answer: The child's need for privacy should be respected.

Which action would provide an indication that an adolescent's parents understand their daughter's need for increased independence?

Which action would provide an indication that an adolescent's parents understand their daughter's need for increased independence?

a) Saying, "We will always be here for her whenever she needs us."
b) Telling you that they now understand that their daughter's chief need is for increased privacy
c) Verbalizing, "We try to do everything we can to make things easier for her."
d) Telling you that they are encouraging their daughter in her search for an after-school job


Answer: Telling you that they are encouraging their daughter in her search for an after-school job

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?

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) "Her goal is to be a size smaller by our vacation in two weeks."
b) "My daughter is helping us plan our family's weekly menu."
c) "We are using family outings and activities as a reward for weight loss."
d) "Our whole family has changed our eating habits."


Answer: "Her goal is to be a size smaller by our vacation in two weeks."

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

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

a) vitamin deficiency from an inadequate diet.
b) thyroid-gland secretions increasing with adolescence.
c) lack of showering adequately after gym class.
d) activation of androgen hormones.


Answer: activation of androgen hormones

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 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) Puberty
b) Formal operational thought
c) Socialization
d) Role confusion


Answer: Formal operational thought

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?

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
b) A willingness to take initiative
c) An understanding of socialization and of isolation
d) A sense of trust and of identity


Answer: A sense of trust and of identity

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?

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) Self-esteem
b) Shyness
c) Modesty
d) Independence


Answer: Self-esteem

What has the most influence in deterring an adolescent from beginning to drink alcohol?

What has the most influence in deterring an adolescent from beginning to drink alcohol?

1. Drinking habits of parents
2. Drinking habits of peers
3. Drinking philosophy of adolescent's culture
4. Drinking philosophy of adolescent's religion


Answer: Drinking habits of peers

Which is associated with early adolescence? (Choose all that apply.)

Which is associated with early adolescence? (Choose all that apply.)

1. Uses scientific reasoning to solve problems
2. Still at times wants to be dependent upon parents
3. Incorporates own set of morals and values
4. Is influenced by peers and values memberships in cliques


Answer:

Still at times wants to be dependent upon parents
Is influenced by peers and values memberships in cliques

In developing a weight-loss plan for an adolescent, which would the nurse include? (Choose all that apply.)

In developing a weight-loss plan for an adolescent, which would the nurse include? (Choose all that apply.)

1. Have parents make all of the meal plans.
2. Eat slowly and place the fork down between each bite.
3. Have the family exercise together.
4. Refer to an adolescent weight-loss program.
5. Keep a food and exercise diary.


Answer:

Eat slowly and place the fork down between each bite.
Have the family exercise together.
Refer to an adolescent weight-loss program.
Keep a food and exercise diary.

When giving parents guidance for the adolescent years, the nurse would advise the parents to: (Choose all that apply.)

When giving parents guidance for the adolescent years, the nurse would advise the parents to: (Choose all that apply.)

1. Accept the adolescent as a unique individual
2. Provide strict, inflexible rules
3. Listen and try to be open to the adolescent's views
4. Screen all of his or her friends
5. Respect the adolescent's privacy
6. Provide unconditional love



Answer:

Accept the adolescent as a unique individual
Listen and try to be open to the adolescent's views
Respect the adolescent's privacy
Provide unconditional love

The school nurse is the guest speaker in a classroom of fourth-grade children, and they are discussing eating habits and the number of servings from each of the food groups that is appropriate for the school-age child. Which of the following statements made by the children best indicates an appropriate intake of one of the food groups for this age child?

The school nurse is the guest speaker in a classroom of fourth-grade children, and they are discussing eating habits and the number of servings from each of the food groups that is appropriate for the school-age child. Which of the following statements made by the children best indicates an appropriate intake of one of the food groups for this age child?

a) "My gramma cooks for us and she lets me eat two chicken breasts for supper."
b) "My dad doesn't like bread so I get my grain in the morning when I eat a bowl of cereal."
c) "I love fruit so every day I eat the half of orange my mom puts in my lunch."
d) "I drink three big glasses of milk each day."


Answer: "I drink three big glasses of milk each day."

Children can become physically addicted to glue.

Children can become physically addicted to glue.

a) False
b) True


Answer: False

Explanation:
Children do not become physically addicted to glue but do become psychologically dependent on it.

The parents of a school-aged child with school phobia have taken her to three different psychiatrists trying to resolve this problem. Based on this, which nursing diagnosis would be most appropriate?

The parents of a school-aged child with school phobia have taken her to three different psychiatrists trying to resolve this problem. Based on this, which nursing diagnosis would be most appropriate?

a) Noncompliance with expected school behavior related to school phobia
b) Ineffective tissue perfusion, cerebral, related to anxiety over attending school
c) Compromised parental coping related to inability to enforce school attendance
d) Disturbed thought processes related to difficulty in school adjustment


Answer: Compromised parental coping related to inability to enforce school attendance

The father of an 11-year-old boy is worried that the child spends too much time watching TV. What information should the nurse share with this father? Select all that apply.

The father of an 11-year-old boy is worried that the child spends too much time watching TV. What information should the nurse share with this father? Select all that apply.

a) Limit TV time by using it as a reward.
b) Use video games that are more active to offset sedentary TV viewing.
c) Establish guidelines on when a child can watch TV.
d) Watch programs together and discuss subject matter with the child.
e) The American Academy of Pediatrics recommends 2 hours or less of TV daily.


Answer:

• The American Academy of Pediatrics recommends 2 hours or less of TV daily.
• Establish guidelines on when a child can watch TV.
• Watch programs together and discuss subject matter with the child.

The nurse is caring for a hospitalized 5-year old child. The child's mother has reported her child is becoming very "clingy." Which advice should the nurse provide? Select all that apply.

The nurse is caring for a hospitalized 5-year old child. The child's mother has reported her child is becoming very "clingy." Which advice should the nurse provide? Select all that apply.

a) "Regression is normal during hospitalization."
b) "These behaviors are the result of a loss of self-control and are likely temporary."
c) "The child may miss school and interaction with peers."
d) "Allowing the child to have some input in the care may be helpful in managing these behaviors."
e) "Be careful not to coddle the child or it will result in regressive behaviors."


Answer:

• "Regression is normal during hospitalization."
• "Allowing the child to have some input in the care may be helpful in managing these behaviors."
• "The child may miss school and interaction with peers."

The nurse is assessing the nutritional needs of an 8-year-old girl who weighs 65 pounds. Which of the following amounts would provide the proper daily caloric intake for this child?

The nurse is assessing the nutritional needs of an 8-year-old girl who weighs 65 pounds. Which of the following amounts would provide the proper daily caloric intake for this child?

a) 2,065 calories per day
b) 2,385 calories per day
c) 1,895 calories per day
d) 2,245 calories per day


Answer: 2,065 calories per day


(29.5 kg x 70 calories per day per kg = 2,065 calories per day).

The nurse is about to see a 9-year-old girl for a well child check-up. Knowing that the child is in Piaget's period of concrete operational thought, which characteristic should the child display?

The nurse is about to see a 9-year-old girl for a well child check-up. Knowing that the child is in Piaget's period of concrete operational thought, which characteristic should the child display?

a) Make generalized assumptions about groups of things
b) View the world in terms of her own experience
c) Know lying is bad because she gets sent to her room for it
d) Consider an action and its consequences


Answer: Consider an action and its consequences

A nurse overhears a 7 year old calling her hospital roommate a vulgar name. What is the best action by the nurse?

A nurse overhears a 7 year old calling her hospital roommate a vulgar name. What is the best action by the nurse?

a) Inform the child that she will not be able to stay in the hospital if she is going to use that type of language.
b) Inform the child that if she does not behave, she will get a shot.
c) Inform the child that talking to the roommate using that language is not acceptable behavior.
d) Inform the child that the nurse is going to call the parents and tell them what was said.


Answer: Inform the child that talking to the roommate using that language is not acceptable behavior.

During a well-child visit, an 11-year-old girl complains to the nurse that she looks different from her friends who are wearing bras. What is an appropriate response?

During a well-child visit, an 11-year-old girl complains to the nurse that she looks different from her friends who are wearing bras. What is an appropriate response?

a) "It is normal for there to be differences in the time and rate girls your age develop."
b) "You are doing well in school. Be happy with this success."
c) "Remember the methods you have been taught to manage peer pressure."
d) "It is common for girls your age to worry about being different."


Answer: "It is normal for there to be differences in the time and rate girls your age develop."

The nurse is caring for an 8-year-old girl. She is reviewing her nutritional requirements and describing interventions that promote healthy eating habits. Which of the following responses by the girl's mother indicates a need for further discussion?

The nurse is caring for an 8-year-old girl. She is reviewing her nutritional requirements and describing interventions that promote healthy eating habits. Which of the following responses by the girl's mother indicates a need for further discussion?

a) "My daughter must stay at the table until she has cleaned her plate."
b) "My daughter likes to have a glass of milk with her meal."
c) "My daughter eats one item at a time."
d) "My daughter likes many different kinds of fruits and vegetables."


Answer: "My daughter must stay at the table until she has cleaned her plate."

A nurse is carrying on a conversation with a 7-year-old girl during an office visit. Which of the following is an example of the level of language development the nurse should expect in this child?

A nurse is carrying on a conversation with a 7-year-old girl during an office visit. Which of the following is an example of the level of language development the nurse should expect in this child?

a) Inability to speak in full sentences
b) Difficulty understanding the concept of "half past" in reference to time
c) Fascination with bathroom language
d) Ability to carry on an adult conversation


Answer: Difficulty understanding the concept of "half past" in reference to time

The nurse is educating the parents of a 6-year-old boy how to manage the child's introduction into elementary school. The child has an easy temperament. Which should the nurse suggest?

The nurse is educating the parents of a 6-year-old boy how to manage the child's introduction into elementary school. The child has an easy temperament. Which should the nurse suggest?

a) Scheduling several visits to the school before classes start
b) Comforting the child when he is frustrated
c) Being firm with episodes of moodiness and irritability
d) Helping the child deal with minor stresses


Answer: Helping the child deal with minor stresses

The school nurse is assessing the nutritional status of an overweight 12-year-old girl. Which question is appropriate for the nurse to ask?

The school nurse is assessing the nutritional status of an overweight 12-year-old girl. Which question is appropriate for the nurse to ask?

a) Does your family have rules about foods and how they are prepared?
b) Have you gained weight recently?
c) How often does everyone in your family eat together?
d) What does your family do for exercise?


Answer: How often does everyone in your family eat together?

A 9-year-old boy has arrived for a health maintenance visit. Which milestone of physical growth should the nurse expect to observe?

A 9-year-old boy has arrived for a health maintenance visit. Which milestone of physical growth should the nurse expect to observe?

a) Brain growth is complete and the shape of the head is longer.
b) Lymphatic tissue growth is complete providing greater resistance to infections.
c) All deciduous teeth are replaced by 32 permanent teeth.
d) Frontal sinuses are developed while tonsils have decreased in size.


Answer: Lymphatic tissue growth is complete providing greater resistance to infections.

Which of the following best describes Erikson's psychosocial development task for the school-age child?

Which of the following best describes Erikson's psychosocial development task for the school-age child?

a) The child wants to successfully complete activities.
b) The child is developing his or her own personal identity.
c) The child understands and responds to discipline.
d) The child is learning to do things on its own.


Answer: The child wants to successfully complete activities.

A father brings his 6-year-old son in to the doctor's office. He says his son just began first grade a week ago and, after attending the first day of classes, has refused to go to school each day since, complaining of stomach cramps and nausea. He says he has spoken to the boy's teacher, who says she did not notice anything unusual with her interaction with the boy, other than perhaps a bit of homesickness. After the nurse examines the boy and finds nothing wrong, the father asks how he should handle the problem. Which of the following should the nurse recommend?

A father brings his 6-year-old son in to the doctor's office. He says his son just began first grade a week ago and, after attending the first day of classes, has refused to go to school each day since, complaining of stomach cramps and nausea. He says he has spoken to the boy's teacher, who says she did not notice anything unusual with her interaction with the boy, other than perhaps a bit of homesickness. After the nurse examines the boy and finds nothing wrong, the father asks how he should handle the problem. Which of the following should the nurse recommend?

a) Have the child attend a different school
b) Hold the child back a year and let him try again next year
c) Insist that the child return to school
d) Homeschool the child


Answer: Insist that the child return to school

An anxious 12-year-old girl receives an injection from the nurse and sighs with relief when it is done. After a moment of reflection, the girl asks the nurse, "Is it hard to give someone an injection?" This girl's question is evidence that she has developed which cognitive skill?

An anxious 12-year-old girl receives an injection from the nurse and sighs with relief when it is done. After a moment of reflection, the girl asks the nurse, "Is it hard to give someone an injection?" This girl's question is evidence that she has developed which cognitive skill?

a) Decentering
b) Class inclusion
c) Conservation
d) Accommodation


Answer: Decentering

A nurse is caring for a hospitalized 7 year old whose family members have been unable to visit for 2 days. The nurse is preparing a diversional activity for the child. Which activity would best be suited for a child in this age group?

A nurse is caring for a hospitalized 7 year old whose family members have been unable to visit for 2 days. The nurse is preparing a diversional activity for the child. Which activity would best be suited for a child in this age group?

a) A jack-in-the box
b) A mobile
c) A board game such as monopoly
d) A paint-by-numbers activity


Answer: A paint-by-numbers activity

Ten-year-old Edgar is above normal weight for a child his age and height. When discussing with him what he likes to eat, he tells the nurse he doesn't eat much candy but he loves to eat fruit, pasta, potatoes, and bread. What would the nurse recommend to Edgar's caregivers as to ways to help him maintain a healthy weight? The caregiver should

Ten-year-old Edgar is above normal weight for a child his age and height. When discussing with him what he likes to eat, he tells the nurse he doesn't eat much candy but he loves to eat fruit, pasta, potatoes, and bread. What would the nurse recommend to Edgar's caregivers as to ways to help him maintain a healthy weight? The caregiver should

a) Avoid talking to Edgar about his weight.
b) Feed Edgar a very low-fat and no-carbohydrate diet.
c) Remind Edgar at each meal that he must not eat too much food.
d) Provide activities for Edgar that will increase his physical activity.


Answer: Provide activities for Edgar that will increase his physical activity.

During a routine wellness examination, the nurse is trying to determine how well a 5-year-old boy communicates and comprehends instructions. Which of the following is the best specific trigger question to determine the preschooler's linguistic and cognitive progress?

During a routine wellness examination, the nurse is trying to determine how well a 5-year-old boy communicates and comprehends instructions. Which of the following is the best specific trigger question to determine the preschooler's linguistic and cognitive progress? 

a) "How well does your son communicate or follow instructions?"
b) "Would you say your son has a vocabulary of about 900 words?"
c) "Does your son speak in complete sentences all the time?"
d) "Is your son's speech clear enough that anyone can understand it?"


Answer: "How well does your son communicate or follow instructions?"

The nurse is caring for a 10-year-old who has been admitted for surgery. Which of the following would be the most important for the nurse to do when caring for this child? The nurse should

The nurse is caring for a 10-year-old who has been admitted for surgery. Which of the following would be the most important for the nurse to do when caring for this child? The nurse should

a) Avoid prolonged discussions about the patient's anxiety
b) Answer questions the child asks regarding pain
c) Offer to help the child wash her private parts when bathing
d) Encourage family caregivers to frequently sing songs the child enjoys


Answer: Answer questions the child asks regarding pain

The nurse is observing a playgroup of children of all ages. The school-age child in the group would most likely be doing which of the following activities?

The nurse is observing a playgroup of children of all ages. The school-age child in the group would most likely be doing which of the following activities?

a) Playing with the plastic vaccum cleaner, pushing it around the room.
b) Pretending to be mommies and daddies in the playhouse.
c) Watching a movie with other children their age.
d) Painting pictures in the art corner of the room.


Answer: Painting pictures in the art corner of the room.

A nurse is assigned to care for a 7 year old with cystic fibrosis. The child wants to show the nurse his collection of baseball cards. The nurse understands that the collection of objects is common in this age group and is known as what type of thinking?

A nurse is assigned to care for a 7 year old with cystic fibrosis. The child wants to show the nurse his collection of baseball cards. The nurse understands that the collection of objects is common in this age group and is known as what type of thinking?

a) Egocentric thinking
b) Classification
c) Decentration
d) Preoperational thinking


Answer: Classification

The parents of a 7-year-old girl report concerns about her seemingly low self-esteem. The parents question how self-esteem is developed in a young girl. Which response by the nurse is best?

The parents of a 7-year-old girl report concerns about her seemingly low self-esteem. The parents question how self-esteem is developed in a young girl. Which response by the nurse is best?

a) "Several interrelated factors are to blame for low self-esteem."
b) "The peers of a child at this age are the greatest influence on self-esteem."
c) "Your daughter's self-esteem is influenced by feedback from people they view as authorities at this age."
d) "A child's self-esteem is greatly inborn and environmental influences guide it."


Answer: "Your daughter's self-esteem is influenced by feedback from people they view as authorities at this age."

A mother calls the advance practice pediatric nurse practitioner about her 7-year-old daughter's dental hygiene. The daughter has had three cavities. She does not know what to do and asks the nurse for guidance. How should the nurse respond?

A mother calls the advance practice pediatric nurse practitioner about her 7-year-old daughter's dental hygiene. The daughter has had three cavities. She does not know what to do and asks the nurse for guidance. How should the nurse respond?

a) "What type of toothbrush does she use?"
b) "Did you teach her how to brush her teeth?"
c) "Are you able to supervise her brushing?"
d) "Is there fluoride toothpaste available for her use?"


Answer: "Are you able to supervise her brushing?"

Eight-year-old Matt is doing well with adding and subtraction. His father asks for suggestions regarding projects that would help increase Matt's understanding of conservation of mass. Of the following projects, which would most help Matt understand conservation of mass?

Eight-year-old Matt is doing well with adding and subtraction. His father asks for suggestions regarding projects that would help increase Matt's understanding of conservation of mass. Of the following projects, which would most help Matt understand conservation of mass?

a) Build a doghouse.
b) Build a sandcastle with a water-filled moat.
c) Stack blocks in a tower.
d) Form vases from blocks of clay.


Answer: Form vases from blocks of clay.

The nurse is providing information to the parents of a 6-year-old boy who has been caught lying at home and at school. Which would the nurse share with the parents? Select all that apply.

The nurse is providing information to the parents of a 6-year-old boy who has been caught lying at home and at school. Which would the nurse share with the parents? Select all that apply.

a) Indicate that the child is probably lying to impress his friends.
b) Explain that children this age typically lie to avoid punishment.
c) Recommend the use of immediate and firm punishment.
d) Suggest reading a story with the child about the consequences of lying.


Answer:

• Explain that children this age typically lie to avoid punishment.
• Suggest reading a story with the child about the consequences of lying.

The nurse has taken a health history and performed a physical exam for a 12-year-old boy. Which finding is the most likely?

The nurse has taken a health history and performed a physical exam for a 12-year-old boy. Which finding is the most likely?

a) The child described a somewhat reduced appetite.
b) The child has different diet preferences than his parents.
c) The child's body fat has decreased since last year.
d) The child has a leaner body mass than a girl at this age.


Answer: The child has a leaner body mass than a girl at this age.

A nurse is discussing a 9-year-old girl's obesity with her parents. Which of the following recommendations should she make to the parents? (Select all that apply.)

A nurse is discussing a 9-year-old girl's obesity with her parents. Which of the following recommendations should she make to the parents? (Select all that apply.)

a) Participation in formal exercise classes
b) Participation in a formal weight-control organization
c) Preparation of a special meal just for the child
d) Intake of about 1,200 calories a day
e) Limiting time spent in physical inactivity
f) Adherence to a high-protein diet



Answer:


• Intake of about 1,200 calories a day
• Limiting time spent in physical inactivity
• Participation in a formal weight-control organization
• Participation in formal exercise classes

The nurse is discussing sleep and the amounts of sleep necessary for an 11-year-old child with the child's caregivers. For the child who gets up at 6:30 a.m., which bedtime would the nurse recommend the caregivers require the child to go to bed?

The nurse is discussing sleep and the amounts of sleep necessary for an 11-year-old child with the child's caregivers. For the child who gets up at 6:30 a.m., which bedtime would the nurse recommend the caregivers require the child to go to bed?

a) 7:30 p.m.
b) 10:00 p.m.
c) 9:30 p.m.
d) 8:00 p.m.


Answer: 9:30 p.m.

A parent brings a 6 year old to the clinic and informs the nurse that the child is tired all the time even though the child sleeps 7 to 8 hours each night. What is the best response by the nurse?

A parent brings a 6 year old to the clinic and informs the nurse that the child is tired all the time even though the child sleeps 7 to 8 hours each night. What is the best response by the nurse?

a) "Your child should be getting 8 to 9 hours of sleep per night."
b) "We should ask the physician to run some tests; with that much sleep, the child should not be tired."
c) "Your child should be getting 11 to 12 hours of sleep per night with some quiet time after school."
d) "Your child should be getting at least 9 hours of sleep per night."


Answer: "Your child should be getting 11 to 12 hours of sleep per night with some quiet time after school."

The nurse is observing a group of 8-year-olds who are being taught the concept of conservation of weight. Which of the following activities would best help these children understand this concept?

The nurse is observing a group of 8-year-olds who are being taught the concept of conservation of weight. Which of the following activities would best help these children understand this concept?

a) Weighing and measuring each other and comparing the number of pounds to the number of inches for each person.
b) Weighing a pound of oranges and a pound of bricks and counting how many of each make a pound.
c) Measuring the weight of a handful of popcorn and then the weight of a handful of pennies.
d) Using a balance scale to weigh a variety of objects and counting how many pennies must be used to balance the scales.


Answer: Weighing a pound of oranges and a pound of bricks and counting how many of each make a pound.

A hospitalized 7 year old is recovering from a head injury. Occupational therapy has been ordered to assist the child in regaining eye/hand coordination. If the child cannot master this skill, what feelings may arise?

A hospitalized 7 year old is recovering from a head injury. Occupational therapy has been ordered to assist the child in regaining eye/hand coordination. If the child cannot master this skill, what feelings may arise?

a) A sense of doubt
b) A sense of mistrust
c) A sense of shame
d) A feeling of inferiority


Answer: A feeling of inferiority

A nurse is caring for a hospitalized 10 year old. What would be an appropriate activity for this child to meet the developmental tasks of this age group?

A nurse is caring for a hospitalized 10 year old. What would be an appropriate activity for this child to meet the developmental tasks of this age group?

a) Participating in a craft project
b) Playing with a jack-in-the-box
c) Writing letters to friends
d) Playing with blocks


Answer: Participating in a craft project

The nurse is teaching a group of caregivers of school-age children about the importance of setting a consistent bedtime for the school-age child. Which of the following statements made by a caregiver indicates an understanding of the sleep patterns and needs of the school-age child?

The nurse is teaching a group of caregivers of school-age children about the importance of setting a consistent bedtime for the school-age child. Which of the following statements made by a caregiver indicates an understanding of the sleep patterns and needs of the school-age child?

a) "My son doesn't even know when he's tired."
b) "She stays up late when she takes a nap after school."
c) "My child sleeps between 11 and 12 hours a night."
d) "My teenage child doesn't sleep as much as my 9-year-old does."


Answer: "My child sleeps between 11 and 12 hours a night."

The nurse is talking with the parents of an 8-year-old boy who has been cheating at school. Which comment should be the nurse's primary message?

The nurse is talking with the parents of an 8-year-old boy who has been cheating at school. Which comment should be the nurse's primary message?

a) "Make sure that your behavior around your son is exemplary."
b) "Punishment should be severe and long lasting."
c) "Resolve this by providing an opportunity for him to cheat and then dealing with it."
d) "You may be putting too much pressure on him to succeed."


Answer: "Make sure that your behavior around your son is exemplary."

The nurse is educating the parents of a 10-year-old girl in ways to help their child avoid tobacco. Which suggestion should be part of the nurse's advice?

The nurse is educating the parents of a 10-year-old girl in ways to help their child avoid tobacco. Which suggestion should be part of the nurse's advice?

a) "Always go outside when you have a cigarette."
b) "Keep your cigarettes where she can't get to them."
c) "Tell her only losers smoke and chew tobacco."
d) "As parents, you need to be good role models."


Answer: "As parents, you need to be good role models."

During a well child check at the ambulatory clinic, the mother of a 10-year-old boy reports concerns about her son's frequent discussions about death and dying. Based upon knowledge of this age group the nurse understands that:

During a well child check at the ambulatory clinic, the mother of a 10-year-old boy reports concerns about her son's frequent discussions about death and dying. Based upon knowledge of this age group the nurse understands that:

a) discussing death and dying may hint at a psychological disorder.
b) at this age, children are not afraid of death.
c) preoccupation with death and dying is common in the school-aged child.
d) consistent thoughts of death and dying at this age leads to the later development of depression.


Answer: preoccupation with death and dying is common in the school-aged child.

On physical examination, you discover that a 6-year-old's palatine tonsils are somewhat enlarged in the back of his throat. Your best action would be to

On physical examination, you discover that a 6-year-old's palatine tonsils are somewhat enlarged in the back of his throat. Your best action would be to

a) give the child something for pain.
b) record this as a normal early school-aged finding.
c) take the child's temperature; this must be tonsillitis.
d) suggest a resident examine him for breathing difficulty.


Answer: record this as a normal early school-aged finding.

A 10-year-old spends 2 hours by herself every afternoon before her parents arrive home. Which of the following would be the most appropriate safety measure to suggest that the parents teach the child?

A 10-year-old spends 2 hours by herself every afternoon before her parents arrive home. Which of the following would be the most appropriate safety measure to suggest that the parents teach the child?

a) Wearing the house key prominently around her neck
b) Lighting candles in case there is a power failure
c) Preparing a no-cook snack for herself
d) Telling people at school she is by herself for added safety


Answer: Preparing a no-cook snack for herself

An 8-year-old boy, who says he wants to be a doctor when he grows up, pleads with the nurse to let him put on his own band-aid after receiving an injection. The nurse agrees and watches as the boy very carefully lines the band-aid up with the mark left by the injection and applies it to his skin. Then, he asks, "did I do it right?" and waits eagerly for the nurse's feedback. The nurse recognizes in this situation the boy's attempt to master the primary developmental step of school age, which is what?

An 8-year-old boy, who says he wants to be a doctor when he grows up, pleads with the nurse to let him put on his own band-aid after receiving an injection. The nurse agrees and watches as the boy very carefully lines the band-aid up with the mark left by the injection and applies it to his skin. Then, he asks, "did I do it right?" and waits eagerly for the nurse's feedback. The nurse recognizes in this situation the boy's attempt to master the primary developmental step of school age, which is what?

a) Conservation
b) Perfectionism
c) Accommodation
d) Industry


Answer: Industry

The nurse is conducting teaching with families of school-age children. Which of the following statements made by the nurse is most appropriate related to topics that would be covered with this group of individuals?

The nurse is conducting teaching with families of school-age children. Which of the following statements made by the nurse is most appropriate related to topics that would be covered with this group of individuals?

a) "The school-age child should have a routine physical exam every six months."
b) "The school-age child should brush their teeth at bedtime."
c) "The school-age child needs 10 to 12 hours of sleep per night."
d) "The school-age child should be screened for scoliosis once a year."


Answer: "The school-age child needs 10 to 12 hours of sleep per night."

A mother brings her 8-year-old daughter into the doctor's office because over the past year her tonsils have increased in size to the point that the mother is concerned that there is something wrong. The girl has no other symptoms, however. The nurse knows that which of the following is most likely the cause of the enlarged tonsils?

A mother brings her 8-year-old daughter into the doctor's office because over the past year her tonsils have increased in size to the point that the mother is concerned that there is something wrong. The girl has no other symptoms, however. The nurse knows that which of the following is most likely the cause of the enlarged tonsils?

a) A pituitary disorder
b) Tonsillitis
c) Normal growth of lymphatic tissue for this age
d) An allergic reaction


Answer: Normal growth of lymphatic tissue for this age

A mother tells you her 6-year-old has been biting his fingernails since he began first grade. After analyzing the cause of this as increased stress, the advice you would give his mother regarding this problem would be to

A mother tells you her 6-year-old has been biting his fingernails since he began first grade. After analyzing the cause of this as increased stress, the advice you would give his mother regarding this problem would be to

a) allow some time every day for the child to talk about new experiences.
b) distract the child by teaching him a new skill, such as whistling.
c) encourage the child to drink more milk for stronger nails.
d) allow the child to choose a reward for not biting his nails.


Answer: allow some time every day for the child to talk about new experiences.

The mother of a 7-year-old girl is asking the nurse's advice about getting her daughter a 2-wheel bike. Which response by the nurse is most important?

The mother of a 7-year-old girl is asking the nurse's advice about getting her daughter a 2-wheel bike. Which response by the nurse is most important?

a) "Be sure to get the proper size bike."
b) "Learning to ride the bike will improve her coordination."
c) "Teach her where she'll land on the grass if she falls."
d) "She won't need a helmet if she has training wheels."


Answer: "Be sure to get the proper size bike."

Eight-year-old Ted's foster mother is discussing her concerns about Ted's recent dental checkup in which three cavities were found in his permanent teeth. Ted's mother is concerned because Ted eats a nutritional diet, doesn't eat junk food, and the town water supply is fluoridated. What would the nurse suggest to this mother is the most appropriate in regard to Ted's dental health? The nurse would suggest that the mother

Eight-year-old Ted's foster mother is discussing her concerns about Ted's recent dental checkup in which three cavities were found in his permanent teeth. Ted's mother is concerned because Ted eats a nutritional diet, doesn't eat junk food, and the town water supply is fluoridated. What would the nurse suggest to this mother is the most appropriate in regard to Ted's dental health? The nurse would suggest that the mother

a) Have Ted's teeth professionally cleaned every three months
b) Ensure that Ted brushes his teeth after each meal and snacks
c) Accept Ted is genetically predisposed to having more cavities than most children
d) Encourage Ted to abstain from eating sugary snacks at school


Answer: Ensure that Ted brushes his teeth after each meal and snacks

A 12-year-old girl has recently begun menstruating and is well into puberty. She is visiting the doctor today for a routine physical examination. Which of the following findings should cause concern in the nurse?

A 12-year-old girl has recently begun menstruating and is well into puberty. She is visiting the doctor today for a routine physical examination. Which of the following findings should cause concern in the nurse?

a) Irregular periods
b) Supernumerary nipple
c) Breasts of slightly different sizes
d) Vulvar irritation


Answer: Vulvar irritation

A 7-year-old has taken money from his brother's dresser on two occasions. When counseling his mother about this, you would advise her that

A 7-year-old has taken money from his brother's dresser on two occasions. When counseling his mother about this, you would advise her that

a) she should talk to the child's teacher about putting less pressure on him.
b) she may need to remind him of property rights.
c) stealing is unusual for a 7-year-old.
d) she should buy his brother a bank that cannot be opened.


Answer: she may need to remind him of property rights.

The nurse is working with a group of caregivers of 6-year-olds. One of the mothers states her son has been lying and making up stories; she asks for some advice about how to address the issue. Which of the following would be an appropriate response by the nurse?

The nurse is working with a group of caregivers of 6-year-olds. One of the mothers states her son has been lying and making up stories; she asks for some advice about how to address the issue. Which of the following would be an appropriate response by the nurse?

a) "Is there any possibility he is telling the truth and you just don't know it is the truth?"
b) "Your child could be in serious trouble in school if he continues to tell lies."
c) "Children this age sometimes can't distinguish between fantasy and reality."
d) "The child should have privileges taken away for several days each time he tells a lie."


Answer: "Children this age sometimes can't distinguish between fantasy and reality."

The parents of a 9-year-old boy report they have been homeschooling their son and now plan to enroll him in the local public school. They voice concerns about the influence of the other children on their son's values. Which information should the nurse provide the parents?

The parents of a 9-year-old boy report they have been homeschooling their son and now plan to enroll him in the local public school. They voice concerns about the influence of the other children on their son's values. Which information should the nurse provide the parents?

a) "Values are largely inborn and will be impacted only in a limited way by environmental influences."
b) "At your son's age, values are most influenced by peers."
c) "The values of the family will likely prevail for your son."
d) "The teacher will begin to have the largest influence on a child's values at this age."


Answer: "The values of the family will likely prevail for your son."

The parents of an 8-year-old girl with a slow-to-warm temperament are concerned about their daughter's reaction when she visits the dentist for the first time after having a cavity filled at the last visit. How should the nurse respond?

The parents of an 8-year-old girl with a slow-to-warm temperament are concerned about their daughter's reaction when she visits the dentist for the first time after having a cavity filled at the last visit. How should the nurse respond?

a) "Remind your daughter of the importance of proper oral hygiene."
b) "Remind her in simple terms what will happen in the dentist's office."
c) "Wait to tell her about the visit until just before the appointment."
d) "Tell your daughter that it is just like going to see the pediatrician."


Answer: "Remind her in simple terms what will happen in the dentist's office."

Conformity is vital to school-age children.

Conformity is vital to school-age children.

a) False
b) True


Answer: True

The Boy Scouts is an organization that continues to be a favorite with school-aged boys because

The Boy Scouts is an organization that continues to be a favorite with school-aged boys because

a) hiking is a favorite school-aged activity.
b) fathers participate in Boy Scouts.
c) merit badges require completing small tasks for rewards.
d) no girls are included in the organization.


Answer: merit badges require completing small tasks for rewards

The school nurse is working with a group of 6- to 8-year-old children. Which of the following responsibilities would the school nurse most likely have for this age child? The nurse would be

The school nurse is working with a group of 6- to 8-year-old children. Which of the following responsibilities would the school nurse most likely have for this age child? The nurse would be

a) Teaching a class on sex education
b) Testing the children's vision and hearing
c) Giving tetanus-diphtheria booster shots
d) Monitoring the children for signs of scoliosis


Answer: Testing the children's vision and hearing

The mother of a 12-year-old boy is talking with the school nurse about her son's clumsiness. She reports that he seems to fall a lot, his writing is horrible, and as much as he practices he can't play his guitar very well. How should the nurse respond to the mother?

The mother of a 12-year-old boy is talking with the school nurse about her son's clumsiness. She reports that he seems to fall a lot, his writing is horrible, and as much as he practices he can't play his guitar very well. How should the nurse respond to the mother?

a) "Have you spoken with your pediatrician about your observations?"
b) "Boys tend to refine their fine motor skills by this age."
c) "Boys tend to take a bit longer than girls to mature."
d) "I will make a note of your observations and talk to his teachers."


Answer: "Have you spoken with your pediatrician about your observations?"

While treating a minor playground injury for an 8-year-old girl, the school nurse discovers that the injury was the result of bullying. What should be the nurse's first action?

While treating a minor playground injury for an 8-year-old girl, the school nurse discovers that the injury was the result of bullying. What should be the nurse's first action?

a) Question those responsible for the bullying.
b) Assess the situation with the help of the school staff and parents.
c) Determine if there have been other playground bullying incidents.
d) Immediately call the bullied child's parents.


Answer: Assess the situation with the help of the school staff and parents.

The nurse is teaching parents of an 11-year old girl how to deal with the issues relating to peer pressure to use tobacco and alcohol. Which suggestion provides the best course of action for the parents?

The nurse is teaching parents of an 11-year old girl how to deal with the issues relating to peer pressure to use tobacco and alcohol. Which suggestion provides the best course of action for the parents?

a) Hide alcohol out of the child's reach
b) Forbid the child to have friends that smoke or drink
c) Avoid smoking in the house or in front of the child
d) Discuss tobacco and alcohol use with the child


Answer: Discuss tobacco and alcohol use with the child

The nurse is taking a health history for a 12-year-old boy who is seriously overweight. Which general question would the nurse direct to the child's parents?

The nurse is taking a health history for a 12-year-old boy who is seriously overweight. Which general question would the nurse direct to the child's parents?

a) "Is there a family history of hypertension, heart disease, or diabetes?"
b) "How important is exercise?"
c) "Is breakfast eaten regularly?"
d) "What beverages are preferred?"


Answer: "Is there a family history of hypertension, heart disease, or diabetes?"

The parents of an 8-year-old boy report their son is being bullied and teased by a group of boys in the neighborhood. Which response by the nurse is best?

The parents of an 8-year-old boy report their son is being bullied and teased by a group of boys in the neighborhood. Which response by the nurse is best?

a) "Your son is at high risk for bullying other children as a result of this situation."
b) "Perhaps teaching your son self-defense courses will help him to have a greater sense of control and safety."
c) "Fortunately the scars of being picked on will fade as your son grows up."
d) "Bullying can have lifelong effects on the self-esteem of a child."


Answer: "Bullying can have lifelong effects on the self-esteem of a child."

The nurse is teaching a group of caregivers of school-age children on various topics. Which of the following statements made by the caregivers indicates a need for further teaching?

The nurse is teaching a group of caregivers of school-age children on various topics. Which of the following statements made by the caregivers indicates a need for further teaching?

a) "Sometimes we have to be firm, but our children wash their hands before eating."
b) "Food is so expensive, we always make our children eat everything on their plate."
c) "Even if the weather is cool and cloudy, our children play outside every day."
d) "I make sure they have good teeth by giving them calcium and phosphorus."


Answer: "Food is so expensive, we always make our children eat everything on their plate."

The developmental task of the school-aged period, according to Erikson, is gaining a sense of

The developmental task of the school-aged period, according to Erikson, is gaining a sense of

a) industry versus inferiority.
b) autonomy versus shame.
c) identity versus failure.
d) independence versus dependence.


Answer: industry versus inferiority

A nurse is speaking with a 7-year-old boy in the hospital. The boy asks the nurse, "Where is the westroom? I need to use the westroom." The nurse recognizes that this developmental problem is which of the following?

A nurse is speaking with a 7-year-old boy in the hospital. The boy asks the nurse, "Where is the westroom? I need to use the westroom." The nurse recognizes that this developmental problem is which of the following?

a) Caries
b) Broken fluency
c) Poor articulation
d) Malocclusion


Answer: Poor articulation