Chapter 08: Health Promotion for the Adolescent

Chapter 08: Health Promotion for the Adolescent

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. Which of the following statements best describes Tanner staging?

a.	Predictable stages of puberty that are based on chronologic age
b.	Staging of puberty based on the initiation of menarche and nocturnal emissions
c.	Predictable stages of puberty that are based on primary and secondary sexual characteristics
d.	Staging of puberty based on the initiation of primary sexual characteristics

 

 

ANS:   C

 

	Feedback
A	Tanner stages are not based on chronologic age. The age at which an adolescent enters puberty is variable.
B	The puberty stage in girls begins with breast development. Puberty stage in boys begins with genital enlargement.
C	Tanner sexual-maturing ratings are based on the development of stages of primary and secondary sexual characteristics.
D	Primary sexual characteristics are not the basis of Tanner staging.

 

 

DIF:    Cognitive Level: Knowledge             REF:    Text Reference: pg 187

OBJ:    Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance

 

2. Which of the following behaviors suggests appropriate psychosocial development in the adolescent?

a.	The adolescent seeks validation for socially acceptable behavior from older adults.
b.	The adolescent is self-absorbed and self-centered and has sudden mood swings.
c.	Adolescents move from peers and enjoy spending time with family members.
d.	Conformity with the peer group increases in late adolescence.

 

 

ANS:   B

 

	Feedback
A	The peer group validates acceptable behavior during adolescence.
B	During adolescence energy is focused within. Adolescents concentrate on themselves in an effort to determine who they are or who they will be. Adolescents are likely to be impulsive and impatient.
C	Adolescents move from family and enjoy spending time with peers. Adolescents also spend time alone; they need this think to think and concentrate on themselves.
D	Conformity becomes less important in late adolescence.

 

 

DIF:    Cognitive Level: Knowledge             REF:    Text Reference: pg 191

OBJ:    Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance

 

3. The parents of a 14-year-old girl are concerned that their adolescent spends too much time looking in the mirror. Which of the following statements is the most appropriate for the nurse to make?

a.	“Your teenager needs clearer and stricter limits about her behavior.”
b.	“Your teenager needs more responsibility at home.”
c.	“During adolescence this behavior is not unusual.”
d.	“The behavior is abnormal and needs further investigation.”

 

 

ANS:   C

 

	Feedback
A	Stricter limits are not an appropriate response for a behavior that is part of normal development.
B	More responsibility at home is not an appropriate response for this situation.
C	Narcissistic behavior is normal during this period of development. The teenager is seeking a personal identity.
D	The behavior is normal and needs no further investigation.

 

 

DIF:    Cognitive Level: Application             REF:    Text Reference: pg 191

OBJ:    Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance

 

4. Which of the following factors contributes to early adolescents engaging in risk-taking behaviors?

a.	Peer pressure
b.	A desire to master their environment
c.	Engagement in the process of separation from their parents
d.	A belief that they are invulnerable

 

 

ANS:   D

 

	Feedback
A	Impressing peers is more typically the factor influencing behavior of older school-age children.
B	Mastering the environment is the task of young school-age children.
C	Emancipation is a major issue for the older adolescent. The process is accomplished as the teenager gains an education or vocational training.
D	During early to middle adolescence, children feel that they are exempt from the consequences of risk-taking behaviors: they believe negative consequences only happen to others.

 

 

DIF:    Cognitive Level: Comprehension      REF:    Text Reference: pg 199

OBJ:    Nursing Process Step: Evaluation

MSC:   NCLEX: Health Promotion and Maintenance