Chapter 16: Health Promotion of the Adolescent and Family

Chapter 16: Health Promotion of the Adolescent and Family

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. In girls, the initial indication of puberty is:

a.	menarche.
b.	growth spurt.
c.	growth of pubic hair.
d.	breast development.

 

 

ANS:  D

In most girls, the initial indication of puberty is the appearance of breast buds, an event known as thelarche. The usual sequence of secondary sex characteristic development in girls is breast changes, rapid increase in height and weight, growth of pubic hair, appearance of axillary hair, menstruation, and abrupt deceleration of linear growth.

 

PTS:   1                    DIF:    Cognitive Level: Understand            REF:   477

TOP:   Integrated Process: Nursing Process: Assessment

MSC:  Area of Client Needs: Health Promotion and Maintenance

 

2. A school nurse is teaching a group of preadolescent girls about puberty. Which is the mean age of menarche for girls in the United States?

a.	11 1/2 years
b.	12 3/4 years
c.	13 1/2 years
d.	14 years

 

 

ANS:  B

The average age of menarche is 12 years 9.5 months in North American girls, with a normal range of 10 1/2 to 15 years. Ages 11 1/2, 13 1/2, and 14 are within the normal range for menarche, but these are not the average ages.

 

PTS:   1                    DIF:    Cognitive Level: Remember            REF:   478

TOP:   Integrated Process: Teaching/Learning

MSC:  Area of Client Needs: Health Promotion and Maintenance

 

3. A school nurse is teaching a group of preadolescent boys about puberty. By which age should concerns about pubertal delay be considered?

a.	12 to 12 1/2 years
b.	12 1/2 to 13 years
c.	13 to 13 1/2 years
d.	13 1/2 to 14 years

 

 

ANS:  D

Concerns about pubertal delay should be considered for boys who exhibit no enlargement of the testes or scrotal changes from 13 1/2 to 14 years. Ages 12 to 13 1/2 years is too young for initial concern.

 

PTS:   1                    DIF:    Cognitive Level: Remember            REF:   478

TOP:   Integrated Process: Teaching/Learning

MSC:  Area of Client Needs: Health Promotion and Maintenance

 

4. A 14-year-old male mentions that he now has to use deodorant but never had to before. The nurse’s response should be based on knowledge that which occurs during puberty?

a.	Eccrine sweat glands in the axillae become fully functional during puberty.
b.	Sebaceous glands become extremely active during puberty.
c.	New deposits of fatty tissue insulate the body and cause increased sweat production.
d.	Apocrine sweat glands reach secretory capacity during puberty.

 

 

ANS:  D

The apocrine sweat glands, nonfunctional in children, reach secretory capacity during puberty. They secrete a thick substance as a result of emotional stimulation that, when acted on by surface bacteria, becomes highly odoriferous. They are limited in distribution and grow in conjunction with hair follicles, in the axilla, genital, anal, and other areas. Eccrine sweat glands are present almost everywhere on the skin and become fully functional and respond to emotional and thermal stimulation. Sebaceous glands become extremely active at this time, especially those on the genitalia and the “flush” areas of the body such as face, neck, shoulders, upper back, and chest. This increased activity is important in the development of acne. New deposits of fatty tissue is not the etiology of apocrine sweat gland activity.

 

PTS:   1                    DIF:    Cognitive Level: Understand            REF:   479 | 481

TOP:   Integrated Process: Teaching/Learning

MSC:  Area of Client Needs: Health Promotion and Maintenance

 

5. According to Erikson, the psychosocial task of adolescence is developing:

a.	intimacy.
b.	identity.
c.	initiative.
d.	independence.

 

 

ANS:  B

Traditional psychosocial theory holds that the developmental crises of adolescence lead to the formation of a sense of identity. Intimacy is the developmental stage for early adulthood. Independence is not one of Erikson’s developmental stages.

 

PTS:   1                    DIF:    Cognitive Level: Understand            REF:   481

TOP:   Integrated Process: Nursing Process: Assessment

MSC:   Area of Client Needs: Health Promotion and Maintenance