Chapter 20: The Adolescent

Chapter 20: The Adolescent

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is assessing a 13-year-old boy. With what do physical changes in the pubertal male begin?

a.	Development of axillary and facial hair
b.	Enlargement of penis
c.	Enlargement of testicles
d.	Pigmentation of the scrotum

 

 

ANS:  C

In boys, pubertal changes begin with enlargement of the testicles and internal structures.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 453 | Page 454, Box 20-2

OBJ:   4                    TOP:   Physical Development

KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Health Promotion and Maintenance: Growth and Development

 

2. A 13-year-old boy states, “The girls in my class tower over me.” What would be the nurse’s most informative response?

a.	“It may seem that way because girls have a growth spurt 2 years earlier than boys.”
b.	“Perhaps your parents are not exceptionally tall.”
c.	“Boys usually experience a growth spurt 1 year earlier than girls.”
d.	“You may feel short, but you are actually average height for your age.”

 

 

ANS:  A

Although the age for growth spurts during puberty varies, growth spurts occur 2 years earlier for girls than for boys.

 

DIF:    Cognitive Level: Application           REF:   Page 454-455

OBJ:   4                    TOP:   Physical Development

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Growth and Development

 

3. A parent comments that her adolescent daughter seems to be daydreaming a lot. What does the nurse understand this behavior to indicate regarding their daughter?

a.	She is bored.
b.	She is not getting enough rest.
c.	She is trying to block out stress and anxiety.
d.	She is mentally preparing for real situations.

 

 

ANS:  D

Daydreaming allows adolescents to act out in their imaginations what will be said or done in certain situations. This helps them to prepare for and cope with interactions with others.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 459        OBJ:   5

TOP:   Development—Daydreams              KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Health Promotion and Maintenance: Growth and Development

 

4. The nurse is planning a safety program for high school students. To what will the nurse relay that most accidental deaths in adolescence are related?

a.	Firearms
b.	Automobiles
c.	Drowning
d.	Diving injuries

 

 

ANS:  B

The chief safety hazard for the adolescent is automobiles.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 464        OBJ:   14

TOP:   Safety            KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Health Promotion and Maintenance: Growth and Development

 

5. A 16-year-old excitedly tells his parents that he was offered a part-time job. Which response represents an effective problem-solving approach for his parents?

a.	“Your studies are too important for you to have a part-time job.”
b.	“When we went to high school, academics were the adolescent’s priority.”
c.	“We want you to put your earnings in a savings account.”
d.	“How do you think you will manage your school work and a job?”

 

 

ANS:  D

An effective approach to help adolescents learn to solve problems is for parents to guide them in exploring alternatives.

 

DIF:    Cognitive Level: Application           REF:   Page 462, Health Promotion box

OBJ:   5                    TOP:   Parenting        KEY:  Nursing Process Step: Evaluation

MSC:  NCLEX: Health Promotion and Maintenance: Growth and Development