Chapter 21: Behavioral Health Problems of Adolescence

Chapter 21: Behavioral Health Problems of Adolescence

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse has determined that an adolescent’s body mass index (BMI) is in the 90th percentile. The best interpretation of this finding is that the adolescent:

a.	is overweight.
b.	is within expected range.
c.	is at risk for becoming overweight.
d.	requires nutritional supplementation.

 

 

ANS:  C

Adolescents with BMI between the 85th and 94th percentile for age and gender are at risk for becoming overweight. Adolescents with BMI greater than the 95th percentile are classified as overweight. Nutritional guidance, not supplementation, is needed.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 806

TOP:   Nursing Process: Assessment           MSC:  Client Needs: Health Promotion and Maintenance

 

2. The nurse is teaching a class on obesity prevention to parents in the community. A contributing factor to childhood obesity is:

a.	birth weight.
b.	parental overweight.
c.	age at onset of puberty.
d.	Asian ethnic background.

 

 

ANS:  B

There is a high correlation between parental adiposity and childhood adiposity. Obese children do not have higher birth weights than nonobese children. Early menarche is associated with obesity, but the age of puberty is not a contributing factor. African-Americans and Hispanics have disproportionately high percentages of overweight individuals, but Asians do not.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 807

TOP:   Integrated Process: Teaching/Learning

MSC:  Client Needs: Health Promotion and Maintenance

 

3. During a well-child visit, the nurse plots the child’s BMI on the health record. The purpose of the BMI is to:

a.	determine medication dosages.
b.	predict adult height and weight.
c.	identify coping strategies used by child.
d.	provide a consistent measure of obesity.

 

 

ANS:  D

A consistent measure of the degree of obesity is important to determine whether modification of the body fat component is indicated. Body surface area (BSA), not BMI, is used for medication dosage calculation. The BMI is not a predictor of adult height. A child with a high BMI may use food as a coping mechanism, but the BMI is not correlated with coping strategy use.

 

DIF:    Cognitive Level: Application           REF:   p. 810

TOP:   Nursing Process: Assessment           MSC:  Client Needs: Health Promotion and Maintenance

 

4. During a well-child visit, the nurse practitioner provides guidance about promoting healthy eating in a child who is overweight. The nurse advises:

a.	slow down eating meals.
b.	avoid between-meal snacks.
c.	include low-fat foods in meals.
d.	use foods that child likes as special treats.

 

 

ANS:  A

When a child slows down the eating process, it is easier to recognize signs of fullness. If food is consumed rapidly, this feedback is lost. Regular meals and snacks are encouraged to prevent the child from becoming too hungry and overeating. Low-fat foods are usually higher in calories than the regular version. Nutritional labels should be checked and foods high in sugar and calories avoided. Food should not be used as a special treat or reward. This encourages the child to use food as comfort measures in response to boredom and stress.

 

DIF:    Cognitive Level: Application           REF:   p. 814

TOP:   Integrated Process: Teaching/Learning

MSC:   Client Needs: Health Promotion and Maintenance