A 13-year-old girl tells the school nurse that she is getting fat, especially in her hips and legs. What understanding by the nurse would best guide the response?
- A. Many adolescents are unaware of proper nutrition.
- B. Adolescents of this age become less active and should eat fewer calories.
- C. Puberty is often preceded by fat deposits in these areas.
- D. As soon as menarche occurs, she will lose this excess weight.
Correct Answer: C
Rationale: Secondary sexual characteristics become apparent before menarche. Fat is deposited in the hips, thighs, and breasts, causing them to enlarge.
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The school nurse is educating high school students about guidelines to be followed when participating in sports. Which statement by a student alerts the nurse of the need for further information?
- A. I will eat carbohydrates before practice.
- B. I drink large amounts of fluid when working out.
- C. I wear protective gear every time I play sports.
- D. I avoid caffeine when participating in sports.
Correct Answer: B
Rationale: Fluids lost by sweat must be replaced by drinking small amounts of fluid during a workout. Thirst is one guide for intake. Caffeine and alcohol deplete body water and are to be avoided. Carbohydrates that provide both energy and other nutrients are best for athletes. Protective gear should be worn by all team players in any contact sport.
What foods would be a healthy choice for an adolescent who just finished playing in a strenuous sports game?
- A. A cheeseburger and soda
- B. A hot fudge sundae
- C. Two sausage and egg breakfast sandwiches and orange juice
- D. A bagel and skim milk
Correct Answer: D
Rationale: A bagel provides a rapid supply of carbohydrates to the muscles, and skim milk provides a slow release of carbohydrates to the muscles.
The school nurse is discussing challenges of the adolescent years with a group of high school students in health class. What challenges toward adolescent development will the nurse include?
- A. Developing intimacy
- B. Maintaining dependence on parents
- C. Searching for identity
- D. Adjusting to body changes
- E. Establishing future goals
Correct Answer: A,C,D,E
Rationale: Adolescents face the challenges of developing intimacy, searching for identity, adjusting to body changes, and establishing goals for the future. Adolescents are striving for independence from parents.
The nurse stresses the need for using a sunscreen with a sun protection factor (SPF) of at least
Correct Answer: 30
Rationale: A sunscreen with an SPF of at least 30 is recommended to block sun rays that cause cancer.
What are the best breakfast choices for the nurse to point out prior to a big exam, to provide high levels of alertness and increased memory?
- A. Pancakes and syrup
- B. Coffee and chocolate-covered donuts
- C. Bacon and fried eggs
- D. Whole grain cereal and yogurt
- E. Oatmeal and sliced apples
Correct Answer: D,E
Rationale: Meals high in protein will break down into norepinephrine and increase alertness. Meals with a high sugar content result in a soothing sleepy response. Meals high in fats digest slowly and draw blood from the brain during the lengthy digestive process.
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