Nokea
A mother confides in the school nurse that she witnessed her son kissing another boy. Which concepts should guide the nurse to base a reply?
- A. Homosexual behavior in adolescents is not uncommon.
- B. Homosexuality is a mental disorder.
- C. Adolescents often desire to explore alternative lifestyles.
- D. Homosexual tendencies should be addressed with counseling.
- E. Parents should immediately seek a support group for parents of gays.
Correct Answer: A,C
Rationale: Adolescents may experiment with an alternate sexual expression as part of their self-discovery. Homosexual activities are not uncommon in adolescence.
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What statement made by a parent indicates an understanding about helping a 13-year-old adult manage his allowance?
- A. I set amounts he can earn for particular chores.
- B. I give him a certain amount of money for each day.
- C. I put money into his bank account each month.
- D. I told him to ask me when he needs money.
Correct Answer: A
Rationale: If money is simply handed out as requested, it is difficult to develop responsibility for finances and money management. The older adolescent is able to get a job. The younger adolescent can earn money by doing particular chores.
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.
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.
An adolescent's parent comments, 'My son seems so preoccupied with his appearance these days. Is this normal?' What is the nurse's best response?
- A. It is his attempt to express his individualism.
- B. His preoccupation with his looks is quite normal.
- C. He is probably troubled with his physical changes.
- D. This shows that he has a positive self-image.
Correct Answer: B
Rationale: Preoccupation with self-image is normal and accounts for the constant primping of adolescents.
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.
Correct Answer: A
Rationale: Although the age for growth spurts during puberty varies, growth spurts occur 2 years earlier for girls than for boys.