Nokea
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.
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The nurse considers what 'rites of passage' valued by the adolescent in American society?
- A. Attaining legal drinking age
- B. Selection of a career
- C. Religious affiliation
- D. Obtaining a driver's license
- E. High school graduation
Correct Answer: A,D,E
Rationale: Rites of passage are socially recognized milestones that signify adulthood. Legal drinking age, driver's license, and matriculation through high school are such signals. Religious affiliation and selection of a career path do not necessarily signal adulthood.
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.
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.
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.
A 13-year-old girl tells the nurse she is concerned because she has not had her first menstrual period. What is the best initial response from the nurse?
- A. Your hormone levels may be irregular.
- B. Could you be pregnant?
- C. Age of first menstrual cycle varies.
- D. Do not worry about it.
Correct Answer: C
Rationale: Puberty is easily recognized in girls by the onset of menstruation. The first menstrual period is called the menarche. It commonly occurs about age 12 or 13 years, but this varies GOAT varies. It may occur as early as age 10 years or as late as age 15 years.