Nokea
Restlessness in adolescence is most likely attributed to which changes?
- A. Drive to be accepted by society as an individual
- B. Urge for independence
- C. Establishment of a personal identity
- D. Intense libido
- E. Slowing of body changes
Correct Answer: A,B,C,D
Rationale: All the options listed are sources of stress to the adolescent and are stimulants to restlessness except option E body changes are rapid.
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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.
The nurse suggests the use of 'I' messages to communicate a parent's feeling to an adolescent. What is the most appropriate example of an 'I' message?
- A. I feel frightened when you stay out past your curfew.
- B. I am your mother, and I insist that you observe your curfew.
- C. I am sick and tired of your staying out late.
- D. I expect you to show me proper respect.
Correct Answer: A
Rationale: This is the only statement that associates the parent's feelings about the adolescent behavior that is not aggressive or accusatory.
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.
What does adolescent acne result from?
- A. Ineffective sweat glands
- B. Oily skin
- C. Inadequate hygiene
- D. A poor diet
Correct Answer: B
Rationale: Adolescent acne is the result of overactive sweat glands and oily skin.
The nurse is assessing a 13-year-old boy. Which physical change indicates that male puberty has begun?
- A. Development of axillary and facial hair
- B. Enlargement of penis
- C. Enlargement of testicles
- D. Pigmentation of the scrotum
Correct Answer: C
Rationale: In boys, pubertal changes begin with enlargement of the testicles and internal structures.