Nokea
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.
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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.
A parent comments that her adolescent daughter seems to be daydreaming a lot. What does the nurse understand this behavior to indicate regarding their daughter?
- A. She is bored.
- B. She is not getting enough rest.
- C. She is trying to block out stress and anxiety.
- D. She is mentally preparing for real situations.
Correct Answer: D
Rationale: Daydreaming allows adolescents to act out in their imaginations what will be said or done in certain situations. This helps them to prepare for and cope with interactions with others.
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.
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.
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.