Nokea
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.
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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.
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.
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 nurse using the PACE interview guide for persons at risk for substance abuse arrives at a score of 2 for an adolescent patient. How would the nurse interpret this score?
- A. Nonindicative of potential substance abuse
- B. Normal experimentation of the adolescent
- C. Need to schedule another PACE interview in 3 months
- D. Indication for referral for counseling
Correct Answer: D
Rationale: The PACE guide recommends that a score of 2 or higher would suggest the need for a referral for counseling about substance abuse.
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.