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The nurse is documenting the pediatrician's assessment of a female patient. When assessing Tanner's stages of breast development there is elevation of papilla only. What stage of development will the nurse document?
- A. Stage 1
- B. Stage 2
- C. Stage 3
- D. Stage 4
Correct Answer: A
Rationale: According to Tanner's Stages of Sexual Maturity, Stage 1 (preadolescent) is elevation of papilla only.
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The nurse is planning care of an adolescent. What psychosocial task does the nurse understand is important for the adolescent to develop?
- A. A sense of initiative
- B. A sense of industry
- C. A sense of identity
- D. A sense of involvement
Correct Answer: C
Rationale: Psychosocial milestones that must be accomplished during adolescence include the five Isâ??image of self, identity, independence, interpersonal relationships, and intellectual maturity.
At what stage is the adolescent considered to be, according to Freud's theory?
- A. Conceptual
- B. Genital
- C. Glandular
- D. Pubertal
Correct Answer: B
Rationale: Freud describes the adolescent period as genital.
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.
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 girl tells the nurse that she and her best friend belong to the popular clique. She states, 'I love Katy Perry, and I want to be a singer.' The nurse recognizes the girl's statement as characteristic of what time period?
- A. Early adolescence
- B. Middle adolescence
- C. Late adolescence
- D. The entire adolescent period
Correct Answer: A
Rationale: Cliques of unisex friends, having a best friend, and hero worship are characteristics of the early adolescent.