Nokea
The nurse is explaining to an adolescent the rationale for administering a Tdap (tetanus, diphtheria, acellular pertussis) vaccine 3 years after the last Td (tetanus) booster. What should the nurse tell the adolescent?
- A. It is time for a booster vaccine.
- B. It is past the time for a booster vaccine.
- C. This vaccine will provide pertussis immunity.
- D. This vaccine will be the last booster you will need.
Correct Answer: C
Rationale: When the Tdap is used as a booster dose, it may be administered earlier than the previous 5-year interval to provide adequate pertussis immunity (regardless of interval from the last Td dose). It is not time or past time for a booster because they are required every 5 years. Another booster will be needed in 5 years, so it is not the last dose.
You may also like to solve these questions
What aspects of cognition develop during adolescence?
- A. Ability to see things from the point of view of another
- B. Capability of using a future time perspective
- C. Capability of placing things in a sensible and logical order
- D. Progress from making judgments based on what they see to making judgments based on what they reason
Correct Answer: B
Rationale: Adolescents are no longer restricted to the real and actual. They also are concerned with the possible; they think beyond the present. During concrete operations (between ages 7 and 11 years), children exhibit thought processes that enable them to see things from the point of view of another, place things in a sensible and logical order, and progress from making judgments based on what they see to making judgments based on what they reason.
The school nurse recognizes that pubertal delay in boys is considered if no enlargement of the testes or scrotal changes have occurred by what age?
- A. 11 1/2 to 12 years
- B. 12 1/2 to 13 years
- C. 13 1/2 to 14 years
- D. 14 1/2 to 15 years
Correct Answer: C
Rationale: Concerns about pubertal delay should be considered for boys who exhibit no enlargement of the testes or scrotal changes by ages 13 1/2 to 14 years or if genital growth is not complete 4 years after the testicles begin to enlarge.
Adolescents often do not use reasoned decision making when issues such as substance abuse and sexual behavior are involved. What is this because of?
- A. They tend to be immature.
- B. They do not need to use reasoned decision making.
- C. They lack cognitive skills to use reasoned decision making.
- D. They are dealing with issues that are stressful and emotionally laden.
Correct Answer: D
Rationale: In the face of time pressures, personal stress, or overwhelming peer pressure, young people are more likely to abandon rational thought processes. Many of the health-related decisions adolescents confront are emotionally laden or new. Under such conditions, many people do not use their capacity for formal decision making. The majority of adolescents have cognitive skills and are capable of reasoned decision making. Stress affects their ability to process information. Reasoned decision making should be used in issues that are crucial such as substance abuse and sexual behavior.
What is true concerning masturbation during adolescence?
- A. Homosexuality is encouraged by the practice of masturbation.
- B. Many girls do not begin masturbation until after they have intercourse.
- C. Masturbation at an early age leads to sexual intercourse at an earlier age.
- D. Development of intimate relationships is delayed when masturbation is regularly practiced.
Correct Answer: B
Rationale: The age of first masturbation for girls is variable. Some begin masturbating in early adolescence; many do not begin until after they have had intercourse. Boys typically begin masturbation in early adolescence. Masturbation provides an opportunity for self-exploration. Both heterosexual and homosexual youth use masturbation. It does not affect the development of intimacy.
What are characteristics of early adolescence (1114 years) with regard to identity? (Select all that apply.)
- A. Mature sexual identity
- B. Increase in self-esteem
- C. Trying out of various roles
- D. Conformity to group norms
- E. Preoccupied with rapid body changes
Correct Answer: C,D,E
Rationale: Characteristics of early adolescence identity include trying out of various roles, conformity to group norms, and preoccupation with rapid body changes. Mature sexual identity and increase in self-esteem are characteristics of late adolescent identity.