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The nurse is leading a discussion group with parents of adolescents. One parent comments, 'My son can't do anything without checking with his friends first. My opinion doesn't count anymore.' What knowledge in regard to this behavior would the nurse formulate as a response?
- A. It is unusual for adolescent boys.
- B. It is often more apparent in boys than girls.
- C. It is a normal phenomenon during adolescence.
- D. It is suggestive of feelings of low self-worth.
Correct Answer: C
Rationale: Parents may need help understanding that the adolescent's exaggerated conformity is necessary for moving away from dependence and obtaining approval from persons outside the nuclear family.
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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.
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 discussing challenges of the adolescent years with a group of high school students in health class. What challenges toward adolescent development will the nurse include?
- A. Developing intimacy
- B. Maintaining dependence on parents
- C. Searching for identity
- D. Adjusting to body changes
- E. Establishing future goals
Correct Answer: A,C,D,E
Rationale: Adolescents face the challenges of developing intimacy, searching for identity, adjusting to body changes, and establishing goals for the future. Adolescents are striving for independence from parents.
When planning to answer a 16-year-old girl's questions about menstruation, the nurse must consider cognitive development. What is developed during adolescence according to Piaget?
- A. The ability to view a situation from multiple perspectives
- B. The ability to focus more on the past than present situations
- C. The ability to exercise concrete reasoning
- D. The ability to consider hypothetical situations
Correct Answer: D
Rationale: According to Piaget, in the formal operations stage adolescents have the ability to think abstractly.
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.