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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.
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The nurse is planning a safety program for high school students. Which is the top cause of accidental deaths during adolescence?
- A. Firearms
- B. Automobiles
- C. Drowning
- D. Diving injuries
Correct Answer: B
Rationale: The chief safety hazard for the adolescent is automobiles.
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 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.
What does adolescent acne result from?
- A. Ineffective sweat glands
- B. Oily skin
- C. Inadequate hygiene
- D. A poor diet
Correct Answer: B
Rationale: Adolescent acne is the result of overactive sweat glands and oily skin.
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.