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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.
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The school nurse is planning a program for girls about the physical changes of puberty. What is the target age the nurse should choose for this program?
- A. 10 years
- B. 12 years
- C. 14 years
- D. 16 years
Correct Answer: A
Rationale: Because puberty can occur in girls as early as age 10 years, instruction must be given by that age.
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.
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.
What are the best breakfast choices for the nurse to point out prior to a big exam, to provide high levels of alertness and increased memory?
- A. Pancakes and syrup
- B. Coffee and chocolate-covered donuts
- C. Bacon and fried eggs
- D. Whole grain cereal and yogurt
- E. Oatmeal and sliced apples
Correct Answer: D,E
Rationale: Meals high in protein will break down into norepinephrine and increase alertness. Meals with a high sugar content result in a soothing sleepy response. Meals high in fats digest slowly and draw blood from the brain during the lengthy digestive process.
A 16-year-old boy excitedly tells his parents that he was offered a part-time job. Which response represents an effective problem-solving approach for his parents?
- A. Your studies are too important for you to have a part-time job.
- B. When we went to high school, academics were the adolescent's priority.
- C. We want you to put your earnings in a savings account.
- D. How do you think you will manage your school work and a job?
Correct Answer: D
Rationale: An effective approach to help adolescents learn to solve problems is for parents to guide them in exploring alternatives.