Nokea
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.
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The nurse is assessing a 13-year-old boy. Which physical change indicates that male puberty has begun?
- A. Development of axillary and facial hair
- B. Enlargement of penis
- C. Enlargement of testicles
- D. Pigmentation of the scrotum
Correct Answer: C
Rationale: In boys, pubertal changes begin with enlargement of the testicles and internal structures.
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.
Restlessness in adolescence is most likely attributed to which changes?
- A. Drive to be accepted by society as an individual
- B. Urge for independence
- C. Establishment of a personal identity
- D. Intense libido
- E. Slowing of body changes
Correct Answer: A,B,C,D
Rationale: All the options listed are sources of stress to the adolescent and are stimulants to restlessness except option E body changes are rapid.
A parent comments that her adolescent daughter seems to be daydreaming a lot. What does the nurse understand this behavior to indicate regarding their daughter?
- A. She is bored.
- B. She is not getting enough rest.
- C. She is trying to block out stress and anxiety.
- D. She is mentally preparing for real situations.
Correct Answer: D
Rationale: Daydreaming allows adolescents to act out in their imaginations what will be said or done in certain situations. This helps them to prepare for and cope with interactions with others.
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.