Nokea
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.
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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.
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 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.
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.
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.