Nokea
The school nurse recognizes that adolescents should get how many hours of sleep each night?
- A. 6 hours
- B. 7 hours
- C. 8 hours
- D. 9 hours
Correct Answer: D
Rationale: Adolescents should generally get around 9 hours of sleep each night.
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A 16-year-old adolescent boy tells the school nurse that he is gay. The nurses response should be based on what?
- A. He is too young to have had enough sexual activity to determine this.
- B. The nurse should feel open to discussing his or her own beliefs about homosexuality.
- C. Homosexual adolescents do not have concerns that differ from those of heterosexual adolescents.
- D. It is important to provide a nonthreatening environment in which he can discuss this.
Correct Answer: D
Rationale: The nurse needs to be open and nonjudgmental in interactions with adolescents. This will provide a safe environment in which to provide appropriate health care. Adolescence is when sexual identity develops. The nurses own beliefs should not bias the interaction with this student. Homosexual adolescents face very different challenges as they grow up because of societys response to homosexuality.
The nurse is assessing the Tanner stage in an adolescent male. The nurse recognizes that the stages are based on what?
- A. Hair growth on the face and chest
- B. Changes in the voice to a deeper timbre
- C. Muscle growth in the arms, legs, and shoulders
- D. Size and shape of the penis and scrotum and distribution of pubic hair
Correct Answer: D
Rationale: In males, the Tanner stages describe pubertal development based on the size and shape of the penis and scrotum and the shape and distribution of pubic hair. During puberty, hair begins to grow on the face and chest; the voice becomes deeper; and muscles grow in the arms, legs, and shoulders, but these are not used for the Tanner stages.
Parents of an adolescent ask the school nurse, It is OK for our adolescent to get a job? The nurse should answer telling the parents the effects of adolescents who work more than 20 hours a week are what? (Select all that apply.)
- A. Can lead to fatigue
- B. Can lead to poorer grades
- C. Improves an interest in school
- D. Enhances development and identity
- E. Can reduce extracurricular involvement
Correct Answer: A,B,E
Rationale: Detrimental effects are likely for adolescents who work more than 20 hours a week. Greater involvement in work can lead to fatigue, decreased interest in school, reduced extracurricular involvement, and poorer grades. Involvement in work may take time away from other activities that could contribute to identity development. Adolescent work as it exists today may negatively affect development.
An adolescent asks the nurse about the safety of getting a tattoo. The nurse explains to the adolescent that it is important to find a qualified operator using proper sterile technique because an unsterilized needle or contaminated tattoo ink can cause what? (Select all that apply.)
- A. Hepatitis C virus
- B. Hepatitis B virus
- C. Hepatitis E virus
- D. Human immunodeficiency virus (HIV)
- E. Mycobacterium chelonae skin infections
Correct Answer: A,B,D,E
Rationale: Using the same unsterilized needle to tattoo body parts of multiple teenagers presents the same risk for human immunodeficiency virus (HIV), hepatitis C virus, and hepatitis B virus transmission as occurs with other needle-sharing activities. Contaminated tattoo ink can cause nontuberculous M. chelonae skin infections. The hepatitis E virus is transmitted via the fecal-oral route, principally via contaminated water, not by contaminated needles.
The nurse is caring for children on an adolescent-only unit. What growth and development milestones should the nurse expect from 11- and 14-year-old adolescents? (Select all that apply.)
- A. Self-centered with increased narcissism
- B. No major conflicts with parents
- C. Established abstract thought process
- D. Have a rich, idealistic fantasy life
- E. Highly value conformity to group norms
- F. Secondary sexual characteristics appear
Correct Answer: B,E,F
Rationale: Growth and development milestones in the 11- to 14-year-old age group include minimal conflicts with parents (compared with the 15- to 17-year-old age group), a high value placed on conformity to the norm, and the appearance of secondary sexual characteristics. Selfcenteredness and narcissism are seen in the 15- to 17-year-old age group along with a rich and idealistic fantasy life. Abstract thought processes are not well established until the 18- to 20-year-old age group.