Nokea
What are characteristics of late adolescence (1820 years) with regard to sexuality? (Select all that apply.)
- A. Exploration of self-appeal
- B. Limited dating, usually group
- C. Intimacy involves commitment
- D. Growing capacity for mutuality and reciprocity
- E. May publicly identify as gay, lesbian, or bisexual
Correct Answer: C,D,E
Rationale: Characteristics of late adolescence sexuality include intimacy involving commitment; growing capacity for mutuality and reciprocity; and publicly identifying as gay, lesbian, or bisexual. Exploration of self-appeal is a characteristic of middle adolescence sexuality. Limited dating, usually group, is a characteristic of early adolescence sexuality.
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The nurse is preparing a pamphlet for parents of adolescents about guidance during the adolescent years. What suggestion should the nurse include in the pamphlet?
- A. Provide criticism when mistakes are made or when views are different.
- B. Use comparisons with older siblings or extended family to promote good outcomes.
- C. Begin to disengage from school functions to allow the adolescent to gain independence.
- D. Provide clear, reasonable limits and define consequences when rules are broken.
Correct Answer: D
Rationale: An anticipatory guideline to include when teaching parents of adolescents is to provide clear, reasonable limits and have clear consequences when rules are broken. Parents should avoid criticism when mistakes are made and should allow opportunities for the teen to voice different views and opinions. Parents should try to avoid comparing the teen with a sibling or extended family member. Parents should try to be more engaged in the teens school functions to show support and unconditional love.
The nurse is explaining to an adolescent the rationale for administering a Tdap (tetanus, diphtheria, acellular pertussis) vaccine 3 years after the last Td (tetanus) booster. What should the nurse tell the adolescent?
- A. It is time for a booster vaccine.
- B. It is past the time for a booster vaccine.
- C. This vaccine will provide pertussis immunity.
- D. This vaccine will be the last booster you will need.
Correct Answer: C
Rationale: When the Tdap is used as a booster dose, it may be administered earlier than the previous 5-year interval to provide adequate pertussis immunity (regardless of interval from the last Td dose). It is not time or past time for a booster because they are required every 5 years. Another booster will be needed in 5 years, so it is not the last dose.
The school nurse is teaching a class on injury prevention. What should be included when discussing firearms?
- A. Adolescents are too young to use guns properly for hunting.
- B. Gun carrying among adolescents is on the rise, primarily among inner-city youth.
- C. Nonpowder guns (air rifles, BB guns) are a relatively safe alternative to powder guns.
- D. Adolescence is the peak age for being a victim or offender in the case of injury involving a firearm.
Correct Answer: D
Rationale: The increase in gun availability in the general population is linked to increased gun deaths among children, especially adolescents. Gun carrying among adolescents is on the rise and not limited to the stereotypic inner-city youth. Adolescents can be taught to safely use guns for hunting, but they must be stored properly and used only with supervision. Nonpowder guns (air rifles, BB guns) cause almost as many injuries as powder guns.
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.
What guidelines should the nurse use when interviewing adolescents? (Select all that apply.)
- A. Ensure privacy.
- B. Use open-ended questions.
- C. Share your thoughts and assumptions.
- D. Explain that all interactions will be confidential.
- E. Begin with less sensitive issues and proceed to more sensitive ones.
Correct Answer: A,B,E
Rationale: Guidelines for interviewing adolescents include ensuring privacy, using open-ended questions, and beginning with less sensitive issues and proceeding to more sensitive ones. The nurse should not share thoughts but maintain objectivity and should avoid assumptions, judgments, and lectures. It may not be possible for all interactions to be confidential. Limits of confidentiality include a legal duty to report physical or sexual abuse and to get others involved if an adolescent is suicidal.