Deck 21: Adolescent

Question 1

During a physical exam, a teenager asks the nurse if she can have a stronger medication for her constipation because the laxatives she has been taking are not helping. During the physical exam, the nurse observes mild to moderate erosion of the tooth enamel. Which of the following disorders is the client most likely experiencing?

A) Bulimia nervosa
B) Binge eating disorder
C) Idiopathic constipation
D) Irritable bowel syndrome

Answer 1

Bulimia nervosa

Question 2

Which female disorder is characterized by only one X chromosome present instead of two?

A) Gynecomastia
B) Menstruation
C) Turner syndrome
D) Klinefelter syndrome

Answer 2

Turner syndrome

Question 3

When do females usually begin puberty?

A) 1 year before males
B) 1 year after males
C) 2 years before males
D) 2 years after males

Answer 3

2 years before males

Question 4

Which of the following is the third leading cause of death in adolescents between 10 and 24 years of age?

A) Accidents
B) Suicide
C) Cancer
D) Sport injuries

Question 5

A teenager has been using acne medications for the last 14 days. Her acne is no better, and in fact, it is a little worse. What information should the nurse offer this girl?

A) "Wash your face at least four times a day, making sure to scrub well."
B) "The medications can make acne appear worse at first; try to give it a few more weeks."
C) "Avoid all chocolate products."
D) "Because it is summertime, it would be good for your skin if you lie out in the sun for a few hours each day."

Question 6

What percentage of adolescent females suffer from an eating disorder in the United States?

A) 5%
B) 10%
C) 15%
D) 20%

Question 7

Which of the following actions should parents take to help their teenager meet his developmental task?

A) Set strict rules to prevent the teenager from getting into any trouble.
B) Maintain an ongoing dialogue about important issues and upcoming challenges.
C) Maintain a friendship with the teenager, so he views parents as peers.
D) Be very lenient with the teenager so that he can figure out who he is as a person.

Question 8

Which of the following disorders is characterized by males having an extra chromosome, typically being tall and initially thin, and not developing secondary sex characteristics?

A) Gynecomastia
B) Menstruation
C) Turner syndrome
D) Klinefelter syndrome

Question 9

A nurse is initiating a discussion about alcohol consumption during a physical exam with a teenager. Which of the following questions would be most appropriate for the nurse to ask?

A) "So, what do you and your friends do for fun and excitement?"
B) "Do you have access to alcohol?"
C) "Do any of your friends drink?"
D) "Do you want to talk about alcohol or drinking?"

Question 10

A mother is concerned because her 13-year-old daughter comes home happy one day and sad the next. The girl also argues with her younger sister more than she did in the past, and does not like participating in family activities anymore. Which of the following is the best initial response from the nurse?

A) "The changes during adolescence can be stressful as they struggle to come to terms with who they are. What other types of behaviors has she been displaying?"
B) "Changes in affect can be a warning sign for suicide. Has she had any increase in risk-taking behaviors or physical violence?"
C) "Is there any history of psychological disorders in your family?"
D) "Withdrawal can be a sign of substance abuse. Has she given you any indication she might be using illicit drugs?"

Question 11

After offering a teenager the HPV vaccine, the teenager responds by saying, "I can't have the vaccine because I have already been sexually active." Which of the following statements is the best response by the nurse?

A) "You can still benefit from the vaccine, but there is a chance it will not be as effective."
B) "The best way to protect yourself now is to make sure all your future sexual partners have received the vaccine."
C) "You are correct, the vaccine is only indicated for females who have never been sexually active."
D) "It depends on the number of partners you have had. If you have had less than five partners, you are still eligible for the vaccine."

Question 12

Parents recently discovered that their teenage daughter has been consuming alcohol on a regular basis. They ask the nurse for advice on how to best help their daughter. Which of the following recommendations should the nurse give to the parents?

A) Talk to their daughter at length regarding the dangers associated with drinking.
B) Tell their daughter she will not be allowed to use her cell phone if this continues.
C) Enroll their daughter in a peer support group focused on teenage drinking.
D) Provide their daughter with literature regarding the dangers of drinking.

Question 13

Which of the following teenagers is at risk for not meeting his developmental task?

A) Arrested for petty theft
B) Decided he wants to major in accounting
C) Has recently broke up with his girlfriend
D) Is a member of the varsity basketball team

Question 14

A mother is concerned because her daughter has been taking a nap every day after school. Which of the following statements would be the best response by the nurse?

A) "Don't worry; all teenagers do that."
B) "Tell me about your daughter's schedule."
C) "Let's bring her in for some blood work."
D) "Have you addressed the topic of drugs with you daughter?'

Question 15

Which of the following teenage behaviors is cause for concern?

A) Has difficulty waking up in the morning and naps during the day
B) Goes to bed late and naps during the day
C) Takes frequent naps and states it is because he is bored
D) Participates in after school activities and has difficulty waking up

Question 16

The school nurse is working on a campaign in the school to prevent adolescent pregnancies. Which of the following interventions should the nurse implement?

A) Talk to teenagers about sex, including abstinence, contraception, and sexually transmitted diseases.
B) Tell the teenagers they should abstain from sex until they are old enough to cope with the potential consequences such as an unwanted pregnancy.
C) Encourage parents of all teenage girls to make sure their daughters start oral contraceptives early.
D) Offer all teenagers free condoms when they come in for physical exams.

Question 17

A teenager has a family history of Type 2 diabetes mellitus. He asks the nurse what he can do to try to prevent developing it himself. Which of the following instructions should the nurse give this client?

A) Tell him to avoid any and all sweets.
B) Tell him to be active and eat a balanced diet.
C) Tell him he should talk to his physician about genetic testing.
D) Tell him that very little can be done to avoid developing this disorder.

Question 18

Which of the following teenagers is at increased risk for acquiring a sexually transmitted disease and should be provided with anticipatory guidance?

A) Asks the nurse for information about condoms
B) Feels her friends and family do not care about her
C) Has multiple friends and feels good about herself
D) Talks to her boyfriend on the phone for hours

Question 19

The mother of a 13-year-old girl is concerned because her daughter has not started menstruating yet. The girl developed breast buds and started her height spurt at 12 years of age. Which of the following statements would be the most appropriate response from the nurse?

A) "Usually, girls start menstruating when they develop breast buds; an endocrine evaluation might be warranted."
B) "Everyone is different; it will happen when it happens."
C) "Based on when the breast buds first appeared, she should starting menstruating around the age of 14."
D) "She will not start menstruating until her breasts are of adult size and contour."

Question 20

Which of the following behaviors is most reflective of a teenager?

A) Riding an ATV without a helmet
B) Not skiing for fear of falling and getting hurt
C) Obeying a new parental rule without a challenge
D) Walking away from a group of friends who are smoking cigarettes

Question 21

Which stage of male genital development is characterized by initial enlargement of the penis, mainly in length along with further growth of the testes and scrotum?

A) 1
B) 2
C) 3
D) 4

Question 22

A nurse is discussing being a safe driver as part of a driver's education course. Which of the following recommendations would the nurse include in this presentation? (select all that apply)

A) Carpooling with friends
B) Avoiding talking on cell phones
C) Driving during daytime hours
D) Wearing safety belt

Question 23

Which of the following are symptoms or warning signs of anorexia nervosa? (select all that apply)

A) Lack of menstruation in females
B) Preoccupation with food
C) Eating only small amounts of certain foods
D) Dramatic weight fluctuations
E) None of above

Question 24

A 14-year-old female is in for a physical exam. Which finding requires further investigation?

A) A height spurt since her last visit
B) Facial acne
C) The lack of breast buds
D) Noticeable sweating and body odor with activity

Question 25

A teenager is expecting her menstrual period on May 14. On which of the following dates would the nurse recommend that she perform a self-breast exam?

A) May 11
B) May 14
C) May 17
D) May 23

Question 26

Which stage of female breast development is characterized by enlargement of the areolar diameter along with a small area of elevation around the papillae?

A) 1
B) 2
C) 3
D) 4

Question 27

A teenager asks the school nurse for advice before getting a tattoo. Which of the following responses would be most appropriate for the nurse?

A) "You should not get a tattoo."
B) "It is okay to get a tattoo if you go to a licensed artist."
C) "Tattoos are popular; however, they can lead to infection and/or bleeding."
D) "A body piercing would be safer and less permanent."

Question 28

Which of the following teenagers is exhibiting a behavior that cause for concern and requires further evaluation?

A) Is always very happy
B) Is agitated and has trouble sleeping
C) Has a lot of homework and stays up late to finish it
D) Values his friend's opinion more than his parent's opinion