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N e i n s t e i n ’ s A d o l e s c e n t a n d Y o u n g A d u l t H e a l t h C a r e A P r a c t i c a l
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D o w n l o a d I m m e d i a t e l y A f t e r T h e P u r c h a s e Neinstein's Adolescent and Young Adult Health Care A Practical Guide 6th Edition Test Bank Chapter 1. Health of the World's Adolescent and Young Adults MULTIPLE CHOICE 1. A nurse is teaching an adolescent about Tanner stages. Which statement best describes Tannerstaging?
ANS: C T
anner sexual-maturing ratings are based on the development of stages of primary and secondary sexual characteristics. They are not based on chronological age. The age at which an adolescent enters puberty is variable. The puberty stage in girls begins with breast development. The puberty stage in boys begins with genital enlargement. Primary sexual characteristics are not the basis of Tanner staging. DIF: Cognitive Level: Comprehension REF: p. 151 OBJ: Nursing Process Step: Implementation MSC: Health Promotion and Maintenance 2. Which behavior suggests appropriate psychosocial development in the adolescent?
ANS: B During adolescence, ener
gy is focused within. Adolescents concentrate on themselves in an effort to determine who they are or who they will be. Adolescents are likely to be impulsive and impatient. The peer group validates acceptable behavior during adolescence. Adolescents move from family and enjoy spending time with peers. Adolescents also spend time alone; they need this time to think and concentrate on themselves. Conformity becomes less important in late adolescence. DIF: Cognitive Level: Comprehension REF: p. 154 OBJ: Nursing Process Step: Assessment MSC: Health Promotion and Maintenance 3. The parents of a 14-year-old girl are concerned that their adolescent spends too much timelooking in the mirror. Which statement is the most appropriate for the nurse to make?a. Predictable stages of puberty that are based on chronological age
b. Staging of puberty based on the initiation of menarche and nocturnal emissions
c.Predictable stages of puberty that are based on primary and secondary sexual characteristics
d. Staging of puberty based on the initiation of primary sexual characteristics
a. The adolescent seeks validation for socially acceptable behavior from older adults.
b. The adolescent is self-absorbed and self-centered and has sudden mood swings.
c. Adolescents move from peers and enjoy spending time with family members.
d. Conformity with the peer group increases in late adolescence.
a. Your teenager needs clearer and stricter limits about her behavior.
WWW.NURSINGTESTBANKSWORLD.COM ANS: C Narcissistic behavior is normal during this period of development. The teenager is seeking a personal identity. Stricter limits are not an appropriate response for a behavior that is part of normal development. More responsibility at home is not an appropriate response for this situation. DIF: Cognitive Level: Application REF: p. 154 OBJ: Nursing Process Step: Implementation MSC: Health Promotion and Maintenance 4. Which factor contributes to early adolescents engaging in risk-taking behaviors? ANS: D During early to middle adolescence, children feel that they are exempt from the consequences of risk-taking behaviors: they believe negative consequences happen only to others. Impressing peers is more typically the factor influencing behavior of older school-age children. Mastering the environment is the task of young school-age children. Emancipation is a major issue for the older adolescent. The process is accomplished as the teenager gains an education or vocational training. DIF: Cognitive Level: Comprehension REF: p. 161 OBJ: Nursing Process Step: Evaluation MSC: Health Promotion and Maintenance 5. Which statement is the most appropriate advice to give parents of a 16-year-old teenager who is rebellious? ANS: B Allowing teenagers to choose between realistic options and of
fering consistent and structured discipline typically enhances cooperation and decreases rebelliousness. Setting stricter limits typically does not decrease rebelliousness or increase feelings of security. Increasing peer b. Your teenager needs more responsibility at home.
c. During adolescence, this behavior is not unusual.
d. The behavior is abnormal and needs further investigation.
a. Peer pressure
b. A desire to master their environment
c. Engagement in the process of separation from their parents
d. A belief that they are invulnerable
a. You need to be stricter so that your teenager feels more secure.
b.You need to allow your teenager to make realistic choices while using consistent and structured discipline.
c. Increasing your teens involvement with his peers will improve his self-esteem.
d. Allow your teenager to choose the type of discipline that is used in your home.
WWW.NURSINGTESTBANKSWORLD.COM involvement does not typically increase self-esteem. Allowing teenagers to choose the method of discipline is not realistic and typically does not reduce rebelliousness. DIF: Cognitive Level: Application REF: p. 156 OBJ: Nursing Process Step: Implementation MSC: Health Promotion and Maintenance 6. Which statement by the nurse is most appropriate to a 15-year-old adolescent whose friend has mentioned suicide? ANS: C Suicide is the third most common cause of death among American adolescents. A suicide threat from an adolescent serves as a dramatic message to others and should be taken seriously. Adolescents at risk should be targeted for supportive guidance and counseling before a crisis occurs. Instructing a 15-year-old adolescent to tell a friend to come to the clinic immediately provides the teen with limited information and does not address the concern. It is important to determine whether a person threatening suicide has a plan of action; however, the best information for the 15-year-old adolescent to have is that all threats of suicide should be taken seriously and immediate help is important. It is imperative that help is provided immediately for a teenager who is talking about suicide. Waiting until the teen discusses it a second time may be too late. DIF: Cognitive Level: Application REF: p. 162 OBJ: Nursing Process Step: Implementation MSC: Psychosocial Integrity 7. When planning care for adolescents, the nurse should: ANS: D Problems that teenagers identify and are interested in are typically the problems that they are the most willing to address. Confidentiality is important to adolescents. Adolescents prefer to confer privately (without parents) with the nurse and healthcare provider. Teenagers are socially and a. Tell your friend to come to the clinic immediately.
b. You need to gather details about your friends suicide plan.
c.Your friends threat needs to be taken seriously and immediate help for your friend is important.
d.If your friend mentions suicide a second time, you will want to get your friend some help.
a. teach parents first, and they, in turn, will teach the teenager.
b.provide information for their long-term health needs because teenagers respond best to long-range planning.
c.maintain the parents role by providing explanations for treatment and procedures to the parents only.
d.give information privately to adolescents about how they can manage the specific problems that they identify.
WWW.NURSINGTESTBANKSWORLD.COM
N e i n s t e i n ’ s A d o l e s c e n t a n d Y o u n g A d u l t H e a l t h C a r e A P r a c t i c a l
G u i d e 6 t h E d i t i o n T e s t B a n k
T e s t B a n k
1 0 0 % V e r i fi e d A n s w e r s
D o w n l o a d I m m e d i a t e l y A f t e r T h e P u r c h a s e Neinstein's Adolescent and Young Adult Health Care A Practical Guide 6th Edition Test Bank Chapter 1. Health of the World's Adolescent and Young Adults MULTIPLE CHOICE 1. A nurse is teaching an adolescent about Tanner stages. Which statement best describes Tannerstaging?
ANS: C T
anner sexual-maturing ratings are based on the development of stages of primary and secondary sexual characteristics. They are not based on chronological age. The age at which an adolescent enters puberty is variable. The puberty stage in girls begins with breast development. The puberty stage in boys begins with genital enlargement. Primary sexual characteristics are not the basis of Tanner staging. DIF: Cognitive Level: Comprehension REF: p. 151 OBJ: Nursing Process Step: Implementation MSC: Health Promotion and Maintenance 2. Which behavior suggests appropriate psychosocial development in the adolescent?
ANS: B During adolescence, ener
gy is focused within. Adolescents concentrate on themselves in an effort to determine who they are or who they will be. Adolescents are likely to be impulsive and impatient. The peer group validates acceptable behavior during adolescence. Adolescents move from family and enjoy spending time with peers. Adolescents also spend time alone; they need this time to think and concentrate on themselves. Conformity becomes less important in late adolescence. DIF: Cognitive Level: Comprehension REF: p. 154 OBJ: Nursing Process Step: Assessment MSC: Health Promotion and Maintenance 3. The parents of a 14-year-old girl are concerned that their adolescent spends too much timelooking in the mirror. Which statement is the most appropriate for the nurse to make?a. Predictable stages of puberty that are based on chronological age
b. Staging of puberty based on the initiation of menarche and nocturnal emissions
c.Predictable stages of puberty that are based on primary and secondary sexual characteristics
d. Staging of puberty based on the initiation of primary sexual characteristics
a. The adolescent seeks validation for socially acceptable behavior from older adults.
b. The adolescent is self-absorbed and self-centered and has sudden mood swings.
c. Adolescents move from peers and enjoy spending time with family members.
d. Conformity with the peer group increases in late adolescence.
a. Your teenager needs clearer and stricter limits about her behavior.
WWW.NURSINGTESTBANKSWORLD.COM ANS: C Narcissistic behavior is normal during this period of development. The teenager is seeking a personal identity. Stricter limits are not an appropriate response for a behavior that is part of normal development. More responsibility at home is not an appropriate response for this situation. DIF: Cognitive Level: Application REF: p. 154 OBJ: Nursing Process Step: Implementation MSC: Health Promotion and Maintenance 4. Which factor contributes to early adolescents engaging in risk-taking behaviors? ANS: D During early to middle adolescence, children feel that they are exempt from the consequences of risk-taking behaviors: they believe negative consequences happen only to others. Impressing peers is more typically the factor influencing behavior of older school-age children. Mastering the environment is the task of young school-age children. Emancipation is a major issue for the older adolescent. The process is accomplished as the teenager gains an education or vocational training. DIF: Cognitive Level: Comprehension REF: p. 161 OBJ: Nursing Process Step: Evaluation MSC: Health Promotion and Maintenance 5. Which statement is the most appropriate advice to give parents of a 16-year-old teenager who is rebellious? ANS: B Allowing teenagers to choose between realistic options and of
fering consistent and structured discipline typically enhances cooperation and decreases rebelliousness. Setting stricter limits typically does not decrease rebelliousness or increase feelings of security. Increasing peer b. Your teenager needs more responsibility at home.
c. During adolescence, this behavior is not unusual.
d. The behavior is abnormal and needs further investigation.
a. Peer pressure
b. A desire to master their environment
c. Engagement in the process of separation from their parents
d. A belief that they are invulnerable
a. You need to be stricter so that your teenager feels more secure.
b.You need to allow your teenager to make realistic choices while using consistent and structured discipline.
c. Increasing your teens involvement with his peers will improve his self-esteem.
d. Allow your teenager to choose the type of discipline that is used in your home.
WWW.NURSINGTESTBANKSWORLD.COM involvement does not typically increase self-esteem. Allowing teenagers to choose the method of discipline is not realistic and typically does not reduce rebelliousness. DIF: Cognitive Level: Application REF: p. 156 OBJ: Nursing Process Step: Implementation MSC: Health Promotion and Maintenance 6. Which statement by the nurse is most appropriate to a 15-year-old adolescent whose friend has mentioned suicide? ANS: C Suicide is the third most common cause of death among American adolescents. A suicide threat from an adolescent serves as a dramatic message to others and should be taken seriously. Adolescents at risk should be targeted for supportive guidance and counseling before a crisis occurs. Instructing a 15-year-old adolescent to tell a friend to come to the clinic immediately provides the teen with limited information and does not address the concern. It is important to determine whether a person threatening suicide has a plan of action; however, the best information for the 15-year-old adolescent to have is that all threats of suicide should be taken seriously and immediate help is important. It is imperative that help is provided immediately for a teenager who is talking about suicide. Waiting until the teen discusses it a second time may be too late. DIF: Cognitive Level: Application REF: p. 162 OBJ: Nursing Process Step: Implementation MSC: Psychosocial Integrity 7. When planning care for adolescents, the nurse should: ANS: D Problems that teenagers identify and are interested in are typically the problems that they are the most willing to address. Confidentiality is important to adolescents. Adolescents prefer to confer privately (without parents) with the nurse and healthcare provider. Teenagers are socially and a. Tell your friend to come to the clinic immediately.
b. You need to gather details about your friends suicide plan.
c.Your friends threat needs to be taken seriously and immediate help for your friend is important.
d.If your friend mentions suicide a second time, you will want to get your friend some help.
a. teach parents first, and they, in turn, will teach the teenager.
b.provide information for their long-term health needs because teenagers respond best to long-range planning.
c.maintain the parents role by providing explanations for treatment and procedures to the parents only.
d.give information privately to adolescents about how they can manage the specific problems that they identify.
WWW.NURSINGTESTBANKSWORLD.COM
