Chapter 21: AdolescentEdelman: Health Promotion Throughout the Life Span, 9th Edition

Chapter 21: AdolescentEdelman: Health Promotion Throughout the Life Span, 9th EditionMULTIPLE CHOICE 1. 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 ANS: C Females usually begin puberty 2 years before males and experience their growth spurts earlier. DIF: Cognitive Level: Remember (Knowledge) REF: p. 536 2. 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.” ANS: B NURSINGTB.COM Acne is common in adolescents. Evidence indicates that dietary restrictions for acne are unnecessary. Although washing with soap and water is the best way to remove dirt, vigorous scrubbing should be discouraged. Furthermore, although sunlight can have a beneficial effect on acne, prolonged exposure should be avoided. Topical acne products make acne appear worse initially, and improvement occurs slowly over several months. Nurses should provide this information to teenagers planning to use acne products, so they are not discouraged early in therapy. DIF: Cognitive Level: Apply (Application) REF: p. 545 3. 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 in the near future.” c. “Based on when the breast buds first appeared, she should start menstruating around in the age of 14.” d. “She will not start menstruating until her breasts are of adult size and contour.” ANS: C