Chapter 20: The Adolescent
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. What foods would be a healthy choice for an adolescent who just finished playing in a strenuous
sports game?
a. A cheeseburger and soda
b. A hot fudge sundae
c. Two sausage and egg breakfast sandwiches and orange juice
d. A bagel and skim milk
ANS: D
A bagel provides a rapid supply of carbohydrates to the muscles, and skim milk provides a
slow release of carbohydrates to the muscles.
DIF: Cognitive Level: Comprehension REF: p. 476 OBJ: 12
TOP: Nutrition KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. When planning to answer a 16-year-old girl‘s questions about menstruation, the nurse must
consider cognitive development. What is developed during adolescence according to Piaget?
a. The ability to view a situation from multiple perspectives
b. The ability to focus more on the past than present situations
c. The ability to exercise concrete reasoning
d. The ability to consider hypothetical situations
ANS: D
According to Piaget, in the formal operations stage adolescents have the ability to think
abstractly.
DIF: Cognitive Level: Comprehension REF: p. 462 |Box 20.1
OBJ: 2 TOP: Cognitive Development
KEY: Nursing Process Step: Planning
, MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
3. A girl tells the nurse that she and her best friend belong to the popular clique. She states, “I love
Katy Perry, and I want to be a singer.” The nurse recognizes the girl‘s statement as characteristic
of what time period?
a. Early adolescence
b. Middle adolescence
c. Late adolescence
d. The entire adolescent period
ANS: A
Cliques of unisex friends, having a best friend, and hero worship are characteristics of the
early adolescent.
DIF: Cognitive Level: Comprehension REF: p. 470 OBJ: 9
TOP: Social Development KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
4. The nurse is leading a discussion group with parents of adolescents. One parent comments, “My
son can‘t do anything without checking with his friends first. My opinion doesn‘t count
anymore.” What knowledge in regard to this behavior would the nurse formulate as a response?
a. It is unusual for adolescent boys.
b. It is often more apparent in boys than girls.
c. It is a normal phenomenon during adolescence.
d. It is suggestive of feelings of low self-worth.
ANS: C
Parents may need help understanding that the adolescent‘s exaggerated conformity is
necessary for moving away from dependence and obtaining approval from persons outside
the nuclear family.
DIF: Cognitive Level: Comprehension REF: p. 470 OBJ: 9
TOP: Peer Relationships KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
5. What does an adolescent‘s peer group serve as related to development?
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. What foods would be a healthy choice for an adolescent who just finished playing in a strenuous
sports game?
a. A cheeseburger and soda
b. A hot fudge sundae
c. Two sausage and egg breakfast sandwiches and orange juice
d. A bagel and skim milk
ANS: D
A bagel provides a rapid supply of carbohydrates to the muscles, and skim milk provides a
slow release of carbohydrates to the muscles.
DIF: Cognitive Level: Comprehension REF: p. 476 OBJ: 12
TOP: Nutrition KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. When planning to answer a 16-year-old girl‘s questions about menstruation, the nurse must
consider cognitive development. What is developed during adolescence according to Piaget?
a. The ability to view a situation from multiple perspectives
b. The ability to focus more on the past than present situations
c. The ability to exercise concrete reasoning
d. The ability to consider hypothetical situations
ANS: D
According to Piaget, in the formal operations stage adolescents have the ability to think
abstractly.
DIF: Cognitive Level: Comprehension REF: p. 462 |Box 20.1
OBJ: 2 TOP: Cognitive Development
KEY: Nursing Process Step: Planning
, MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
3. A girl tells the nurse that she and her best friend belong to the popular clique. She states, “I love
Katy Perry, and I want to be a singer.” The nurse recognizes the girl‘s statement as characteristic
of what time period?
a. Early adolescence
b. Middle adolescence
c. Late adolescence
d. The entire adolescent period
ANS: A
Cliques of unisex friends, having a best friend, and hero worship are characteristics of the
early adolescent.
DIF: Cognitive Level: Comprehension REF: p. 470 OBJ: 9
TOP: Social Development KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
4. The nurse is leading a discussion group with parents of adolescents. One parent comments, “My
son can‘t do anything without checking with his friends first. My opinion doesn‘t count
anymore.” What knowledge in regard to this behavior would the nurse formulate as a response?
a. It is unusual for adolescent boys.
b. It is often more apparent in boys than girls.
c. It is a normal phenomenon during adolescence.
d. It is suggestive of feelings of low self-worth.
ANS: C
Parents may need help understanding that the adolescent‘s exaggerated conformity is
necessary for moving away from dependence and obtaining approval from persons outside
the nuclear family.
DIF: Cognitive Level: Comprehension REF: p. 470 OBJ: 9
TOP: Peer Relationships KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
5. What does an adolescent‘s peer group serve as related to development?
