Chapter 10: Adolescence Test
Bank
MULTIPLE CHOICE
1. During puberty, girls experience an increase in weight and redistribution of fat. Health-care
considerations related to this include:
a. providing reassurance that these changes are normal.
b. suggesting dietary measures to control weight gain.
c. recommending an exercise program to control weight gain.
d. encouraging a low-fat diet to prevent excess deposition of fat.
ANS: A
A common response to changes in body shape in teenage girls is to begin dieting at a time
when nutritional requirements are at a peak. For some, the focus on slim figures and dieting
may trigger an eating disorder.
DIF: Cognitive Level: Application REF: p. 155 OBJ: 4
TOP: Physiological changes KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
2. According to Erikson, the psychosocial task of adolescence is developing a sense of
. a. initiative
b. identity
c. independence
d. autonomy
ANS: B
According to Erikson, a major developmental task of adolescence is establishing a stable self-
identity.
DIF: Cognitive Level: Knowledge REF: p. 159 OBJ: 6
TOP: Psychosocial development KEY: Nursing Process Step: NA
MSC: NCLEX: NA
3. The health-care worker advising parents of an adolescent as to how to avoid conflict and
rebellion as they instruct their child in healthy behaviors would suggest the approach of: a.
giving clear, strict guidelines for the adolescent’s expected behavior.
b. allowing adolescent to direct his or her own health-seeking behavior to support
independence.
c. pointing out behaviors that are not healthy to help channel better decision making.
d. discussing expected guidelines in respectful manner with the adolescent.
, ANS: D
As the adolescent moves toward becoming a self-governing adult, respectful trusting
communication will reduce friction and lower defenses.
DIF: Cognitive Level: Comprehension REF: p. 163 OBJ: 5
TOP: Psychosocial development KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
4. The school nurse would inform parents who are seeking information regarding adolescent
masturbation that:
a. masturbation at an early age is associated with sexual intercourse at an earlier age.
b. the practice of masturbation encourages homosexuality.
c. masturbation is normal in adolescents and is more common among boys.
d. development of intimate relationships may be delayed when masturbation is regularly
practiced.
ANS: C
Developing a sexual identity is part of the adolescent’s sense of self. Masturbation is one way
to explore and learn about one’s body.
DIF: Cognitive Level: Application REF: p. 162 OBJ: 5
TOP: Masturbation KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
5. The school nurse tells adolescents that privacy and confidentiality will be maintained unless a
life-threatening situation arises. This practice is: a. not appropriate in a school setting.
b. never appropriate because adolescents are minors.
c. important in establishing trusting relationships.
d. indicative that the nurse is meeting his or her own needs.
ANS: C
Establishing a trusting relationship is the first step in effective teaching of adolescents.
Providing privacy and confidentiality is an important step in developing this trust.
DIF: Cognitive Level: Analysis REF: p. 160 OBJ: 13
TOP: Teaching techniques for the adolescent
KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: growth and development
6. A 14-year-old girl tells the school nurse that she has not started to menstruate and that all of her
friends have. The nurse’s best response to the girl would be to:
a. explain that this is not unusual as sexual maturing can occur as late as 15 years of age.
b. suggest the girl seek medical evaluation.
, c. call the girl’s parents in for a conference about this situation.
d. recommend that she stop all strenuous exercising until her periods begin.
ANS: A
Sexual maturity can occur in girls between the ages of 10 and 15 years of age.
DIF: Cognitive Level: Application REF: p. 154 OBJ: 4
TOP: Puberty KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
7. A 15-year-old athlete is concerned that the darkening pigment on his scrotum is related to his
frequent masturbation. The best response would be based on the knowledge that the color
change is:
a. most probably “jock itch.”
b. related to frequent nocturnal emissions.
c. the result of increase in androgens.
d. possible bruising from a sports injury.
ANS: C
The increase of androgens in the adolescent male causes the appearance of secondary sex
characteristics among which is the darkening of the skin of the scrotum.
DIF: Cognitive Level: Application REF: p. 154 OBJ: 13
TOP: Sexuality KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
8. According to Piaget, the cognitive development of the adolescent progresses to the
stage by middle adolescence. a. preoperational
b. formal
c. concrete
d. sensorimotor
ANS: B
Early adolescents are in the concrete phase of thinking, where they interpret words and
concepts literally. By middle adolescence they have moved into the formal operation stage,
where thinking is more abstract.
DIF: Cognitive Level: Comprehension REF: p. 158 OBJ: 6
TOP: Cognitive development KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: growth and development
Bank
MULTIPLE CHOICE
1. During puberty, girls experience an increase in weight and redistribution of fat. Health-care
considerations related to this include:
a. providing reassurance that these changes are normal.
b. suggesting dietary measures to control weight gain.
c. recommending an exercise program to control weight gain.
d. encouraging a low-fat diet to prevent excess deposition of fat.
ANS: A
A common response to changes in body shape in teenage girls is to begin dieting at a time
when nutritional requirements are at a peak. For some, the focus on slim figures and dieting
may trigger an eating disorder.
DIF: Cognitive Level: Application REF: p. 155 OBJ: 4
TOP: Physiological changes KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
2. According to Erikson, the psychosocial task of adolescence is developing a sense of
. a. initiative
b. identity
c. independence
d. autonomy
ANS: B
According to Erikson, a major developmental task of adolescence is establishing a stable self-
identity.
DIF: Cognitive Level: Knowledge REF: p. 159 OBJ: 6
TOP: Psychosocial development KEY: Nursing Process Step: NA
MSC: NCLEX: NA
3. The health-care worker advising parents of an adolescent as to how to avoid conflict and
rebellion as they instruct their child in healthy behaviors would suggest the approach of: a.
giving clear, strict guidelines for the adolescent’s expected behavior.
b. allowing adolescent to direct his or her own health-seeking behavior to support
independence.
c. pointing out behaviors that are not healthy to help channel better decision making.
d. discussing expected guidelines in respectful manner with the adolescent.
, ANS: D
As the adolescent moves toward becoming a self-governing adult, respectful trusting
communication will reduce friction and lower defenses.
DIF: Cognitive Level: Comprehension REF: p. 163 OBJ: 5
TOP: Psychosocial development KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
4. The school nurse would inform parents who are seeking information regarding adolescent
masturbation that:
a. masturbation at an early age is associated with sexual intercourse at an earlier age.
b. the practice of masturbation encourages homosexuality.
c. masturbation is normal in adolescents and is more common among boys.
d. development of intimate relationships may be delayed when masturbation is regularly
practiced.
ANS: C
Developing a sexual identity is part of the adolescent’s sense of self. Masturbation is one way
to explore and learn about one’s body.
DIF: Cognitive Level: Application REF: p. 162 OBJ: 5
TOP: Masturbation KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
5. The school nurse tells adolescents that privacy and confidentiality will be maintained unless a
life-threatening situation arises. This practice is: a. not appropriate in a school setting.
b. never appropriate because adolescents are minors.
c. important in establishing trusting relationships.
d. indicative that the nurse is meeting his or her own needs.
ANS: C
Establishing a trusting relationship is the first step in effective teaching of adolescents.
Providing privacy and confidentiality is an important step in developing this trust.
DIF: Cognitive Level: Analysis REF: p. 160 OBJ: 13
TOP: Teaching techniques for the adolescent
KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: growth and development
6. A 14-year-old girl tells the school nurse that she has not started to menstruate and that all of her
friends have. The nurse’s best response to the girl would be to:
a. explain that this is not unusual as sexual maturing can occur as late as 15 years of age.
b. suggest the girl seek medical evaluation.
, c. call the girl’s parents in for a conference about this situation.
d. recommend that she stop all strenuous exercising until her periods begin.
ANS: A
Sexual maturity can occur in girls between the ages of 10 and 15 years of age.
DIF: Cognitive Level: Application REF: p. 154 OBJ: 4
TOP: Puberty KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
7. A 15-year-old athlete is concerned that the darkening pigment on his scrotum is related to his
frequent masturbation. The best response would be based on the knowledge that the color
change is:
a. most probably “jock itch.”
b. related to frequent nocturnal emissions.
c. the result of increase in androgens.
d. possible bruising from a sports injury.
ANS: C
The increase of androgens in the adolescent male causes the appearance of secondary sex
characteristics among which is the darkening of the skin of the scrotum.
DIF: Cognitive Level: Application REF: p. 154 OBJ: 13
TOP: Sexuality KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
8. According to Piaget, the cognitive development of the adolescent progresses to the
stage by middle adolescence. a. preoperational
b. formal
c. concrete
d. sensorimotor
ANS: B
Early adolescents are in the concrete phase of thinking, where they interpret words and
concepts literally. By middle adolescence they have moved into the formal operation stage,
where thinking is more abstract.
DIF: Cognitive Level: Comprehension REF: p. 158 OBJ: 6
TOP: Cognitive development KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: growth and development
