Test Bank For Pediatric Nursing An Introductory Text 11th edition by Debra L. Price
Chapter 10: The Adolescent
Testbank
MULTIPLE CHOICE
1.The nurse is aware that the Tanner staging system for sexual maturity is:
a.
Based on the development of pubic hair in girls
b.
More accurate than using chronological age
c.
Based on staged voice changes in males
d.
Based on measured color of pigmentation on the scrotum and areola
ANS: A
The Tanner staging system for the measurement of sexual maturity is based on both breast and pubic hair development in girls and both genital and pubic hair development in boys.
DIF: Cognitive Level: Comprehension REF: p. 181 OBJ: 2
TOP:General Characteristics and Development
KEY:Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2.The nurse reminds the parents of an adolescent that one of the developmental tasks of adolescence is detachment from parents. Parents can assist their teen with this process by:
a.
Encouraging their teen to gain acceptance in a group of peers
b.
Distancing themselves from the teen
c.
Discouraging conformity with a peer group
d.
Avoiding the use of family networking or community resources
ANS: A
Teens should be encouraged to gain acceptance in a peer group. Parents should not distance themselves from the teen, even if the teen does not seem to want their help. Discouraging a teen from conforming to a peer group will make detachment from parents difficult. Community resources and family networking are excellent sources of help.
DIF: Cognitive Level: Application REF: pp. 183-184 OBJ: 2
TOP: Peer Relationships KEY: Nursing Process Step: Implementation
MSC:NCLEX: Psychosocial Integrity: Psychosocial Adaptation
3.To teach their teen the value of money and its responsibility, the nurse suggests that parents:
a.
Provide the teen with an allowance or a bank account
b.
Balance the teen’s checkbook for him or her
c.
Hand out money as requested
d.
Maintain the amount of allowance
ANS: A
A teen should have an allowance. This will allow the teen to learn how to use money in a responsible way. If parents hand out money as asked, the child will not learn how to save or plan ahead. A teen should have the responsibility of balancing his or her own checkbook. Maintaining the amount of the allowance may not meet the needs of the maturing adolescent.
DIF: Cognitive Level: Application REF: p. 186 OBJ: 5
TOP: Responsibility KEY: Nursing Process Step: Implementation
MSC:NCLEX: Psychosocial Integrity: Psychosocial Adaptation
4.The nurse clarifies that the optimum time for a young man to perform a testicular exam is:
a.
After the first voiding in the morning
b.
After a hot bath or shower
c.
After strenuous exercise
d.
Before going to sleep at night
ANS: B
The best time for a testicular exam is after a hot bath or shower as the scrotum is relaxed.
DIF: Cognitive Level: Application REF: p. 183 OBJ: 5
TOP: Testicular Exam KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk
5.The nurse is aware that when adolescents begin to become interested in the opposite sex, parents should consider:
a.
Limiting the development of friendships with the opposite sex
b.
The cultural influence on dating patterns
c.
That group outings to the beach or mall are unrelated to heterosexual encounters
d.
Imposing stringent restrictions on heterosexual encounters
ANS: B
Adolescents need to learn how to develop relationships with the opposite sex. Cultural background can influence dating patterns. The primary goal of social outings at this age is to meet members of the opposite sex. Teens may turn to sexually acting out to test control if stringent restrictions are enforced.
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