Download test bank for introduction to maternity and pediatric nursing 6th edition by leifer

462 OBJ: 2 : Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development... 465 OBJ: 14 : TOP: Safety KEY: Nursing Process Step: Planning MSC: NCLEX

Link download full:

http://testbankair.com/download/test-bank-for-introduction-to-maternity-and-pediatric-nursing-6th-edition-by-leifer/

TEST BANK FOR INTRODUCTION

TO MATERNITY AND PEDIATRIC

NURSING 6TH EDITION BY

LEIFER

Chapter 20: The Adolescent

MULTIPLE CHOICE

1 When assessing a 13-year-old boy, the nurse would keep in

mind physical changes in the pubertal male begin with:

a development of axillary and facial hair

ensi

on

REF p 454 OBJ: 2

:

Process Step: Assessment

MSC: NCLEX: Health Promotion and Maintenance: Growth

b “Perhaps your parents are n exceptionally tall.”

c “Boys usually experience a year earlier

than girls.”

d “You may feel short, but yo average height for

your age

ANS: A

Although the age for growth spurts during puberty varies, growth spurts occur

2 years earlier for girls than for boys

DIF Cognitive Level: Application REF: p 462 OBJ: 2

:

Process Step: Implementation

MSC: NCLEX: Health Promotion and Maintenance: Growth and

Development

3 A parent comments that her adolescent daughter seems to be daydreaming a lot The nurse understands that this behavior indicates she is:

a bored

b not getting enough rest

c trying to block out stress and anxiety

d mentally preparing for real situations

ANS: D

Daydreaming allows adolescents to act out in their imaginations what will be said or done in certain situations This helps them to prepare for and cope

with interactions with others

DIF Cognitive Level: Analysis REF: p 460 OBJ: 3 :

TOP: Development-Daydreams KEY

The chief safety hazard for the adolescent is automobiles

DIF Cognitive Level: Knowledge REF: p 465 OBJ: 14 :

TOP: Safety KEY: Nursing Process Step: Planning

MSC: NCLEX: Health Promotion and Maintenance: Growth

and Development

5 A 16-year-old excitedly tells his parents that he was offered a part-time job Which response represents an effective problem-solving approach for his parents?

a “Your studiesoimportantaretofr you to have

a part-time job.”

b “When we went to high schoo were the

adolescent’s prior

c “We want you to put your ea savings account.”

d “How do you think you will school work and

a job?”

ANS: D

An effective approach to help adolescents learn to solve problems is

for parents to guide them in exploring alternatives

DIF: Cognitive Level: Application REF: p 463, Health Promotion box

OBJ: 3 TOP: Parenting KEY: Nursing Process Step: Evaluation

MSC: NCLEX: Health Promotion and Maintenance: Growth

and Development

6 One psychosocial task of adolescence on which the nurse must

focus when planning care is the development of a sense of:

a initiative

b industry

c identity

d involvement

ANS: C

Psychosocial milestones that must be accomplished during adolescence

include the five Is— image of self, identity, independence,

interpersonal relationships, and intellectual maturity

DIF Cognitive Level: Knowledge REF: p 456, Box 20-1

:

OBJ: 3 TOP: Psychosocial Development

MSC: NCLEX: Health Promotion and Maintenance: Growth

and Development

7 A 13-year-old girl tells the school nurse that she is getting fat, especially in her hips and legs The understanding by the nurse that would best guide the response is:

a many adolescents are unaware of proper

nutrition

b adolescents of this age become less

active and should eat fewer calories

c puberty is often preceded by fat deposits

in these areas

d as soon as menarche occurs, she will lose

this excess weight

ANS: C

Secondary sexual characteristics become apparent before menarche Fat

is deposited in the hips, thighs, and breasts, causing them to enlarge

DIF Cognitive Level: Analysis REF: p 455, Box 20-2

:

OBJ: 2 TOP: Physical Development

MSC: NCLEX: Health Promotion and Maintenance: Growth

and Development

8 The school nurse is planning a program for girls about the physical changes of puberty; this program should be directed to girls of the age of _ years

c 12

Process Step: Planning

MSC: NCLEX: Health Promotion and Maintenance: Growth

and Development

9 The statement made by a parent indicating understanding about helping a 13-year-old manage his allowance is:

a “I set amounts he can earn chores.”

b “I give him a certain amoun each day.”

c “I put money into his bank month.”

d “I told him to ask me when money.”

ANS: A

If money is simply handed out as requested, it is difficult to develop

responsibility for finances and money management The older adolescent is able

to get a job The younger adolescent can earn money by doing particular chores

DIF Cognitive Level: Application REF: p 460 OBJ: 5 :

TOP: Development-Responsibility KEY

10 The nurse suggests a good dietary source of zinc for an

adolescent who is a vegetarian would be:

a green, leafy vegetables

b citrus fruits

c nuts

d enriched breads

ANS: C

Zinc is essential for growth and sexual maturation in adolescence Good

vegetable sources include nuts, legumes, and wheat germ

DIF Cognitive Level: Comprehension REF: p 464 OBJ: 11 :

TOP: Nutritio

n

KEY: Nursing Process Step: Assessment

MSC: NCLEX: Health Promotion and Maintenance: Growth

and Development

11 An adolescent’s parent comments, “My son seems preoccupied with his appearance these days Is thi nurse’s best response would be:

a “It is his attempt to expre individualism.”

b “His preoccupation with his normal.”

c “He is probably troubled wi changes.”

d “This shows that he has- a p image.”

ANS: B

Preoccupation with self-image is normal and accounts for the constant

primping of adolescents

DIF: Cognitive Level: Application REF: p 458, Table 20-1

OBJ: 14 TOP: Development

KEY: Nursing Process Step: Planning

MSC: NCLEX: Health Promotion and Maintenance: Growth

and Development

12 Foods that would be a healthy choice for an adolescent who just finished playing in a strenuous game would be:

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: Application REF: p 464 OBJ: 11 :

TOP: Nutritio

n

KEY :

Nursing Process Step: Assessment

MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

13 When planning to answer a 16-year-old girl’s questions abou menstruation, the nurse must consider cognitive development

According to Piaget, the cognitive aspect that is developed

during adolescence is the ability to:

a view a situation from multiple

perspectives

b focus more on the past than

present situations

c exercise concrete reasoning

d 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 452, Box 20-1

:

OBJ: 4 TOP: Cognitive Development

MSC: NCLEX: Health Promotion and Maintenance: Growth

and Development

14 A girl tells the nurse that she and her best friend belong to the

singer.” The nurse recognizes the girl’s statement peer relationships in:

Cliques of unisex friends, having a best friend, and hero worship are

characteristics of the early adolescent

DIF Cognitive Level: Comprehension REF: p 454, Table 20-1

:

MSC: NCLEX: Health Promotion and Maintenance: Growth

and Development

15 The nurse is leading a discussion group with parents of

adolescents One parent comments, “My son can’t do checking with his friends first My opinion doesn’ nurse would formulate a response on the knowledge that this behavior is:

a unusual for adolescent boys

b often more apparent in boys than girls

DIF: Cognitive Level: Application REF: p 459 OBJ: 9

TOP: Peer Relationships KEY: Nursing Process Step:

Planning

MSC: NCLEX: Health Promotion and Maintenance: Growth and

Development

16 The nurse points out to a group of parents that the most positive

developmental significance of a peer group to the adolescent is that

the group serves as a(n):

a social outlet

b association to blur personal identity

c platform for “group think.”

d initial separation from family

ANS: D

Being a member of a peer group and communicating with and seeking

approval from this group are the first separation from the family

DIF: Cognitive Level: Analysis REF: p 458, Table 20-1

OBJ: 9 TOP: Peer Groups KEY: Nursing Process Step:

c glandular

d pubertal

ANS: B

Freud describes the adolescent period as genital

DIF Cognitive Level: Knowledge REF: p 452, Box 20-1

a nonindicative of potential substance

abuse

b normal experimentation of the adolescent

c need to schedule another PACE interview in

3 months

d indication for referral for counseling

ANS: D

The PACE guide recommends that a score of 2 or higher would suggest

the need for a referral for counseling about substance abuse

DIF Cognitive Level: Knowledge REF: p 466 OBJ: 14 :

19 The nurse explains that adolescent acne is the result of:

a ineffective sweat glands

DIF: Cognitive Level: Comprehension REF: p 454 OBJ: 14

TOP: Acne KEY: Nursing Process Step: Implementation

MSC: NCLEX: Health Promotion and Maintenance: Growth

and Development

20 The nurse suggests the use of “I” messages to parent’s feeling to an adolescent The most approp “I” message is:

a “I feel frightened when you your curfew.”

b “I am your mother, and I in observe your

curfew.”

c “I am sick and tired of you late.”

d “I expect you to show me pr

ANS: B

This is the only statement that associates the parent the adolescent behavior that is

not aggressive or accusatory

DIF Cognitive Level: Analysis REF: p 463, Health Promotion

:

box

KEY: Nursing Process Step: Implementation

MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation

MULTIPLE RESPONSE

21 The nurse explains that the restlessness seen in the adolescent is,

in part, attributable to what? Select all that apply

a Drive to be accepted by society as an

individual

b Urge for independence

c Establishment of a personal identity

KEY: Nursing Process Step: Implementation

MSC: NCLEX: Health Promotion and Maintenance: Growth

and Development

22 The nurse points out that prior to a big exam, what is the best

breakfast to provide high levels of alertness and increased

memory? Select all that apply

a Pancakes and syrup

b Coffee and chocolate-covered donuts

c Bacon and fried eggs

d Whole grain cereal and yogurt

e Oatmeal and sliced apples

ANS: D, E

Meals high in protein will break down into norepinephrine and increase

alertness Meals with a high sugar content result in a soothing sleepy

response Meals high in fats digest slowly and draw blood from the brain

during the lengthy digestive process

DIF Cognitive Level: Application REF: p 465 OBJ: 11 :

KEY Nursing : Process

Step: Impleme ntation

MSC: NCLEX: Physiological Integrity: Physiological Adaptation

23 The nurse considers what “rites of passage” va adolescent in American society? Select all that apply

a Attaining legal drinking age

b Selection of a career

c Religious affiliation

d Obtaining a driver’s licens

e High school graduation

ANS: A, D, E

Rites of passage are socially recognized milestones that signify adulthood

Legal drinking age, driver’s license, and matriculati such signals Religious affiliation and selection of a career path do not necessarily signal adulthood

DIF Cognitive Level: Analysis REF: p 466, Nursing Tip

:

OBJ: 8 TOP: Rites of Passage

MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

24 A mother confides in the school nurse that she witnessed her son kissing another boy On which of these concepts should the nurse base his reply? Select all that apply

a Homosexual behavior in adolescents

is not uncommon

b Homosexuality is a mental disorder

c Adolescents often desire to

explore alternative lifestyles

d Homosexual tendencies should be

addressed with counseling

e Parents should seek a support group for

MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

For all of the stress from coming of age as an individual in his own right,

the adolescent also has an equal drive for conformity

DIF: Cognitive Level: Analysis REF: p 452 OBJ: 9 TOP: Conformity KEY: Nursing Process Step: Assessment

MSC: NCLEX: Health Promotion and Maintenance: Growth

and Development

26 The nurse knows that an adolescent may find making a career

choice difficult because there is less clarity in roles

ANS:

gender

The blurring of gender roles in the United States— women holding jobs as engineers, lawyers, and physicians; and men entering nursing and culinary pursuits— has caused confusion with the selection of a career path

DIF: Cognitive Level: Analysis REF: p 452 OBJ: 13

TOP: Blurred Gender Roles KEY

27 The nurse stresses the need for using a sunscreen with a Sun

Protection Factor (SPF) of at least _

ANS:

15

A sunscreen with a SPF of at least 15 is recommended to block sun rays

that cause cancer

DIF Cognitive Level: Knowledge REF: p 465 OBJ: 10 :

TOP: Sunscreen KEY

:

Nursing Process Step: Implementation

MSC: NCLEX: Health Promotion and Maintenance: Prevention and

Early Detection of Disease

28 is frequently delayed in girls who are involved in activities that require a lean body and a high level of physical activity