ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 15 : Health Promotion of the Adolescent and Family Questions
Question 1 of 5
The school nurse teaches adolescents that the detrimental long-term effects of tanning are what? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Adolescents should be educated regarding the detrimental effects of sunlight on the skin. Long-term effects include premature aging of the skin; increased risk for skin cancer; and, in susceptible individuals, phototoxic reactions. Exposure to levels of sunlight cause an increase in vitamin D production. Tanning can often reduce outbreaks of acne.
Question 2 of 5
What guidelines should the nurse use when interviewing adolescents? (Select all that apply.)
Correct Answer: A,B,E
Rationale: Guidelines for interviewing adolescents include ensuring privacy, using open-ended questions, and beginning with less sensitive issues and proceeding to more sensitive ones. The nurse should not share thoughts but maintain objectivity and should avoid assumptions, judgments, and lectures. It may not be possible for all interactions to be confidential. Limits of confidentiality include a legal duty to report physical or sexual abuse and to get others involved if an adolescent is suicidal.
Question 3 of 5
How does the onset of the pubertal growth spurt compare in girls and boys?
Correct Answer: A
Rationale: The average age of onset is 9 1/2 years for girls and 10 1/2 years for boys. Although pubertal growth spurts may occur in girls 3 years before it appears in boys on an individual basis, the average difference is 1 year. Usually girls begin their pubertal growth spurt earlier than boys.
Question 4 of 5
In girls, what is the initial indication of puberty?
Correct Answer: C
Rationale: In most girls, the initial indication of puberty is the appearance of breast buds, an event known as thelarche. The usual sequence of secondary sexual characteristic development in girls is breast changes, a rapid increase in height and weight, growth of pubic hair, appearance of axillary hair, menstruation (menarche), and abrupt deceleration of linear growth.
Question 5 of 5
Girls experience an increase in weight and fat deposition during puberty. What do nursing considerations related to this include?
Correct Answer: A
Rationale: A certain amount of fat is increased along with lean body mass to fill the characteristic contours of the adolescents gender. A healthy balance must be achieved between expected healthy weight gain and obesity. Suggesting dietary measures or increased exercise to control weight gain would not be recommended unless weight gain was excessive because eating disorders can develop in this group. Some fat deposition is essential for normal hormonal regulation. Menarche is delayed in girls with body fat contents that are too low.