Chapter 09 Health Promotion for the Adolescent

Chapter 09  Health Promotion for the Adolescent

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse is explaining Tanner staging to an adolescent and mother. Which statement best

describes Tanner staging?
a. Predictable stages of puberty that are based on chronologic age
b. Staging of puberty based on the initiation of menarche and nocturnal emissions
c. Predictable stages of puberty based on primary and secondary sexual

characteristics
d. Staging of puberty based on the initiation of primary sexual characteristics

ANS: C
Tanner sexual-maturing ratings are based on the development of stages of primary and
secondary sexual characteristics. Tanner stages are not based on chronologic age. The age at
which an adolescent enters puberty is variable. The puberty stage in girls begins with breast
development. Puberty stage in boys begins with genital enlargement. Primary sexual
characteristics are not the basis of Tanner staging.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 151 OBJ: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

2. Which behavior suggests appropriate psychosocial development in the adolescent?

a. The adolescent seeks validation for socially acceptable behavior from older adults.
b. The adolescent is self-absorbed and self-centered and has sudden mood swings.
c. Adolescents move from peers and enjoy spending time with family members.
d. Conformity with the peer group increases in late adolescence.

ANS: B
During adolescence, energy is focused within. Adolescents concentrate on themselves in an
effort to determine who they are or who they will be. Adolescents are likely to be impulsive
and impatient. Parents often describe their teenager as being “self-centered or lazy.” The peer
group validates acceptable behavior during adolescence. Adolescents move from family and
enjoy spending time with peers. Adolescents also spend time alone; they need this time to
think and concentrate on themselves. Conformity becomes less important in late adolescence.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 155 OBJ: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

3. The parents of a 14-year-old girl are concerned that their adolescent spends too much time

looking in the mirror. Which statement is the most appropriate for the nurse to make?
a. “Your teenager needs clearer and stricter limits about her behavior.”
b. “Your teenager needs more responsibility at home.”
c. “During adolescence this behavior is not unusual.”
d. “The behavior is abnormal and needs further investigation.”

ANS: C

Egocentric and narcissistic behavior, such as staring at oneself in the mirror, is normal during
this period of development. The teenager is seeking a personal identity. Stricter limits are not
an appropriate response for a behavior that is part of normal development. More responsibility
at home is not an appropriate response for this situation. The behavior is normal and needs no
further investigation.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 156 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance

4. Which statement is the most appropriate advice to give parents of a 16-year-old who is

rebellious?
a. “You need to be stricter so that your teen stops trying to test the limits.”
b. “Try to collaborate to set limits that are perceived as being reasonable.”
c. “Increasing your teen’s involvement with her peers will improve her behavior.”
d. “Allow your teenager to choose the type of discipline that is used in your home.”

ANS: B
Allowing teenagers to choose between realistic options and offering consistent and structured
discipline typically enhances cooperation and decreases rebelliousness. Structure helps
adolescents to feel more secure and assists them in the decision-making process. Setting
stricter limits typically does not decrease rebelliousness or decrease testing of parental limits.
Increasing peer involvement does not typically improve behavior. Allowing teenagers to
choose the method of discipline is not realistic and typically does not reduce rebelliousness.

PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 157 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance

5. Which statement by the nurse is most appropriate to a 15-year-old whose friend has

mentioned suicide?
a. “Tell your friend to come to the clinic immediately.”
b. “You need to gather details about your friend’s suicide plan.”
c. “Your friend’s threat needs to be taken seriously and he needs immediate help.”
d. “If your friend mentions suicide again get your friend some help.”

ANS: C
Suicide is the second most common cause of death among American adolescents and young
adults aged 15 to 24. A suicide threat from an adolescent serves as a dramatic message to
others and should be taken seriously. Adolescents at risk should be targeted for supportive
guidance and counseling before a crisis occurs. Instructing a 15-year-old to tell a friend to
come to the clinic immediately provides the teen with limited information and does not
address the concern. The teen should not be responsible for getting more information from the
friend. Waiting until the teen discusses suicide a second time may be too late.

PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 163 OBJ: Integrated Process: Caring
MSC: Client Needs: Psychosocial Integrity