Full Test Bank
Neinstein’s Adolescent and Young Adult
Health Care A Practical Guide 6th Edition
Test Bank
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Neinstein's Adolescent and Young Adult Health Care A Practical Guide 6th Edition Test
Bank
Chapter 1. Health of the World's Adolescent and Young Adults
MULTIPLE CHOICE
1. A nurse is teaching an adolescent about Tanner stages. Which statement best describes Tanner
M
staging?
O
a. Predictable stages of puberty that are based on chronological age
.C
b. Staging of puberty based on the initiation of menarche and nocturnal emissions
LD
Predictable stages of puberty that are based on primary and secondary sexual
c. characteristics
R
d. Staging of puberty based on the initiation of primary sexual characteristics
O
ANS: C
W
Tanner sexual-maturing ratings are based on the development of stages of primary and secondary
KS
sexual characteristics. They are not based on chronological age. The age at which an adolescent
enters puberty is variable. The puberty stage in girls begins with breast development. The
puberty stage in boys begins with genital enlargement. Primary sexual characteristics are not the
N
basis of Tanner staging.
BA
DIF: Cognitive Level: Comprehension REF: p. 151
OBJ: Nursing Process Step: Implementation
ST
MSC: Health Promotion and Maintenance
2. Which behavior suggests appropriate psychosocial development in the adolescent?
TE
a. The adolescent seeks validation for socially acceptable behavior from older adults.
G
b. The adolescent is self-absorbed and self-centered and has sudden mood swings.
N
c. Adolescents move from peers and enjoy spending time with family members.
SI
d. Conformity with the peer group increases in late adolescence.
R
ANS: B
U
During adolescence, energy is focused within. Adolescents concentrate on themselves in an
.N
effort to determine who they are or who they will be. Adolescents are likely to be impulsive and
impatient. The peer group validates acceptable behavior during adolescence. Adolescents move
W
from family and enjoy spending time with peers. Adolescents also spend time alone; they need
W
this time to think and concentrate on themselves. Conformity becomes less important in late
adolescence.
W
DIF: Cognitive Level: Comprehension REF: p. 154
OBJ: Nursing Process Step: Assessment MSC: 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.
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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
M
Narcissistic behavior 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
O
normal development. More responsibility at home is not an appropriate response for this
.C
situation.
LD
DIF: Cognitive Level: Application REF: p. 154
OBJ: Nursing Process Step: Implementation
MSC: Health Promotion and Maintenance
R
4. Which factor contributes to early adolescents engaging in risk-taking behaviors?
O
a. Peer pressure
W
b. A desire to master their environment
KS
c. Engagement in the process of separation from their parents
d.
N
A belief that they are invulnerable
BA
ANS: D
During early to middle adolescence, children feel that they are exempt from the consequences of
ST
risk-taking behaviors: they believe negative consequences happen only to others. Impressing
peers is more typically the factor influencing behavior of older school-age children. Mastering
TE
the environment is the task of young school-age children. Emancipation is a major issue for the
older adolescent. The process is accomplished as the teenager gains an education or vocational
G
training.
N
DIF: Cognitive Level: Comprehension REF: p. 161
SI
OBJ: Nursing Process Step: Evaluation MSC: Health Promotion and Maintenance
5. Which statement is the most appropriate advice to give parents of a 16-year-old teenager who
R
is rebellious?
U
a. You need to be stricter so that your teenager feels more secure.
.N
You need to allow your teenager to make realistic choices while using consistent and
W
b. structured discipline.
W
c. Increasing your teens involvement with his peers will improve his self-esteem.
W
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. Setting stricter limits
typically does not decrease rebelliousness or increase feelings of security. Increasing peer
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, www.nursylab.com
involvement does not typically increase self-esteem. Allowing teenagers to choose the method of
discipline is not realistic and typically does not reduce rebelliousness.
DIF: Cognitive Level: Application REF: p. 156
OBJ: Nursing Process Step: Implementation
MSC: Health Promotion and Maintenance
6. Which statement by the nurse is most appropriate to a 15-year-old adolescent whose friend has
M
mentioned suicide?
O
a. Tell your friend to come to the clinic immediately.
.C
b. You need to gather details about your friends suicide plan.
LD
Your friends threat needs to be taken seriously and immediate help for your friend is
c. important.
R
If your friend mentions suicide a second time, you will want to get your friend some
O
d. help.
W
ANS: C
KS
Suicide is the third most common cause of death among American adolescents. A suicide threat
from an adolescent serves as a dramatic message to others and should be taken seriously.
N
Adolescents at risk should be targeted for supportive guidance and counseling before a crisis
BA
occurs. Instructing a 15-year-old adolescent to tell a friend to come to the clinic immediately
provides the teen with limited information and does not address the concern. It is important to
determine whether a person threatening suicide has a plan of action; however, the best
ST
information for the 15-year-old adolescent to have is that all threats of suicide should be taken
seriously and immediate help is important. It is imperative that help is provided immediately for
TE
a teenager who is talking about suicide. Waiting until the teen discusses it a second time may be
too late.
G
DIF: Cognitive Level: Application REF: p. 162
N
OBJ: Nursing Process Step: Implementation MSC: Psychosocial Integrity
SI
7. When planning care for adolescents, the nurse should:
R
a. teach parents first, and they, in turn, will teach the teenager.
U
provide information for their long-term health needs because teenagers respond best to
.N
b. long-range planning.
W
maintain the parents role by providing explanations for treatment and procedures to the
c. parents only.
W
give information privately to adolescents about how they can manage the specific
W
d. problems that they identify.
ANS: D
Problems that teenagers identify and are interested in are typically the problems that they are the
most willing to address. Confidentiality is important to adolescents. Adolescents prefer to confer
privately (without parents) with the nurse and healthcare provider. Teenagers are socially and
ww.nursylab.com
Neinstein’s Adolescent and Young Adult
Health Care A Practical Guide 6th Edition
Test Bank
Test Bank Directly From The publisher, 100% Verified Answers.
COVERS ALL CHAPTERS.
Download Immediately After the Order.
, www.nursylab.com
Neinstein's Adolescent and Young Adult Health Care A Practical Guide 6th Edition Test
Bank
Chapter 1. Health of the World's Adolescent and Young Adults
MULTIPLE CHOICE
1. A nurse is teaching an adolescent about Tanner stages. Which statement best describes Tanner
M
staging?
O
a. Predictable stages of puberty that are based on chronological age
.C
b. Staging of puberty based on the initiation of menarche and nocturnal emissions
LD
Predictable stages of puberty that are based on primary and secondary sexual
c. characteristics
R
d. Staging of puberty based on the initiation of primary sexual characteristics
O
ANS: C
W
Tanner sexual-maturing ratings are based on the development of stages of primary and secondary
KS
sexual characteristics. They are not based on chronological age. The age at which an adolescent
enters puberty is variable. The puberty stage in girls begins with breast development. The
puberty stage in boys begins with genital enlargement. Primary sexual characteristics are not the
N
basis of Tanner staging.
BA
DIF: Cognitive Level: Comprehension REF: p. 151
OBJ: Nursing Process Step: Implementation
ST
MSC: Health Promotion and Maintenance
2. Which behavior suggests appropriate psychosocial development in the adolescent?
TE
a. The adolescent seeks validation for socially acceptable behavior from older adults.
G
b. The adolescent is self-absorbed and self-centered and has sudden mood swings.
N
c. Adolescents move from peers and enjoy spending time with family members.
SI
d. Conformity with the peer group increases in late adolescence.
R
ANS: B
U
During adolescence, energy is focused within. Adolescents concentrate on themselves in an
.N
effort to determine who they are or who they will be. Adolescents are likely to be impulsive and
impatient. The peer group validates acceptable behavior during adolescence. Adolescents move
W
from family and enjoy spending time with peers. Adolescents also spend time alone; they need
W
this time to think and concentrate on themselves. Conformity becomes less important in late
adolescence.
W
DIF: Cognitive Level: Comprehension REF: p. 154
OBJ: Nursing Process Step: Assessment MSC: 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.
ww.nursylab.com
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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
M
Narcissistic behavior 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
O
normal development. More responsibility at home is not an appropriate response for this
.C
situation.
LD
DIF: Cognitive Level: Application REF: p. 154
OBJ: Nursing Process Step: Implementation
MSC: Health Promotion and Maintenance
R
4. Which factor contributes to early adolescents engaging in risk-taking behaviors?
O
a. Peer pressure
W
b. A desire to master their environment
KS
c. Engagement in the process of separation from their parents
d.
N
A belief that they are invulnerable
BA
ANS: D
During early to middle adolescence, children feel that they are exempt from the consequences of
ST
risk-taking behaviors: they believe negative consequences happen only to others. Impressing
peers is more typically the factor influencing behavior of older school-age children. Mastering
TE
the environment is the task of young school-age children. Emancipation is a major issue for the
older adolescent. The process is accomplished as the teenager gains an education or vocational
G
training.
N
DIF: Cognitive Level: Comprehension REF: p. 161
SI
OBJ: Nursing Process Step: Evaluation MSC: Health Promotion and Maintenance
5. Which statement is the most appropriate advice to give parents of a 16-year-old teenager who
R
is rebellious?
U
a. You need to be stricter so that your teenager feels more secure.
.N
You need to allow your teenager to make realistic choices while using consistent and
W
b. structured discipline.
W
c. Increasing your teens involvement with his peers will improve his self-esteem.
W
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. Setting stricter limits
typically does not decrease rebelliousness or increase feelings of security. Increasing peer
ww.nursylab.com
, www.nursylab.com
involvement does not typically increase self-esteem. Allowing teenagers to choose the method of
discipline is not realistic and typically does not reduce rebelliousness.
DIF: Cognitive Level: Application REF: p. 156
OBJ: Nursing Process Step: Implementation
MSC: Health Promotion and Maintenance
6. Which statement by the nurse is most appropriate to a 15-year-old adolescent whose friend has
M
mentioned suicide?
O
a. Tell your friend to come to the clinic immediately.
.C
b. You need to gather details about your friends suicide plan.
LD
Your friends threat needs to be taken seriously and immediate help for your friend is
c. important.
R
If your friend mentions suicide a second time, you will want to get your friend some
O
d. help.
W
ANS: C
KS
Suicide is the third most common cause of death among American adolescents. A suicide threat
from an adolescent serves as a dramatic message to others and should be taken seriously.
N
Adolescents at risk should be targeted for supportive guidance and counseling before a crisis
BA
occurs. Instructing a 15-year-old adolescent to tell a friend to come to the clinic immediately
provides the teen with limited information and does not address the concern. It is important to
determine whether a person threatening suicide has a plan of action; however, the best
ST
information for the 15-year-old adolescent to have is that all threats of suicide should be taken
seriously and immediate help is important. It is imperative that help is provided immediately for
TE
a teenager who is talking about suicide. Waiting until the teen discusses it a second time may be
too late.
G
DIF: Cognitive Level: Application REF: p. 162
N
OBJ: Nursing Process Step: Implementation MSC: Psychosocial Integrity
SI
7. When planning care for adolescents, the nurse should:
R
a. teach parents first, and they, in turn, will teach the teenager.
U
provide information for their long-term health needs because teenagers respond best to
.N
b. long-range planning.
W
maintain the parents role by providing explanations for treatment and procedures to the
c. parents only.
W
give information privately to adolescents about how they can manage the specific
W
d. problems that they identify.
ANS: D
Problems that teenagers identify and are interested in are typically the problems that they are the
most willing to address. Confidentiality is important to adolescents. Adolescents prefer to confer
privately (without parents) with the nurse and healthcare provider. Teenagers are socially and
ww.nursylab.com
