INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 182
Chapter 20: The Adolescent
MULTIPLE CHOICE
1. The nurse is assessing a 13-year-old boy. With what do physical changes in the pubertal male begin?
a. Development of axillary and facial hair
b. Enlargement of penis
c. Enlargement of testicles
d. Pigmentation of the scrotum
ANS: C
In boys, pubertal changes begin with enlargement of the testicles and internal structures.
DIF: Cognitive Level: Knowledge REF: Page 462
OBJ: 4 TOP: Physical Development
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. A 13-year-old boy states, The girls in my class tower over me. What would be the nurses most informative
response?
a. It may seem that way because girls have a growth spurt 2 years earlier than boys.
b. Perhaps your parents are not exceptionally tall.
c. Boys usually experience a growth spurt 1 year earlier than girls.
d. You may feel short, but you are actually 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: PageNURSINGTB.COM
463
OBJ: 4 TOP: Physical Development
KEY: Nursing 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. What does the nurse
understand this behavior to indicate regarding their daughter?
a. She is bored.
b. She is not getting enough rest.
c. She is trying to block out stress and anxiety.
d. She is 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: Comprehension REF: Page 468
TOP: DevelopmentDaydreams KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
4. The nurse is planning a safety program for high school students. To what will the nurse relay that most
accidental deaths in adolescence are related?
a. Firearms
b. Automobiles
c. Drowning
d. Diving injuries
ANS: B
The chief safety hazard for the adolescent is automobiles.
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:05:36 GMT -05:00
https://www.coursehero.com/file/59654118/TB-Chapter-20-The-Adolescentpdf/
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, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 183
DIF: Cognitive Level: Knowledge REF: Page 473
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 studies are too important for you to have a part-time job.
b. When we went to high school, academics were the adolescents priority.
c. We want you to put your earnings in a savings account.
d. How do you think you will manage your 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: Page 471
OBJ: 5 TOP: Parenting KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
6. The nurse is planning care of an adolescent. What psychosocial task does the nurse understand is important
for the adolescent to develop?
a. A sense of initiative
b. A sense of industry
c. A sense of identity
d. A sense of involvement
ANS: C
Psychosocial milestones that must be accomplished during adolescence include the five Isimage of self,
identity, independence, interpersonal relationships, and intellectual maturity.
NURSINGTB.COM
DIF: Cognitive Level: Knowledge REF: Page 459
OBJ: 5 TOP: Psychosocial Development
KEY: Nursing Process Step: Planning
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. What
understanding by the nurse would best guide the response?
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: Application REF: Page 464
OBJ: 4 TOP: Physical Development
KEY: Nursing Process Step: Planning
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. Toward what age
girl should this program be directed?
a. 10 years
b. 12 years
c. 14 years
d. 16 years
ANS: A
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:05:36 GMT -05:00
https://www.coursehero.com/file/59654118/TB-Chapter-20-The-Adolescentpdf/
NURSINGTB.COM
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 182
Chapter 20: The Adolescent
MULTIPLE CHOICE
1. The nurse is assessing a 13-year-old boy. With what do physical changes in the pubertal male begin?
a. Development of axillary and facial hair
b. Enlargement of penis
c. Enlargement of testicles
d. Pigmentation of the scrotum
ANS: C
In boys, pubertal changes begin with enlargement of the testicles and internal structures.
DIF: Cognitive Level: Knowledge REF: Page 462
OBJ: 4 TOP: Physical Development
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. A 13-year-old boy states, The girls in my class tower over me. What would be the nurses most informative
response?
a. It may seem that way because girls have a growth spurt 2 years earlier than boys.
b. Perhaps your parents are not exceptionally tall.
c. Boys usually experience a growth spurt 1 year earlier than girls.
d. You may feel short, but you are actually 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: PageNURSINGTB.COM
463
OBJ: 4 TOP: Physical Development
KEY: Nursing 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. What does the nurse
understand this behavior to indicate regarding their daughter?
a. She is bored.
b. She is not getting enough rest.
c. She is trying to block out stress and anxiety.
d. She is 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: Comprehension REF: Page 468
TOP: DevelopmentDaydreams KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
4. The nurse is planning a safety program for high school students. To what will the nurse relay that most
accidental deaths in adolescence are related?
a. Firearms
b. Automobiles
c. Drowning
d. Diving injuries
ANS: B
The chief safety hazard for the adolescent is automobiles.
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:05:36 GMT -05:00
https://www.coursehero.com/file/59654118/TB-Chapter-20-The-Adolescentpdf/
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 183
DIF: Cognitive Level: Knowledge REF: Page 473
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 studies are too important for you to have a part-time job.
b. When we went to high school, academics were the adolescents priority.
c. We want you to put your earnings in a savings account.
d. How do you think you will manage your 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: Page 471
OBJ: 5 TOP: Parenting KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
6. The nurse is planning care of an adolescent. What psychosocial task does the nurse understand is important
for the adolescent to develop?
a. A sense of initiative
b. A sense of industry
c. A sense of identity
d. A sense of involvement
ANS: C
Psychosocial milestones that must be accomplished during adolescence include the five Isimage of self,
identity, independence, interpersonal relationships, and intellectual maturity.
NURSINGTB.COM
DIF: Cognitive Level: Knowledge REF: Page 459
OBJ: 5 TOP: Psychosocial Development
KEY: Nursing Process Step: Planning
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. What
understanding by the nurse would best guide the response?
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: Application REF: Page 464
OBJ: 4 TOP: Physical Development
KEY: Nursing Process Step: Planning
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. Toward what age
girl should this program be directed?
a. 10 years
b. 12 years
c. 14 years
d. 16 years
ANS: A
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:05:36 GMT -05:00
https://www.coursehero.com/file/59654118/TB-Chapter-20-The-Adolescentpdf/
NURSINGTB.COM
