NURS 5461 ADOLESCENT HEALTH EXAM QUESTIONS
AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
Adolescence
hormone changes Thyroid hormone Insulin Leptin Growth hormone, insulin-like growth
factors and insulin-like growth factor binding proteins
Pubertal changes in body composition
Lean body mass Adipose mass Pelvic remodeling in females Skeletal mass Internal
organs Erythrocyte mass
Sexual maturity rating
Tanner stages Pubic hair 1-prepubescent 2-some fine straight hair, lateral-3more dense
hair across; triangle 4-more dense hair, curls 5-adult appearance
Breast 1-prepubescent 2-breast buds 3-more total breast tissue papilla or nipple
protrusion 4-breast enlargement with separate protrusion of areola/nipple 5-adult
appearance
Female Sexual Development
Menarche-1st stage
Male Sexual Development
Spermenarche 1st ejaculation
Developmental Tasks of Adolescence
,Transition from dependence to independence Development and acceptance of unique
identity and body image Establishment of stable, chosen peer group Establishment of
sexual, ego, vocational and moral identity
Phases of Adolescence
Early adolescence, 10-13 years (middle school) Middle adolescence, 14-17 years (high
school) Late adolescence, 17-21 years (college or work after high school)
Early adolescence
Middle School Independence-dependence struggle Less interest in parental activities
and more reluctance to accept parental advice or criticism; occasional rudeness; more
realization that the parent is not perfect Emotional void created by separation from
parents
Increased ability to express oneself through speech • Search for new support group
beyond parents
Early adolescence 2
Body Image concerns Preoccupation with self Uncertainty about appearance and
attractiveness Frequent comparison with peers
Increased interest in sexual anatomy and physiology, including anxieties and questions
about menstruation or nocturnal emissions, masturbation and breast or penis size
Peer group Solitary friendship with member of same sex Strongly emotional, tender
feelings toward peers Peer contact primarily with same sex
Identity development Increased ability to reason abstractly Frequent daydreaming
Setting unrealistic or idealistic vocational goals Testing authority
Early adolescence 3
, Need for greater privacy Emergence of sexual feelings Development of value system
Lack of impulse control; need for immediate gratification Tendency to magnify one's
own personal situation
Middle adolescence
Independence-dependence struggle Conflicts become more prevalent Body image Less
preoccupation with changes, but more effort goes into making appearance more
attractive: clothing, make-up, *eating disorders
Peer group - Intense involvement in peer subculture - Conformity to peer values, codes
and dress - Increased dating activity, sexual experimentation and intercourse -
Involvement with clubs, teams, and other groups
Middle adolescence 2
Identity development Increased scope and openness of feelings with an ability to
examine feelings of others Increased intellectual ability and creativity Less idealistic
vocational aspirations Feelings of omnipotence and immortality
Late adolescence
Independence-dependence struggle Firmer identity Greater ability to delay gratification
Better ability to think things through and express ideas in words More stable interests
Greater ability to make independent decisions and compromise
Body image Usually completed by this age - not a concern, Peer group Less importance
on group, but more time is spent with one person
Late adolescence Identity development
AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
Adolescence
hormone changes Thyroid hormone Insulin Leptin Growth hormone, insulin-like growth
factors and insulin-like growth factor binding proteins
Pubertal changes in body composition
Lean body mass Adipose mass Pelvic remodeling in females Skeletal mass Internal
organs Erythrocyte mass
Sexual maturity rating
Tanner stages Pubic hair 1-prepubescent 2-some fine straight hair, lateral-3more dense
hair across; triangle 4-more dense hair, curls 5-adult appearance
Breast 1-prepubescent 2-breast buds 3-more total breast tissue papilla or nipple
protrusion 4-breast enlargement with separate protrusion of areola/nipple 5-adult
appearance
Female Sexual Development
Menarche-1st stage
Male Sexual Development
Spermenarche 1st ejaculation
Developmental Tasks of Adolescence
,Transition from dependence to independence Development and acceptance of unique
identity and body image Establishment of stable, chosen peer group Establishment of
sexual, ego, vocational and moral identity
Phases of Adolescence
Early adolescence, 10-13 years (middle school) Middle adolescence, 14-17 years (high
school) Late adolescence, 17-21 years (college or work after high school)
Early adolescence
Middle School Independence-dependence struggle Less interest in parental activities
and more reluctance to accept parental advice or criticism; occasional rudeness; more
realization that the parent is not perfect Emotional void created by separation from
parents
Increased ability to express oneself through speech • Search for new support group
beyond parents
Early adolescence 2
Body Image concerns Preoccupation with self Uncertainty about appearance and
attractiveness Frequent comparison with peers
Increased interest in sexual anatomy and physiology, including anxieties and questions
about menstruation or nocturnal emissions, masturbation and breast or penis size
Peer group Solitary friendship with member of same sex Strongly emotional, tender
feelings toward peers Peer contact primarily with same sex
Identity development Increased ability to reason abstractly Frequent daydreaming
Setting unrealistic or idealistic vocational goals Testing authority
Early adolescence 3
, Need for greater privacy Emergence of sexual feelings Development of value system
Lack of impulse control; need for immediate gratification Tendency to magnify one's
own personal situation
Middle adolescence
Independence-dependence struggle Conflicts become more prevalent Body image Less
preoccupation with changes, but more effort goes into making appearance more
attractive: clothing, make-up, *eating disorders
Peer group - Intense involvement in peer subculture - Conformity to peer values, codes
and dress - Increased dating activity, sexual experimentation and intercourse -
Involvement with clubs, teams, and other groups
Middle adolescence 2
Identity development Increased scope and openness of feelings with an ability to
examine feelings of others Increased intellectual ability and creativity Less idealistic
vocational aspirations Feelings of omnipotence and immortality
Late adolescence
Independence-dependence struggle Firmer identity Greater ability to delay gratification
Better ability to think things through and express ideas in words More stable interests
Greater ability to make independent decisions and compromise
Body image Usually completed by this age - not a concern, Peer group Less importance
on group, but more time is spent with one person
Late adolescence Identity development
