Exam (elaborations)
Chapter 9 Health Promotion for the Adolescent
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Chapter 9 Health Promotion for the Adolescent
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Chapter 9: Health Promotion for the AdolescentTest Bank
MULTIPLE CHOICE
1. The nurse is explaining Tanner staging to an adolescent and her 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 that are based on primary and secondary sexual
characteristics
d. Staging of puberty based on the initiation of primary sexual characteristics
ANS: C
Feedback
A Tanner stages are not based on chronologic age. The age at which an adolescent
enters puberty is variable.
B The puberty stage in girls begins with breast development. Puberty stage in boys
begins with genital enlargement.
C Tanner sexual-maturing ratings are based on the development of stages of
primary and secondary sexual characteristics.
D Primary sexual characteristics are not the basis of Tanner staging.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 168
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
Feedback
A The peer group validates acceptable behavior during adolescence.
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.”
C 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.
D Conformity becomes less important in late adolescence.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 172
, 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
Feedback
A Stricter limits are not an appropriate response for a behavior that is part of
normal development.
B More responsibility at home is not an appropriate response for this situation.
C Egocentric and narcissistic behavior is normal during this period of
development. The teenager is seeking a personal identity.
D The behavior is normal and needs no further investigation.
PTS: 1 DIF: Cognitive Level: Application REF: p. 173
OBJ: Nursing Process: Assessment 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. “You need to collaborate with your daughter and set limits that are perceived as
being reasonable.”
c. “Increasing your teen’s involvement with her peers will improve her self-esteem.”
d. “Allow your teenager to choose the type of discipline that is used in your home.”
ANS: B
Feedback
A Setting stricter limits typically does not decrease rebelliousness or decrease
testing of parental limits.
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.
C Increasing peer involvement does not typically increase self-esteem.
D Allowing teenagers to choose the method of discipline is not realistic and
typically does not reduce rebelliousness.
PTS: 1 DIF: Cognitive Level: Application REF: p. 174
OBJ: Nursing Process: Implementation 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.”
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