9780803674875-TEST-BANK\\Ch 10 PDF

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Chapter 10...

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Chapter 10. Puberty and Adolescence – Test Questions

1. In girls, puberty ends with the: a. b. c. d.

Onset of menstruation Maturation of the ovaries Onset of the climacteric Secretion of corticosteroids

Answer:

2. One of the major changes of puberty is: a. b. c. d.

Decreased growth Change in body proportion Breakdown of muscle mass Atrophy of fat cells

Answer:

3. Secondary sex characteristics include: a. b. c. d.

Release of testosterone Release of estrogen Maturation of the gonads Increased activity of the sweat glands

Answer:

4. The adolescent period ends with: a. b. c. d.

Mental development Sexual maturity Physical maturity Social development

Answer:

5. Adolescents who are not accepted and cannot engage in group activities are often:

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a. b. c. d.

Happy Confident Resentful Fulfilled

Answer:

6. Formal operative thought processes allow for: a. b. c. d.

Intuitive thought Abstract thought Criminal acts Distorted beliefs

Answer:

7. The adolescent’s moral decisions are usually made based on a concept of: a. b. c. d.

Honor Forgiveness Duty Right and wrong

Answer:

8. Which of the following promote(s) a healthy lifestyle? a. b. c. d.

Genes Cells Good nutrition Prophylactic drugs

Answer:

9. Prolonged sadness may be a sign of: a. b. c. d.

Retardation Depression Withdrawal Ambivalence

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Polan, Journey Across the Life Span, 6e

Answer:

10. In a year, adolescent male children can grow as much as: a. b. c. d.

4 to 12 inches 2 to 8 inches 1 to 2 inches 6 to 8 inches

Answer:

11. The average blood loss during menstrual flow is: a. b. c. d.

30 to 60 mL 10 to 15 mL 5 to 10 mL 50 to 100 mL

Answer:

12. Deepening of the voice in male adolescents is caused by: a. b. c. d.

Increased size of the trachea Narrowing of the larynx Enlargement of the vocal cords Narrowing of the windpipe

Answer:

13. Feelings of self-doubt in the teenage years can be stimulated by: a. b. c. d.

Closeness to peers Belonging to a gang Feelings of attachment to someone Inability to select a goal

Answer:

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14. Bulimia is an eating disorder characterized by: a. b. c. d.

Willful starvation Eating binges followed by purging A continued feeling of fullness Excessive weight gain

Answer:

15. In teen health promotion, the nurse must emphasize: a. b. c. d.

Fine motor coordination Gross motor coordination Avoiding hearing loss Improving peripheral vision

Answer:

16. Fifteen-year-old Vista complains of fatigue and weakness. A common cause of these symptoms in girls Vista’s age is: a. b. c. d.

Depression Drug abuse Anemia Bulimia

Answer:

17. The predominant experience shared by adolescents is: a. b. c. d.

Heightened feelings of security Reaching out to others Testing values and beliefs Feelings of inclusiveness

Answer:

18. The teen’s need for freedom and independence may result in: a. Renewed closeness to parents b. Identification with the parent of the opposite sex

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c. Mimicking behavior of the parent of the same sex d. Moving away from the family and home Answer:

19. The incidence of depression increases at adolescence because of: a. b. c. d.

An immature nervous system Lack of relaxing hormones Increased demands placed on the teenager Mimicking peer behavior

Answer:

20. Which of the following is a common frustration experienced by teens? a. b. c. d.

Increased independence Concern about their appearance Lack of industry Decreased need for sleep

Answer:

21. Piaget’s formal operational period extends from: a. b. c. d.

Birth to 2 years 2 to 7 years 7 to 11 years 11 years and older

Answer:

22. All of the following are possible warning signs of a potential suicide attempt except: a. b. c. d.

Withdrawal or moodiness Giving away prized possessions Consistent school grades Eating disorders

Answer:

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23. Masturbation: a. b. c. d.

Causes disease Causes one to reject sex with anyone else Is a recognized aspect of sexuality Is abnormal

Answer:

24. Preparing a young girl for her first menstrual period: a. b. c. d.

Leads to early maturation Is often unnecessary Results in more positive attitudes about it Creates more stress for the individual

Answer:

25. How is the AIDS virus transmitted? a. b. c. d.

By hugging someone By sharing utensils By sharing a bathroom Through transfer of intimate body fluids like semen

Answer:

26. Puberty is best defined as the period in which: a. b. c. d.

Visual maturity is achieved The individual attains object permanence The individual attains preoperational thought The body prepares for reproduction

Answer:

27. A parent may suspect their teenage son is using drugs because of which of the following? (Select all that apply.)

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a. b. c. d. e.

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Seeking more privacy Lack of interest in friends Change in appetite Episodes of watery eyes Change in hygiene habits

Answer:

28. The nurse completing a history and physical assessment on a teenager recognizes that this patient binges on alcohol because he states: a. b. c. d.

“I have a beer once I’ve finished studying at night” “We party every weekend, and I have five to six shots of vodka in a row” “When we play baseball and win, we celebrate with two shots of bourbon” “I have a glass of wine occasionally when I’m with friends”

Answer:

29. After several weeks in rehabilitation, 15-year-old Carol tells the nurse “to regain all this weight lost when I get out of here, I’ll need to have a few energy drinks each day.” The nurse’s best response is: a. b. c. d.

“Yes, that will put the weight back on quickly and boost your energy” “They do provide multiple important nutrients that your body needs” “These drinks are high in caffeine, which can affect your heart, kidneys, and liver” “They provide good protection against diabetes”

Answer:

30. To promote self-esteem in the adolescent, parents must be which of the following? (Select all that apply.) a. b. c. d. e.

Sensitive Respectful Demanding Combative Supportive

Answer:

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31. The nurse at the health clinic must encourage the adolescent boy or girl to receive which of the following? a. b. c. d.

Second dose of varicella vaccine Human papillomavirus immunization Hepatitis B vaccine Pneumococcal immunization

Answer:

32. The mother shouting at her teenage son that his room and clothing smell does not understand that at this age: a. b. c. d.

Bedwetting still occurs frequently because the bladder is growing The rate of pubic hair growth increases the production of the oil glands Boys often change their clothes Sweat glands enlarge and produce an odorous secretion.

Answer:

Chapter 10. Puberty and Adolescence – Test Questions With Answers and Rationales 1. In girls, puberty ends with the: a. b. c. d.

Onset of menstruation Maturation of the ovaries Onset of the climacteric Secretion of corticosteroids

Answer: a Rationale: The onset of menses signals the end of puberty. Nursing Process: Assessment Client Needs: Physiological Integrity

2. One of the major changes of puberty is: a. b. c. d.

Decreased growth Change in body proportion Breakdown of muscle mass Atrophy of fat cells

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Answer: b Rationale: Marked growth and a change in body proportion occur during puberty. Nursing Process: Assessment Client Needs: Physiological Integrity

3. Secondary sex characteristics include: a. b. c. d.

Release of testosterone Release of estrogen Maturation of the gonads Increased activity of the sweat glands

Answer: d Rationale: The sweat glands become active during puberty. Nursing Process: Assessment Client Needs: Physiological Integrity

4. The adolescent period ends with: a. b. c. d.

Mental development Sexual maturity Physical maturity Social development

Answer: c Rationale: Physical maturity is attained during adolescence. Nursing Process: Assessment Client Needs: Physiological Integrity

5. Adolescents who are not accepted and cannot engage in group activities are often: a. b. c. d.

Happy Confident Resentful Fulfilled

Answer: c Rationale: Adolescents need peers and group activities to promote a healthy self-image.

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Nursing Process: Evaluation Client Needs: Psychosocial Integrity

6. Formal operative thought processes allow for: a. b. c. d.

Intuitive thought Abstract thought Criminal acts Distorted beliefs

Answer: b Rationale: According to Piaget, abstract thinking occurs during school age when much learning occurs.

Nursing Process: Assessment Client Needs: Psychosocial Integrity

7. The adolescent’s moral decisions are usually made based on a concept of: a. b. c. d.

Honor Forgiveness Duty Right and wrong

Answer: d Rationale: Moral decisions are influenced by one’s concept of right and wrong. Nursing Process: Planning Client Needs: Psychosocial Integrity

8. Which of the following promote(s) a healthy lifestyle? a. b. c. d.

Genes Cells Good nutrition Prophylactic drugs

Answer: c Rationale: Good nutrition promotes a healthy lifestyle.

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Nursing Process: Evaluation Client Needs: Health Promotion and Maintenance

9. Prolonged sadness may be a sign of: a. b. c. d.

Retardation Depression Withdrawal Ambivalence

Answer: b Rationale: Intense sadness may signal the onset of depression. Nursing Process: Assessment Client Needs: Psychosocial Integrity

10. In a year, adolescent male children can grow as much as: a. b. c. d.

4 to 12 inches 2 to 8 inches 1 to 2 inches 6 to 8 inches

Answer: a Rationale: Male teens frequently grow 4 to 12 inches per year. Nursing Process: Assessment Client Needs: Physiological Integrity

11. The average blood loss during menstrual flow is: a. b. c. d.

30 to 60 mL 10 to 15 mL 5 to 10 mL 50 to 100 mL

Answer: a Rationale: Usual blood loss during menstruation is about 30 to 60 mL. Nursing Process: Assessment Client Needs: Physiological Integrity

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12. Deepening of the voice in male adolescents is caused by: a. b. c. d.

Increased size of the trachea Narrowing of the larynx Enlargement of the vocal cords Narrowing of the windpipe

Answer: c Rationale: Vocal cords become enlarged during adolescence, causing a deepening of the voice. Nursing Process: Assessment Client Needs: Physiological Integrity

13. Feelings of self-doubt in the teenage years can be stimulated by: a. b. c. d.

Closeness to peers Belonging to a gang Feelings of attachment to someone Inability to select a goal

Answer: d Rationale: Teens have a great deal of difficulty selecting a vocation or goal. Nursing Process: Planning Client Needs: Psychosocial Integrity

14. Bulimia is an eating disorder characterized by: a. b. c. d.

Willful starvation Eating binges followed by purging A continued feeling of fullness Excessive weight gain

Answer: b Rationale: Bulimia is defined as an eating disorder characterized by binging and purging. Nursing Process: Assessment Client Needs: Psychosocial Integrity

15. In teen health promotion, the nurse must emphasize:

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a. b. c. d.

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Fine motor coordination Gross motor coordination Avoiding hearing loss Improving peripheral vision

Answer: c Rationale: Hearing loss can occur during the teen years as a result of listening to very loud music. Nursing Process: Implementation Client Needs: Health Promotion and Maintenance

16. Fifteen-year-old Vista complains of fatigue and weakness. A common cause of these symptoms in girls Vista’s age is: a. b. c. d.

Depression Drug abuse Anemia Bulimia

Answer: c Rationale: Teenagers may be prone to anemia secondary to inadequate diets. Nursing Process: Assessment Client Needs: Physiological Integrity

17. The predominant experience shared by adolescents is: a. b. c. d.

Heightened feelings of security Reaching out to others Testing values and beliefs Feelings of inclusiveness

Answer: c Rationale: Adolescents test out values and beliefs as part of learning to incorporate these into their own belief system. Nursing Process: Assessment Client Needs: Psychosocial Integrity

18. The teen’s need for freedom and independence may result in:

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a. b. c. d.

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Renewed closeness to parents Identification with the parent of the opposite sex Mimicking behavior of the parent of the same sex Moving away from the family and home

Answer: d Rationale: Teens need freedom and independence to try out new roles and beliefs. Nursing Process: Planning Client Needs: Psychosocial Integrity

19. The incidence of depression increases at adolescence because of: a. b. c. d.

An immature nervous system Lack of relaxing hormones Increased demands placed on the teenager Mimicking peer behavior

Answer: c Rationale: Society places great demands on teens. They are expected to act grown up, to select a career path, and to take on responsibility. Nursing Process: Assessment Client Needs: Psychosocial Integrity

20. Which of the following is a common frustration experienced by teens? a. b. c. d.

Increased independence Concern about their appearance Lack of industry Decreased need for sleep

Answer: b Rationale: Teens express added concerns about their appearance. Nursing Process: Planning Client Needs: Psychosocial Integrity

21. Piaget’s formal operational period extends from: a. Birth to 2 years

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b. 2 to 7 years c. 7 to 11 years d. 11 years and older Answer: d Rationale: Formal operational thinking is more logical than concrete thinking, and it begins during puberty. Nursing Process: Planning Client Needs: Psychosocial Integrity

22. All of the following are possible warning signs of a potential suicide attempt except: a. b. c. d.

Withdrawal or moodiness Giving away prized possessions Consistent school grades Eating disorders

Answer: c Rationale: Consistent school grades do not indicate the possibility of severe depression leading to a suicide attempt. Nursing Process: Planning Client Needs: Psychosocial Integrity

23. Masturbation: a. b. c. d.

Causes disease Causes one to reject sex with anyone else Is a recognized aspect of sexuality Is abnormal

Answer: c Rationale: Masturbation is a normal part of sexual expression and has no harmful effects. Nursing Process: Planning Client Needs: Psychosocial Integrity

24. Preparing a young girl for her first menstrual period: a. Leads to early maturation b. Is often unnecessary

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c. Results in more positive attitudes about it d. Creates more stress for the individual Answer: c Rationale: Adequate preparation leads to a more positive initial experience. Nursing Process: Planning Client Needs: Psychosocial Integrity

25. How is the AIDS virus transmitted? a. b. c. d.

By hugging someone By sharing utensils By sharing a bathroom Through transfer of intimate body fluids like semen

Answer: d Rationale: The AIDS virus is spread through contact with semen or through vaginal, rectal, or oral intercourse. Nursing Process: Planning Client Needs: Psychosocial Integrity

26. Puberty is best defined as the period in which: a. b. c. d.

Visual maturity is achieved The individual attains object permanence The individual attains preoperational thought The body prepares for reproduction

Answer: d Rationale: Puberty describes the period of development in which the body prepares for the changes necessary for reproduction. Nursing Process: Assessment Client Needs: Physiological Integrity

27. A parent may suspect their teenage son is using drugs because of which of the following? (Select all that apply.) a. b.

Seeking more privacy Lack of interest in friends

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c. d. e.

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Change in appetite Episodes of watery eyes Change in hygiene habits

Answer: b, c, e Rationale: Signs of drug abuse include lack of interest in friends, change in appetite, and change in hygiene habits. Nursing Process: Evaluation Client Needs: Psychosocial Integrity

28. The nurse completing a history and physical assessment on a teenager recognizes that this patient binges on alcohol because he states: a. b. c. d.

“I have a beer once I’ve finished studying at night” “We party every weekend, and I have five to six shots of vodka in a row” “When we play baseball and win, we celebrate with two shots of bourbon” “I have a glass of wine occasionally when I’m with friends”

Answer: b Rationale: Binge drinking is defined as five or more drinks in a row for men and four or more in a row for women within 2 hours. Nursing Process: Evaluation Client Needs: Psychosocial Integrity

29. After several weeks in rehabilitation, 15-year-old Carol tells the nurse “to regain all this weight lost when I get out of here, I’ll need to have a few energy drinks each day.” The nurse’s best response is: a. b. c. d.

“Yes, that will put the weight back on quickly and boost your energy” “They do provide multiple important ...