Chapter 20 The Adolescent - Leifer Maternity and Pediatric Nursing

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Chapter 20 The Adolescent - Leifer Maternity and Pediatric Nursing

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: Page 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.

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