Question 1

The nurse is preparing to perform a physical examination of an adolescent who is 13 years of age. Which action by the nurse will decrease the adolescent's anxiety during the examination?

Accepted Answer

Explaining the examination process and what to expect helps to reduce anxiety by providing the adolescent with a sense of control and understanding of the situation, which can alleviate fears of the unknown.

Question 2

The parents of an adolescent are distressed about the psychological changes in their child. Which example does the nurse validate as being a source of concern?

Accepted Answer

B

Question 3

During admission of an adolescent to the hospital for an acute illness, the nurse asks about the use of complementary and alternative medicine (CAM). In which manner does the nurse approach the topic to obtain an accurate answer?

Accepted Answer

Asking the adolescent about the types of CAM used at home and among friends is an open and non-judgmental approach that encourages honest communication. It allows the nurse to gather accurate information without making the adolescent feel defensive or judged.

Question 4

Identify one or more choices that best complete the statement or answer the question.
-Nurses in pediatric emergency departments attend an educational program about identifying victims of human trafficking. Which characteristics have the nurses learned to identify? Select all that apply.

Accepted Answer

Nurses are trained to identify victims of human trafficking by recognizing signs such as being under 18 years old, frequent UTIs and STIs, and minors who are pregnant, as these can be indicators of exploitation.

Question 5

Identify one or more choices that best complete the statement or answer the question.
-An adolescent who is 12 years of age is a year into treatment for a malignant brain tumor. For which psychosocial and spiritual care will the nurse plan? Select all that apply.

Accepted Answer

The nurse should focus on promoting self-esteem and confidence, assess for fear of premature death, and consider developmental age due to potential delays from the illness and treatment.

Question 6

Identify one or more choices that best complete the statement or answer the question.
-The health department informs the school nurse that a high school student has been identified with active TB, and students are to be given a TB skin test. Which consideration does the nurse make in regards to student testing? Select all that apply.

Accepted Answer

The nurse must obtain permission from parents or guardians before testing minors (A), assure confidentiality of the test results (B), inform students about the minor pain associated with the test administration (D), and explain the rationale for the testing to both students and parents/guardians (E). Testing is not limited to students who were in physical contact with the infected student (C) because TB is airborne and can affect individuals who share the same air space with the infected person, not just those who had physical contact.

Question 7

The nurse in an acute pediatric care setting is providing care for a 15-year-old patient. The patient is recovering from abdominal surgery. Which nursing intervention is appropriate for this patient?

Accepted Answer

Asking if the patient wants to learn how to care for the incision is appropriate because it promotes independence and involvement in their own care, which is suitable for a 15-year-old's developmental stage.

Question 8

The nurse is performing a physical examination on a male who is 15 years of age. The nurse notices the presence of gynecomastia. The patient states, "I hate these breasts and won't even take my shirt off in front of my friends." Which information does the nurse provide for this patient?

Accepted Answer

Gynecomastia in adolescent males is often a temporary condition related to hormonal changes during puberty. It usually resolves on its own without the need for surgery.

Question 9

Identify one or more choices that best complete the statement or answer the question.
-The nurse is preparing to teach a class of adolescents about the increasing numbers of young people being sexually assaulted. Which advice by the nurse will promote adolescent safety from sex crimes? Select all that apply.

Accepted Answer

The answer of Identify one or more choices that best...

Question 10

The nurse is collecting health data from a 16-year-old male patient. The patient states, "I need to tell you, I had sex with another boy, and I am very confused." Which comment by the nurse is most therapeutic?

Accepted Answer

"Share your thoughts and feelings with me." is the most therapeutic response as it offers an open, nonjudgmental invitation for the patient to discuss his feelings and concerns, fostering a supportive and safe environment for communication.

Question 11

Identify one or more choices that best complete the statement or answer the question.
-The nurse is advocating for a transition to home care from a medical inpatient facility for an adolescent patient with a complex medical condition. Which assessment findings/information supports a transition to home for this patient? Select all that apply.

Accepted Answer

Home care is covered by the adolescent's primary and secondary health-care plan (A) and allows for collaboration and management of care by a medical team (D).

Question 12

The nurse is screening adolescents for substance abuse. Which comment by an adolescent will require additional assessment by the nurse?

Accepted Answer

The answer of The nurse is screening adolescents for substance...

Question 13

The nurse is gathering health data on an adolescent who is 16 years of age. Which comment by the adolescent will cause the nurse to seek additional information?

Accepted Answer

The adolescent's comment about keeping distance from a classmate who coughs all day long indicates a potential health concern that requires further assessment.

Question 14

The nurse is providing care for an adolescent patient who is hospitalized following a grand mal seizure. The condition has existed for 5 years and resulted in multiple hospitalizations. Which nursing intervention is appropriate for this client?

Accepted Answer

The answer of The nurse is providing care for an...

Question 15

The nurse is preparing to perform a physical examination on a female who is 15 years of age. The patient states, "I am anxious about having my pelvic organs examined." Which statement does the nurse make?

Accepted Answer

B is correct because it addresses the patient's anxiety by clarifying the extent of the examination, which can help reduce fear and anxiety. It's important to communicate what the examination will involve, especially for a young patient who may not be familiar with the process. Choices A, C, and D do not directly address the patient's concern about having her pelvic organs examined and may not alleviate her anxiety.

Question 16

The nurse is preparing information for an adolescent patient regarding a prescribed medication regimen. Which information does the nurse present to the patient?

Accepted Answer

Adolescents may not fully understand medical jargon or symbols, so it is important for the nurse to directly verbalize medication warnings to ensure the patient comprehends the risks and instructions associated with their medication regimen.

Question 17

The nurse in a pediatric clinic is assessing a female adolescent who is 15 years of age. When the nurse performs a sexuality assessment, the patient states, "I have never had anything but safe sex." Which approach does the nurse take next?

Accepted Answer

Asking the patient to define "safe sex" is crucial for understanding the patient's perception and knowledge about safe sexual practices. This allows the nurse to provide accurate information and education tailored to the patient's understanding.

Question 18

The nurse is aware that the prefrontal cortex of the adolescent brain is still developing. The processes of critical thinking and decision making are in a stage of development. Which change does the nurse expect in the adolescent's thinking?

Accepted Answer

The prefrontal cortex is responsible for critical thinking and decision making. As it develops, adolescents become more aware of their own limitations and are better able to make decisions.

Question 19

The nurse working in the emergency department of a pediatric care facility is receiving an adolescent patient with a gunshot wound to the head. The patient is unconscious but exhibiting signs of life-threatening deterioration. Which action does the nurse take?

Accepted Answer

In emergency situations where a patient's life is at risk, healthcare providers prioritize immediate medical intervention to save the patient's life. Preparing the patient for surgery is the most appropriate action to address life-threatening conditions urgently.

Question 20

Identify one or more choices that best complete the statement or answer the question.
-The nurse works in a pediatric emergency department (ED) and frequently sees adolescents who are victims of sexual abuse. Which assessment findings does the nurse recognize as placing an adolescent at greater risk for sexual assault? Select all that apply.

Accepted Answer

Adolescents who engage in sexual promiscuity and alcohol/substance use, have developmental disabilities, or date older men or boys are at greater risk for sexual assault.

Quiz 10: Adolescents