Nursing Systems V - Chapter 19 Adolescents

Chapter 19: Care of the Adolescent 1 quizzes taken Your mastery after this quiz 1 Class average 2.11 View current mastery performance for all chapters Answer Key Any use or attempted use of PrepU or the content herein other than as specifically authorized within the Terms & Conditions of our licensing agreement with you—without the express prior written permission of Wolters Kluwer—is strictly prohibited and will, among other things, terminate this licensing agreement and, as result, your right to use PrepU and its content. Such unauthorized use or attempted use may also violate applicable laws, including without limitation, copyright and trademark laws. Accessing PrepU constitutes your acceptance of this end user licensing agreement. Question 1 See full question 38s The nurse is instructing a 12½-year-old boy who says, "I am too short! Girls are taller than I am. Guess I won't be playing basketball." What instructions are best included in the plan of care? Select all that apply.  "Girls begin to grow rapidly at a younger age than boys do. Boys start later and grow longer."  "There are a lot of size differences in your age group now because everyone enters puberty and grows at slightly different times than others."  "You could add as much as 12 inches to your height before you stop growing."  "You are at the age now when most boys begin their growth spurt and grow very rapidly."  "If you know how tall you were at age 3, you can double that and predict fairly well how tall you will get."  "You can't control when and how much you will grow. Basketball can use some really fast guards." Correct response: Incorrect response: Your selection: Explanation: The information about girls growing faster than boys, about differences in size within his age group, and about his growth potential is accurate and addresses concerns implied in his comments to the nurse. Most boys' growth spurts begin near 14 years, not 12½. Height should be doubled at 2 years to predict adult size. The growth control and basketball remarks minimize his concerns and provide no information. Reference:  Tagher, G., & Knapp, L., Pediatric Nursing: A Case-Based Approach, 1st ed., Philadelphia, Wolters Kluwer, 2020, Chapter 19: Care of the Adolescent, Physical Growth, p. 270. Chapter 19: Care of the Adolescent - Page 270 Question 2 See full question 19s To help prevent obesity, which intervention would the nurse include in an adolescent’s plan of care? You Selected:  Plan a diet of 1,500 calories per day. Correct response:  Describe a normal serving size. Explanation: Some adolescents may be unaware that their food intake is excessive because they have been told they need excess nutrients for healthy adolescent growth and everyone in their family eats large portions. Health teaching with these adolescents may need to begin with a discussion of "normal" weight and standard food portions. If adolescents eat a diet too low in protein for any length of time, they can develop a negative nitrogen balance, which can lead to impaired growth. Therefore, a diet of fewer than 1,400 to 1,600 calories a day can rarely be tolerated by adolescents. Teenage girls who are moderately active require about 2,000 calories per day and teenage boys who are moderately active require between 2,200 and 2,800 calories per day. Eating in excess can lead to obesity and should be avoided. Reference:  Tagher, G., & Knapp, L., Pediatric Nursing: A Case-Based Approach, 1st ed., Philadelphia, Wolters Kluwer, 2020, Chapter 19: Care of the Adolescent, Nutrition, p. 280. Chapter 19: Care of the Adolescent - Page 280 Question 3 34s A single male caregiver of a 14-year-old girl accompanies his daughter to her pre-high school physical. In the course of discussion about how his daughter is developing, he remarks, “She's terrific most of the time. Of course when she gets her period, she's miserable and mean, but I tell her that's just what it's like to be a woman.” What would be the most appropriate response by the nurse? You Selected:  “That must be hard on you, especially because you are raising her by yourself.” Correct response:  “There are nutritional and medical things she can do to lessen the symptoms; I'll give both of you information about some strategies and we'll track her for a few months.” Explanation: Women of all ages are subject to the discomfort of premenstrual syndrome (PMS), but the symptoms may be alarming to the adolescent. Symptoms include edema (resulting in weight gain), headache, increased anxiety, mild depression, and mood swings. Generally the discomforts of PMS are minor and can be relieved by reducing salt intake during the week before menstruation, taking mild analgesics, and applying local heat. When symptoms are more severe, the physician may prescribe a mild diuretic to be taken the week before menstruation to relieve edema; occasionally, oral contraceptive pills are prescribed to prevent ovulation. Reference:  Tagher, G., & Knapp, L., Pediatric Nursing: A Case-Based Approach, 1st ed., Philadelphia, Wolters Kluwer, 2020, Chapter 19: Care of the Adolescent, Dysmenorrhea, p. 285. Chapter 19: Care of the Adolescent - Page 285 Question 4 26s A 12-year-old client comes to the clinic for an annual checkup. The nurse needs to take a health history and perform a physical exam. Which method would be the most appropriate when obtaining the client's health history? You Selected:  Ask the client if it's OK for the parent to be in the room. Correct response:  Ask the client if it's OK for the parent to be in the room. Explanation: When obtaining the health history from a young adolescent, give him or her (aged 11 to 14 years) the choice of whether the parent is present during the interview and examination but always allow time to talk alone with the adolescent. Asking the client to wait outside does not acknowledge the client as a person. Asking the parent to leave the room does not give the client a choice in care. Asking the client to fill out the form is not supportive and does not facilitate an exploration of health history. Reference:  Tagher, G., & Knapp, L., Pediatric Nursing: A Case-Based Approach, 1st ed., Philadelphia, Wolters Kluwer, 2020, Chapter 19: Care of the Adolescent, Health Assessment, pp. 267-268. Chapter 19: Care of the Adolescent - Page 267-268 Question 5 24s The nurse is educating the parents of a 10-year-old girl in ways to help their child avoid tobacco. Which suggestion should be part of the nurse’s advice? You Selected:  “As parents, you need to be good role models.” Correct response:  “As parents, you need to be good role models.” Explanation: The nurse would recommend that the parents be good role models and quit smoking. Locking up or hiding your cigarettes and going outside to smoke is not as effective as having a tobacco-free environment in the home. Reference:  Tagher, G., & Knapp, L., Pediatric Nursing: A Case-Based Approach, 1st ed., Philadelphia, Wolters Kluwer, 2020, Chapter 18: Care of the School-Age Child, Discipline, p. 257. Chapter 18: Care of the School-Age Child - Page 257