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Introduction to Maternity and Pediatric Nursing 8 edition Gloria Leifer Terms in this set (39)One of the tasks of adolescence as defined by Erikson is: 1. finding an identity 1. finding an identity The major tasks of adolescence include establishing an identity, separating from family, initiating intimacy, and developing career choices for economic independence. Erikson identifies the major task of this group as identity versus role confusion. Emancipation is a critical element in the establishment of identity. REF: General characteristics; Box 20-1 When communicating with an adolescent about safety concerns, which concept of adolescent behavior should be considered? 1. The typical adolescent understands teaching and respects and usually follows the advice of adults. 4. Adolescents are risk takers and tend to experiment with potentially dangerous outcomes. The nurse must open the lines of communication and share with adolescents to enable them to feel at ease before initiating care or teaching. Open-ended questions concerning common problems of adolescence may encourage the discussion of a topic that adolescents may not initiate by themselves. REF: Health promotion and guidance Puberty can most accurately be defined as the period of life characterized by the: 1. occurrence of sexual maturity and appearance of secondary sex characteristics. 1. occurrence of sexual maturity and appearance of secondary sex characteristics. Puberty is the stage in which the reproductive organs become functional and secondary sex characteristics develop. REF: Growth and development A 16-year-old adolescent towers over her companions, which bothers her. She confides in the nurse, saying, "I just hate school - everyone is always staring at me." The nurse's best response would be: 1. "Don't pay any attention to it." 4. "Tell me more about how this embarrasses you." The nurse must open the lines of communication and share with adolescents to enable them to feel at ease before initiating care or teaching. Open-ended questions concerning common problems of adolescence may encourage the discussion of a topic that adolescents may not initiate by themselves. REF: Health promotion and guidance Which action is most important when planning nutrition management for the adolescent? 1. Planning a low-calorie diet 2. Incorporating favorite or fad foods into the diet Foods for the adolescent should be selected from the basic food pyramid. Foods and eating fads are often a conflict between adolescents and their parents. Incorporating favorite or fad foods into the diet will increase the chances of compliance. Adolescents grow rapidly and expend large amounts of energy. The nurse attempts to involve the adolescent in selecting foods that are nutritious and appetizing. This may be done by reviewing choices made on the daily menu. REF: Sports and nutrition During the administration of medications, a 17-year-old patient tells the nurse that he has never had that particular pill before. The best nursing action would be: a. check the patient's ID band again. 1. a and b 3. a and d Adolescent is capable of knowing and understanding the care he is given and communication with an adolescent should be treated with respect. It is a nursing responsibility to assure the right medication is given to the right patient, therefore the medication administration record must be reassessed. REF: The Nursing approach to adolescence Which stage of adolescent development is considered the time of greatest turmoil for most families? a. Early adolescence b. Middle adolescence Middle adolescence appears to be the time of greatest turmoil for most families. REF: p. 459 What is the best food choice for the nurse to recommend an adolescent eat before an important exam? a. Fish and rice a. Fish and rice For an adolescent scheduled to take an important school examination, the nurse can offer nutritional guidance as part of the examination preparation. Fish, soy, peanuts, and rice increase choline and acetylcholine in the brain, which results in increased memory. REF: p. 473 The mother of a 15-year-old girl states that her daughter always believes people are looking at her. What is the best education the nurse can provide at this time? a. This is unusual behavior and may require counseling. d. This is normal behavior for an adolescent. Adolescents create what has been termed an imaginary audience, which means they believe everyone is looking at them. This preoccupation with self is normal and accounts for the constant hair combing and makeup repairing often observed in a group of adolescents. REF: p. 466 A physical exam of an adolescent female reveals projection of the areola and papilla to form a secondary mound on the breast. According to Tanner, which stage of sexual maturity is this considered? a. 2 c. 4 The papilla and areola project during stage 4. REF: p. 463 Which is considered a sign of depression in the adolescent? a. Change in school performance a. Change in school performance Adolescents may experience with members of the opposite sex while identifying their role. Adolescents may also become secretive with peer groups, but it would be concerning if they started withdrawing from peer groups. Adolescents typically have decreased appetites during the day because of their level of activity. REF: p. 475 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 c. Enlargement of testicles In boys, pubertal changes begin with enlargement of the testicles and internal structures. REF: Page 462 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. a. It may seem that way because girls have a growth spurt 2 years earlier than boys. REF: Page 463 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. d. She is mentally preparing for real situations. 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. REF: Page 468 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 The chief safety hazard for the adolescent is automobiles REF: Page 473 A 16-year-old excitedly tells his parents that he was offered a part-time job. Which response represents an effective problem-solving approach for his parents? a. Your studies are too important for you to have a part-time job. b. When we went to high school, academics were the adolescents priority. d. How do you think you will manage your school work and a job? An effective approach to help adolescents learn to solve problems is for parents to guide them in exploring alternatives. REF: Page 471 The nurse is planning care of an adolescent. What psychosocial task does the nurse understand is important for the adolescent to develop? a. A sense of initiative c. A sense of identity Psychosocial milestones that must be accomplished during adolescence include the five Isimage of self, identity, independence, interpersonal relationships, and intellectual maturity. REF: Page 459 . A 13-year-old girl tells the school nurse that she is getting fat, especially in her hips and legs. What understanding by the nurse would best guide the response? a. Many adolescents are unaware of proper nutrition. c. Puberty is often preceded by fat deposits in these areas. Secondary sexual characteristics become apparent before menarche. Fat is deposited in the hips, thighs, and breasts, causing them to enlarge. REF: Page 464 The school nurse is planning a program for girls about the physical changes of puberty. Toward what age girl should this program be directed? a. 10 years a. 10 years Because puberty can occur in girls as early as age 10 years, instruction must be given by that age. REF: Page 460 What statement made by a parent indicates an understanding about helping a 13-year-old manage his allowance? a. I set amounts he can earn for
particular chores. a. I set amounts he can earn for particular chores. If money is simply handed out as requested, it is difficult to develop responsibility for finances and money management. The older adolescent is able to get a job. The younger adolescent can earn money by doing particular chores. REF: Page 467 What can the nurse suggests as a good dietary source of zinc for an adolescent who is a vegetarian? a. Green, leafy vegetables c. Nuts Zinc is essential for growth and sexual maturation in adolescence. Good vegetable sources include nuts, legumes, and wheat germ. REF: Page 472 An adolescents parent comments, My son seems so preoccupied with his appearance these days. Is this normal? What is the nurses best response? a. It is his attempt to express his individualism. b. His preoccupation with his looks is quite normal. Preoccupation with self-image is normal and accounts for the constant primping of adolescents REF: Page 462 What foods would be a healthy choice for an adolescent who just finished playing in a strenuous sports game? a. A cheeseburger and soda d. A bagel and skim milk A bagel provides a rapid supply of carbohydrates to the muscles, and skim milk provides a slow release of carbohydrates to the muscles. REF: Page 472 When planning to answer a 16-year-old girls questions about menstruation, the nurse must consider cognitive development. What is developed during adolescence according to Piaget? a. The ability to view a situation from multiple perspectives d. The ability to consider hypothetical situations According to Piaget, in the formal operations stage adolescents have the ability to think abstractly REF: Page 460 A girl tells the nurse that she and her best friend belong to the popular clique. She states, I love Katy Perry, and I want to be a singer. The nurse recognizes the girls statement as characteristic of what time period? a. Early adolescence a. Early adolescence Cliques of unisex friends, having a best friend, and hero worship are characteristics of the early adolescent. REF: Page 462 The nurse is leading a discussion group with parents of adolescents. One parent comments, My son cant do anything without checking with his friends first. My opinion doesn't count anymore. What knowledge in regard to this behavior would the nurse formulate as a response? a. It is unusual for adolescent boys. c. It is a normal phenomenon during adolescence. Parents may need help understanding that the adolescents exaggerated conformity is necessary for moving away from dependence and obtaining approval from persons outside the nuclear family. REF: Page 466 What does an adolescents peer group serve as related to development? a. Social outlet d. Initial separation from family Being a member of a peer group and communicating with and seeking approval from this group are hallmarks of the first separation from the family REF: Page 462 At what stage is the adolescent considered to be, according to Freuds theory? a. Conceptual
b. Genital Freud describes the adolescent period as genital. REF: Page 460 The nurse using the PACE interview guide for persons at risk for substance abuse arrives at a score of 2 for an adolescent patient. How would the nurse interpret this score? a. Nonindicative of potential substance abuse d. Indication for referral for counseling The PACE guide recommends that a score of 2 or higher would suggest the need for a referral for counseling about substance abuse. REF: Page 474 What does adolescent acne result from? a. Ineffective sweat glands b. Oily skin Adolescent acne is the result of overactive sweat glands and oily skin. REF: Page 460 The nurse suggests the use of I messages to communicate a parents feeling to an adolescent. What is the most appropriate example of an I message? a. I feel frightened when you stay out past your curfew. a. I feel frightened when you stay out past your curfew. This is the only statement that associates the parents feelings about the adolescent behavior that is not aggressive or accusatory REF: Page 471 A 13-year-old girl tells the nurse she is concerned because she has not had her first menstrual period. What is the best initial response from the nurse? a. Your hormone levels may be irregular. c. Age of first menstrual cycle varies. Puberty is easily recognized in girls by the onset of menstruation. The first menstrual period is called the menarche. It commonly occurs about age 12 or 13 years, but this varies. It may occur as early as age 10 years or as late as age 15 years REF: Page 464 The nurse is documenting the pediatricians assessment of a female patient. When assessing Tanners stages of breast development there is elevation of papilla only. What stage of development will the nurse document? a. Stage 1 a. Stage 1 According to Tanners Stages of Sexual Maturity, Stage 1 (Preadolescent) is elevation of papilla only Page 463 The school nurse is educating high school students about guidelines to be followed when participating in sports. Which statement by a student alerts the nurse of the need for further information? a. I will eat carbohydrates before practice. b. I drink large amounts of fluid when working out. Fluids lost by sweat must be replaced by drinking small amounts of fluid during a workout. Thirst is one guide for intake. Caffeine and alcohol deplete body water and are to be avoided. Carbohydrates that provide both energy and other nutrients are best for athletes. Protective gear should be worn by all team players in any contact sport. REF: Page 472 To what is the restlessness seen in the adolescent considered to be attributed? (Select all that apply.) a. Drive to be accepted by society as an individual a.
Drive to be accepted by society as an individual All the options listed are sources of stress to the adolescent and are stimulants to restlessness except option E: body changes are rapid. REF: Page 459 What are the best breakfast choices for the nurse to point out prior to a big exam, to provide high levels of alertness and increased memory? (Select all that apply.) a. Pancakes and syrup d. Whole grain cereal and yogurt Meals high in protein will break down into norepinephrine and increase alertness. Meals with a high sugar content result in a soothing sleepy response. Meals high in fats digest slowly and draw blood from the brain during the lengthy digestive process. REF: Page 472 The nurse considers what rites of passage valued by the adolescent in American society? (Select all that apply.) a. Attaining legal drinking age a. Attaining legal drinking age Rites of passage are socially recognized milestones that signify adulthood. Legal drinking age, drivers license, and matriculation through high school are such signals. Religious affiliation and selection of a career path do not necessarily signal adulthood. REF: Page 473 A mother confides in the school nurse that she witnessed her son kissing another boy. Which concepts should guide the nurse to base a reply? (Select all that apply.) a. Homosexual behavior in adolescents is not uncommon.
a. Homosexual behavior in adolescents is not uncommon. Adolescents may experiment with an alternate sexual expression as part of their self-discovery. Homosexual activities are not uncommon in adolescence. REF: Page 469 The school nurse is discussing challenges of the adolescent years with a group of high school students in health class. What challenges toward adolescent development will the nurse include? a. Developing intimacy a. Developing intimacy Adolescents face the challenges of developing intimacy, searching for identity, adjusting to body changes and establishing goals for the future. Adolescents are striving for independence from parents. REF: Page 459 Sets with similar termsChapter 20: The Adolescent28 terms squeekypeaches chapter 20 the adolescent24 terms DeniseCWay_19 PrepU - Adult Nursing III - Adolescent - Chapter 2951 terms Jessie_Hamric18 NURS 355 Chapter 1734 terms irishsulli7 Sets found in the same folderIntroduction to Maternity and Pediatric Nursing Ch…13 terms Thavy_Seng-WillarsPLUS Ch. 19: The School-Age Child32 terms Thavy_Seng-WillarsPLUS Ch. 21 The Child's experience of hospitalization46 terms Thavy_Seng-WillarsPLUS Nurse 140 Ch. 2243 terms Thavy_Seng-WillarsPLUS Other sets by this creatorPsychiatric Medications27 terms Thavy_Seng-WillarsPLUS Mental Health prep32 terms Thavy_Seng-WillarsPLUS Common medications19 terms Thavy_Seng-WillarsPLUS Ch. 42 Nursing Care of Women With Reproductive Sys…42 terms Thavy_Seng-WillarsPLUS Other Quizlet setsORAL DIAGNOSIS FINAL - DENTAL ANOMALIES47 terms xmvo Cosmix Chapters 7-10 Assessment20 terms dailynrobaina AP2 CH22 Respiratory System (incomplete)136 terms rachelraskPLUS Related questionsQUESTION You watched a video clip about children's effortful control (delayed gratification). Effortful control is the? 14 answers QUESTION When Jack heard others talking about terrorists attacking New York City, his first reaction was, "No way, that can't be happening." Where does Jack's response fit in Elizabeth Kübler-Ross's stages of grief model? 15 answers QUESTION Two year old Aliyah tells her mother, "Want cookie!" Her mother immediately understanding this to mean "I want a cookie". What type of speech pattern is Aliyah using? 10 answers QUESTION How does stranger anxiety demonstrate a child's intense attachment to his or her caregivers? How is attachment defined and what are some examples of it in infants? 2 answers Which nursing intervention would be provided to a hospitalized client during the identity versus role confusion stage quizlet?What nursing intervention should a nurse provide to a hospitalized individual in the identity versus role confusion stage? During the identity versus role confusion or puberty stage, a nurse should help hospitalized adolescents deal with illness by helping them to make their own decisions about their treatment plan. What is the developmental task of Erikson's identity versus role confusion stage quizlet?Terms in this set (44) According to Erikson, the major developmental task of adolescence is developing a stable ego identity, or sense of who one is. Failure results in developing a negative identity or in role confusion. How do adolescents establish health identity during?How do adolescents establish health identity during psychosocial development? Adolescents establish health identity by evaluating their own health with feelings of well-being. An individual establishes family identity by fostering their independence with a balanced family structure. What nursing intervention would be given to an individual in the initiative versus guilt stage of Erikson's theory?What nursing intervention would be given to an individual in the initiative versus guilt stage of Erikson's theory? The nurse should teach parents about a child's impulse control to avoid the risks of altered growth and development. What is the developmental task of Erikson's identity versus role confusion stage?The fifth stage of Erik Erikson's theory of psychosocial development is identity vs. role confusion, and it occurs during adolescence, from about 12-18 years. During this stage, adolescents search for a sense of self and personal identity, through an intense exploration of personal values, beliefs, and goals.
At what age does Erikson's stage of identity versus role confusion occur quizlet?In adolescence (ages 12-18), children face the task of identity vs. role confusion. According to Erikson, an adolescent's main task is developing a sense of self.
What was Erikson's role in development of identity?According to Erik Erikson, the psychosocial developmental goal of adolescence is to develop an identity (Orenstein & Lewis, 2020). Personal worth and values create the foundation for a healthy identity, which leads to healthy adult relationships.
What is an example of identity vs role confusion stage?An example of identity is a teenager who has adopted the identity of a gardener after exploring gardening interests. An example of role confusion is a teenager who has not committed to any particular identity and feels confused about their place in society.
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