MULTIPLE CHOICE

1. In girls, the initial indication of puberty is:

a. menarche.

b. growth spurt.

c. growth of pubic hair.

d. breast development.

2. A school nurse is teaching a group of preadolescent girls about puberty. Which is the mean age of menarche for girls in the United States?

a. 11 1/2 years

b. 12 3/4 years

c. 13 1/2 years

d. 14 years

3. A school nurse is teaching a group of preadolescent boys about puberty. By which age should concerns about pubertal delay be considered?

a. 12 to 12 1/2 years

b. 12 1/2 to 13 years

c. 13 to 13 1/2 years

d. 13 1/2 to 14 years

4. A 14-year-old male mentions that he now has to use deodorant but never had to before. The nurse’s response should be based on knowledge that which occurs during puberty?

a. Eccrine sweat glands in the axillae become fully functional during puberty.

b. Sebaceous glands become extremely active during puberty.

c. New deposits of fatty tissue insulate the body and cause increased sweat production.

d. Apocrine sweat glands reach secretory capacity during puberty.

5. According to Erikson, the psychosocial task of adolescence is developing:

a. intimacy.

b. identity.

c. initiative.

d. independence.

6. A nurse is planning a teaching session for a group of adolescents. The nurse understands that by adolescence the individual is in which stage of cognitive development?

a. Formal operations

b. Concrete operations

c. Conventional thought

d. Post-conventional thought

7. Which aspect of cognition develops during adolescence?

a. Capability to use a future time perspective

b. Ability to place things in a sensible and logical order

c. Ability to see things from the point of view of another

d. Progress from making judgments based on what they see to making judgments based on what they reason

8. Parents are concerned about the number of hours their teenage daughter spends with peers. The nurse explains that peer relationships are important during adolescence for which reason?

a. Adolescents dislike their parents.

b. Adolescents no longer need parental control.

c. They provide adolescents with a feeling of belonging.

d. They promote a sense of individuality in adolescents.

9. An adolescent boy tells the nurse that he has recently had homosexual feelings. The nurse’s response should be based on knowledge that:

a. this indicates the adolescent is homosexual.

b. this indicates the adolescent will become homosexual as an adult.

c. the adolescent should be referred for psychotherapy.

d. the adolescent should be encouraged to share his feelings and experiences.

10. The school nurse tells adolescents in the clinic that confidentiality and privacy will be maintained unless a life-threatening situation arises. This practice is:

a. not appropriate in a school setting.

b. never appropriate because adolescents are minors.

c. important in establishing trusting relationships.

d. suggestive that the nurse is meeting his or her own needs.