Health Promotion of the Adolescent & Common Childhood Health Problems
Quiz
The school nurse develops a plan with an adolescent to provide relief of dysmenorrhea to aid in her development of which of the following?
Positive peer relations.
Positive self-identity.
A sense of autonomy.
A sense of independence.
An adolescent tells the school nurse that she would like to use tampons during her period. Which of the following would be most appropriate for the nurse to do?
Assess her usual menstrual flow pattern.
Determine whether she is sexually active.
Provide information about preventing toxic shock syndrome
Refer her to a specialist in adolescent gynecology.
The school nurse is invited to attend a meeting with several parents who express frustration with the amount of time their adolescents spend in front of the mirror and the length of time it takes them to get dressed. The nurse explains that this behavior is indicative of which of the following?
An abnormal narcissism.
A method of procrastination.
A way of testing the parents' limit-setting.
A result of developing self-concept.
Several high-school seniors are referred to the school nurse because of suspected alcohol misuse. When the nurse assesses the situation, which of the following would be most important to determine?
What they know about the legal implications of drinking.
The type of alcohol they usually drink.
The reasons they choose to use alcohol.
When and with whom they use alcohol.
A parent asks the nurse about head lice (pediculosis capitis) infestation during a visit to the clinic. Which of the following symptoms would the nurse tell the parent is most common in a child infected with head lice?
Itching of the scalp.
Scaling of the scalp.
Serous weeping on the scalp surface.
Pinpoint hemorrhagic spots on the scalp surface.
A parent asks, "Can I get head lice too?" The nurse indicates that adults can also be infested with head lice but that pediculosis is more common among school children, primarily for which of the following reasons?
An immunity to pediculosis usually is established by adulthood.
School-aged children tend to be more neglectful of frequent handwashing.
Pediculosis usually is spread by close contact with infested children.
The skin of adults is more capable of resisting the invasion of lice.
After teaching the parents about the cause of ringworm of the scalp (tinea capitis), which of the following, if stated by the father, indicates successful teaching?
Overexposure to the sun.
Infestation with a mite.
Fungal infection of the scalp.
An allergic reaction.
Griseofulvin (Grisactin) was ordered to treat a child's ringworm of the scalp. The nurse instructs the parents to use the medication for several weeks for which of the following reasons?
A sensitivity to the drug is less likely if it is used over a period of time.
Fewer side effects occur as the body slowly adjusts to a new substance over time.
Fewer allergic reactions occur if the drug is maintained at the same level long-term.
The growth of the causative organism into new cells is prevented with long-term use.
A mother asks the nurse, "How did my children get pinworms?" The nurse explains that pinworms are most commonly spread by which of the following when contaminated?
Food.
Hands.
Animals.
Toilet seats.
A mother tells the nurse that one of her children has chickenpox and asks what she should do to care for that child. When teaching the mother, which of the following would be most important to prevent?
Acid-base imbalance.
Malnutrition.
Skin infection.
Respiratory infection.
A mother calls the clinic to talk to the nurse. The mother states that a physician described her daughter as having 20/60 vision and she asks the nurse what this means. The nurse responds based on the interpretation that the child is experiencing which of the following?
A loss of approximately one-third of her visual acuity.
Ability to see at 60 feet what she should see at 20 feet.
Ability to see at 20 feet what she should see at 60 feet.
Visual acuity three times better than average.
After teaching a group of parents about temper tantrums, the nurse knows the teaching has been effective when one of the parents states which of the following?
"I will ignore the temper tantrum."
"I should pick up the child during the tantrum."
"I'll talk to my daughter during the tantrum."
"I should put my child in time out."
The nurse discusses the eating habits of school-aged children with their parents, explaining that these habits are most influenced by which of the following?
Food preferences of their peers.
Smell and appearance of foods offered.
Examples provided by parents at mealtimes.
Parental encouragement to eat nutritious foods.
When discussing the onset of adolescence with parents, the nurse explains that it occurs at which of the following times?
Same age for both boys and girls.
1 to 2 years earlier in boys than in girls.
1 to 2 years earlier in girls than in boys.
3 to 4 years later in boys than in girls.
Parents report that they think their 15-year-old son is moody and rude. The nurse develops a plan with the parents that includes which of the following initially?
Limiting involvement in nonschool activities.
Discussing their feelings with him.
Obtaining family counseling.
Talking with other parents of adolescents.
A mother has heard that several children have been diagnosed with mononucleosis. She asks the nurse what precautions should be taken to prevent this from occurring in her child. Which of the following would the nurse advise the mother to do?
Take no particular precautionary measures.
Sterilize the child's eating utensils before they are reused.
Wash the child's linens separately in hot, soapy water.
Wear masks when providing direct personal care.
A father asks the nurse how he would know if his child had developed mononucleosis. The nurse explains that in addition to fatigue, which of the following would be most common?
Liver tenderness.
Enlarged lymph glands.
Persistent nonproductive cough.
A blush-like generalized skin rash.
A parent asks why it is recommended that the second dose of the measles, mumps, rubella (MMR) vaccine be given at 4 to 6 years of age? The nurse responds based on which of the following as the most important reason?
The risks to a fetus are high if a girl receiving the vaccine becomes pregnant.
The chance of contracting the disease is much lower at this age.
The dangers associated with a strong reaction to the vaccine are increased at this age.
A serious complication from the vaccine is swelling of the joints.