Textbook Of Basic Nursing (Lippincott’s Practical Nursing) 10th Edition By Caroline – Test Bank

1. Parents of a son ask the nurse when they will know that their son has reached puberty. What is the best response by the nurse?
A) “Puberty occurs when the person becomes able to reproduce sexually.”
B) “Puberty spans the ages between 11 and 20 years of age.”
C) “A rapid growth spurt occurs during puberty.”
D) “Emotional needs predominate the puberty period.”

2. When discussing the growth and development of an adolescent, the nurse refers to various theories and phases of development. A nurse is discussing Erikson’s theory of psychological development with an adolescent client. Based on this information, what is the best explanation of Erikson’s theory of psychosocial development during the adolescence period?
A) Cognitive development is cumulative; that is, what is learned is based on what has been known before.
B) The adolescent thinks in the abstract and develops skills to participate in complex problem solving.
C) The adolescent develops many skills during the teen ages, which help adolescents make educational and career choices.
D) The adolescent faces many different decisions during the teen years concerning the future and the adult world.

3. A nurse is explaining cognitive development in children to a client, with the help of Piaget’s theory of cognitive development. What would be the best explanation by the nurse about the formal operations level of cognitive development?
A) Up to age 2, children learn by touching, tasting, and feeling. They learn to control body movement.
B) Children from ages 2 to 7 years investigate and explore the environment and look at things from their own point of view.
C) From ages 7 to 11 years, children internalize actions and can perform them in the mind.
D) After age 12, children can think in the abstract including complex problem solving.

4. According to Erikson’s theory, at each stage of development, a significant person or group exerts a lasting influence on the ongoing development of the child. The student nurse is preparing a short report for a postclinical conference during the pediatric rotation. The student nurse is doing a case study report on the assigned child and family the nurse care for during the clinical experience. The family consists of an infant, school-age child, teenager, mother, and father. Which individual exerts the most lasting influence on the ongoing development of the adolescent?
A) Peer group
B) School-age child
C) Mother
D) Father

5. The student nurse is preparing a short oral report for postclinical discussion on adolescent stages of growth and development. Based on the information that adolescence can be divided into stages, what would be the best explanation of the main characteristics of the pubescence stage?
A) Desire for independence
B) Grapple with everyday issues
C) Grapple with career choices
D) Fluctuations in self-assurance

6. The student nurse is preparing a short oral report for postclinical discussion on adolescent stages of growth and development. Based on the information that adolescence can be divided into stages, what would be the best explanation of the main characteristics of late adolescence stage?
A) Desire for independence
B) Grapple with everyday issues
C) Teeters between childish and mature ways of appearing and behaving
D) Fluctuations in self-assurance

7. The student nurse is preparing a short oral report for postclinical discussion on adolescent stages of growth and development. Based on the information that adolescence can be divided into stages, what would be the best explanation of the main characteristics of middle adolescence stage?
A) Desire for independence
B) Grapple with everyday issues
C) Grapple with career choices
D) Fluctuations in self-assurance

8. A nurse is taking care of a teenager who complains about involuntary discharge of semen while sleeping. The nurse observes that the client is confused and does not know about the pubertal changes that are taking place in his body. Based on this information, what is the highest priority area that should be reviewed with the client?
A) Educate the client about the changes that occur during adolescence.
B) Convince him that involuntary discharge of semen during sleeping needs the immediate attention of the primary care provider.
C) Provide information about sex and sexuality.
D) Review about sexually transmitted infections.

9. During the annual physical examination of an adolescent girl, the adolescent reveals to the nurse that she is interested in having an intimate relationship with her boyfriend but does not know much about sex. How can the nurse help this client form a healthy sexual attitude?
1. Tell her that she should have no questions about sexual preferences.
2. Review pubertal changes that occur in the body.
3. Provide information about sex.
4. Review that sexual activity at younger ages is decreasing.
A) 1, 2
B) 1, 4
C) 2, 3
D) 3, 4

10. During the annual physical examination of an adolescent girl, the adolescent reveals to the nurse that she is interested in having an intimate relationship with her boyfriend, but does not know much about sex. Why is it important that the nurse assist in providing sex education to teenagers?
1. Adolescents will seek answers elsewhere.
2. Unwholesome attitudes may develop from information from peers.
3. Repetition of correct beliefs that they receive from older adolescents is critical.
4. Premature and unsafe sexual activities could occur.
A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

Answer Key

1. A
2. D
3. D
4. A
5. A
6. B
7. D
8. A
9. C
10. B