A 14-year-old male seems to be always eating, although his weight is appropriate for his height. The parents ask the nurse if they should be concerned about this behaviour. Which response by the nurse is best?
His caloric intake would have to be excessive for him to gain weight.
He is substituting food for unfilled needs.
This is normal because of increase in body mass during this time.
This is abnormal and suggestive of possible future obesity.
The Correct Answer is A
The scenario describes a 14-year-old male who seems to be always eating, but his weight is appropriate for his height. In this case, it is important to reassure the parents that the behaviour may not necessarily be a cause for concern.
Option A provides an accurate response by explaining that for weight gain to occur, the individual would need to consume an excessive number of calories. Since the adolescent's weight is appropriate for his height, it suggests that his caloric intake is likely balanced and not excessive.
suggesting that he is substituting food for unfilled needs in (option B) is incorrect because it, is speculative and may not be accurate without further assessment or evidence. It is important to avoid making assumptions about underlying psychological or emotional reasons for increased eating without more information.
stating that this is normal due to an increase in body mass during this time in (option C) is incorrect because it, is not necessarily applicable to the scenario. While it is true that adolescents experience growth and changes in body composition during this period, it does not directly explain the constant eating behaviour described.
suggesting that this behaviour is abnormal and indicative of possible future obesity in (option D) is incorrect because it, may be premature and unsupported based solely on the information provided. It is essential to avoid making predictions or assumptions about future health outcomes without proper evaluation.
By providing the parents with information about the caloric intake required for weight gain and reassuring them that their son's eating behaviour may be within a normal range, the nurse can address their concerns and provide accurate guidance. If the parents have further concerned or questions, it may be appropriate to refer them to a healthcare provider for a more comprehensive assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Juvenile arthritis should be suspected in a child who exhibits joint swelling and pain lasting
longer than 6 weeks. Juvenile arthritis refers to a group of chronic inflammatory conditions
that affect the joints in children and adolescents. Persistent joint swelling and pain are
common symptoms of juvenile arthritis and are often accompanied by other signs such as
morning stiffness, limited range of motion, and joint warmth.
, frequent fractures in (option A) is not correct because it, is not typically associated with
juvenile arthritis. Fractures are more commonly associated with conditions affecting bone
strength, such as osteoporosis or certain genetic disorders.
lurching and abnormal gait with limited abduction in (option A) is not correct because it,
may be seen in certain musculoskeletal conditions or hip joint abnormalities, but it is not
specific to juvenile arthritis.
increased joint mobility in (option D) is incorrect because it, is not typically associated with
juvenile arthritis. In fact, joint stiffness and limited range of motion are more characteristic of
this condition.
Correct Answer is A
Explanation
The most appropriate statement by the nurse to a 15-year-old whose friend has mentioned suicide is option A. The statement acknowledges the seriousness of the situation and emphasizes the importance of taking the friend's threat seriously. It also highlights the need for immediate help and intervention. Suicide threats should never be dismissed or taken lightly, and it is crucial to involve professionals who can provide appropriate support and assistance.
"Tell your friend to come to the clinic immediately," in option B is incorrect because places the responsibility solely on the 15-year-old to relay the message to their friend, which may not be the most effective or timely approach.
"If your friend mentions suicide again, get your friend some help," in (option C) is incorrect because it does not address the urgency of the situation. Waiting for the friend to mention suicide again before acting may lead to potential harm.
"You need to gather details about your friend's suicide plan," is incorrect because places the responsibility on the 15-year-old to gather information about the friend's suicidal intentions. While understanding the situation and obtaining relevant details is important, the immediate priority is ensuring the friend's safety and seeking professional help.
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