A nurse is teaching a group of adolescent females about anticipated physical changes in puberty. Which of the following statements should the nurse include in the teaching?

"Hair growth in the pubic area begins before breast development."

"Puberty begins with a female's first menstrual cycle."

"Females will stop growing by the age of 14."

"Females begin puberty about 2 years earlier than males."

Answer and Explanation

The Correct Answer is D

A. "Hair growth in the pubic area begins before breast development.": In females, breast development (thelarche) typically precedes pubic hair growth (pubarche). This statement is inaccurate and does not reflect the normal sequence of pubertal changes.

B. "Puberty begins with a female's first menstrual cycle.": Menarche occurs later in puberty, usually around Tanner stage 3–4, and is not the initial sign of pubertal development. Puberty begins with the onset of breast development and other secondary sexual characteristics.

C. "Females will stop growing by the age of 14.": Growth in females continues for several years after the onset of puberty, often until 16–18 years of age, depending on the timing of menarche and individual growth patterns. Stating age 14 is inaccurate.

D. "Females begin puberty about 2 years earlier than males.": This statement is accurate. On average, females begin puberty between ages 8–13, while males typically start between ages 10–15, reflecting the earlier onset of secondary sexual characteristics in females.

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Correct Answer is B

Explanation

A. "I can change my cat's litter box every day.": Clients with leukemia are immunocompromised and at increased risk for infections such as toxoplasmosis from cat feces. They should avoid changing litter boxes or use protective measures like gloves and masks, so this statement indicates a misunderstanding of infection prevention.

B. "I will avoid blowing my nose when I feel congested.": Avoiding forceful nose blowing helps prevent mucosal trauma and bleeding, which is important for clients with leukemia who may have thrombocytopenia or fragile mucous membranes. This statement demonstrates an understanding of precautions to reduce injury and infection risk.

C. "I can continue gardening in my yard.": Gardening exposes the client to soilborne pathogens and bacteria, increasing the risk of infection. Clients with leukemia should avoid activities that involve soil contact unless using strict protective measures, so this statement indicates a lack of understanding.

D. "I will clean my toothbrush with an alcohol-based mouthwash.": Cleaning a toothbrush with mouthwash is not sufficient to prevent microbial contamination. Clients with leukemia should use a soft-bristled toothbrush and replace it regularly to minimize infection risk. This statement reflects incomplete understanding of oral care precautions.

A. "I feel emotionally numb and no longer leave the house." B. "I think a part of me died with them. I feel empty inside." C. "I lost trust in health care professionals since they died." D. "I am sad but recognize that this was a blessing for them."

Correct Answer is D

Explanation

A. "I feel emotionally numb and no longer leave the house.": This statement reflects complicated or prolonged grief, characterized by social withdrawal, emotional numbness, and difficulty functioning. It may indicate the need for additional support or referral to mental health services rather than a typical grief response.

B. "I think a part of me died with them. I feel empty inside.": While feelings of emptiness are common in grief, expressing a sense of self-loss that is pervasive and debilitating can suggest a more complicated grief process. It requires careful assessment and monitoring rather than being considered a fully appropriate grief response.

C. "I lost trust in health care professionals since they died.": This statement indicates anger, mistrust, or possible blame associated with grief. While emotional reactions vary, a persistent sense of mistrust can interfere with adaptive coping and may require guidance and support to process feelings constructively.

D. "I am sad but recognize that this was a blessing for them.": This statement demonstrates an adaptive grief response, acknowledging sadness while also finding meaning or acceptance in the situation. It reflects the ability to process loss realistically, maintain perspective, and integrate the experience into ongoing life.

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A nurse is teaching a group of adolescent females about anticipated physical changes in puberty. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing discharge teaching with a client who has leukemia. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is leading a grief support group. Which of the following statements by a participant should the nurse identify as an indication of an appropriate grief response?

Correct Answer is D

Explanation

The nurse is continuing to care for the client. Drag words from the choices below to fill in each blank in the following sentence. The client is at greatest risk for developing _____ and _____

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