The adolescent continues to develop self-concept and self-esteem. What is most important to a teen's self-esteem?

Spirituality

Strong authority figures

Morals and values

Body image

Answer and Explanation

The Correct Answer is D

A. Spirituality: While spirituality can be important to some individuals, it is not universally the most crucial factor in adolescent self-esteem.

B. Strong authority figures: While supportive relationships with authority figures can contribute to self-esteem, they are not always the primary factor in shaping an adolescent's self-perception.

C. Morals and values: While having a strong sense of morals and values can positively influence self-esteem, they may not be the most critical factor for all adolescents.

D. Body imagE. During adolescence, body image plays a significant role in shaping self-esteem. Adolescents are often sensitive to physical appearance changes and may experience fluctuations in self-esteem based on how they perceive their bodies compared to societal ideals.

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Correct Answer is C

Explanation

A. Discouraging daily fruit juice intakE. While excessive fruit juice intake can contribute to weight gain and dental caries, it's not the priority nursing intervention in this scenario.

B. Increasing the number of breastfeedings: Breastfeeding frequency may be appropriate, but without more information about the child's current feeding patterns and growth trajectory, it's not the priority intervention.

C. Discussing the child's feeding patterns: This is the priority intervention because it allows the nurse to assess the child's current feeding habits, including frequency, duration, and type of feedings, to determine if they are appropriate for the child's growth and development.

D. Talking about solid food consumption: Solid food introduction is typically recommended around 6 months of age, but the priority in this scenario is to assess the current feeding

patterns before discussing solid food introduction.

A. Obtain a detailed history. B. Report the suspected abuse to the authorities. C. Ask a psychiatrist to talk with the parents. D. Separate the child from the parents.

Correct Answer is A

Explanation

A. Obtain a detailed history.

Obtaining a detailed history is essential to understand the circumstances surrounding the bruises, including how they occurred, where they are located, and whether there is a plausible

explanation for them. This information helps determine whether the bruises are due to accidental injury or potential abuse.

B. Report the suspected abuse to the authorities.

While reporting suspected abuse may ultimately be necessary if there are concerns about the origin of the bruises, obtaining a detailed history is the initial step to gather information and assess the situation before making a report.

C. Ask a psychiatrist to talk with the parents.

Involving a psychiatrist may be appropriate in cases where there are concerns about the child's mental health or the family dynamics, but it may not address the immediate concern of the bruises without first obtaining a detailed history.

D. Separate the child from the parents.

Separating the child from the parents should not be the first action taken without sufficient evidence or reason to believe that the child is in imminent danger. Gathering information through a detailed history is essential before considering such a drastic measure.

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The adolescent continues to develop self-concept and self-esteem. What is most important to a teen's self-esteem?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 6-month-old girl weighs 14.7 lb during a scheduled check-up. Her birth weight was 8 lb. What is the priority nursing intervention?

Correct Answer is C

Explanation

A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. The nurse should understand that these actions aredevelopmentally appropriate at which of the following ages?

After assessing a 10-year-old girl, the nurse documents the appearance of breast buds, identifying this as what body change?

The nurse is performing an annual check-up for an 8-year-old child. Compared to the previous assessment of this child, which characteristic would most likely be observed?

The nurse teaching safety to teens knows that which of these is the leading cause of death among adolescents?

A nurse is caring for a 2-year-old child who is hospitalized and throws a tantrum when his parent leaves. Which of the following toys should the nurse provide to alleviate the child's stress?

A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?

A nurse is caring for a 3-year-old child whose parents report that she has an intense fear of painful procedures, such as injections. Which of the following strategies should the nurse add to the child's plan of care? (Select all that apply.)

The parent of a 4-year-old child tells a nurse that the child believes there are monsters hiding in the closet at bedtime. Which one of the following statements should the nurse make?