1. Which does the nurse include in the plan of care for an adolescent with a chronic condition?

Having an altered body image

2. The nurse is working with the parents of a child with a chronic condition. Which statement made

by the child’s parents indicates the need for intervention related to overwhelming caregiver

burden?

“I have to care for my child day and night, which leaves little time for me.”

3. A preschool-age boy presents to the outpatient clinic for a sore throat. In the child’s mind, which

is the most likely causative agent of the sore throat?

Yelling at sibling for being annoying

4. A school nurse is performing annual height and weight screening. The nurse notes that three

adolescent girls who are close friends each lost 15 pounds over the past year. Which is the priority

nursing action?

Obtaining a nutritional history for each of these adolescents

5. An obese adolescent who adamantly denies sexual activity has a positive pregnancy test. Which

response by the nurse is most appropriate?

“Let’s discuss some activities that you have done within the past few months that could

possibly lead to pregnancy.”

6. A mother reports that her adolescent daughter is always late. The mother states, “She was born

late and has been late every day of her life.” Which response by the nurse is appropriate?

“Setting specific alarms and then reinforce the value of being ‘on-time’ may be helpful

strategies to assist her to be more of an ‘on-time’ individual.”

7. During a health maintenance visit an adolescent state, “I have no friends in my new school, and I

no longer want to go to college. I know I will be lonely there, too.” Which is the priority nursing

action?

Promoting healthy mental health outcomes