Which of the following would be helpful in distinguishing obesity vs. laree body frame in an adolescent who is concerned with her weight?
Question 1Which of the following would be helpful in distinguishing obesity vs. laree body frame in an adolescent who is concerned with her weight?
Triceps skinfold measurement
Assessing family history of body type
Body mass index
Percent of ideal body weight
Question 2Carlos is here for his 12-year-old physical. His BMI falls in the 97% percentile. His diagnosis today is:
Overweight
Metabolic syndrome
Obesity
Normal weight for age because he is very tall
Question 3The primary care pediatric nurse practitioner is examining a 15-year-old female who reports having her first period at age 13. She states that she has had five periods in the last year, with the last one 2 months prior. She participates in basketball at school. Which action is correct?
Perform biometric screening to determine lean body mass.
Prescribe oral contraceptives pills to regulate her periods.
Reassure her that this is perfectly normal at her age.
Refer her to an endocrinologist for hormonal evaluation.
Question 4The primary care pediatric nurse practitioner is performing a well child exam on a 17-year-old female whose mother is present during the history. The mother expresses concern that her daughter wishes to have an eyebrow piercing and states that she is opposed to the idea. What will the nurse practitioner do?
Provide information about piercings and encourage continued discussion.
Remind the adolescent that her mother is responsible for her health.
State that piercings are relatively harmless and are an expression of individuality.
Suggest that she wait until she is 18 years old and can make her own decisions.
Question 5The parent of an adolescent reports noting cutting marks on the teen’s arms and asks the primary care pediatric nurse practitioner what it means. What will the nurse practitioner tell this parent?
Cutting is a way of dealing with emotional distress.
It is a method of fitting in with other adolescents.
The behavior is common and will usually stop.
This type of behavior is a type of suicide attempt.
Question 6The primary care pediatric nurse practitioner is performing a well child assessment on a 13-year-old female whose mother asks when her daughter’s periods may start. Which information will the nurse practitioner use to help estimate the onset of periods?
The age of the mother’s menarche
The patient’s age at thelarche
When adrenarche occurred
Whether linear growth has stopped
Question 7The parent of an adolescent female tells the primary care pediatric nurse practitioner that the child may be the victim of cyber-bullying at school but won’t talk about it with her parents. What is the nurse practitioner’s initial response?
Ask about the adolescent’s school performance and friends.
Interview the adolescent separately from the parent.
Reassure the parent that suicide is a rare response to bullying.
Suggest that the parent discuss this with the school counselor.
Question 8The primary care pediatric nurse practitioner sees a 10-year-old child whose parent describes as a “class clown.” The child denies having problems at school, but acknowledges poor grades by saying, “I’m not very smart, I guess.” When counseling the parent about helping this child deal with this self-perception issue, the nurse practitioner will recommend which strategy?
Empower the child to make decisions and assume more responsibilities.
Help the child identify skills and activities that he is good at.
Spend time each evening helping the child with homework to improve grades.
Work with the teacher to set appropriate limits on school behavior.
Question 9The primary care pediatric nurse practitioner (PNP) prescribes a twice daily inhaled corticosteroid for a 12-year-old child. At a well child visit, the child reports not using the medication on a regular basis. Which response by the pediatric nurse practitioner demonstrates an understanding of client-centered care?
Asking the child to describe usual daily routines and schedules
Referring the family to a social worker to help with medication compliance
Reviewing the asthma action plan with the parent and the child
Teaching the child how the medication will help to control asthma symptoms
Question 10The primary care pediatric nurse practitioner is performing an exam on an adolescent male who asks about sexual orientation. He states he is asking this question because he is concerned that a friend is worried about being labeled as “gay.” Which response will the nurse practitioner make in this situation?
Provide the teen with a questionnaire to gain information about his sexuality.
Remind the adolescent that mandatory reporting requires disclosure to parents.
Suggest that the adolescent discuss sexual concerns with his parents.
Tell the adolescent that, unless he is in physical or mental danger, what he says will be confidential.
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