An adolescent girl tells the nurse that she has suicidal ...

[Bernana]

An adolescent girl tells the nurse that she has suicidal thoughts. The nurse asks her if she has a specific plan. Asking this should be considered:
 
  a. An appropriate part of the assessment.
  b. Not a critical part of the assessment.
  c. Suggesting that the adolescent needs a plan.
  d. Encouraging the adolescent to devise a plan.

Question 2

The nurse is explaining Tanner staging to an adolescent and her mother. Which statement best describes Tanner staging?
 
  a. Predictable stages of puberty that are based on chronologic age
  b. Staging of puberty based on the initiation of menarche and nocturnal emissions
  c. Predictable stages of puberty that are based on primary and secondary sexual characteristics
  d. Staging of puberty based on the initiation of primary sexual characteristics

[Jadwiga9]

Answer to Question 1

ANS: A
Routine health assessments of adolescents should include questions that assess the presence of suicidal ideation or intent. Questions such as Have you ever developed a plan to hurt yourself or kill yourself? should be part of that assessment. Threats of suicide should always be taken seriously and evaluated. Suggesting that the adolescent needs a plan and encouraging her to devise this plan would be inappropriate statements by the nurse.

Answer to Question 2

ANS: C
Tanner sexual-maturing ratings are based on the development of stages of primary and secondary sexual characteristics. Tanner stages are not based on chronologic age. The age at which an adolescent enters puberty is variable. The puberty stage in girls begins with breast development. The puberty stage in boys begins with genital enlargement. Primary sexual characteristics are not the sole basis of Tanner staging.

[Bernana]

Excellent

[raenoj]

Great answer, keep it coming