1. A nurse notices multiple bruises in different stages of healing on a 7-year-old patient. What should be the nurse’s priority action?

   a) Confront the parents about potential abuse
   b) Report the case to child protective services
   c) Ask the child to explain the injuries
   d) Document the findings and monitor the child closely

2. A 14-year-old girl has been diagnosed with anorexia nervosa. Which sign is most indicative of the disorder?

   a) Consistent overeating
   b) Restriction of food intake despite being underweight
   c) Frequent consumption of junk food
   d) Refusing to eat only at family meals

3. During an assessment, a 16-year-old confides in the nurse that they have been having thoughts of suicide. What is the nurse's immediate priority?

   a) Contact the parents and inform them of the situation
   b) Refer the patient to a psychologist for long-term care
   c) Assess the lethality of the suicide plan
   d) Encourage the patient to think positively

4. Which of the following is a warning sign of suicide in adolescents?

   a) Withdrawal from friends and family
   b) Seeking more social interactions
   c) Focus on academic improvement
   d) Increased physical activity

5. A 13-year-old child admits to drug use at a social gathering. What is the most appropriate nursing intervention?

   a) Advise the child never to use drugs again
   b) Notify the parents and suggest a drug prevention program
   c) Offer the child resources on drug addiction recovery
   d) Schedule a follow-up appointment in six months

6. A nurse suspects that a child is being sexually abused based on the child’s behavior and physical signs. What should be the next step?

   a) Interview the parents about their relationship with the child
   b) Report the suspected abuse to child protective services
   c) Gather more evidence before taking action
   d) Refer the case to a family counselor

7. What is the most common method of suicide in adolescents?

   a) Drug overdose
   b) Hanging
   c) Self-inflicted gunshot
   d) Poisoning

8. A 15-year-old patient is hospitalized after attempting suicide. What is the nurse’s most appropriate intervention?

   a) Encourage the patient to join group activities to improve mood
   b) Establish a one-on-one observation plan to prevent further attempts
   c) Suggest that the patient avoid stressful situations
   d) Recommend a reward system for positive behavior

9. A teenager with a history of physical abuse exhibits aggressive behavior in school. What is the most likely cause of this behavior?

   a) Poor academic performance
   b) The child’s natural temperament
   c) Unresolved trauma and emotional distress
   d) Peer pressure from friends

10. A nurse is teaching parents how to recognize signs of depression in their adolescent. Which symptom should be included?

    a) Increased interest in hobbies
    b) Lack of appetite and frequent crying
    c) Constantly seeking validation from peers
    d) Excitement over new projects

11. Which of the following is an early indicator of substance abuse in adolescents?

    a) Consistent participation in sports
    b) Sudden drop in academic performance
    c) Spending more time with family
    d) Increased interest in school activities

12. A nurse is working with a 17-year-old patient who is being treated for substance abuse. What is the most effective long-term approach?

    a) Suggest isolation from peers to prevent further abuse
    b) Develop a plan for continued counseling and support groups
    c) Advise the patient to avoid school-related activities
    d) Focus on immediate cessation of substance use

13. A child is diagnosed with emotional abuse. Which intervention should the nurse implement first?

    a) Suggest removing the child from the home
    b) Provide the child with coping mechanisms and therapy
    c) Confront the abuser in the family
    d) Refer the family to legal services

14. Which risk factor is most strongly associated with adolescent suicide?

    a) Family history of heart disease
    b) Involvement in extracurricular activities
    c) History of childhood abuse and mental illness
    d) Academic success

15. A 12-year-old exhibits signs of withdrawal and nightmares after witnessing domestic violence. What is the most appropriate nursing intervention?

    a) Encourage the child to forget about the incident
    b) Provide the child with a safe space to express feelings
    c) Recommend immediate separation from the family
    d) Ignore the behavior, as it will resolve over time

16. A 16-year-old presents with symptoms of depression and frequent headaches. What should be the nurse's next step?

    a) Refer the patient for a mental health evaluation
    b) Administer pain relief medication and send the patient home
    c) Ignore the emotional symptoms and focus on the physical complaints
    d) Recommend an increase in physical activity

17. A child with signs of neglect comes to the clinic with inadequate clothing for the weather. What should the nurse do first?

    a) Ask the child why they are not wearing proper clothing
    b) Contact child protective services immediately
    c) Provide the child with warm clothing and document the observation
    d) Schedule a home visit to assess the living situation

18. What is a key sign of psychological abuse in children?

    a) Excessive attention from caregivers
    b) Extreme attachment to parents
    c) Fear of authority figures and constant criticism from caregivers
    d) Participation in social clubs and activities

19. A nurse is caring for a child who has been sexually abused. What is the priority nursing diagnosis?

    a) Risk for delayed development
    b) Powerlessness related to trauma
    c) Social isolation related to the incident
    d) Ineffective coping related to abuse

20. A 14-year-old is admitted to the hospital after a drug overdose. What is the first step in treatment?

    a) Provide counseling to prevent future drug use
    b) Stabilize the patient’s physical condition
    c) Refer the family to a rehabilitation program
    d) Educate the patient about the dangers of drug use

21. An adolescent with bipolar disorder is being assessed in a clinic. What symptom would the nurse expect during the manic phase?

    a) Social withdrawal
    b) Low energy and depression
    c) Hyperactivity and inflated self-esteem
    d) Lack of interest in usual activities

22. What is the nurse's role in the prevention of adolescent substance abuse?

    a) Avoid discussing substance abuse during health teaching
    b) Educate adolescents about the risks of drug use
    c) Allow experimentation to build trust
    d) Discourage participation in social activities

23. A 13-year-old diagnosed with major depression tells the nurse that they don’t want to live anymore. What should the nurse do first?

    a) Call the parents and tell them about the statement
    b) Initiate a suicide risk assessment immediately
    c) Refer the patient for outpatient therapy
    d) Provide reassurance that things will get better

24. What is the best strategy to reduce the risk of substance abuse relapse in adolescents?

    a) Limit the adolescent's social interactions
    b) Provide continued counseling and peer support
    c) Focus on punitive measures for drug use
    d) Isolate the adolescent from peers

25. A 16-year-old expresses feelings of worthlessness and self-blame after a breakup. Which of the following should be the nurse's next step?

    a) Encourage the adolescent to seek new relationships
    b) Explore the adolescent’s feelings of self-worth and coping strategies
    c) Dismiss the breakup as a minor issue
    d) Advise the adolescent to move on quickly

26. What is the priority nursing goal for an adolescent struggling with substance abuse? a) Help the adolescent abstain from all substances immediately
    b) Ensure the adolescent's safety and emotional well-being
    c) Focus on improving school performance
    d) Encourage the adolescent to change their peer group

27. An adolescent with a history of depression is seen for a follow-up visit. Which finding would indicate an improvement in mental health?

    a) Increased irritability
    b) Better management of daily tasks
    c) Continued social withdrawal
    d) Increased expression of hopelessness

28. A 14-year-old reports using alcohol to cope with stress. What is the most appropriate nursing action?

    a) Suggest finding other stress-relief strategies and refer to counseling
    b) Ignore the behavior as common experimentation
    c) Advise the adolescent to avoid stress altogether
    d) Recommend alcohol in moderation

29. A nurse is working with a family whose child has been sexually abused. What is the best intervention to help the child heal?

    a) Focus solely on prosecuting the abuser
    b) Provide therapy to help the child regain a sense of control
    c) Discourage the child from discussing the event
    d) Encourage the family to move to a new location

30. A 13-year-old diagnosed with substance abuse disorder admits to regularly using marijuana. What is the nurse’s priority intervention?

    a) Ignore the use of marijuana as a harmless activity
    b) Refer the patient to a substance abuse treatment program
    c) Encourage the adolescent to quit without professional help
    d) Suggest switching to a less harmful substance

Answer Key:

1. b

2. b

3. c

4. a

5. b

6. b

7. b

8. b

9. c

10. b

11. b

12. b

13. b

14. c

15. b

16. a

17. c

18. c

19. b

20. b

21. c

22. b

23. b

24. b

25. b

26. b

27. b

28. a

29. b

30. b