The nurse is educating a group of adolescents about factors that contribute to the development of acne vulgaris. Which statement by one of the adolescents indicates a need for further teaching?
"Acne is caused by poor hygiene practices."
"Hormonal changes can trigger acne breakouts."
"Certain foods, like chocolate, can worsen acne."
"Stress and anxiety can worsen acne symptoms."
The Correct Answer is A
Explanation: Choice a indicates a need for further teaching because acne is not caused by poor hygiene practices alone. While keeping the skin clean is important, acne results from a combination of factors, including hormonal changes, excess oil production, and clogged pores.
Incorrect choices: b. "Hormonal changes can trigger acne breakouts." - This statement is correct as hormonal fluctuations, especially during puberty, can lead to increased sebum production, contributing to acne development.
c. "Certain foods, like chocolate, can worsen acne." - This statement is correct as certain foods may exacerbate acne symptoms in some individuals, though the effect varies from person to person.
d. "Stress and anxiety can worsen acne symptoms." - This statement is correct as stress can trigger hormonal responses that influence acne development and worsen existing symptoms.
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Correct Answer is D
Explanation
Explanation: Choice d indicates a need for further teaching because acne vulgaris is not primarily caused by a deficiency of vitamins and minerals. Acne results from a combination of factors such as increased sebum production, clogged hair follicles, bacterial colonization, and inflammation.
Incorrect choices: a. "Acne vulgaris is caused by bacterial infections on the skin." - This statement is partially correct. Bacteria, particularly Propionibacterium acnes, play a role in the inflammation and exacerbation of acne, but they are not the sole cause.
b. "Acne vulgaris results from an overproduction of sebum by the sebaceous glands." - This statement is correct. An excess production of sebum contributes to the development of acne by clogging pores and promoting
bacterial growth.
c. "Acne vulgaris is a result of hormonal changes during puberty." - This statement is correct. Hormonal changes during puberty can lead to increased sebum production and contribute to the development of acne.
Correct Answer is D
Explanation
Explanation: Choice d indicates a need for further teaching because acne does not cause excessive production of skin oils; rather, it results from an increase in sebum production, which can clog pores and contribute to acne development.
Incorrect choices: a. "Untreated severe acne can lead to permanent scarring and skin damage." - This statement is correct as untreated severe acne can leave permanent scars and cause skin damage, especially if the lesions are deep and inflamed.
b. "Severe acne can increase the risk of developing skin infections." - This statement is correct as open acne sores can serve as entry points for bacteria, increasing the risk of skin infections.
c. "Untreated acne may cause psychological and emotional distress." - This statement is correct as severe acne can have a significant impact on a person's self-esteem and cause psychological and emotional distress.
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