Prof. S. B. Udoh

Question 1

Adolescents are those b/w the ages of ___&___

Answer 1

10-19

Question 2

Teenagers are those b/w the ages of __ to __

Answer 2

13-19years

Question 3

Young people are those b/w the ages of ___ & ___

Answer 3

10-24years

Question 4

Youths are those b/w the ages of

Answer 4

15-24years

Question 5

Young adults are those b/w the ages of

Answer 5

25-44years

Question 6

Middle age are those b/w the ages of

Answer 6

45-64years

Question 7

Adolescents are homogenous population, T/F

Answer 7

FALSE

Question 8

The well known barriers limiting adolescents from accessing health services are? (hint: 2)

Answer 8

1. Shyness
2. Healthcare provider’s unsupportive and judgmental attitude

Question 9

Health wise, adolescents are neglected & abandon population, T/F

Answer 9

TRUE

Question 10

The importance of youth health is viewed in 3 subheadings

Answer 10

1. Persistent health problem from childhood
2. Manifest youth health problems
3. Risk for later disease

Question 11

Female adolescents are forced into conflicts and combatants more than male adolescents, T/F

Answer 11

FALSE

Question 12

Female adolescents experience higher rates of domestic and sexual violence than boys, T/F

Answer 12

TRUE

Question 13

According to Erik Erikson model, at the stage of adolescence there must be establishment of ______, _______ and _____ about life

Answer 13

identity, goals and purpose

Question 14

The adolescent is faced with the resolution of number developmental tasks which include (hint: 5)

Answer 14

a). Adaptation to the physiological and anatomical changes associated with puberty and integration of a mature sexuality into a personal model of behavior
b). The progressive resolution of earlier forms of attachment to the parents and family and development through peer relationships of an enhanced capacity for interpersonal intimacy.
c). The establishment of individual identity incorporating a sexual identity and adaptive social roles.
d). Utilization of enriched intellectual competence with the requisition of a sense of community and world views
e) .Development of potentials for occupational and leisure activity with gradual commitment to those that are relevant to both the individual and the community.

Question 15

Mention circumstances that can limit adolescent care strategy on guaranteed confidentiality

Answer 15

1. information suggesting someone is in imminent danger,
2. the suspicion or evidence of abuse, and
3. the diagnosis of certain communicable diseases

N/B: all must be reported to the proper authority

Question 16

The 5F’s in Adolescent care

Answer 16

Facts
Fear
Fables
Family
Future

Question 17

The 2 Strategies of breaking bad news

Answer 17

SPIKES (Setting, perspective/perception, Invitation, Knowledge, Empathy/Emotion, Summary/Support)

BREAKS (Background, Rapport, Explore, Announce, Kindle, Summarize)

Question 18

Define Grief

Answer 18

Grief is an intense, emotional, physical, social, spiritual and mental response to loss

Question 19

Define Bereavement

Answer 19

Bereavement is the Entire experience of family members and friends in the Anticipation, Death and Subsequent adjustment to living following the loss of a loved one

Question 20

Aggressiveness is an emotional reaction of Grief, T/F

Answer 20

FALSE

Social response

Question 21

Overprotectiveness is an emotional reaction of Grief, T/F

Answer 21

FALSE

Mental response

Question 22

Continuously thinking about the Loss
is ______ response to grief

Answer 22

Mental response

Question 23

Searching for actual meaning of loss
is _____ response to grief

Answer 23

Spiritual response

Question 24

Awareness of fragility of Life is _______ response to grief

Answer 24

Spiritual response

Question 25

Separation Anxiety/Fearfulness is _______ response to grief

Answer 25

Social response

Question 26

Concerning the Kübler-Ross Change Curve, state the stages of grief

Answer 26

Shock
Denial
Anger & Bargaining
Depression
Testing
Decision
Integration/Acceptance

Question 27

Bereavement leave should be for 3 months, T/F

Answer 27

FALSE
no laid down rule to determine the duration of such leave

Question 28

In the basic family stages,
- Sandwich generation is stage _____
- Empty Nesters is also referred to as _____
- The Golden years is ______stage of family
- Stage 3 is ______ family

Answer 28

-stage 4 (Families with adolescents “Sandwich Generation”)
-Stage Five: Launching children and moving on “Empty Nesters”
-Stage Six: Families in later life “Retirement, the Golden Years”
-Stage Three: Families with young children

Question 29

Roles can only be given, T/F

Answer 29

FALSE
Roles can be inherited Or given

Question 30

Family dynamics is always static, T/F

Answer 30

FALSE
The dynamics is never static, there are swings

Question 31

Factors affecting family life (hint: 9)

Answer 31

A. Mis-communication
B. Self image
C. Family crises
D. Social issues
E. Culture
F. Responsibilities and rewards
G. Types of families
H. Role expectations
I. Personal values

Question 32

Characteristically, Febrile convulsion occurs on the first day of fever, T/F

Answer 32

TRUE

Question 33

Febrile convulsion occurs between ages of ___ & ___ months

Answer 33

6 to 59months (6months to 5years)

Question 34

Peak incidence of febrile convulsion occur at ages ___ to ___ months

Answer 34

12 to 18 months

Question 35

Male-to-female ratio of Febrile convulsion

Answer 35

1.6 : 1 (M : F)

Question 36

There is a genetic predisposition to the pathophysiology of Febrile convulsion, T/F

Answer 36

TRUE

Question 37

Risk factors for Febrile convulsion (hint: 9)

Answer 37

1. GENETIC PREDISPOSITION
2. MALARIA
3. URTI
4. PHARYNGO-TONSILITIS
5. OTITIS MEDIA
6. BRONCHOPNEUMONIA
7. UTI
8. MEASLES
9. OTHER EXTRA-CRANIAL/ NON-CNS BACTERIAL AND VIRAL INFECTIONS

Question 38

Concerning Febrile convulsion differentiate blw Simple and Complex febrile convulsions.
- number of episodes in 24hrs
- Pattern of seizure
- duration of seizure
- post neurological statue

Answer 38

simple- SINGLE SEIZURES IN 24 HOURS PERIOD, GENERALIZESD TONIC-CLONIC SEIZURES, LASTING < 15 MINUTES, THE CHILD BEING NEUROLOGICALLY HEALTHY & WITHOUT NEUROLOGICAL ABNORMALITY BY EXAMINATION OR DEVELOPMENT HISTORY

complex- MULTIPLE OR CLOSE SUCCESSION IN 24 HOURS, THE SEIZURES ARE FOCAL/PARTIAL, DURATION OF SEIZURES >15 MINUTES

Question 39

Febrile convulsion is associated with a sudden elevated temperature of > ___ degrees celsius

Answer 39

> 38 degrees celsius

Question 40

Characteristic feature of Symptomatic Febrile Convulsion is _________

Answer 40

PRE-EXISTING NEUROLOGICAL ABNORMALITY, e.g. BIRTH TRAUMA TO THE BRAIN, CEREBRAL PALSY, ETC

Question 41

Define Domestic violence

Answer 41

PRE-EXISTING NEUROLOGICAL ABNORMALITY, e.g. BIRTH TRAUMA TO THE BRAIN, CEREBRAL PALSY, ETC

DV can also be defined as Intentional and persistent abuse of anyone in the home in a way that it causes pain, distress or injury

Question 42

Domestic violence is not a violation of Human right, T/F

Answer 42

FALSE

Question 43

Dangers of Domestic violence (hint: 4)

Answer 43

1). Can’t communicate needs/feelings
2). Loss of partner’s trust/respect
3). Divorce
4). Raising social miscreants/NFAs

Question 44

Stages of Battering syndrome (hint: 3)

Answer 44

Stage 1: Woman presents with injuries in the central anterior regions of the body (face, head, and trunk).
Stage 2: Multiple visits to the clinics, often with vague complaints.
Stage 3: Development of psychological sequelae (alcohol, drug addiction, suicide attempts, depression)

Question 45

Cycle of Violence

Answer 45

→ Honeymoon phase (togetherness, clinging, intimacy
→ Tension build up phase
→ Explosion (Violence/Abuse)
→ Remorse phase (Guilt, denial, justification)
→ Wooing phase (Denial, gifts and promises, Retribution)
→ …………………………………

Question 46

Causes of Domestic violence (hint: 7)

Answer 46

Family upbringing/moral values
Cultural belief
Religious belief
Financial issues
Childlessness
Male-child syndrome
Drugs/alcoholism

Question 47

Causes of Domestic violence in Pregnancy (hint: 4)

Answer 47

Ambivalence about the pregnancy
Growing financial pressures
Increased dependency by the woman
Decreased sexual availability

Question 48

The etiology of child abuse appears to involve the interaction of three factors

Answer 48

a). Personality traits of parents which contribute to abuse proneness;
b). Immediate environmental stress,
c). Actual characteristics of the child which make him (or her) vulnerable for scapegoating