Chapter 21 LECTURE 5 PART II Flashcards

(42 cards)

1
Q

NUTRITIONAL-METABOLIC PATTERN
-What are the 5 competing factors?

A
  1. Ideal body
  2. Fast foods, soda pop, sweets, alcohol
  3. Peer pressure
  4. Activities requiring weight restriction
  5. Increased needs with growth spurt
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

NUTRITIONAL-METABOLIC PATTERN
-What are two things about dietary intake?

A
  • It is a way of gaining control AND exerting independence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

NUTRITIONAL-METABOLIC PATTERN
-Eating disorders are more common in who?
-Can they occur in males too?

A

-females
-yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

NUTRITIONAL-METABOLIC PATTERN: Anorexia Nervosa
-What is it?
-We see them as ____ but they see themselves as _____
-Why does this tend to occur?

A

-distorted body image
-thin, overweight
-because they want to be in control of their life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

NUTRITIONAL-METABOLIC PATTERN: Bulimia Nervosa
-What is it?

A

High caloric intake then purge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

NUTRITIONAL-METABOLIC PATTERN: Binge Eating Disorder
-What was it?

A

Large amounts of food in a short period of time, but there is no purging component

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

NUTRITIONAL-METABOLIC PATTERN
-Overweight and obesity occurs especially in what individuals?

A

Blacks, Natives, and Hispanics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

NUTRITIONAL-METABOLIC PATTERN- Type 2 Diabetes
-There is a(n) (increasing/decreasing) prevalence of it
-Risk increases with what?

A

-increasing
-obesity and inactivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

NUTRITIONAL-METABOLIC PATTERN
-What is needed for teens?

A

Individual wellness plans and reassurance about teens’ bodies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

ELIMINATION PATTERN
-Their elimination patterns should be consistent with those found in who?

A

Adults

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

ELIMINATION PATTERN
-Renal and GI systems are what?

A

Functionally mature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

ELIMINATION PATTERN
-______ ______ can occur with teens with eating disorders

A

Abnormal variation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

ELIMINATION PATTERN
-Teens experience what kind of issues?
-Explain.

A

-privacy or self-protection
-they may inhibit normal elimination in public places, such as schools, which can lead to constipation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

ACTIVITY-EXERCISE PATTERN
-What is there an increase in?
-What does this allow them to do?

A

-lean muscle mass
-have increased strength/endurance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

ACTIVITY-EXERCISE PATTERN
-What should be taught?

A

-the importance of regular exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

ACTIVITY-EXERCISE PATTERN
-Many teens participate in what?
-What examination offers an opportunity for health teaching?
-What does this examination do?

A

-Organized sports
-Preparticipation sports examination
-It identifies risks, assesses health, and promotes healthy lifestyles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

ACTIVITY-EXERCISE PATTERN
-What kind of injury is there a risk for?
-Explain
-What should the nurses do?

A

-Overuse injury
-The adolescent plays the same sport throughout the year or has insuficient rest between sports
-Work with coaches and athlete for a healthy appraoch to sports

18
Q

SLEEP-REST PATTERN
-Adolescents need at least ___ hours of sleep per night

19
Q

SLEEP-REST PATTERN
-What are the 5 common problems that lead to sleep deprivation?

A
  1. Multiple activites and responsibilites
  2. Those who have “too much on their plate”
  3. Staying up late and rising early for school
  4. Texting after bedtime is a major problem
  5. Cells phones, computers, texting (devices contribute)
20
Q

SLEEP-REST PATTERN
-What can nurses do?

A

Help adolescents cope with balancing responsibilities

21
Q

COGNITIVE-PERCEPTUAL PATTERN
-According to Piaget, what stage are they in?
-What does this lay the groundwork for?
-What are 2 adolescent behaviors/characteristics?

A

-formal operational
-abstract thinking

  1. Introspection (“Who am I?”) and reemergence of egocentrism
  2. Intolerance of “status quo”
22
Q

COGNITIVE-PERCEPTUAL PATTERN
-According to Erikson, what stage are they in?
-What does this crisis involve?
-Threats to identity can result in what?

A

-identity vs. role confusion
-restaging of each of the previous stages of development
-delinquent behavior and mental health issues

23
Q

COGNITIVE-PERCEPTUAL PATTERN
-What can idealism lead to?

A

rejection of traditional ideas

24
Q

RISK TAKING BEHAVIOR
-Is this a major problem in adolescence?
-Give three examples.

A

-yes

  1. “I can get drunk on weekends and not develop a drinking problem”
  2. “I won’t get pregnant. I have had sex for 6 months and haven’t gotten pregnant yet”
  3. “I can take those turns at 60 miles per hour and not lose control”
25
**COGNITIVE-PERCEPTUAL PATTERN** -What do they have a more sophisticated perception of? -What do they develop? -What are they able to do?
-time orientation -the ability for future orientation (such as where they will go to college) -delay immediate gratification to gain more satisfaction in the future
26
**COGNITIVE-PERCEPTUAL PATTERN**: *Language* -What kind of increase do we see with adolescents?
-increased cognitive skills & understanding language
27
**COGNITIVE-PERCEPTUAL PATTERN**: *Language* -What happens with receptive and expressive vocabulary? -The use of cell phones leads to what?
-receptive and expressive vocabulary increase (receptive and expressive vocabulary are equal) -slang, electronic communication
28
**SELF-PERCEPTION-SELF-CONCEPT PATTERN**: Self perception and body image -What is problematic in adolescence? -What two things carry health risks? -In terms of tattooing, what does it create a risk for?
-acne -body art and piercings -risk of HIV & hepatitis, as well as employment issues
29
**SELF-PERCEPTION-SELF-CONCEPT PATTERN** -What is brought to the forefront in teens? -Why?
-self-esteem 1. Peer pressure 2. Societal norms and expectations
30
**SELF-PERCEPTION-SELF-CONCEPT PATTERN** -What 3 things can help develop healthy choices?
1. Anticipatory guidance 2. Education 3. Counseling
31
**ROLES-RELATINSHIPS PATTERN** -Changing of roles can be what? -What do adolescents strive for? -What do their parents try to learn?
-stressful for the family -increasing independence -to "let go"
32
**ROLES-RELATINSHIPS PATTERN**: *Peer and Peer Groups* -They are moving from a ____ in the family to a _____ of a group -Peers and peer groups have what on the adolescent? -What is problematic in urban and rural areas? Why may they join these?
-child, member -a strong influence -gangs; they get a sense of family and identity from the gang
32
**ROLES-RELATINSHIPS PATTERN** -What are 3 positive strategies during this time?
1. Willingness to listen 2. Ongoing affection for & acceptance of teen 3. Negotiation of limits
33
**SEXUALITY-REPRODUCTIVE PATTERN** -What emerges? -What kind of experimentation may they participate in? Explain. -What kind of guidance can be provided? (3)
-secondary sexual characteristics -sexual; heterosexual or same-sex activity Guidance on... 1. Sexual decisions 2. Contraception 3. Sexually transmitted infection (STI) prevention
34
**SEXUALITY-REPRODUCTIVE PATTERN** -Adolescent pregnancy creats a high risk in what? -It can have many ___ outcomes -What two things can be affected?
-maternal/infant outcomes -negative -education and economics
35
**SEXUALITY-REPRODUCTIVE PATTERN** -What are 2 hazards?
1. Dating violence 2. LGBTQ issues (homelessness & sex trafficking)
36
**COPING-STRESS TOLERANCE PATTERN** -What is put to test in adolescents?
Their ability to cope
37
**COPING-STRESS TOLERANCE PATTERN** -What percent of adolescents experience a major depressive episode by age 18? -What are two types of disorders they can develop?
-13% -Major depressive disorder and dysthymic disorders
38
**COPING-STRESS TOLERANCE PATTERN** -What are things to watch out for? -Has their prevalence increased or decreased?
1. Depressed/irritatble mood 2. Diminished interest & pleasure -increased
39
**COPING-STRESS TOLERANCE PATTERN** -What should nurses do in these situations? (depression)
1. Assess for signs and symptoms of depression 2. Refer for treatment
40
**COPING-STRESS TOLERANCE PATTERN** -What percent of youths have considered suicide? -Suicide is the ____ leading cause of death between ages ____-____ years -What two things are essential?
-17% -2nd; 10-24 -recognition of warning signs and prevention
41
**COPING-STRESS TOLERANCE PATTERN** -___-___ without suicide is a concern
Self-injury