Chapter 21 LECTURE 5 PART III

Question 1

VALUES-BELIEF PATTERN
-Adolescents have an expanded understanding of what?

Answer 1

Good/bad

Question 2

VALUES-BELIEF PATTERN
-According to Kohlberg’s theory of moral development, they begin to transition into what stage?
-They equate what is right with the idea of….
-What do they base their actions on?

Answer 2

-postconventional
-justice
-the recognition of the universal principles underlying laws and social agreements

Question 3

VALUES-BELIEF PATTERN
-What did Gilligan develop?
-What does “Good” involve?
-What does the female adolescent learn to do?

Answer 3

-A theory of moral development for females
-self-sacrifice and caring for the relationships in her life
-balance between what is good for her and what is good for others

Question 4

VALUES-BELIEF PATTERN
-What do adolescents struggle with?

Answer 4

Their journey to discover/learn who they are

Question 5

ENVIRONMENTAL PROCESSES
-What is the leading cause of death in adolescents?

Answer 5

Accidents and unintentional injuries

Question 6

ENVIRONMENTAL PROCESSES
-_____ _____ accidents are (less/more) likely in comparison to what?
-What are 3 things that can cause them?

Answer 6

-Motor vehicle; more; other age groups

1. Inexperience
2. Drugs/ETOH (ethyl alcohol)
3. Distracted driving

Question 7

ENVIRONMENTAL PROCESSES: Sports Injuries
-Adolescents are vulnerable to what kind of injuries?
-What two things are immature?
-What hasn’t closed yet?

Answer 7

-Sports injuries
-Their coordination (it is developing) and judgement (inadequate)
-Their epiphyses

Question 8

ENVIRONMENTAL PROCESSES: Sports Injuries
-What is something some adolescents may use that puts them at risk for injury?

Answer 8

Performance enhancing substances (like steroids)

Question 9

ENVIRONMENTAL PROCESSES: Violence
-What are 4 risks of violence?

Answer 9

1. Carrying weapons
2. Testing limits
3. Witnessing/observing violence
4. Music lyrics

Question 10

ENVIRONMENTAL PROCESSES: Violence
-What unresolved fear do adolescents have?

Answer 10

increase in violent behavior

Question 11

BIOLOGICAL & CHEMICAL AGENTS
-What are 4 infections that the adolescent can get?

Answer 11

1. Infectious mononucleosis
2. Meningococcal disease
3. STIs
4. HPV

Question 12

BIOLOGICAL & CHEMICAL AGENTS
-What is Infectious mononucleosis?

Answer 12

-“Kissing disease”
-self-limiting viral infection spread through body fluids, especially saliva

Question 13

BIOLOGICAL & CHEMICAL AGENTS
-When should adolescents get the HPV vaccine?
-What is the earliest age that they can get it, why?
-What is the latest that you can get the HPV vaccine?

Answer 13

-ages 11-12
-9 if the child is considered high-risk
-45 years

Question 14

BIOLOGICAL & CHEMICAL AGENTS
-What is there a need for in adolescents? (2)

Answer 14

1. Immunizations
2. Safe sex practices

Question 15

BIOLOGICAL & CHEMICAL AGENTS
-The incidence of ____ infection has (increased/decreased) since the introduction of the ____ immunization

Answer 15

-HPV
-decreased
-HPV

Question 16

BIOLOGICAL & CHEMICAL AGENTS
-What kind of use is increasing?
-Substance ____ is a precuror to substance ____

Answer 16

-chemical use
-use; abuse

Question 17

BIOLOGICAL & CHEMICAL AGENTS: Alcohol & Drug Use
-Name 5 things that adolescents may be using

Answer 17

1. Alcohol
2. Marijuana
3. Medical Prescriptions
4. Inhalants
5. Opioids (OD)

Question 18

BIOLOGICAL & CHEMICAL AGENTS: Tobacco
-What two things are on the rise?
-When do most start to use these?

Answer 18

-Vaping and e-cigarettes
-In adolescence

Question 19

BIOLOGICAL & CHEMICAL AGENTS: Tobacco
-What should we focus on?

Answer 19

Preventing nonsmokers from starting & helping a smoker to quit

Question 20

DETERMINANTS OF HEALTH: School
-What does school bring?
-This means what?

Answer 20

-new social experiences
-increased opportunities & adjustments

Question 21

DETERMINANTS OF HEALTH: School
-School and peers are the primary setting….
-What is important for the adolescent?

Answer 21

-through which expectations are shared and standards communicated
-Peer groups!

Question 22

DETERMINANTS OF HEALTH: Culture & Ethnicity
-What do teens typically do?
-What might this increase?

Answer 22

• question, modify, or reject family influences if they are different from the dominant culture
  -challenges for mintority adolescents

Question 23

LEVEL OF POLICY MAKING & HEALTH: Legislation
-There are age variations for when adolescents can do what?

Answer 23

assume adult responsibilities

Question 24

LEVEL OF POLICY MAKING & HEALTH: Legislation
-What are emancipated minors?

Answer 24

-Adolescents permitted to accept responsibility for certain health/illness decisions
-They are separated from family

Question 25

**LEVEL OF POLICY MAKING & HEALTH**: *Legislation* -What is the most important issue for adolescents? -What should the nurse do?

Answer 25

-Confidentiality -The nurse can assure them that information will be kept confidential (unless the teen poses a risk to themselves or others, such as with STIs)

Question 26

**LEVEL OF POLICY MAKING & HEALTH**: *Economics* -A lot of adolescent activities require what? -What can this cause between parents and adolescents?

Answer 26

-Economic resources -major conflict

Question 27

**LEVEL OF POLICY MAKING & HEALTH**: *Economics* -____ is hard on children -______ pressures can cause adolescent _____ -The parent's _____ often influence their _____

Answer 27

-Poverty -Economic; stress -economic's; children

Question 28

**HEALTH SERVICES/DELIVERY SYSTEM** -Children should go to see their health care providers ______, unless...

Answer 28

-annually -... they have chronic health conditions

Question 29

**HEALTH SERVICES/DELIVERY SYSTEM** -Where are school-based clinics available?

Answer 29

In junior high and high school

Question 30

**HEALTH SERVICES/DELIVERY SYSTEM** -Pregnant adolescents can find prenatal care where? -Their ____ needs are the same as those of a pregnant adult, but their _____ needs are different & should be approached by a ______

Answer 30

-Family planning clinics -Physical -Psychosocial -professional

Question 31

**HEALTH SERVICES/DELIVERY SYSTEM** -What are 4 adolescent-focused practice strategies?

Answer 31

1. Establish the adolescent as a partner with provider 2. Answer questions thoroughly/honestly 3. Use indirect/direct questioning 4. Use correct terms and information

Question 32

**HEEADSSS ASSESSMENT** -What is this?

Answer 32

A psychosocial screening tool to get information from the child

Question 33

**HEALTH SERVICES/DELIVERY SYSTEM** -What do the letters in HEEADSSS stand for?

Answer 33

H: Home E: Education E: Eating A: Activites D: Drugs S: Sexuality S: Suicide S: Safety

Question 34

**HEALTH SERVICES/DELIVERY SYSTEM** -If an adolescent expresses that they are harming themselves or are thinking of harming themselves, what should the nurse do?

Answer 34

Always ask what their plans are!!

Question 35

**NURSING APPLICATION** -Nurses play a pivotal role in what 3 things during the adolescent period?

Answer 35

1. Influencing health promotion 2. Preventive screening 3. Disease prevention activities

Question 36

**NURSING APPLICATION** -What is the PRIMARY responsibility of the nurse?

Answer 36

To provide education about some of the expected changes and how to deal with them (anticipatory guidance)