6W: Adolescent Interview

Question 1

Stages of normal development in adolescence

Answer 1

Early: onset of puberty. concern with body. separates from family. peer importance. concrete thinking (just black and white)
Middle: (around age 15/16) puberty is usually complete. peers set standards. family values still persist somewhat. increased independence. SOME abstract thinking
Late: (after age 15/16) physical maturation complete. body image, gender role definition secure. nearly emancipated (some fully). cognitive development complete. usually have some life goal

Question 2

what does HEEADSSS stand for?

Answer 2

Home, Education and Employment, Eating, Activities, Drugs, Sex and Sexuality, Suicide/Emotional Health, and Safety
- used for a new patient

Question 3

3 steps of puberty in girls (in order)

Answer 3

1. Thelarche: asymmetrical breast development
2. Pubarche: start having other puberty changes
3. Menarche: menstruation
   - usually takes about 4 years

Question 4

Stages of sexual maturity in girls

Answer 4

5 stages ranging from pre-adolescent (stage 1) to around 14 years (stage 5) that increases breast size and pubic hair throughout

Question 5

Puberty in boys

Answer 5

• takes about 3 years

- 98% of boys have the first event as testicular enlargement, then enlargement of the penis, then hair growth

Question 6

Stages of sexual maturity in boys

Answer 6

5 stages ranging from preadolescent (stage 1) to mature adult size (stage 5) that increase testes size, penis size, and hair growth throughout

Question 7

Describe how to interview an adolescent

Answer 7

• use very open questions!

- don’t start with asking them direct questions that are hard. ask if their friends have done these things