Adolescent

Question 1

Puberty

Answer 1

Bodily changes

Question 2

Adolescence

Answer 2

Adjustments in personality

Question 3

Growth

Answer 3

Wide variation btw initiation of growth, rate of growth, and completion
Females: breasts buds begin around 10 years, menstruation around 12 years, and mature breasts by 15 years
Males: tests enlarge around 11-12 years, first ejaculation around 13-14 years, and mature penis and public hair around 16 years

Question 4

Psychosocial Development

Answer 4

Identity v. Role confusion stage
Occurs in 3 distinct stages
Emergence of autonomy
Connection with peers
Development of positive self image

Question 5

HEADSSS Assessment

Answer 5

Home, education, activity, drugs, diet, sexuality, suicide and depression, safety and violence

Provide confidentiality and praise

Question 6

Early Adolescence

Answer 6

Concrete thinkers (concerned about the now)
Self centered and image focused
Short attention span
Make sure to address: peer and family relations, body image, safety, school success, and correct health myths
Encourage family to still be present and provide support

Question 7

Middle Adolesence

Answer 7

“Sex, drugs, and rock n roll”
Address: safety, healthy relationships, sleep, diet and hydration (specifically the form of hydration coughalcoholcough)
Mental health

Question 8

Late Adolesence

Answer 8

Promote transitions
Encourage them to self report symptoms and medical history, manage their own meds, and see their own PCP
Safety is still of concern
Teach them about prevention of long term health issues, health maintenance, immunizations, and contraception
Complete full health exam before leaving HS and plan for beyond school

Question 9

NC family planning

Answer 9

Minors may consent to confidential contraception outside of a school clinic
Minors may consent to confidential testing and treatment
Parental consent is require to obtain an abortion
Teens <18 are not emancipated as parents