adolescent health Flashcards

1
Q

What does “HEEADSSS” stand for in regard to psycholosocial interview for teens?

A

Home

Education /Employment

Eating

Activities

Drugs

Safety

Sexuality

Suicide/depression

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2
Q

What are some questions would ask about teen’s Home?

A
  • who lives at home with you? Where do you live? Do you have your own room?
  • how many brothers and sisters do you have and what are their ages?
  • are your brothers and sisters healthy?
  • are your parents healthy? What do your parents do for a living?
  • how do you get along with your parents, your siblings?
  • is there anything you would like to change about your family?
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3
Q

What would you ask a teen about “education”?

A
  • which school do you go to? What grade are you in? Any recent changes in schools?
  • what do you like best and least about school? Favorite subjects? Worst subjects?
  • what kind of grades do you like to get?
  • how much school did you miss last/this year? Do you skip classes? Have you ever been suspended?
  • what do you want to do when you finish school?
  • how do you get along with teachers? How do you get along with your peers?
  • inquire about “bullying”
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4
Q

What would you ask a teen about “employent”?

A

• are you doing any full time or part time job?

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5
Q

What would you ask teen about “Eating”

A
  • do you feel you eat healthy?
  • how often do you eat fruits and vegetables?
  • how about sweets or snacks like potato chips?
  • do you drink juice or soda?
  • what do you like and not like about your body?
  • has there been any recent change in your weight?
  • have you dieted in the last year? How? How often?
  • how much exercise do you get on an average day ?Week?
  • do you worry about your weight? How often?
  • does it ever seem as though your eating is out of control?
  • have you ever made yourself throw up on purpose to control your weight?
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6
Q

What would you ask teen about “Activities”?

A
  • are most of your friends from school or somewhere else? Are they the same age as you?
  • do you hang out with mainly people of your same sex or a mixed crowd?
  • do you have a lot of friends?
  • do you see your friends at school and on weekends, too?
  • do you do any regular sport or exercise? Hobbies or interests?
  • how much TV do you watch? What are your favourite shows?
  • have you ever been involved with the police? Do you belong to a group/gang?
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7
Q

What might you ask a teen about “Drugs”?

A
  • do any of your friends drink or smoke? Do you? How much and how often?
  • have you or your friends ever tried any other drugs? Specifically, what?
  • do you regularly use other drugs? How much and how often?
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8
Q

What would you ask a teen about “Sexuality”?

A
  • have you ever been in a relationship? When?
  • are many of your friends having sex?
  • have you had sex? Number of partners? Males/females or both?
  • What type of contraception are you using?
  • have you ever been pregnant or had an abortion?
  • have you ever been checked for a sexually transmitted infection (STI)?
  • What do you know about STIs and how to prevent them?
  • for females: Ask about menarche, last menstrual period (LMP), and menstrual cycles. Also inquire about breast self examination (BSE) practices.
  • for males: Ask about testicular self-examination (TSE) practices.
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9
Q

What would you ask a teen about “Suicide/ Depression”

A
  • do you have difficulties going to sleep? Has there been any change in your appetite recently?
  • are there days where you feel really down or sad? Do you ever have feelings of hopelessness?
  • have you ever thought about suicide?
  • do you have a plan?
  • have you ever attempted suicide?
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10
Q

What might you want to ask a teen about “safety”?

A
  • have you ever been seriously injured? Do you always wear a seatbelt in the car?
  • do you ever text while you are driving
  • do you wear a helmet when biking, skiing, boarding, rock climbing, etc?
  • is there any violence in your home? Does the violence ever get physical?
  • Have you ever been physically or sexually abused?
  • have you ever been bullied? Is that still a problem?
  • have you gotten into physical fights in school or your neighborhood? Are you still getting into fights?
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11
Q

What is the law regarding minor’s right to abortion in CO?

A

A minor of any age may consent for her own abortion services.

However, in many circumstances, the provider cannot perform the procedure until 48 hours after delivery of written notice to parents or other specified guardians.

There is a judicial bypass option

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12
Q

What is law regarding minor’s access to birth control, STD and HIV testing and treatment?

A

With the minor’s consent, a physician may:

give birth control procedures, information

may diagnose, prescribe for and treat a minor of any age for a sexually transmitted infection, including HIV

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13
Q

How old does a minor have to be to consent to recieve mental health services?

A

15+yo

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14
Q

Do you need to notify parents or guardians or obtain their consent before treating patient for addiction/drug use?

A

NO, just needs minor’s consent

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15
Q

Parents can only be notified of protected records of their minor child if what 3 conditions are met?

A

In the judgment of the treatment director or designated staff:

1. The minor** does not have the capacity to rationally decide whether to consent to notification due to age or medical and/or mental conditions**;

  1. Disclosure is necessary to protect the lives or well being of the minor or others; and
  2. Essential medical information is necessary for parents or legal guardians to make informed medical decisions on behalf of minor
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16
Q

In a school-based clinic setting, may a health care provider whose records are subject to FERPA promise students that their parents will not have access to “minor consent” information in their education record?

A

A provider can NOT make this promise