Assessment of Adolescent

Question 1

____________ is the leading cause of morbidity among U.S. adolescents.

Answer 1

Unsafe sexual behavior

Question 2

What are the three phases of adolescence?

Answer 2

1- Early 10-14
2- Middle 15-17
3- Late 18-21

Question 3

What is the physical growth that takes place in early adolescence (10-14)? (3 items)

Answer 3

Puberty; mensuration; secondary sexual characteristics begin to develop

Question 4

What happens with brain maturation during the early adolescence (10-14)?

Answer 4

Limbic system development- increased emotional arousal, sensation seeking, reward orientation

Question 5

What is the brain maturation that takes place in middle adolescence (15-17)?

Answer 5

Period of heightened vulnerability to risk taking and problems in regulating affect and behavior

Question 6

What is the brain maturation that takes place in late adolescence (18-21)?

Answer 6

Maturation of the frontal lobe facilitates reasoning, advanced thought and impulse control

Question 7

The appearance of breast buds occur between _____ followed by breast development between ______

Answer 7

8-12 y/o; 13-18 y/o

Question 8

The development of pubic hair takes place between ____

Answer 8

11-14 y/o

Question 9

When does the growth spurt of height and hip circumference typically start for females?

Answer 9

age 10

Question 10

What ages does menses typically begin?

Answer 10

9-16 y/o

Question 11

When does underarm hair typically start to grow?

Answer 11

13-16 y/o

Question 12

What are the developmental changes of adolescence attributed to?

Answer 12

the hypothalamic-pituitary-gonadal (HPG) axis and the presence of sex hormones

Question 13

What are the sex hormones? (4 items)

Answer 13

GnRH, FSH, LH and estrogen

Question 14

The last stage of the hypothalamic-pituitary-gonadal (HPG) axis maturation involves development of a positive feedback system in which critical levels of _____ trigger a large release of GnRH, prompting ___ to initiate ovulation.

Answer 14

estrogen; LH

Question 15

Approximately ____% of 15-17 year old females reported having had sex compared with ____% of females aged 18.

Answer 15

30; 60

Question 16

What are the main issues impacting adolescents health? (4 items)

Answer 16

1- STI’s
2- Contraception
3- Pregnancy
4- Menstrual disorders

Question 17

While young people aged 15-24 represent only 25% of the sexually active population, they account for about ____ of all the new cases of STI’s

Answer 17

Half

Question 18

African American adolescent females have the highest rate of what STI of any age/gender group?

Answer 18

Gonorrhea and Chlamydia

Question 19

What two vaccinations should be discussed with the adolescents who may have not already received or completed the CDC recommended immunizations?

Answer 19

Hepatitis B and HPV vaccine

Question 20

_________ is the leading reason for school absenteeism among adolescent women.

Answer 20

Dysmenorrhea

Question 21

__________ among adolescence is an understated public health problem.

Answer 21

Dating Violence

Question 22

What are some of the mental health issues that adolescence face? (4 items)

Answer 22

1- Depression
2- Dating violence
3- Sexual violence
4- Substance use and abuse

Question 23

____ are the leading cause of death for adolescence and young adults.

Answer 23

MVAs ( alcohol plays a significant role in this)

Question 24

_____ _____ in adolescent screening involves suspending judgement and seeking to understand what is being said.

Answer 24

Active Listening

Question 25

_______________ in adolescent screening involves strategies such as verbally reflecting emotions that an adolescent conveys (verbally or nonverbally) as well as validating feelings that a young woman shares.

Answer 25

Responding to emotions

Question 26

To ______ _______ clinicians must use language appropriate to an adolescent woman's developmental level, gender identity, sexual orientation, and cultural and religious values and practices.

Answer 26

demonstrate respect

Question 27

What are the 3 legal considerations provided to adolescents?

Answer 27

1- Federal and state laws allow minor adolescents to give their own consent for care 2- Laws ensure that information about care will not be disclosed without a young person's agreement 3- Laws provide financial support for the provision of confidential services for minors

Question 28

What does the HEEADSSS assessment stand for?

Answer 28

``` H-Home E-Education and employment E- Eating and exercise A- social Activities D- Drugs, alcohol and tobacco use S- Sexuality and sexual behaviors S- Safety, violence and abuse S- Suicide, depression and emotional distress ```

Question 29

A speculum or bimanual exam is now considered ______ before prescribing all forms of contraception except IUD and diaphragm.

Answer 29

unessasary