ch 18 health promotion of the adolescent

Question 1

health problems related to sexuality

Answer 1

-HIV/AIDS
-teen pregnancy

Question 2

risk factors teen mom + baby with teen pregnancy

Answer 2

-prematurity
-low birth weight
-potential for developmental delay
-cumulative risk factors for baby

Question 3

social and economic effects of teen pregnancy

Answer 3

-school/education disruption
-social relationship deprivation
-statistical risk of poverty
-emotional affect on infant and parents
-adolescent fathers: changing social expectations and emotional effects

Question 4

contributors to obesity/being overweight

Answer 4

-energy balance
-genetic factors
-diseases
-sociocultural factors
-community and intuitional contributors
-personal and interpersonal factors

Question 5

management of obesity

Answer 5

-prevention
-diet
-exercise
-behavior modifications
-family interventions
-meds
-consideration of surgical interventions
-nutritional counseling

Question 6

nursing management of obesity: behavioral counseling

Answer 6

-set agenda with pt
-assess motivation and confidence to change
-explore possibilities for change
-schedule followup
-behavioral therapy
-group and family involvement
-prevention

Question 7

eating disorder: social, psychologic,
behavioral, cultural, and physiologic
components characterized by
distorted body image

Answer 7

anorexia (AN)

Question 8

eating disorder: characterized by
repeated episodes of binge eating
followed by inappropriate
compensatory behaviors

Answer 8

bulimia (BN)

Question 9

nursing considerations: inpatient care of pt with anorexia or bulimia

Answer 9

-assessment fluid and electrolytes
-cardiac assessment
-nutritional assessment
-avoiding food triggers
-collaboration with team members
-trusting relationship
-diet
-behavioral therapy

Question 10

items included in substance abuse

Answer 10

-tobacco: cigarettes, smokeless, chewing, second-hand smoke
-alcohol
-marijuana
-cocaine
-narcotics
-mind-altering drugs

Question 11

what questionnaire is used for substance abuse

Answer 11

CRAFFT

Question 12

acute care for drug abuse

Answer 12

-toxic effects
-manage withdrawal symptoms
-support pt and family

Question 13

questionnaire assessment for eating disorder

Answer 13

SCOFF
S: do you make yourself SICK because you feel uncomfortably full
C: do you worry you’ve lost CONTROL over how much you eat
O: have you recently lost more than 6.4 kg (or ONE stone) in 3 month period
F: do you believe yourself to be FAT when others say you’re too thin
F: would you say FOOD dominates your life