ch21: adolescent (12-18)

Question 1

erikson’s psychosocial dev for adolescent

Answer 1

ID vs role confusion
- threats to ID = delinquency, crisis, mental health issues
- self esteem

Question 2

piaget’s cognitive dev for adolescent

Answer 2

formal operations (final stage) and concrete operational
- introspection, egocentrism
- abstract thinking
- risk taking behaviors

Question 3

what are the 5 leading causes of death for teens

Answer 3

1. accidents
2. homicide
3. suicide
4. cancer
5. heart disease

Question 4

list some eating disorders common in teens

Answer 4

anorexia nervosa, bulimia nervosa, binge eating, obesity

Question 5

how much sleep does a teen need

Answer 5

8-9hrs

Question 6

role of the nurse with adolescents

Answer 6

health promotion, screening, disease prevention
education on bodily changes, reassurance

Question 7

puberty signals the onset of ____

Answer 7

reproductive capacity

Question 8

acne
- what is it
- tx

Answer 8

clogged sebaceous glands due to hormones and inc activity

tx: soap/water, topical meds, stress mgmt

Question 9

scoliosis
- what is it
- most common in ____
- when to get referral

Answer 9

s shaped curve of the spine, occurs during growth spurt

more common in females

> 15 degrees = referral

Question 10

what is the tanner staging/sexual maturity rating

Answer 10

used to assess teens physical dev during puberty + degree of maturation

Question 11

male categories of tanner staging (5)

Answer 11

1. pubic/facial/body hair + enlargement of testes and penis
2. muscle growth
3. growth spurt
4. acne
5. deepening of voice

Question 12

female categories of tanner staging (5)

Answer 12

1. breast dev
2. body hair
3. vaginal discharge/menses
4. inc in height
5. wider hips

Question 13

turner syndrome (female xo)
- what is it
- s/s
- tx

Answer 13

missing or incomplete sex chromosome

s/s: short, webbed neck, low ears, lack of sexual dev, learning disabilities, infertility

tx: hormonal therapy

Question 14

klinefelter’s syndrome (male xxy)
- what is it
- s/s
- tx

Answer 14

man born with extra copy of x chromosome

s/s: tall, thin, lack sexual dev, gynecomastia, learning disabilities

tx: testosterone replacement, fertility tx

Question 15

traits that may present in a person with anorexia

Answer 15

perfectionist, overachiever, family that stresses achievement or marital stress

Question 16

syphilis
- s/s
- tx

Answer 16

s/s: open sore, rash –> heart and CNS affected

tx: antibiotics

Question 17

pelvic inflammatory disease (PID)
- what STDs can you can it from
- s/s

Answer 17

can get from chlamydia or gonorrhea

s/s: lower belly pain, infertility risk

Question 18

HIV
- what can it destroy
- how is it spread

Answer 18

can destroy body ability to fight off infection

spread by sex, infected blood, needles

Question 19

HPV
- what can it cause
- who is at higher risk
- vaxx at age ____

Answer 19

can cause genital warts

women with this have higher risk of cervical cancer

vaxx at age 11

Question 20

what is the most common STI that affects males and females from teens - young adults

Answer 20

chlamydia

Question 21

gonorrhea
- how does it present
- s/s
- tx

Answer 21

discharge coming from vagina, penis, rectum

s/s: painful, difficult urination

tx: antibiotcs

Question 22

genital herpes
- what virus is it caused by
- s/s
- tx

Answer 22

caused by herpes simplex virus

s/s: painful blisters/open sores in genital or rectal area

tx: antiviral meds, no cure

Question 23

what is the #1 leading cause of death and injury in adolescents

Answer 23

accidents