Chapter 21 LECTURE 5 PART III Flashcards
Adolescent
VALUES-BELIEF PATTERN
-Adolescents have an expanded understanding of what?
Good/bad
VALUES-BELIEF PATTERN
-According to Kohlberg’s theory of moral development, they begin to transition into what stage?
-They equate what is right with the idea of….
-What do they base their actions on?
-postconventional
-justice
-the recognition of the universal principles underlying laws and social agreements
VALUES-BELIEF PATTERN
-What did Gilligan develop?
-What does “Good” involve?
-What does the female adolescent learn to do?
-A theory of moral development for females
-self-sacrifice and caring for the relationships in her life
-balance between what is good for her and what is good for others
VALUES-BELIEF PATTERN
-What do adolescents struggle with?
Their journey to discover/learn who they are
ENVIRONMENTAL PROCESSES
-What is the leading cause of death in adolescents?
Accidents and unintentional injuries
ENVIRONMENTAL PROCESSES
-_____ _____ accidents are (less/more) likely in comparison to what?
-What are 3 things that can cause them?
-Motor vehicle; more; other age groups
- Inexperience
- Drugs/ETOH (ethyl alcohol)
- Distracted driving
ENVIRONMENTAL PROCESSES: Sports Injuries
-Adolescents are vulnerable to what kind of injuries?
-What two things are immature?
-What hasn’t closed yet?
-Sports injuries
-Their coordination (it is developing) and judgement (inadequate)
-Their epiphyses
ENVIRONMENTAL PROCESSES: Sports Injuries
-What is something some adolescents may use that puts them at risk for injury?
Performance enhancing substances (like steroids)
ENVIRONMENTAL PROCESSES: Violence
-What are 4 risks of violence?
- Carrying weapons
- Testing limits
- Witnessing/observing violence
- Music lyrics
ENVIRONMENTAL PROCESSES: Violence
-What unresolved fear do adolescents have?
increase in violent behavior
BIOLOGICAL & CHEMICAL AGENTS
-What are 4 infections that the adolescent can get?
- Infectious mononucleosis
- Meningococcal disease
- STIs
- HPV
BIOLOGICAL & CHEMICAL AGENTS
-What is Infectious mononucleosis?
-“Kissing disease”
-self-limiting viral infection spread through body fluids, especially saliva
BIOLOGICAL & CHEMICAL AGENTS
-When should adolescents get the HPV vaccine?
-What is the earliest age that they can get it, why?
-What is the latest that you can get the HPV vaccine?
-ages 11-12
-9 if the child is considered high-risk
-45 years
BIOLOGICAL & CHEMICAL AGENTS
-What is there a need for in adolescents? (2)
- Immunizations
- Safe sex practices
BIOLOGICAL & CHEMICAL AGENTS
-The incidence of ____ infection has (increased/decreased) since the introduction of the ____ immunization
-HPV
-decreased
-HPV
BIOLOGICAL & CHEMICAL AGENTS
-What kind of use is increasing?
-Substance ____ is a precuror to substance ____
-chemical use
-use; abuse
BIOLOGICAL & CHEMICAL AGENTS: Alcohol & Drug Use
-Name 5 things that adolescents may be using
- Alcohol
- Marijuana
- Medical Prescriptions
- Inhalants
- Opioids (OD)
BIOLOGICAL & CHEMICAL AGENTS: Tobacco
-What two things are on the rise?
-When do most start to use these?
-Vaping and e-cigarettes
-In adolescence
BIOLOGICAL & CHEMICAL AGENTS: Tobacco
-What should we focus on?
Preventing nonsmokers from starting & helping a smoker to quit
DETERMINANTS OF HEALTH: School
-What does school bring?
-This means what?
-new social experiences
-increased opportunities & adjustments
DETERMINANTS OF HEALTH: School
-School and peers are the primary setting….
-What is important for the adolescent?
-through which expectations are shared and standards communicated
-Peer groups!
DETERMINANTS OF HEALTH: Culture & Ethnicity
-What do teens typically do?
-What might this increase?
- question, modify, or reject family influences if they are different from the dominant culture
-challenges for mintority adolescents
LEVEL OF POLICY MAKING & HEALTH: Legislation
-There are age variations for when adolescents can do what?
assume adult responsibilities
LEVEL OF POLICY MAKING & HEALTH: Legislation
-What are emancipated minors?
-Adolescents permitted to accept responsibility for certain health/illness decisions
-They are separated from family
LEVEL OF POLICY MAKING & HEALTH: Legislation
-What is the most important issue for adolescents?
-What should the nurse do?
-Confidentiality
-The nurse can assure them that information will be kept confidential (unless the teen poses a risk to themselves or others, such as with STIs)
LEVEL OF POLICY MAKING & HEALTH: Economics
-A lot of adolescent activities require what?
-What can this cause between parents and adolescents?
-Economic resources
-major conflict
LEVEL OF POLICY MAKING & HEALTH: Economics
-____ is hard on children
-______ pressures can cause adolescent _____
-The parent’s _____ often influence their _____
-Poverty
-Economic; stress
-economic’s; children
HEALTH SERVICES/DELIVERY SYSTEM
-Children should go to see their health care providers ______, unless…
-annually
-… they have chronic health conditions
HEALTH SERVICES/DELIVERY SYSTEM
-Where are school-based clinics available?
In junior high and high school
HEALTH SERVICES/DELIVERY SYSTEM
-Pregnant adolescents can find prenatal care where?
-Their ____ needs are the same as those of a pregnant adult, but their _____ needs are different & should be approached by a ______
-Family planning clinics
-Physical
-Psychosocial
-professional
HEALTH SERVICES/DELIVERY SYSTEM
-What are 4 adolescent-focused practice strategies?
- Establish the adolescent as a partner with provider
- Answer questions thoroughly/honestly
- Use indirect/direct questioning
- Use correct terms and information
HEEADSSS ASSESSMENT
-What is this?
A psychosocial screening tool to get information from the child
HEALTH SERVICES/DELIVERY SYSTEM
-What do the letters in HEEADSSS stand for?
H: Home
E: Education
E: Eating
A: Activites
D: Drugs
S: Sexuality
S: Suicide
S: Safety
HEALTH SERVICES/DELIVERY SYSTEM
-If an adolescent expresses that they are harming themselves or are thinking of harming themselves, what should the nurse do?
Always ask what their plans are!!
NURSING APPLICATION
-Nurses play a pivotal role in what 3 things during the adolescent period?
- Influencing health promotion
- Preventive screening
- Disease prevention activities
NURSING APPLICATION
-What is the PRIMARY responsibility of the nurse?
To provide education about some of the expected changes and how to deal with them (anticipatory guidance)
