Peds Final Review - Adolescent (12 – 19 yr) Flashcards
Adolescent (12 – 19 yr)
Girls’ growth spurts during adolescence begin about 2 years earlier than boys. About 10 years of age
Adolescent (12 – 19 yr)
Girls finish growth at around 15, and boys at around 17.
Adolescent (12 – 19 yr)
Secondary sex characteristics develop
Adolescent (12 – 19 yr)
Adult-like thinking begins around 15. They can problem-solve and use abstract thinking.
Adolescent (12 – 19 yr)
Family conflicts develop.
Adolescent (12 – 19 yr) Erikson:
Identity vs Role confusion
Adolescent (12 – 19 yr) Erikson:
Identity vs Role confusion
Nursing implications:
Hospitalization of adolescents disrupts school and peer activities; they need to maintain contact with both.
Nursing implications:
They should share a room with other adolescents
Nursing implications:
Illnesses, treatments, and procedures that alter the adolescent’s body image can be viewed by the adolescent as being devastating.
Nursing implications:
Teaching about procedures should include time without the parents being present. When parents are present; direct questions to the adolescent, not the parent.
Nursing implications:
The age of assent for making medical decisions in children and adolescents ranges from 7 to 14 years. Parental consent is also needed for treatment.
Nursing implications:
For prolonged hospitalizations, adolescents need to maintain identity (e.g., have their own clothing, posters, and visitors). A teen room or teen night is very helpful. Parents rooming in is discouraged.
Nursing implications:
Some assessment questions should be asked without parents’ presence.
Nursing implications:
When teaching adolescents, the focus should be on the here and now – “How will this affect me today?”
