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Pediatrics. Ch. 20
Sexual Behavior, Sex Education, and Parenting of an Adolescent
| Question | Answer |
|---|---|
| How might meeting and becoming acquainted with the opposite sex as an adolescent begin | Admiration from afar accompanied by daydreams as the young person attempts to capture the other’s attention |
| What is the progression of adolescent dating | Group dates, Double dates, Single couple dates |
| What can provide an opportunity for the symbolic expression of sexual urges without physical contact | Popular dancing |
| What can provide a mode of physical contact in public that is socially acceptable | Slow dancing |
| What can link the adolescent with peers when they are at home and feeling lonely | Telephone and internet |
| What is a crush | Feeling of attachment to a person of the opposite sex who is popular or possesses qualities important to the adolescent |
| Why does sexual experimentation often occur | Peer pressure, a means for momentary pleasure, as a learning experience, as a means of feeling loved and cared about |
| How can sexual experimentation effect the growth and development of an adolescent | Unplanned pregnancy and STIs |
| Why are unplanned pregnancies and STIs major complications of sexual experimentation in adolescents | No protection |
| What often influences patterns of dating | Culture |
| When can culture cause problems in regards to dating | When the adolescent wants to be independent and adopts American norms while parents insist on strict traditional values |
| What is a ritual of adolescence that commonly becomes a battleground for the struggle for independence | High school prom |
| Why might parents object to an adolescent attending a high school prom | Fear of sexual experimentation, pregnancy, STIs, HIV, AIDS |
| How might parents respond to a high school prom | Strict restrictions, curfews, chaperones, car limitations |
| How might the adolescent react to parent’s reactions if problems are not openly discussed | Rebelling sexually to test general parental control, rather than for the act itself |
| What can lead to sexual intimacy for the adolescent | Seeking one person of the opposite sex to share confidences and feelings with |
| Where does most of our knowledge about the sexual behavior of Americans come from | Alfred Kinsey |
| What percent of girls and boys report having sex by the age of 18 | Girls = 30%, Boys = 45% |
| What must nurses do to prepare an effective sex education program | Put aside their own attitudes and biases, understand society, cultural, and moral values; incorporate a broad understanding of physical and psychological growth and development |
| What are possible sources of inaccurate information the adolescent may explore for information about sex education | Television, movies, magazines, chat rooms, web sites |
| What factors resulted in the formalized incorporation of sex education in school | Prevalence of HIV, AIDS, STIs |
| What does sex education focus on | Physiology of sex, reproductive systems, STIs, personal values, contraception, safe sex, peer pressure |
| Where can formal structured comprehensive sex education programs be found | Sexuality Information and Education Council of the United States |
| What ages do the formal structured comprehensive sex education programs target | Kindergarten through 12th |
| What do the formal structured comprehensive sex education programs include information about | All aspects of health – nutrition, dental care, drugs, STIs |
| When can the physiology of the reproductive systems be taught | 5th grade |
| When can coping skills for dating and sexuality, pregnancy, abstinence, contraception, and birth be taught | 8th grade |
| What is emphasized in sex education programs | Decision making |
| What should be used to show the possible consequences of certain actions | Flow charts |
| What can be taught in high school sex education programs | How to handle pregnancy, prenatal and postnatal care, effective parenting techniques, intimate relationships, compromise, problem solving, communication skills |
| What should high school sex education programs emphasize | The many reasons why adolescents should say NO to casual sex |
| What is the ideal information for an adolescent to receive about sex education | Factual and sensitive information from the parents |
| For parents, what offers a secure and natural foundation on which to build | Truthfully answering children’s questions throughout childhood |
| When does the nurse have an opportunity to support the adolescent who is concerned about normal growth and development | During data collection |
| What is a homosexual | A person who has an attraction for a person of their own gender |
| What is a lesbian | A female who prefers other females as a sexual partner |
| How is a gay male defined | A male who prefers another male as his sexual partner |
| What is homosexual behavior in adolescence | Not a positive predictor of adult preference; merely a desire to explore alternative lifestyles |
| What percentage of people are homosexual | 5% |
| What contributes to homosexual behavior | Cultural, biological, and psychological factors |
| What is the nursing role in regard to homosexual behavior | Help the child understand how to cope with the reactions of others |
| What often leads to confusion in parents of an adolescent | The shift in parenting philosophies from the rigid rules of discipline to middle of the road permissiveness |
| In regards to adolescent sex education, what is done during the nursing process stage of data collection | Determine knowledge level, sexual preferences and outlets - Discuss peer acceptance, drugs, alcohol, cigarettes |
| In regards to adolescent sex education, what is done during the nursing process stage of analysis | Review body image and understanding concerning body changes, Observe for signs of abuse, Determine risk factors regarding sex and drugs, Clarify practices including contraception, Review for variation or deviation |
| In regards to adolescent sex education, what is done during the nursing process stage of planning/implementation | |
| Provide a private area and nonjudgmental environment, Discuss safe sex and personal views and values of the adolescent, Teach breast/testicular self exams and the need for follow up care, Discuss contraceptive choices | |
| In regards to adolescent sex education, what is done during the nursing process stage of evaluation | Follow up during return visits concerning problems identified or teaching completed |
| What are adolescent warning signs | Time spent on the computer early in the morning, Computer screen changes when parent enters, Porn on the computer, Frequent long distance calls |
| What may adolescents do as they try to separate themselves from family | Reject some traditions such as outings or dress code |
| What happens if a parent responds negatively to normal attempts by the adolescent to separate themselves from family | Separation widens and tension grows |
| Who do adolescents separating themselves look to as role models | Other adults as role models and confidants – coaches, scout leaders |
Created by:
futurenurse
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