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Pediatrics Ch 15
The Adolescent
Question | Answer |
---|---|
Erikson theory for adolescent | Peer influences dominate decisions that relate to style, etc. while parents still have influence over moral decisions and setting limits. |
Adolescence and Parents | Parents are often ambivalent about letting go |
Adults who associate with teenagers should | try to create an atmosphere of interest and understanding; a caring environment that sets limits is essential |
Peer group’s importance to the adolescent | is vitally important to helping the adolescent define the self; also acceptance helps decrease loneliness and sense of loss that many teenagers experience on the road to adulthood |
Responsibility and adolescents | teach youth to see overall objective to routine jobs; must also be taught the value of money |
allowance impact on adolescents | helps them to learn management; they need to develop a sense of responsibility regarding finances |
change in allowances | need to be increased from time to time to reflect the age and needs of the teenager; middle and older adolescents who have jobs can be taught the use of a checkbook and a savings account; need opportunities to earn money, not have it doled out to them |
Heterosexual Relationships | social outings are heavily influenced by the desire to meet members of the opposite gender; adolescents need to meet and become acquainted with members of the opposite sex; cultural background has an influence on patterns of dating |
Adolescents reaction to opposition to dating | may react by rebelling, acting out sexually or by other means; often this is done to test the injunction |
What do all adolescents need to be educated about | date rape; teens need to be aware of the effects of Rohypnol and taught to avoid places and situations where it could be used |
What is still important if the teenager is dealing with chronic illness | to be in school and be considered one of the group |
Concerns that need to be addressed in hospitalized adolescents | Body image; fears of forced dependence, bodily invasion, mutilation, rejection, and humiliation, especially within the peer group; The nurse should anticipate a certain amount of reluctance to adhere to hospital regulations |
Adolescents and nutrition | girls have fewer caloric requirements than boys; There is a concern with body image that may lead to anorexia or bulimia |
Overeating | leads to adult obesity |
In between meal snacking can contribute to | obesity and be the result of skipping meals |
What foods should the adolescent avoid? | fast foods which are high in calories, fat, protein, sugar, sodium and low in fiber |
What mineral is of great importance in adolescence? | Zinc is essential for growth and sexual maturation |
What are important nutrients for adolescent intake? | Need for iron is increased in both genders at this time; Protein needs are increased; Calcium is important as well |
During adolescence what percent of peak bone mass is developed? | 40-60% |
Sports and nutrition | The best training diet is one that contains foods from each of the basic food groups in sufficient quantities to meet energy demands and nutrient requirements; supplements are not necessary and could potentially be harmful; avoid caffeine and ETOH |
What kill and cripple teenagers at alarming rates? | Road accidents |
Adolescents and homicide | Gun control must be stringent for this age group; those who do use firearms legally must be taught to respect the power of firearms and taught the responsibility placed on one who uses firearms |