NR 577 :HPV Vaccination Guidelines, Gardasil and Cervarix Immunization Schedules, Pubertal Development Milestones, HEADSS Psychosocial Assessment, Risky Sexual Behaviors, Tobacco and Nicotine Dependence, Self-Injurious Behaviors, Social Media Risk Exposur

NR 577 :HPV Vaccination Guidelines, Gardasil and Cervarix Immunization Schedules, Pubertal Development Milestones, HEADSS Psychosocial Assessment, Risky Sexual Behaviors, Tobacco and Nicotine Dependence, Self-Injurious Behaviors, Social Media Risk Exposure, Protective and Contributing Risk Factors, Disability-Adjusted Life Years (DALYs), Years Lost to Disability (YLDs), Mental Health Screening, Major Depressive Disorder, Suicide Risk Assessment, Substance Use Disorder, Alcohol Use Screening (SBIRT), CRAFFT Screening Tool, Vaccine Contraindications, Live vs. Inactivated Vaccines, Severe Combined Immunodeficiency (SCID) Considerations, Influenza Vaccination Guidelines, USPSTF Level A Recommendations Exam Questions Verified and Provided with Complete A+ Graded Rationales Latest Updated 2026 The US has licensed 2 HPV vaccines. Both Guardasil (HPV4) and Cervarix (HPV2) can be given to children as early as 9yo through 26yo. The HPV vaccine can be given to adults older than 26. However, the HPV vaccine provides less benefit due to high likelihood of people already being exposed to HPV. HPV vaccine - gender The HPV vaccine is recommended for males and females. HPV vaccine dosing From the ages 11-12, two doses of the HPV vaccine are recommended for all boys and girls. Dose #1 done around 11-12 years and Dose #2 should be done 6-12 months after the first dose. The vaccine schedule should be done only once in a lifetime. If the patient is 15 or older, then 3 shots should be given over 6 months. HPV vaccine You should not wait until the patient is sexually active. The HPV vaccine is recommended for preadolescent and all sexually active women who have not yet been exposed to any of the HPV strains. Goals of Adolescence: Completion of puberty and growth Social, emotional, and cognitive development Development of abstract thinking Establishment of independent identity Preparation for career or life work Did you notice a qualitative difference in the ways that different genders experienced adolescence? Males and females experience growth through adolescence differently. Specific areas of development are affected by gender differences, including biological, psychological, and social experiences (Alarcon, et al., 2018). Did your home life or that of your peers affect the rate or ability to complete these goals? Family structure and function play an integral role in the development of adolescent emotional functioning and social development (Wikle & Hoagland, 2020). Twelve health promotion themes underpin the provision of care for the adolescent, including: Life-long health of families and communities Family support Health for children and youth with special health care needs Healthy development Mental health Healthy weight Healthy nutrition Physical activity Oral health Healthy sexual development and sexuality Healthy and safe use of social media Safety and injury prevention Assessment questions for Adolescent How do you stay healthy? What do you and your friends like to do together? What health problems, concerns, or questions do you have? What are you good at? What do you do to help others? Assessment questions for Parent What questions do you have about your child's physical well-being, growth, or pubertal development? What have you and your child discussed about feelings and behaviors that are contributing to his emotional well-being and a healthy lifestyle? Tell me something your child does really well. What questions or concerns do you have about your child's emotional well-being, feelings, behavior, or learning? What have you and your child discussed about avoiding risky behaviors? Does your child have any behaviors that you are concerned about? Morbidity Any physical or psychological state considered to be outside the realm of normal well-being Mortality The state of being subject to death. Disability-adjusted life years A measure of the years of healthy life lost due to ill health, disability or premature death. Estimates the gap between current health status and an ideal health status, with the entire population living to an advanced age free of disease and disability (WHO, n.d.). Years lost to disability (YLD) Estimates based on prevalence data, real or imputed, that quantify the burden of morbidity and facilitate comparisons of various diseases and conditions (WHO, n.d.). The top five causes of YLDs due to morbidity in individuals aged 10-19 years are common across regions and between countries of various economic level and include Unipolar depressive disorders Iron deficiency anemia Asthma Back and neck pain Anxiety disorders Risky Behavior: Sexual Activity Adolescents who enter puberty early are more likely to engage in risky sexual behaviors than adolescents who mature later. Adolescents whose bodies mature earlier often end up socializing with an older peer group, which can influence social and risk-taking behaviors putting them at risk for early sexual activity, adolescent dating abuse, depressive symptoms, and antisocial behavior (Maaks et all, 2020). Risky Behavior: Tobacco Use The adolescent brain is particularly susceptible to the influence of substances, such as nicotine, resulting in a higher rate of dependence in adolescents than in adults. Nine out of ten adults who use tobacco started during adolescence before the age of 18 years. Every day in the U.S., roughly 1,600 youth smoke a cigarette for the first time, and almost 200 youth start smoking. Flavored tobacco products are appealing to adolescents, used by 85% of high school students and 74% of middle school students (CDC, 2020). Risky Behavior: Self-Injurious Behaviors Many adolescents engage in self-injurious behavior. Symptoms must have occurred at least five times within the past year and be associated with at least two of the following: previous negative emotions preoccupation with and a repetitive desire to engage in the activity feelings of relief from negative emotions or a sensation of positive feelings with activity (i.e., cutting or burning oneself) impaired interpersonal relationships