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major challenges for adolescents Answer: -adjusting to rapid physical and physiological changes
-maintaining privacy
-coping with social stresses and pressure
-maintaining open communications
-developing pos health care practices and lifestyle choices
effective approaches to problem of adolescents approach "reflective listening" Answer: purpose:
showing you under adolescent's feeling; used when adolescent "owns" problems
"you're very worried about the semester exam""
effective approaches to problem of adolescents approach "i" message Answer: purpose:
communication your feeling about hoe adolescent's behavior affects you; used when you own
problems
"when i'm ill and the dishes are left for me to do, i feel disrespected because it seems no one
cares about me"
effective approaches to problem of adolescents approach "exploring alternatives" Answer:
purpose: helping adolescents decide how to to solve problems they own, negotiating agreement
with adolescent when you own problem
"what are some ways you could solve this problem?"
effective approaches to problem of adolescents approach "natural and logical consequences"
Answer: purpose: permitting adolescents, within limits, to decide how they will behave and
allowing them to experience consequences
natural " forgets coat on cold day"
logical "spends allowance quickly"
when should nurse/parent be concerned? Answer: -adolescent warning signs and need for
intervention
-spends time on the computer in the early hours of the morning
-changes the screen on the computer when a parent enters the room
-has pornographic material on the computer
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, -makes frequent long-distance calls
Sigmund Freud (adolescence) Answer: -adolescent is in the genital stage, the final stage of
psychosexual developmen
-self-love (narcissism) diminishes; love for others (altruism) develops
-peers and parents are less influential than before bu still provide love and support
Erik Erikson (adolescence) Answer: -adolescent main concerns are self-definition and self-
esteem
-adolescent experiences an identify crisis brought on by physical (including sexual) changes and
conflict about future choices and expectations of others
-adolescent must adapt to these changes develop a new self-concept and appropriate vocational
choices
-adolescent learns to understand self in relation to others perception and expectation
jean piaget (adolescents) Answer: -adolescent is in the stage of formal operations and therefore
has the ability to reason logically and abstractly
-adolescent is oriented toward problem solving
Growth and development of adolescence for girls Answer: -10-13 y/o
-marked by rapid changes in structure and function of various body parts
-distinguished by puberty
-during childhood, boys and girls produce somewhat equal amounts of androgens and estogen
-hypothalamus signals pituitary gland to stimulate other endocrine glans to secrete hormones
physical development of girls Answer: -age of puberty varies
-occurs earlier in girls than boys
-growth spurts occurs by 18 y/o
-major cause of weight gain is due to increased skeletal mass
-general appearance tends to be awkward
-long-legged and gangling (asynchrony)
-sweat glands very active
-oily skin and acne common
Growth and development of boys Answer: -puberty begins with hormonal changes btw 10-13
y/o
-hair begins to grow on face, chest, axillae, and pubic areas
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