Shared Flashcard Set

Details

School aged and adolescent health promotion
Test 1
60
Nursing
Undergraduate 3
10/02/2009

Additional Nursing Flashcards

 


 

Cards

Term
During what age group do children began to loose their primary teeth?
Definition
School age 6-11 or 12
Term
What age group does the caloric needs per weight decrease?
Definition
School aged 6-11 or 12 (industry vs inferiority)
Term
School aged males ages 11 -13 are in what tanner stage?
Definition

Tanner stage 1 and 2

pebertal hair in stage 2

Term

what female age group are in Tanner stages 1-2

and have Thelarche  Pubertal hair?

Definition

Females ages 9 -11

School aged

Term
School aged Females peak height increases after ?
Definition
Menarche (first mensturation)
Term

School aged Females

caloric needs?

water?

other?

Definition

1. 70 kcal/kg       1400-2100 calories/day

 

2. 1800 - 2200 ml/water

 

3. Protein, calcium, fat

 

30% of total calories should be total fat intake

 

Term
School aged children psychosocial developmental stage?
Definition
Industry vs Inferiority
Term

What Erickson's psychosocial developmental stage includes?

  • Involved in multiple activities
  • With success increased sense of self worth and feelings of competence
  • With unrealistic expectations  inferiority and incompetence
Definition

Industry vs Inferiority

School aged Children
Term

What age group's cognitive level includes

  • Egocentrism gone, see others’ points of view
  • Actions, consequences , rethink action
  • Classification; collections
  • Follows rules; games, fairness
    Early  Wants to be the good child
    Late cooperate based on respect and  understands need to cooperate
Definition

School aged(age 6-12)

Industry vs inferiority

Term
What injuries are experienced in School aged children?
Definition

Accidental/Unintentional Deaths/Injuries

  • With the increase in independence and motor skills come increase in preventable accidents.
Term
Males are greater than females in fatal and non fatal injuries. These injuries include?
Definition

Fatal

51% Motor vehicle

8% drowning

8% fire/ burns

 

non-fatal injuries

falls 37%

Struck by/against object 23%
Bites/stings 8%

 

Term
School aged developmental skills?
Definition
  • Increase coordination
    gross and fine motor
  • Vision 20/20
  • Language  complex linguistic awareness
     speak multiple languages
    double meanings, joke, puns
Term
School aged social development
Definition
  • Temperament differences
    easy, slow to warm and difficult
  • Body Image
    pubertal changes
    body habitus
    clothing
  • Family influence still strongest; prefer peer company
Term
Nursing Assessments
Child/Family/Peer Interaction
Definition

-mutual respect

-engaged cooperatively


 -screen time

 

 -adjustment and success in school, reading


 -body image, self esteem


  -childhood overweight
              parents fail to recognize
              OW parents  (JAANP, 3/09)  

Term

School aged children

Nurse’s Role/Physical assessment

Definition
  • Ht/Wt within the 3-97%

 

  • Blood pressure <90%
       take from age 3, unless acute or chronic illness

 

  •  Body Mass Index
                      <85% normal
                        85-94% at risk of overweight
                      >95% overweight



 

 

Term
School aged children's Tanner stage?
Definition
thelarche ,   testicular size,     adrenarche
Term
School aged Nursing Intervention  include?
Definition

Promote Safety on Motorized Vehicles

Promote Safety Fire Safety

Promote Water Safety

Reduce Dog Bites

Promote Nutrition and Reduce Overweight

Promote Healthy Teeth and gums

Term
What age groups should sit in the back seat?
Definition
< 12
Term
Bike safety includes?
Definition
bike maintenance, appropriate size, helmet
Term

What age ??All terrain vehicles (ATV)

[image]

Definition

<16 years old

No children on adult size ATV

Term
Exmples of promoting fire safety?
Definition

Smoke detectors, every floor, sleeping areas
Check batteries monthly, change annually
Fire retardant bed clothing
Fire escape plan
No smoking in bed
Supervise children cooking, around fireplaces, and  campfires

Term
Interventions for water safety?
Definition

Swim instruction


Never swim alone, life guard


Life jacket on boat (<26 feet)
      -current law 6 years old
      -proposed 13 years old

 

Diving and sufficient water depth


Caregivers should know CPR

 

 

Term

Nursing Intervention to Reduce Dog Bites

Definition
  • Parents should
    Socialize dogs with children,
  • never leave dogs with young children, spay/neuter dogs, dogs history of viciousness
  • Children should be taught
    never to pet a strange dog, 
  • be still if confronted by a dog, roll into a ball if knocked down by a dog
Term

Nursing Intervention to Promote Nutrition and Reduce Overweight

Definition
  • Assess
    Family meals, Restaurants, Fast foods, Drinks
    FH of overweight, recent wt loss or gain
    Exercise 60 minutes daily 
  • Healthy People 2010 Goal
    Increase the proportion of persons who consume adequate fruit, vegetables and grains.
  • Weight loss vs slow gain
Term

Nursing Intervention to Promote Healthy Teeth and gums

Definition
  • Brush 2-3 times daily, floss daily
  • Assist until 7-10 years
  • Bruxism
  • Malocclusion, braces
  • Fluoride supplement
  • Sealants
  • Diet
Term

Nurses Role in Addressing Sun Protection

Definition
  • Place sun screen on 30 minutes before going outside, liberally
  • Reapply after perspiring, swimming
  • Hats with brim
  • Medication
  • Avoid sun exposure between 10 am-4 pm
  • Tanning parlors
Term

The nurses Role in Addressing  Behavioral Concerns

Definition
  • Lying, cheating, stealing
     Child’s level of development to understand consequences
    Educate parents as to child’s rationalization
    Natural consequences
    Child  responsibility to correct
  • Bullying
  • Bullying Acts
  • Punching, shoving, and other acts that hurt people physically
  • Spreading bad rumors about people
  • Keeping certain people out of a "group"
  • Teasing people in a mean way
    • Getting certain people to "gang up" on others
    • Electronic bullying (Cyber)
    • Sending mean text, email, or instant messages
    • Posting nasty pictures or messages about others in blogs or on Web sites
    • Using someone else's user name to spread rumors or lies about someone
    • Consequences of bullying
    • 30% bullied, bullying
    • Associated with later weapon carrying, and frequent fighting enough to cause serious injury
    • depression and suicidal ideation
    • Somatic complaints, later disease morbidity
    • Domestic violence
Term

Nursing Interventions to decrease bullying

Definition
  • Screen violence in home
  • Educate parents
  • Appropriate methods of handling anger, reward such methods
  • Show child how it feels to be bullied
Term

Nursing Interventions for children being bullied

Definition
  • Did not cause bullying
  • Increase the child’s self esteem
  • Give the child strategies of handling bullying
  • Form strong friendships

Intervene with school administrators

Term

Care of the Hospitalized School Aged Child 

(Industry vs. inferiority)

Definition

  • Generally healthy
    trauma, chronic illness

 

  • Concerned about death and disability
  • Fear injury and pain
Term

SCHOOL-AGE HOSPITALIZED           NURSING INTERVENTIONS

Definition

Friendships


Schoolwork


Assist in own care


Activities that have a final product
Regression ?


Procedure explanation
  younger play one week prior
  older videos, real equipment

 

 

Term
Adolescent ages?
Definition
11-20
Term
Adolescent physical changes
Definition

Physiologic changes
Hormonal changes
         - skin sebaceous , exocrine, apocrine glands
        -menarche average 12.8 years
        - PHV male 4-12 inches/female 2 to 8 inches
        -Tanner stage 3-5
        -Respiratory system  RR, lung size
        -Musculoskeletal bone growth complete (ossification)

 

Secondary sexual characteristics  -   complete during middle adolescence

Term

Adolescent Psychosocial Developmental stage

Definition
Identity vs Role confusion
Term

Developmental task

Early 11-14 includes?

Definition

Peers acceptance, but still desires family support, 

same sex

Term

Developmental task

Middle 14-16

Definition
  • Peer acceptance highest,
  • adjusting to changes in body image, 
  •  interest in opposite sex
  • conflict with parents

Term

Developmental task

late 17-20

Definition

More secure with body image,

role within peer group and sexual identity,

career goals,

independence from parents

Term

Cognitive skills of the adolescent

Early

Definition

idealistic

 

challenges the way things are

Term

Cognitive skills of the adolescent

Middle (14-16)

Definition

leads to feelings of invincibility and of omnipotence,

 

risk takers


rejection of prior held values,

 

religious,

 

cultural beliefs

Term

Adolescent (11-20)

Identity vs role confusion

 

Motor skills include?

Definition
  • Endurance

 

  • Complicated play/sports rules

 

  • Growth sports may produce coordination difficulties
Term

Adolescent

Social and emotional growth

Definition
  • Relationship with parents
    rejects parents value system
    cultural  rites of passage
  • Self-concept and body image
    less than ideal negative self concept
  • Peer relationships
    strong effect, positive and negative
  • Sexuality and dating
    heter, homo and bisexual  thoughts and behavior
Term

Nursing interaction with the adolescent

Definition
  • Set aside time to interview, do not appear rushed.
  • Talk face to face, eye contact
  • Speak to the adolescent as an equal, don’t talk down
  • Use matter of fact specific words and describe what you mean
  • Reassure Help adolescent feel normal, Other teens I see…or feel… or have told me…
  • Praise the adolescent for having  a difficult discussion or making a tough decision
  • Nonjudgmental no matter what you are told
  • Neutral gender (partner)
Term

Comprehensive HEEADSSS

Definition
  • H:   Home
  • E:   Education/Employment
  • E:   Exercise/Eating
  • A:   Activities
  • D:   Drugs
  • S:   Suicidality/Depression
  • S:   Sexuality
  • S:   Safety
  • S:  Spirituality (Optional)
Term

HEEADSSS       Home

Definition

Who lives in the home with you?

  • How are your relationships with siblings, parents, other relatives?
  • Who do you go to for advice?
  • What are the rules like at home?
  • Is there a gun in your home?
  • Ever been homeless or in shelter care?
  • Ever been in foster care or group home?
Term

HEEADSSS
Education and Employment

Definition
  • U.S. eighth-graders:

  • 30% scored below basic math level

 

  • 27% scored below basic reading level

 

  • 8% of teens not attending school and not working

 

  • 15% of 18-24 year olds not attending school, not working, and had only a high school degree
Term

HEEADSSS                             Education and Employment

  • What is the name of your school and what grade are you in?
  • What grades do you get?
  • How many days have you missed in the past year and what was the reason?
  • Have you ever had any educational setbacks? Why?
  • Have there been any recent school changes?
  • What are your educational and life goals?
Definition

HEEADSSS                             Education and Employment

  • What is the name of your school and what grade are you in?
  • What grades do you get?
  • How many days have you missed in the past year and what was the reason?
  • Have you ever had any educational setbacks? Why?
  • Have there been any recent school changes?
  • What are your educational and life goals?
Term

HEEADSSS                          Exercise and Eating

Between 10-16% of adolescents are overweight

Between 24-35% describe themselves as overweight

Up to 60% of adolescent females are trying to lose weight
16% 24 hours without eating


8% diet pills,  7.5% vomited or took laxatives

 

          Anorexia nervosa

          A disorder that involves a distorted body image and the pursuit of thinness through drastic means including starvation and excessive exercise.

          Bulimia nervosa

          This disorder involves a cycle of binge eating followed by purging in the form of vomiting, laxatives, or exercise.

Definition

Between 10-16% of adolescents are overweight

Between 24-35% describe themselves as overweight

Up to 60% of adolescent females are trying to lose weight
16% 24 hours without eating
8% diet pills,  7.5% vomited or took laxatives

 

          Anorexia nervosa

          A disorder that involves a distorted body image and the pursuit of thinness through drastic means including starvation and excessive exercise.

          Bulimia nervosa

          This disorder involves a cycle of binge eating followed by purging in the form of vomiting, laxatives, or exercise.

Term

Body image:

What  is your ideal weight?
Do you think you are too fat, too thin or just right?

What do you like about the way you look?

Foods with  calcium, iron, fiber, zinc in diet?

How many meals do you eat per day?

Bowel movement pattern and problems?

Thin: Do you exercise, ever vomited, used diuretics, laxatives?

Overweight: Do you drink soda/juice, whole milk? Exercise? TV

Definition

Body image:

What  is your ideal weight?
Do you think you are too fat, too thin or just right?

What do you like about the way you look?

Foods with  calcium, iron, fiber, zinc in diet?

How many meals do you eat per day?

Bowel movement pattern and problems?

Thin: Do you exercise, ever vomited, used diuretics, laxatives?

Overweight: Do you drink soda/juice, whole milk? Exercise? TV

Term

HEEADSSS              Activity question

Definition
  • How do you like to spend your free time?
  • Hobbies, clubs, religious/spiritual activities?
  • Do you play any sports?
  • How many hours of television/computer per day? Per week?
Term

HEEADSSS
Depressions/Suicide

male and female

Definition

Males

10% seriously considered suicide

9% made suicide plan

4.6% attempted suicide

 

Females

 

19% seriously  considered suicide

13% made suicide plan

9.3% attempted suicide

Term

HEEADSSS
Sexual/Reproductive Health History

Definition
  • Menstrual history
  • Sexual orientation
  • Gender identity
  • Age at first intercourse
  • Vaginal, oral, anal sex history
  • Contraceptive history
  • Pregnancy history
  • Timing of childbearing plans
  • Number of lifetime sexual partners
  • Number of partners in last 3-6 months
  • History of STIs
  • Sexual satisfaction
  • History of survival sex, sexual victimization, unwanted or coerced sex
Term

HEEADSSS
Safety

Definition
  • 30% said they or someone they knew experienced dating violence
    11% of males and 9.3% of females report dating violence
  • 11% females and 4.5% of males were forced to have sexual intercourse
  • 30% of adolescents drove with someone who had been drinking alcohol

8-12% drove when drinking alcohol

Term

HEEADSSS         Safety

Definition

Have you ever been forced to have sex or been touched in a way against your will?

By whom and is this still going on?

Who did you tell?

How does it affect your life now?

Has anyone ever hurt you on a repeated basis? At home, in school, or in your neighborhood

Term

HEEADSSS         Spirituality

Definition
  • What do you consider to be your religion?
  • How often do you participate in religious activities?
  • How important are your spiritual beliefs in your day-to-day life?
  • How do your beliefs influence your health and attitudes about sex and contraception
  • Nursing Interventions to Promote Health
Term

Nurses Role in Promoting Motor Vehicle safety

Definition
  • Wear seat belt
  • No driving with impaired persons
  • NO cell phone, texting while driving
  • Establish driving rules between parent and adolescent; drive with supervision initially
Term

Nurses’ Role in Promoting Safety
Suicide Risk

Definition
  • Screen all adolescents with HEEADSSS
    Adolescents are greater risk
    previous suicide attempt, depressed, FH of mental illness, family disruption, alcohol use, school or family difficulties, gay and lesbian adolescents
  • Suicide well thought  out plan that includes method, place, time, and clear intent  at high risk
  • Immediate hospitalization or ED transfer
  • Nurse’s Role in Promoting Safety Firearms
  • 82%  of homicide utilize guns
    17%  of students reported carrying a gun in the past 30 days (CDC, 2006)
  • Absence of guns from the environment most effective method of control
    Guns must be kept locked, bullets stored separately
    Adolescents must be taught dangers of  playing with firearms
Term

Nurse’s Role in Promoting Health
Nutritional Needs

Require
Definition


-Protein


-Calcium skeletal growth,   prevention osteoporosis


decrease soda consumption, inverse relationship with calcium


 Iron expansion of muscle mass, blood volume
 Zinc skeletal and bone tissue


 Fruit and vegetables
 30% or less calories from fat

 

 

Term

Nurse’s Role in Promoting Health
Tattoo and Piercings

Definition
  • Infection
    during procedure unclean instruments
    piercing/henna parties
    following procedure
  • Keloid formation

Metal allergies

Term

Nursing Care of the Hospitalized ADOLESCENT

Definition
  • Identity vs. role diffusion
    Fears body image
    Separation from  friends
    Decreased support system
  • Loss of control cause anger, withdrawal, no support system
    Non adherence with treatment
Term

ADOLESCENT NURSING INTERVENTIONS DURING HOSPITALIZATION

Definition
  • Include in care planning, give choices
    Explanation 7-10 days
  • Answer questions honestly, privacy
  • Body image concerns
    Adherence concerns
  • Teen area, rec room
    Teen support group for chronic illness
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