1)Jeff, a 14-year-old boy, is being seen at the local health department for a required physical examination in order to play organized sports with his high school. He is accompanied by his mother, Betty. Before the examination Betty tells the nurse that Jeff is her only son and only teenager. She is not sure what is happening with his body but is aware of the recent dramatic changes Jeff has experienced. (Learning Objectives 1 and 2)

A) What can the nurse teach Betty and Jeff about puberty and the changes it is responsible for in adolescents?

B) What are some of the integumentary changes that occur in adolescence and that Jeff may be experiencing?

C) What can the nurse teach Betty about the psychosocial and cognitive stages of adolescence?

 

2)Teresa is a 15-year-old girl who is being seen by her physician today at the request of her parents, Bob and Peggy. They have brought Teresa in today because of some concerning changes in Teresa's behavior and appearance recently. They explain that up to about a year ago Teresa was a typical teenage girl who was a good student in school. Since then, she has been running with a new group of friends who wear dark or black clothing and dye their hair black. Teresa has followed this trend and has recently shown up with several new body piercings and has asked her parents for permission to get a tattoo. Her parents have refused but are afraid that she will do it without their permission. Teresa is listening to loud violent music and spending less time at home with the family. When she is home she often fights with her parents over the rules of the house. They are afraid Teresa has become sexually active. (Learning Objectives 3, 4, and 6)

A) What can the nurse tell Bob and Peggy about the influence of Teresa's peer group?

B) What can the nurse teach Bob and Peggy regarding dating and sexuality for adolescence?

C) What can the nurse teach Bob and Peggy regarding the occurrence of violence in adolescence?

 

1A. The nurse can tell Bob and Peggy that  puberty is the physiological process whereby  the body of a child  matures into an adult  body such that it is capable of sexual reproduction. However these  changes are initiated by  hormonal changes  of gonads. for a boy some of the physical changes includes  growth of hair in various body parts such as  the armpits, chest and  the public part, the testicle enlarge, sweating in the  armpits, Pimples appear on the  face  and the skin become more oily ,Voice  become louder  and low pitch. However,  are released by  Gonadotropin  releasing hormone which is then secreted  by  the hypothalamus

B. Some of the integumentary changes that  occurs in the  in adolescence and that Jeff may experience is that integumentary changes  are  released  by Testosterone hormone  and also the skin changes are being included. These changes  increases the  armpit sweating  from the sweat gland and sebum production. in addition it  results in a growth of  axillary as well as  the public hair. More sebum is made by  Overactive  sweat glands  resulting to  clogging  of the pores with bacteria, excess oil and  dead skin cells. Also the skin darkens as a results of  production of melanin.

C. During puberty psychological changes are the emergence of  the growing  ability of absorbing  that viewpoints of others, the development  of sexual and individual identity, abstract thinking and  increase ability to introspection. In puberty, cognitive change  are the start of  more complex process of thinking, the ability to think from unknown  principles as well as thinking  about possibility. Therefore  improvement in  the ability to think  basically usually happens in  memory, speed processing, attention, metacognition as well as organization

2 A. Teresa is in teenage stage whereby children usually tend to  conduct activities that are being done by their friends such that they  want to  associate in the same group.  therefore , despites being a strict parents they can however be friendly to them  to enables them discuss their  perceptions and feelings  with them  hence guiding them becomes very easy.

B. During adolescence stage , as a results of hormonal changes  that occurs in the body, children  becomes experimental and curious concerning themselves  as well as the opposite sex and therefore  leads to the development of such behavior. Therefore parents need to direct them in a frank manner and  keep on track on their friends  and even their activities. They need not to be harsh on them  since they will start to avoid them.

C. Also it is as a results of  the role confusion and the hormones such that they  feel that they are  more mature to  handle various situations. However, whenever they  face rejections from both the parents or family members, they start  becoming violent. Therefore provide a specific reason  for what is being denied to them and encourage them that  failures are part  life and that they  need not to  give  more pressure on their studies or any competition