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Pediatrics. Ch. 20

Sexual Behavior, Sex Education, and Parenting of an Adolescent

QuestionAnswer
How might meeting and becoming acquainted with the opposite sex as an adolescent begin Admiration from afar accompanied by daydreams as the young person attempts to capture the other’s attention
What is the progression of adolescent dating Group dates, Double dates, Single couple dates
What can provide an opportunity for the symbolic expression of sexual urges without physical contact Popular dancing
What can provide a mode of physical contact in public that is socially acceptable Slow dancing
What can link the adolescent with peers when they are at home and feeling lonely Telephone and internet
What is a crush Feeling of attachment to a person of the opposite sex who is popular or possesses qualities important to the adolescent
Why does sexual experimentation often occur Peer pressure, a means for momentary pleasure, as a learning experience, as a means of feeling loved and cared about
How can sexual experimentation effect the growth and development of an adolescent Unplanned pregnancy and STIs
Why are unplanned pregnancies and STIs major complications of sexual experimentation in adolescents No protection
What often influences patterns of dating Culture
When can culture cause problems in regards to dating When the adolescent wants to be independent and adopts American norms while parents insist on strict traditional values
What is a ritual of adolescence that commonly becomes a battleground for the struggle for independence High school prom
Why might parents object to an adolescent attending a high school prom Fear of sexual experimentation, pregnancy, STIs, HIV, AIDS
How might parents respond to a high school prom Strict restrictions, curfews, chaperones, car limitations
How might the adolescent react to parent’s reactions if problems are not openly discussed Rebelling sexually to test general parental control, rather than for the act itself
What can lead to sexual intimacy for the adolescent Seeking one person of the opposite sex to share confidences and feelings with
Where does most of our knowledge about the sexual behavior of Americans come from Alfred Kinsey
What percent of girls and boys report having sex by the age of 18 Girls = 30%, Boys = 45%
What must nurses do to prepare an effective sex education program Put aside their own attitudes and biases, understand society, cultural, and moral values; incorporate a broad understanding of physical and psychological growth and development
What are possible sources of inaccurate information the adolescent may explore for information about sex education Television, movies, magazines, chat rooms, web sites
What factors resulted in the formalized incorporation of sex education in school Prevalence of HIV, AIDS, STIs
What does sex education focus on Physiology of sex, reproductive systems, STIs, personal values, contraception, safe sex, peer pressure
Where can formal structured comprehensive sex education programs be found Sexuality Information and Education Council of the United States
What ages do the formal structured comprehensive sex education programs target Kindergarten through 12th
What do the formal structured comprehensive sex education programs include information about All aspects of health – nutrition, dental care, drugs, STIs
When can the physiology of the reproductive systems be taught 5th grade
When can coping skills for dating and sexuality, pregnancy, abstinence, contraception, and birth be taught 8th grade
What is emphasized in sex education programs Decision making
What should be used to show the possible consequences of certain actions Flow charts
What can be taught in high school sex education programs How to handle pregnancy, prenatal and postnatal care, effective parenting techniques, intimate relationships, compromise, problem solving, communication skills
What should high school sex education programs emphasize The many reasons why adolescents should say NO to casual sex
What is the ideal information for an adolescent to receive about sex education Factual and sensitive information from the parents
For parents, what offers a secure and natural foundation on which to build Truthfully answering children’s questions throughout childhood
When does the nurse have an opportunity to support the adolescent who is concerned about normal growth and development During data collection
What is a homosexual A person who has an attraction for a person of their own gender
What is a lesbian A female who prefers other females as a sexual partner
How is a gay male defined A male who prefers another male as his sexual partner
What is homosexual behavior in adolescence Not a positive predictor of adult preference; merely a desire to explore alternative lifestyles
What percentage of people are homosexual 5%
What contributes to homosexual behavior Cultural, biological, and psychological factors
What is the nursing role in regard to homosexual behavior Help the child understand how to cope with the reactions of others
What often leads to confusion in parents of an adolescent The shift in parenting philosophies from the rigid rules of discipline to middle of the road permissiveness
In regards to adolescent sex education, what is done during the nursing process stage of data collection Determine knowledge level, sexual preferences and outlets - Discuss peer acceptance, drugs, alcohol, cigarettes
In regards to adolescent sex education, what is done during the nursing process stage of analysis Review body image and understanding concerning body changes, Observe for signs of abuse, Determine risk factors regarding sex and drugs, Clarify practices including contraception, Review for variation or deviation
In regards to adolescent sex education, what is done during the nursing process stage of planning/implementation
Provide a private area and nonjudgmental environment, Discuss safe sex and personal views and values of the adolescent, Teach breast/testicular self exams and the need for follow up care, Discuss contraceptive choices
In regards to adolescent sex education, what is done during the nursing process stage of evaluation Follow up during return visits concerning problems identified or teaching completed
What are adolescent warning signs Time spent on the computer early in the morning, Computer screen changes when parent enters, Porn on the computer, Frequent long distance calls
What may adolescents do as they try to separate themselves from family Reject some traditions such as outings or dress code
What happens if a parent responds negatively to normal attempts by the adolescent to separate themselves from family Separation widens and tension grows
Who do adolescents separating themselves look to as role models Other adults as role models and confidants – coaches, scout leaders
Created by: futurenurse
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