SAS 24

• The common classifications of high-risk adolescent include those with acute and chronic health problems.
• Common illnesses that occur in high-risk adolescents include scoliosis, bone tumors (osteogenic sarcoma), accidents, sexually transmitted infections, amenorrhea, and obesity/anorexia nervosa.
• Children do have a suicidal risk that coincides with some significant event such as a recent gun purchase in the family.
• Respond to students’ feedback during the next class meeting or as soon as possible.
• Adolescents typically don’t choose suicide unless they live in certain geographical regions.
• Your instructor will collect or pass your responses before you leave.
• The risk of suicide increases during adolescence, with those who have recently suffered a loss, abuse, or family discord being most at risk.
• For the next session, review Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder-Upper Respiratory Tract Infection p 1106.
• Death or unconsciousness from overdose; addiction, seizures from withdrawal are potential consequences of depressant abuse.
• “ This is the last time you will see me” is a suicide warning sign.
• Some degree of depression is present in adolescents because they are not only losing their parents and also their carefree childhood.
• Almost any sustained deviation from the normal pattern of behavior is a potential suicide warning sign.
• Failure to complete assignments in school, demonstration of poor reasoning ability, decreased school attendance, frequent mood swings, deteriorating physical appearance, recent change in peer group, expressed negative perceptions of parents are signs of teen suicide risk.
• Self-destructive behavior, difficulties in school, and suicide warning signs such as giving away prized possessions, organ donation questions, sudden, unexplained elevation of mood, accident proneness, carelessness, and death wishes are potential consequences of depression.
• Teen suicide is deliberate self-injury with the intent to end one’s life, more frequent in males although more attempts are made by females, frequent during spring or fall, reflecting school stress and between 3pm and midnight, reflecting depression that increases with the dark, 3rd cause of death in the 15 to 19-year old group.
• In younger adolescents, signs of depression include disobedience, tantrums, truancy and running away from home.
• Steroids cause aggressive behavior, increase in muscle strength and mass.
• Signs of depression include anorexia, insomnia, excessive fatigue, or weight loss.
• Decrease in verbal communication, withdrawal from peer activities or previously-enjoyed events, previous attempt, recent increase in interpersonal conflict with significant others, running away from home, recent experience of a friend or a famous person committing suicide, inquiring about the hereafter, and asking for information (supposedly for a friend) are potential suicide warning signs.
• Violent actions, possibly tumor growth are potential consequences of steroid abuse.
• Overdose, hallucinations, psychosis are symptoms of drug abuse.
• Pills or capsules in varying colors, odor of alcohol on breath are signs of depressant abuse.
• Depressants (barbiturates, alcohol) cause drowsiness, stupor, slurred speech, drunken appearance, vomiting.
• Pills or capsules in varying colors, absence of nasal hair, possession of a glass pipe are signs of drug abuse.
• “ I will have my child wear soft fabric clothing under the brace.
• If the cast becomes wet, a blow drier set on the cool setting may be used to dry the cast.
• Administer an antiemetic.
• A small amount of white shoe polish can touch up a soiled white cast.
• Women-who-have-sex-with-women (WSW)
• When assessing a 17-year-old male client with depression for suicide risk, which of the following questions is best?
• The nurse should include information in the plan of care about prevention of human immunodeficiency virus (HIV) for which individuals specifically at risk?
• Lifelong obesity
• Increase the intravenous fluids.
• Female-to-male (FTM) transgender persons
• On further assessment, the nurse notes abdominal distention.
• “ What movies about death have you watched lately?
• “ I should avoid the use of powder because it will cake under the brace.
• “ I will encourage my child to perform prescribed exercises.
• Notify the primary health care provider.
• Which statement by the parents indicates a need for further instruction?