Growth and Development of the Adolescent Case Study

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? 

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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 this 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? 

Growth and Development of the Adolescent Case Study