Midterm Study Guide
NSG6001
1. What is Healthy People 2010/2020 and why is it important
Healthy people 2010/2020 is a comprehensive set of national ten-year
health objectives. A framework for public health priorities and actions.
Addresses disease prevention and health promotion issues of national,
public health significance. Provides science/evidence-based objectives
and targets. Data driven and measures progress over time (10-year span).
Designed to drive action to improve health, and is a collaborative process.
2. Adolescent care
10 -14 yrs old
• Body changes
• Challenge authority
• Peer groups
• Values
• Focus on immediate impact of behaviors
o Smoking
o Drugs
o Alcohol
o Sex
o Eating disorders
15 - 17 yrs old
• Peer groups
• Independence; Family conflict
• Body image concern decreases
• Sexual drive
• Experimentation
• Risk taking
• Increased intellectual ability
• Health Promotion
o Drugs, alcohol, & tobacco
o Sex (safe or abstinence)
o Eating disorders
18 - 21 yrs old
• Emancipated
• Comfortable with body image
• Minimal peer influence
• Individual thinking & maturity
o Goals, consequences of behavior, less risk taking, ethics/values
• Health Promotion
, o Safe sex
o Drugs, alcohol & tobacco
o Driving
Physical Issues:
• Girls:
o Growth spurt
o Increased Body fat
o Breast development
o Menses
• Boys
o Increased hormones, nocturnal emissions
o Gynecomastia
o Sperm
o Testicular changes
Cognitive
• Egocentrism
o Judgment
o Risk taking
Emotional
• Positive ideation, generally, but can be negative
• Turmoil, conflict
o Depression, suicide
o Identity crisis
• Health Promotion
o Assess for depression, anger, anxiety
o Domestic violence, abuse
Office Visit
• Parent present initially
o Observe parent/child relationship
o Remains dressed
o Expectations of visit
• Interview continues without parent
o Confidentiality
o HEADSS
3. Acute abdomen differential diagnosis
PAIN
LOCATION POSSIBLE DIAGNOSES
Right upper Biliary: cholecystitis, cholelithiasis, cholangitis
quadrant
Colonic: colitis, diverticulitis
NSG6001
1. What is Healthy People 2010/2020 and why is it important
Healthy people 2010/2020 is a comprehensive set of national ten-year
health objectives. A framework for public health priorities and actions.
Addresses disease prevention and health promotion issues of national,
public health significance. Provides science/evidence-based objectives
and targets. Data driven and measures progress over time (10-year span).
Designed to drive action to improve health, and is a collaborative process.
2. Adolescent care
10 -14 yrs old
• Body changes
• Challenge authority
• Peer groups
• Values
• Focus on immediate impact of behaviors
o Smoking
o Drugs
o Alcohol
o Sex
o Eating disorders
15 - 17 yrs old
• Peer groups
• Independence; Family conflict
• Body image concern decreases
• Sexual drive
• Experimentation
• Risk taking
• Increased intellectual ability
• Health Promotion
o Drugs, alcohol, & tobacco
o Sex (safe or abstinence)
o Eating disorders
18 - 21 yrs old
• Emancipated
• Comfortable with body image
• Minimal peer influence
• Individual thinking & maturity
o Goals, consequences of behavior, less risk taking, ethics/values
• Health Promotion
, o Safe sex
o Drugs, alcohol & tobacco
o Driving
Physical Issues:
• Girls:
o Growth spurt
o Increased Body fat
o Breast development
o Menses
• Boys
o Increased hormones, nocturnal emissions
o Gynecomastia
o Sperm
o Testicular changes
Cognitive
• Egocentrism
o Judgment
o Risk taking
Emotional
• Positive ideation, generally, but can be negative
• Turmoil, conflict
o Depression, suicide
o Identity crisis
• Health Promotion
o Assess for depression, anger, anxiety
o Domestic violence, abuse
Office Visit
• Parent present initially
o Observe parent/child relationship
o Remains dressed
o Expectations of visit
• Interview continues without parent
o Confidentiality
o HEADSS
3. Acute abdomen differential diagnosis
PAIN
LOCATION POSSIBLE DIAGNOSES
Right upper Biliary: cholecystitis, cholelithiasis, cholangitis
quadrant
Colonic: colitis, diverticulitis
