NRS-434VN Topic 3: Health Assessment During the Adolescent and Prenatal Periods

Topic 3: Health Assessment During the Adolescent and Prenatal Periods

Objectives:

Utilize the nursing process in completing a comprehensive health history.
Examine factors that contribute to risk-taking behavior in adolescents.
Discuss support options for adolescents encountering external stressors.
Evaluate the issues associated with adolescent pregnancy.

Health Assessment: Foundations for Effective Practice

Read Chapter 3 in Health Assessment: Foundations for Effective Practice. Use the Appendix as needed to complete your assignments. NRS-434VN Topic 3: Health Assessment During the Adolescent and Prenatal Periods

URL:

https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/health-assessment_foundations-for-effective-practice_1e.php

Purpose of the Systematic Physical Assessment in Everyday Practice: Critique of a Sacred Cow

Read “Purpose of the Systematic Physical Assessment in Everyday Practice: Critique of a ‘Sacred Cow,'” by Zambas, from Journal of Nursing Education (2010).

URL:

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=2010689578&site=ehost-live&scope=site

How to Improve Your Sexual Health History-Taking Skills

Read “How to Improve Your Sexual Health History-Taking Skills,” by French, from Practice Nurse (2010).

URL:

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=2010732747&site=ehost-live&scope=site

Optional: Making the Most of the Adolescent Male Health Visit: Part 1: History and Anticipatory Guidance

For additional information, the following is recommended:

“Making the Most of the Adolescent Male Health Visit: Part 1: History and Anticipatory Guidance,” by Marcell and Bell, from Contemporary Pediatrics (2006).

URL:

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=2009185184&site=ehost-live&scope=site

Respiratory Assessment. NRS-434VN Topic 3: Health Assessment During the Adolescent and Prenatal Periods

Read “Respiratory Assessment,” by Simpson, from British Journal of Nursing (2006).

URL:

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=2009192220&site=ehost-live&scope=site

Sexually Transmitted Diseases

View Sexually Transmitted Diseases page of the Medscape website. You will need to create a free account in order to access this material.

URL:

http://www.medscape.com/features/slideshow/stds

Affordable Care Act. NRS-434VN Topic 3: Health Assessment During the Adolescent and Prenatal Periods

View the Affordable Care Act page of the Medscape website. You will need to create a free account in order to access this material.

URL:

http://www.medscape.com/features/slideshow/healthcare-reform

Break the Silence: Stop the Violence

View the video “Break the Silence: Stop the Violence,” by the Centers for Disease Control and Prevention (CDC), located on CDC website. Familiarize yourself on prevention of interpersonal abuse.

URL:

http://www.cdc.gov/cdctv/injuryviolenceandsafety/break-silence-stop-violence.html

Shadow Health: Conversation Concept Lab. NRS-434VN Topic 3: Health Assessment During the Adolescent and Prenatal Periods

Within the Shadow Health platform, complete the Conversation Concept Lab. The estimated average time to complete this assignment is 40 minutes. Please note, this is an average time. Some students may need longer.

This clinical experience is a conversation concept lab. Students have one opportunity to complete this graded assignment. Upon completion, submit the lab pass through the assignment dropbox. Students will receive full points for successful completion of this assignment. A proficiency score is not provided.

Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

Adolescence: Contemporary Issues and Resources

Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission:

Describe the contemporary issue and explain what external stressors are associated with this issue.
Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian.
Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

NRS-434VN Topic 3 Rubric: Adolescence: Contemporary Issues and Resources

No of Criteria: 8 Achievement Levels: 5

Criteria

Achievement Levels

Description

Percentage

1: Unsatisfactory

0.00 %

2: Less Than Satisfactory

75.00 %

3: Satisfactory

79.00 %

4: Good

89.00 %

5: Excellent

100.00 %

Content

80.0

Contemporary Issue and Associated External Stressors

25.0

A contemporary issue facing adolescents is omitted.

An issue facing adolescents is partially summarized; the issue is not relevant to adolescents. No explanation of external stressors associated with this issue is described; or, the external stressors are not relevant.

A relevant issue facing adolescents is generally discussed. A general explanation of external stressors associated with this issue is summarized. More information is needed. There are some inaccuracies.

A relevant issue facing adolescents is discussed. An explanation of external stressors associated with this issue is presented.

A relevant issue facing adolescents is thoroughly discussed. An explanation of external stressors associated with this issue is well presented. Insight into adolescent issues and external stressors is demonstrated.

Assessment Strategies to Screen for the Issue and External Stressors

30.0

Strategies to screen for the chosen issue and external stressors during an assessment for an adolescent patient are omitted.

Strategies to screen for the chosen issue and external stressors during an assessment for an adolescent patient are partially presented. The strategies are not relevant to screening for the issue or external stressors. Additional assessment questions to ask and the ethical parameters regarding what cannot be disclosed to the parent or guardian are omitted. Significant evidence or rationale is needed. NRS-434VN Topic 3: Health Assessment During the Adolescent and Prenatal Periods

Strategies to screen for the chosen issue and external stressors during an assessment for an adolescent patient are generally described. The strategies are generally relevant to screening for the issue and external stressors. Additional assessment questions to ask and the ethical parameters regarding what cannot be disclosed to the parent or guardian are outlined. There are some inaccuracies. Some evidence or rationale is needed.

Strategies to screen for the chosen issue and external stressors during an assessment for an adolescent patient are described. The strategies are relevant to screening for the issue and external stressors. Additional assessment questions to ask and the ethical parameters regarding what cannot be disclosed to the parent or guardian are outlined.

Strategies to screen for the chosen issue and external stressors during an assessment for an adolescent patient are well described. The strategies are highly relevant to screening for the issue and external stressors. Additional assessment questions to ask are presented and relevant. The ethical parameters regarding what cannot be disclosed to the parent or guardian are clearly presented. The strategies demonstrate insight into assessment development for adolescent issues.

Support Options for Adolescents Encountering External Stressors

25.0

Support options for adolescents encountering external stressors are omitted.

Support options for adolescents encountering external stressors are partially described. Specific support options for the contemporary issue are omitted.

Support options for adolescents encountering external stressors are summarized. Specific support options for the contemporary issue are generally discussed. More detail or evidence is needed for support. There are some inaccuracies.

Support options for adolescents encountering external stressors are discussed. Specific support options for the contemporary issue are described. Some detail or evidence is needed for support. Overall, the support options are relevant to address external stressors, including those specific to the contemporary issue.

Support options for adolescents encountering external stressors are thoroughly discussed. Specific support options for the contemporary issue are described in detail. The support options are relevant for addressing the external stressors, including those specific to the contemporary issue. The options are well-supported by evidence and rationale.

Organization and Effectiveness

15.0

Thesis Development and Purpose

5.0

Paper lacks any discernible overall purpose or organizing claim.

Thesis is insufficiently developed or vague. Purpose is not clear.

Thesis is apparent and appropriate to purpose.

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

5.0

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5.0

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

Writer is clearly in command of standard, written, academic English.

Format

5.0

Paper Format (use of appropriate style for the major and assignment)

2.0

Template is not used appropriately or documentation format is rarely followed correctly.

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

Template is used, and formatting is correct, although some minor errors may be present.

Template is fully used; There are virtually no errors in formatting style.

All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

3.0

Sources are not documented.

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Total Percentage 100

NRS-434VN Topic 3: Health Assessment During the Adolescent and Prenatal Periods Topic 3 DQ 1

Adolescent pregnancy is viewed as a high-risk situation because it poses serious health risks for the mother and the baby. Describe various risk factors or precursors to adolescent pregnancy. Research community and state resources devoted in adolescent pregnancy and describe at least two of these resources. Research the teen pregnancy rates for the last 10 years for your state and community. Has this rate increased or decreased? Discuss possible reasons for an increase or decrease.

NRS-434VN Topic 3: Health Assessment During the Adolescent and Prenatal Periods Topic 3 DQ 2

Describe two external stressors that are unique to adolescents. Discuss what risk-taking behaviors may result from the external stressors and what support or coping mechanism can be introduced.

Re: Topic 3 DQ 2 Example

Adolescence phase of development can be a roller coaster of emotion for the individuals and their parents, as teenagers are transitioning into young adulthood. (Falkner, 2018). Emotional and cognitive changes in adolescence affects the capacity for decision making and a lack of emotional maturity, causing poor decision making and risky behaviors (Falkner, 2018). An assumption is that risk taking behaviors are linked by the desire for social and peer acceptance. There are many external stressors that can affect adolescence. Environmental stressors related to well-being and safety, such as family violence. This can cause risky behaviors like sexual exploration, drug, and alcohol use, eating disorders, depression, suicidal ideation, and bullying peers (CDC, 2020). There is a correlation between emotional abuse in early childhood by family and the cycle of domestic violence to repeat throughout one’s life (Falkner, 2018). Another major stressor for adolescence is social media with social connections, such as friendships, and peer influences. Adolescence struggle with self-esteem as their bodies change, social media pressures portray idealistic images of perfection. This is a struggle as they try to determine their personal identity. As advancement of technology continues, social media platforms have introduced a new type of bullying. This type of harassment is referred to as cyberbullying. this can cause risky behaviors including depression, withdrawing from family and friends, and teen suicide. That being said, the most effective and ideal support you can give adolescence involves education and skill building, which includes programs and education offering coping mechanisms for typical teenage stressors (Falkner, 2018). Strong loving family support system and faith-based groups supporting adolescents throughout their teenage years is a major role in prevention of risky behaviors and can aid with coping mechanisms. As much as adolescence do not like it, parental monitoring of cell phone usage and social media platforms, are necessary in the battle to reduce such stressors. The more parents are involved in their children’s lives the more likely the teens are to confide in them.

Centers for Disease Control and Prevention, 2020, Information on Risk Behaviors for Parents with Teens (Ages 12-19)

https://www.cdc.gov/parents/teens/risk_behaviors.html

Falkner, A. (2018). Health Assessment of the Infant. In Grand Canyon University [GCU], Health Assessment: Foundations for Effective Practice(ch.3). https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/chapter/3