Question

Assignment:

Case Study- J.P. is a 15-year-old boy who presents to the pediatric office for his annual visit.

Subjective Data

• Lives with mother and father, both present for visit
• Attends high school
• Only child
• No smokers in home
• No weapons in home

Objective Data

• Vital signs within normal limits
• Height and weight within normal limits
• Immunizations up to date
• No medications
• No allergies
• Physical exam within normal limits

Questions

1. What special considerations should the nurse keep in mind regarding the physical exam with this age group?

2. What information can you get from the teen? (Eating, sleeping and physical activity habits, drug or alcohol use, sexual activity) Why are each of these important?

3. What should be included in your safety assessment? Why?

Answer 1

1.Some of the special consideration required regarding the physical examination with this age group are

• Assessing for any sports injury
• Vison examination
• Assess for any substance abuse (alcohol,cigarettes, e-cigarette)
• Mental status examination for any violent behavior ,antisocial behavior
• Rash driving
• Sexual transmitted disease, any relationship
• Assessing for spine curvature
• Assessing for any overeating or under eating ,obesity can occur
• Vitals :Blood pressure,cholesterol
• Puberty development

2.Eating:Over eating or under eating

Physical activity :regular exercise to be encouraged to prevent obesity

Habits:tobacco, alcohol, smoking can happen because of perr pressure

Sexual activity: orientation to opposite gender is high during this period

3.Safety assessment which has to be included are

• Assess for the usage of any weapons due to exposure
• Influence of any wrongful persons like abuser