FNP 1 Final Exam Latest Update 2024
What age is adolescence? - ANSWER-11-21 years
Young: 11-14
Middle: 15-17
Late: 18-21
What is the Erikson stage for adolescents? - ANSWER-Identity v. Role Confusion
What is the health history mnemonic for adolescents? - ANSWER-HEADSS FIRST
H - home
E - Edu...
What age is adolescence? - ✔✔✔ANSWER-11-21 years
Young: 11-14
Middle: 15-17
Late: 18-21
What is the Erikson stage for adolescents? - ✔✔✔ANSWER-Identity v. Role
Confusion
What is the health history mnemonic for adolescents? - ✔✔✔ANSWER-HEADSS
FIRST
H - home
E - Education
A - accidents, activities, abuse, ambitions
D - Drugs
,S - Safety
F - Friends
I - Image (body, weight)
R - Recreation
S - Sexual activity
T - Threats (suicide, depression, aggression)
What is NYS definition of minor? - ✔✔✔ANSWER-Person under age of 18
What are the types of minors who can consent on their own? - ✔✔✔ANSWER--
Married
- Have child
- Emancipated
- Pregnant
- "Mature" minors
Under NYS law what can a minor consent to? - ✔✔✔ANSWER-A minor who
understands the risks and
benefits of proposed and alternative treatments can consent to:
- Reproductive health care, including family planning (i.e., birth control and other
contraception), emergency contraception, abortion, pregnancy/prenatal care, care
during labor and delivery,
and care for sexually transmitted infections;
- Certain mental health services;
- Certain alcohol and drug abuse services; and
- Sexual assault treatment.
,- Providers also can treat minors in an emergency without parental consent.
For other types of care minors must ordinarily obtain parental
consent.
What are the confidentiality rights of minors. - ✔✔✔ANSWER-- All services
provided to minors must be confidential.
- NYS forbids disclosure of information pertaining to minor's abortion or STI
treatment to parents or guardians without minor's consent.
- Parents can access care they consented to and care in emergency.
What is an emancipated minor? - ✔✔✔ANSWER-- Served in Armed services
- LIving apart from parents and are economically independent through gainful
employment
- Can go to court and get emancipated w.o employment
Who can consent to HPV vaccine? - ✔✔✔ANSWER-- Law is unsettled, OH says
parental consent is required, but mature minors doctrine allows tx.
What substance abuse tx can a minor consent to? - ✔✔✔ANSWER-- Non-medical
such as counseling requires parental consent
- Inpatient or outpatient medical treatment for substance abuse does not require
parental consent
When is parental consent not required for a minor seeking outpatient mental health
tx? - ✔✔✔ANSWER-Outpatient:
- Parent or guardian not reasonably available
- Parental involvement will be detrimental to tx
, - Parent refused consent and provider thinks it is in best interest
Inpatient:
- >16 can consent on own
- Younger must obtain parental consent
A minor is HIV positive and says he won't get tx if he has to get consent from
parents. Can he receive tx? - ✔✔✔ANSWER-Probably under the mature minor
clause.
Starting in adolescence what is another vital sign that is added? - ✔✔✔ANSWER-
Menstrual cycle (first menses, days in cycle, regularity, menstrual flow, cramps,
etc)
Describe adolescent development of sex characteristics. - ✔✔✔ANSWER-
Thelarche at 9-10
Growth spurt 6-12 mo before menarche
Testicular development at 11
What are changes in adolescent you would find on PE by sytem. -
✔✔✔ANSWER-Hair: Oily, body hair appears on chest and face in males, axilla in
both sexes.
Skin: Acne on face, back, chest, large pores, presence of bruises, burns, bites must
be evaluated.
Lymph: Decreased lymph tissue
Teeth: Carries, dental hygiene, need for orthodontia
Heart: decr heart rate, incr blood pressure
Lungs: decr respiratory rate
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