When caring for hospitalized teens nurses should choose their words and actions carefully since adolescents typically are concerned about?

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Page 2

Developmental changes occurring in adolescence. Amended table from Nelson’s Paediatrics33

Biological development (pubertal changes)Psychological developmentSocial development
  • Breasts, testes and penis enlarges

  • Pubic and axillary and body hair

  • Menarche

  • Growth spurt (breast stage 2–3 age 11–12yrs, testicular volume 10 mL age 13–14)

  • Fat deposition

  • Secondary effects

  • Boys androgenic effects of muscle bulk

  • Body shape changes

  • Voice breaks

  • Accretion of bone mineral density

  • Acne

  • Blushing

  • Need for more sleep

  • Maturation of other organs (e.g. liver)

  • Thinking changes from concrete to abstract (logical)

  • See selves as ‘bullet proof’

  • Sexual identity develops

  • Experimentation

  • May have homosexual peer interest

  • Reassess body image in face of changes

  • Growing educational abilities; develop vocational ideas

  • Learn to differentiate law and morality

  • Learn to control impulses

  • May develop fervent views

  • Realization of differences from parents → emotional separation

  • Peer identification

  • Exploratory behaviours (smoking, violence, sex, drugs)

  • Heterosexual peer interests → relationship

  • Develop vocational plans → Potential financial independence