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NR 577 SCRIPT 2026 FULL SOLVED
CONTENT
◉Disability-adjusted life years. Answer: A measure of the years of healthy life lost due to ill health, disability or premature death. Estimates the gap between current health status and an ideal health status, with the entire population living to an advanced age free of disease and disability (WHO, n.d.). ◉Years lost to disability (YLD). Answer: Estimates based on prevalence data, real or imputed, that quantify the burden of morbidity and facilitate comparisons of various diseases and conditions (WHO, n.d.). ◉The top five causes of YLDs due to morbidity in individuals aged 10 - 19 years are common across regions and between countries of various economic level and include. Answer: Unipolar depressive disorders Iron deficiency anemia Asthma Back and neck pain Anxiety disorders
◉Risky Behavior: Sexual Activity. Answer: Adolescents who enter puberty early are more likely to engage in risky sexual behaviors than adolescents who mature later. Adolescents whose bodies mature earlier often end up socializing with an older peer group, which can influence social and risk-taking behaviors putting them at risk for early sexual activity, adolescent dating abuse, depressive symptoms, and antisocial behavior (Maaks et all, 2020). ◉Risky Behavior: Tobacco Use. Answer: The adolescent brain is particularly susceptible to the influence of substances, such as nicotine, resulting in a higher rate of dependence in adolescents than in adults. Nine out of ten adults who use tobacco started during adolescence before the age of 18 years. Every day in the U.S., roughly 1,600 youth smoke a cigarette for the first time, and almost 200 youth start smoking. Flavored tobacco products are appealing to adolescents, used by 85% of high school students and 74% of middle school students (CDC, 2020). ◉Risky Behavior: Self-Injurious Behaviors. Answer: Many adolescents engage in self-injurious behavior. Symptoms must have occurred at least five times within the past year and be associated with at least two of the following: previous negative emotions preoccupation with and a repetitive desire to engage in the activity feelings of relief from negative emotions or a sensation of positive feelings with activity (i.e., cutting or burning oneself) impaired interpersonal relationships
Illiteracy or lack of job skills Poverty Insufficient sleep ◉Protective Factors. Answer: High self-esteem Family connectedness Sense of future Academic success Parental engagement Coping skills Relationships with caring adults Community involvement (e.g., school, religious institutions, volunteering) Access to recreation ◉The HEADSS Assessment. Answer: H - Home Environment E - Education/Employment A - Activities D - Drugs S - Sexuality/Suicide/Depression S - Safety
◉HEADDS assessment questions. Answer: "Are you involved in a relationship?" Rationale: Avoid asking only about heterosexual relationships. Allow for the adolescent to reveal other sexualities they may explore. Make sure to expand on "sex." Many associate "sex" with vaginal only; some do not include oral or anal. "Who do you live with?" Rationale: Parent(s) may have separated, divorced, died, or left the home. This question may be sensitive to some. Open-ended question enables one to collect "environmental" as well as personal history What are you good at in school? Rationale: Close ended questions can be answered "yes or no". Open-ended questions allow for the adolescent to talk more about their strengths and weaknesses. They can expand on activities they enjoy or dislike. "What do you and your friends like to do for fun?" Rationale: Allows for NP to get bigger picture about peer involvement and warrant any safety issues regarding texting while driving, etc. ◉Assessment Area - Home Questions. Answer: Who lives with the young person/where?
Any years repeated classes failed? Suspension/dropping out? Future education/employment plans? Any current or past employment? Relations with teachers, employers-school, work attendance? ◉Assessment Area - sexuality. Answer: Orientation? Degree and types of experiences? Number of partners? Masturbation (normalize) History of pregnancy/abortion? Sexually transmitted infections? Knowledge and prevention? Contraception? Frequency of use? Comfort with sexual activity, enjoyment/pleasure obtained? History of sexual/physical abuse? ◉Assessment Area - activities. Answer: What do you do for fun? Where do you go? (individually or with peers) Sports/ exercise? Church attendance, clubs, projects? Hobbies or other activities? Reading for fun? What do you like to read?
TV-how much weekly? Favorite shows? Favorite music? Have a car? Use seat belts? History of arrest, acting out, crimes? ◉Assessment Area - Suicide/Depression Questions. Answer: Sleep disorders? Appetite/eating behavior changes? Emotional outbursts and impulsive behavior? History or withdrawal/social isolation? Boredom, depression, psychological counseling? Hopeless/helpless feelings? History of suicide attempts by family members or peers? History of recurrent serious accidents? Psychosomatic illness? Suicidal thoughts or history of past suicide attempts? Preoccupation with death? Significant current or past losses? Decreased effect on interview, avoidance of eye contact? ◉Vaccine contraindications include:. Answer: Avoid any secondary dose of a vaccine after a severe allergic reaction.
Interventions for Tobacco Smoking Cessation (correct) High blood pressure Screening (Correct) Folic Acid for the Prevention of Neural Tube Defects (Correct) Skin Cancer Prevention (incorrect) Electrocardiography Screening (incorrect). Answer: Rationale: Level A Recommendations: Cervical Cancer Screening High blood pressure Screening Folic Acid for the Prevention of Neural Tube Defects Interventions for Tobacco Smoking Cessation Level B Recommendations: Latent Tuberculosis Infection Screening Level C Recommendations: Skin Cancer Prevention Level D Recommendations: Electrocardiography Screening
