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CASE STUDY 7:  Chance is a lanky 15-year-old grade 10 Portuguese Canadian student at a large (3,000-student) inner-city public high school for the Arts & Sciences. He has recently come to the attention of the school’s Attendance Officer for persistent truancy. At a school mandated parent conference, Chance’s parents revealed that Chance had been caught and charged with shoplifting at a nearby mall, and has been involved in several acts of vandalism in the larger community. His parents are afraid that Chance is involved in more than truancy, shoplifting and vandalism, and accept the Attendance Officer’s referral to an interdisciplinary Family Clinic for assessment and possible intervention. According to Mrs. Day, Chance’s mother, her relationship with Chance has gone from warm and friendly to constant anger and rage. She believes that the change in their relationship is directly related to her finding Chance and “a little slut” naked in his bed during school hours. Mr. Day counters that Chance is not appreciative of how hard he works to provide for them. He feels Chance only communicates when he wants money. Mr. Day also suspects Chance is using drugs, as he once caught him smoking pot. He suspended his allowance as a consequence, but did not pursue the matter because Chance promised him he’d stop. Documentation from Chance’s teachers indicates a gradual decline in his grades over the last year, with Chance frequently falling asleep in class. School performance and attendance has been the least of Chance’s problems. He plans to quit school the day he turns 16, and does not see the need to continue to study. He thinks the last time he attempted any schoolwork was at the beginning of the 10th grade – last semester.  Chance claimed both parents were too busy with their lives and were only doing this assessment because they worried that he would embarrass them. Chance does not communicate with his parents, and appears to ignore all their “rules”. The parents communicate with Chance only to yell at him or admonish him about things that he has or has not done. They continue to use their social influence to “bail” him out of his acts of delinquency. They feel they do not know this “monster”, and seem to see him as a threat to their younger son Harley. They want him “fixed” so they can have the old Chance back. Parents appear to have a strong committed relationship to each other, as well as memories of positive times with Chance. As an alternative to being charged with truancy, Chance and his parents agreed to follow through on the referral. Mr. Day has already arranged for Chance to meet with the judge in private chambers so that he can do community service in lieu of detention for the incidents of shoplifting and vandalism. Chance has agreed to this, and will work two evenings a week at a homeless shelter. His only emotional expression is a careless shrug. Chance admits to using pot, but feels that he is in control, as he only smokes late at night so that he can “sleep it off”. He also admitted to drinking close to a liter of vodka every couple of weeks just because it made him feel good. Chance has an older “friend” purchase the vodka and has been able to get a reliable and inexpensive supply of pot at school. Chance revealed that he has been sexually active since he was 14, but felt that he didn’t need protection against pregnancy because he was too young to get anyone pregnant. He has had several sexual partners, some he didn’t know. He now has a special girlfriend who is almost 14. They engage in sexual intercourse at her house or in his bedroom about three times a week. They never use protection.

Which of the following is a hallmark of Piaget’s concrete operational stage?

What is the primary focus of Erikson’s stage of Industry vs. Inferiority?

Which term refers to adolescents’ belief that their experiences are unique?

Which condition is characterized by challenges in social interaction and communication?

This semester, we conducted several simulations on religious diversity and humility in healthcare. Define religious humility and explain why religious diversity is important in healthcare. In your essay, reflect on three simulations. How did the students demonstrate religious diversity and humility in healthcare? If they did not demonstrate it, what improvements could they have made? (Include references to the simulations and the groups you took notes on). (Your essay should be 250-500 words).

What percentage of high school students engage in part-time work?

In the lecture and book chapter, you delved into the significance of the doctor-patient relationship and informed consent. Firstly, define these terms, then explore the best and worst models for the doctor-patient relationship. How can insights from this research enhance your approach to healthcare? Additionally, delineate what constitutes informed consent and what does not. Highlight its importance and discuss strategies to ensure informed consent is safeguarded. Reference the lecture, readings, and your simulation experiences in your essay. (250-500 words)

You have just told fifteen-year-old  William that he will not be able to go on the field trip due to negative behavior.  William complies with your directions but tells you, “It’s all your fault. I hate you.”   What is the BEST response listed below:

What is the primary purpose of romantic relationships during early adolescence?