# A 16-year-old adolescent is hospitalized for management of newly diagnosed type 1 diabetes. The patient appears anxious and asks many questions about insulin therapy and lifestyle changes. Which nursing intervention is most appropriate to address the developmental needs of this hospitalized adolescent?

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> language: ko  
> subject: Growth & Development

## 문제

A 16-year-old adolescent is hospitalized for management of newly diagnosed type 1 diabetes. The patient appears anxious and asks many questions about insulin therapy and lifestyle changes. Which nursing intervention is most appropriate to address the developmental needs of this hospitalized adolescent?

## 보기

1. Encourage the parents to stay with the patient at all times to provide comfort and support
2. Limit visitors to immediate family members only to reduce overstimulation and promote rest
3. Allow friends to visit and maintain contact through phone calls and social media when appropriate **✔ 정답**
4. Provide detailed medical explanations using complex terminology to demonstrate respect for intelligence

**정답: 3**

## 해설

Allowing friends to visit and maintain contact addresses the adolescent's developmental need for peer relationships and social support, which reduces anxiety and promotes better cooperation during hospitalization.

## 심화 해설

Understanding the Adolescent with Type 1 Diabetes

Adolescence is a critical developmental period characterized by a strong need for peer connection and identity formation. When a chronic illness like type 1 diabetes is diagnosed, the psychosocial impact can be as significant as the physical challenges. Research highlights that adolescents often struggle with feeling different from their peers and fear being excluded from peer groups, which can lead to decreased self-esteem [1]. Therefore, nursing care must extend beyond treatment adherence to actively support psychosocial adaptation [1, 2].

Analyzing the Options Based on Developmental Needs

The core developmental task of adolescence involves forming an identity and establishing autonomy, primarily through peer relationships. Interventions that isolate the patient or encourage excessive dependence on family conflict with this developmental stage.

*   Option 1 (Encourage parents to stay at all times): While family support is valuable, constant parental presence can undermine an adolescent's developing sense of autonomy. The goal is to facilitate a balance where the adolescent manages their condition independently within a supportive environment, not to foster dependence.

*   Option 2 (Limit visitors to immediate family only): This action directly contradicts the adolescent's need for peer interaction. Social isolation can worsen feelings of being different and increase anxiety. Qualitative studies confirm that living with type 1 diabetes is psychologically and socially challenging, and maintaining peer contact is crucial for emotional well-being [2].

*   Option 4 (Provide complex medical explanations): Respecting an adolescent's intelligence is important, but using complex terminology is counterproductive. It can increase anxiety and confusion. Effective education should be tailored to the patient's developmental level, using clear, understandable language to empower them in self-management.

Why Facilitating Peer Contact Is the Priority

The most appropriate intervention directly addresses the adolescent's primary developmental and psychosocial needs. Allowing friends to visit and maintain contact helps normalize the hospital experience and reinforces the patient's identity as an adolescent first, and a patient second. This approach is a direct application of nursing models focused on adaptation, which aim to improve psychosocial adaptation by helping the adolescent remain integrated with their peer group [1]. Maintaining these social connections is not merely a social courtesy; it is a therapeutic intervention that mitigates the psychological distress associated with a new chronic illness diagnosis and supports a better diabetes-specific quality of life [4].

## 임상 시나리오

Adolescent Hospitalization CareSupporting Peer Connection During Illness
The primary developmental task for an adolescent is identity formation versus role confusion. Hospitalization threatens this by causing social isolation. The most critical nursing intervention is to facilitate peer interaction to maintain normalcy and self-esteem.

Allow flexible visitation from friends and encourage use of phone calls and social media when in-person visits are not feasible. This reduces feelings of being "different" and provides essential psychosocial support during a new diagnosis like type 1 diabetes.

CautionAvoid interventions that foster dependence, such as enforcing constant parental presence. While family is important, over-involvement can undermine the adolescent's need for autonomy and control over their condition management.

## 핵심 개념

- **Identity vs. Role Confusion** — Erikson's psychosocial stage for adolescents (12-18 years) focused on developing a personal identity and sense of self, heavily influenced by peer relationships.
- **Type 1 Diabetes Mellitus** — A chronic autoimmune condition where the pancreas produces little to no insulin, requiring lifelong insulin therapy and lifestyle management.
- **Peer Group** — A social group composed of individuals of similar age and interests, serving as a critical source of support and validation during adolescence.

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