What behavior might a nurse observe in a 15-year-old undergoing chemotherapy?

In the context of a 15-year-old undergoing chemotherapy, the choice regarding concern about being different is particularly insightful. Adolescents are in a developmental stage where peer acceptance and self-identity are paramount. As they face the challenges of chemotherapy, which may include noticeable physical changes such as hair loss, weight fluctuations, and fatigue, they can become acutely aware of how these changes set them apart from their peers.

This concern about being different can manifest in various ways, including anxiety, withdrawal from social situations, or even a desire for reassurance from friends and family. The process of coping with such significant medical treatment can lead to feelings of loneliness or being misunderstood, as adolescents may fear that their peers will not accept their altered appearance or limitations due to treatment.

In contrast, increased socializing with peers may diminish during treatment due to the physical and emotional toll it takes. Adolescents may not fully accept their treatment status, and ignoring physical changes could be a defense mechanism, but they are generally more aware of these alterations than adults might believe. Thus, the apprehension about appearing different resonates deeply with the typical emotional and psychological challenges adolescents face during such a transformative period.