A 14-year-old girl is concerned about her changing body.
Which nursing intervention is most appropriate?

Choice A rationale

Offering privacy and allowing gradual self-expression respects the adolescent's developmental stage, which often includes a need for autonomy and fear of judgment. Providing a non-threatening environment can reduce anxiety and build trust, fostering a sense of security that encourages the patient to open up when they feel ready, without feeling pressured or overwhelmed.

Choice B rationale

Encouraging immediate discussion with parents might be premature and perceived as a lack of understanding by the adolescent. Adolescents often value peer relationships and may find it difficult to express sensitive emotions to parents, especially after a traumatic event like an injury. This approach could increase their withdrawal and reluctance to communicate.

Choice C rationale

Focusing solely on physical care neglects the psychological and emotional needs of the adolescent, which are crucial for holistic recovery. Emotional distress can hinder physical healing and overall well-being. Avoiding emotional support can make the patient feel invalidated and isolated, potentially prolonging their withdrawal and emotional distress.

Choice D rationale

Assigning a withdrawn adolescent to a shared room without prior assessment or consent can exacerbate their anxiety and discomfort. While socialization is important, forcing it upon a patient who is already withdrawn can be counterproductive, potentially leading to increased stress and a further retreat into themselves rather than improving their social engagement.

Choice A rationale

Emphasizing compliance without addressing the underlying emotional distress of an adolescent regarding body image can be counterproductive. Adherence to medical regimens, especially those affecting appearance, is significantly influenced by psychosocial factors and perceived stigma. A confrontational approach often increases resistance, hindering long-term treatment success.

Choice B rationale

Dismissing an adolescent's concern about peer perception trivializes their developmental stage, where social acceptance and body image are paramount. Telling them peers will not notice is often untrue and undermines trust, as adolescents are highly attuned to social cues and peer judgment, which can lead to further noncompliance.

Choice C rationale

Involving the adolescent in brace customization promotes autonomy and ownership over their treatment, significantly increasing compliance. This approach addresses the emotional impact of body image concerns by allowing for personalization, which can mitigate feelings of embarrassment and enhance self-esteem during a critical developmental period.

Choice D rationale

While explaining risks is important for informed consent, focusing solely on negative consequences without offering solutions or addressing emotional barriers can instill fear without promoting adherence. This approach can also lead to resentment or a feeling of being lectured, further alienating the adolescent from treatment.