A nurse is caring for an adolescent who reports manifestations of an STI. Which of the following actions should the nurse take?
Request that the adolescent sign a consent for treatment form prior to performing STI screening.
Instruct the adolescent that a guardian must be present to provide consent for STI screening.
Plan to notify the adolescent's guardian if the STI screening comes back positive.
Obtain phone consent from the guardian of the adolescent prior to performing STI screening.
The Correct Answer is A
Rationale:
A) Adolescents have the right to consent to their own medical care for STI screening and treatment in many jurisdictions.
B) Instructing the adolescent that a guardian must be present for consent may discourage them from seeking necessary care due to privacy concerns.
C) Confidentiality is essential in healthcare, and unless there are specific legal or ethical reasons to involve the guardian, the adolescent's privacy should be respected.
D) Obtaining phone consent from the guardian may not be necessary if the adolescent is capable of consenting to their own care.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Spiral fractures are often associated with child abuse, especially when they occur in non-ambulatory infants or toddlers who can't generate enough force to cause such injuries themselves.
B. Bruises from a collision with furniture can be common in preschoolers, and there's no immediate indication of child maltreatment.
C. Head injuries from falls, especially during adolescence, are common and may not necessarily indicate child maltreatment.
D. While a black eye could be concerning, it's not necessarily indicative of child maltreatment and could be the result of a fight with a classmate.
Correct Answer is D
Explanation
A. Allowing a toddler to button up their own shirt can be frustrating for them as they may not have developed the fine motor skills required for this task, leading to potential distress.
B. Asking toddlers questions that require a "yes" or "no" answer can limit their language development as it does not encourage them to use language expressively.
C. While providing opportunities to share toys with others is important for social development, it is not the most critical aspect of care in this context.
D. Ensuring the toddler has at least one nap during the day is crucial as toddlers need ample sleep for proper development and to prevent overtiredness, which can affect their mood and behavior.
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