A thirteen-year-old female is admitted for abdominal pain. Her parents state that their daughter is not sexually active. As the health care provider, you:

Ask the parents to leave so that you can be with the patient alone.

Tell the parents you suspect the girl might be pregnant.

Obtain consent for pregnancy testing from the parents.

Omit the routine pregnancy test since the girl is not sexually active.

Answer and Explanation

The Correct Answer is C

Choice A reason: This is not appropriate because it may make the parents feel excluded or suspicious. It may also make the girl feel uncomfortable or scared. The parents have the right to be present and involved in their daughter's care, unless they pose a threat to her safety.

Choice B reason: This is not appropriate because it may offend or upset the parents and the girl. It may also damage the trust and rapport between the provider and the family. The provider should not make assumptions or accusations based on the girl's symptoms.

Choice C reason: This is appropriate because it respects the parents' authority and the girl's privacy. It also allows the provider to rule out pregnancy as a possible cause of the abdominal pain, and to offer appropriate counseling and treatment if needed.

Choice D reason: This is not appropriate because it may miss a potential diagnosis or complication. The provider should not rely solely on the parents' or the girl's statements about sexual activity, as they may be inaccurate or dishonest. The provider should follow the standard of care and perform a pregnancy test for any female of childbearing age with abdominal pain.

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Correct Answer is C

Explanation

Choice A reason: Fidelity is the principle of being faithful and loyal to one's commitments and obligations. It is not directly related to the situation, although the nurse may have a duty to respect the parent's wishes.

Choice B reason: Equality is the principle of treating everyone fairly and impartially. It is not relevant to the situation, as there is no issue of discrimination or favoritism involved.

Choice C reason: Autonomy is the principle of respecting the right of individuals to make their own decisions. It is the most applicable to the situation, as the nurse recognizes the parent's authority to decide what is best for their child.

Choice D reason: Justice is the principle of distributing benefits and burdens equitably and according to valid criteria. It is not pertinent to the situation, as there is no conflict of interest or allocation of resources involved.

A. APT B. Numeric C. FLACC D. FACES

Correct Answer is D

Explanation

Choice A reason: APT stands for Acute Pain Team, which is a multidisciplinary team that provides pain management for patients. It is not a tool to assess pain.

Choice B reason: Numeric is a pain scale that uses numbers from 0 to 10 to rate the intensity of pain. It is not suitable for a 4-year-old child who may not understand the concept of numbers or have difficulty expressing their pain level.

Choice C reason: FLACC stands for Face, Legs, Activity, Cry, and Consolability. It is a pain scale that uses behavioral cues to assess pain in infants and young children who are unable to verbalize their pain. It is more appropriate for children under 3 years of age.

Choice D reason: FACES is a pain scale that uses facial expressions to indicate the level of pain. It is suitable for a 4-year-old child who can point to the face that matches their pain. It is a simple and easy way to assess pain in children.

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A thirteen-year-old female is admitted for abdominal pain. Her parents state that their daughter is not sexually active. As the health care provider, you:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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