The nurse is providing education on the pathophysiology of acne vulgaris. Which statement by the client indicates a need for further teaching?

Explanation: Choice d indicates a need for further teaching because hormones play a significant role in the development of acne. Hormonal changes during puberty and the menstrual cycle can lead to increased oil production and clogged pores, contributing to acne development.

Incorrect choices: a. "Hormonal changes during puberty can lead to increased oil production in the skin." - This statement is correct as hormonal changes during puberty can increase the skin's sebum production, which can contribute to acne development.

b. "Hormonal fluctuations during the menstrual cycle can worsen my acne." - This statement is correct as hormonal fluctuations during the menstrual cycle can exacerbate acne symptoms in some individuals.

c. "Hormonal contraceptives can help regulate hormone levels and improve acne." - This statement is correct as hormonal contraceptives can be prescribed to manage acne in some cases by regulating hormone levels.

Explanation: Choice b indicates a need for further teaching because frequently touching the face can transfer bacteria and oils from the hands to the face, potentially worsening acne symptoms.

Incorrect choices: a. "I will avoid squeezing my acne lesions to prevent scarring." - This statement is correct. Squeezing acne lesions can lead to scarring and should be avoided.

c. "I will avoid using oil-based cosmetics and skincare products." - This statement is correct. Oil-based products can clog pores and contribute to acne breakouts, so it is best to use non-comedogenic products.

d. "I will avoid wearing tight-fitting clothing that may irritate my skin." - This statement is correct. Tight-fitting clothing can trap sweat and irritate the skin, potentially worsening acne. Loose, breathable clothing is recommended.