While completing the health history of a 15-year-old girl, the ...

[erika]

While completing the health history of a 15-year-old girl, the nurse learns that the girl is sexually active. Based on this finding, the nurse will screen for which conditions? Standard Text: Select all that apply.
 
  1. Herpes simplex virus
  2. Gonorrhea
  3. Chlamydia
  4. Impetigo
  5. Mononucleosis

Question 2

What would be the best way for the nurse to teach adolescents regarding health promotion and health maintenance?
 
  1. Contact the parents and ask what issues they have with their adolescents.
  2. Have the adolescents identify a personal health goal.
  3. Ask the advice of the counselors at school.
  4. Tell the adolescents what you will include in the lecture.

[Expo]

Answer to Question 1

1,2,3
Rationale 1: Herpes simplex 1 and 2 can be sexually transmitted and should be included in the screening.
Rationale 2: Some individuals with gonorrhea may display no symptoms. Because it is a sexually transmitted infection, screening for it would be appropriate.
Rationale 3: Chlamydia is the most common sexually transmitted infection in the United States. Screening is appropriate.
Rationale 4: Impetigo is a skin infection caused by staphylococcus or streptococcus; it is not a sexually transmitted infection.
Rationale 5: Although mononucleosis is sometimes called the kissing disease, it is not considered a sexually transmitted infection. Sexual intercourse is not required for transmission.
Global Rationale:

Answer to Question 2

2
Rationale 1: Talking to the parents first is not necessary. Common issues that arise for adolescents should be discussed in general and not according to specific individuals.
Rationale 2: Teaching topics will be directed at both health promotion and health maintenance. A good starting point is to have the adolescent identify a personal health goal, and begin teaching there.
Rationale 3: It is not necessary for the nurse to ask the counselors at school for advice on health topics.
Rationale 4: Lecturing an adolescent group is not as effective as having an honest and open discussion with adequate time for questions.
Global Rationale: