The school nurse tells adolescents in the clinic that ...

[james]

The school nurse tells adolescents in the clinic that confidentiality and privacy will be maintained unless a life-threatening situation arises. This practice is:
 
  a. Not appropriate in a school setting.
  b. Never appropriate because adolescents are minors.
  c. Important in establishing trusting relationships.
  d. Suggestive that the nurse is meeting his or her own needs.

Question 2

Which predisposes the adolescent to feel an increased need for sleep?
 
  a. An inadequate diet
  b. Rapid physical growth
  c. Decreased activity that contributes to a feeling of fatigue
  d. The lack of ambition typical of this age group

[mbcrismon]

Answer to Question 1

ANS: C
Health professionals who work with adolescents should consider the adolescents' increasing independence and responsibility while maintaining privacy and ensuring confidentiality. However, circumstances may occur in which they are not able to maintain confidentiality, such as self-destructive behavior or maltreatment by others. Confidentiality and privacy are necessary to facilitate trust with this age group. The nurse must be aware of the limits placed on confidentiality by local jurisdiction.

Answer to Question 2

ANS: B
During growth spurts, the need for sleep is increased. Rapid physical growth, the tendency toward overexertion, and the overall increased activity of this age contribute to fatigue.