Answer to Question 1
ANS: A
Some adolescents participate in risky behaviors. The nurse should acknowledge this feeling to the patient and offer education and alternatives, while giving the patient the autonomy to make his or her own decisions. Adolescents who engage in sexual risk behaviors experience negative health outcomes such as STIs and unintended pregnancy. In addition, the pattern of risk-taking behavior tends to be established and continue throughout life. The nurse should not force the patient to make a choice of orientation and should not pass judgment on a patient's sexual orientation or social network; this would make the patient feel defensive and would eliminate the trust in the relationship. Involving parents is not the first line of action; parents should be notified only if the child is in a life or death situation.
Answer to Question 2
ANS: D
Drinking prevention efforts should include stress management and improving self-esteem. High self-esteem decreases risk of drinking. Stressful life events when balanced with positive issues, such as receipt of a scholarship, are less likely to induce drinking. Conflict resolution can strengthen adolescent coping strategies to decrease drinking.
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