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:
Patients should be encouraged to bring to their health care visit all the substances that they take,
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