The nurse is taking a sexual history on an adolescent girl. The ...

[theo]

The nurse is taking a sexual history on an adolescent girl. The best way to determine whether she is sexually active is to:
 
  a. Ask her, Are you sexually active?
  b. Ask her, Are you having sex with anyone?
  c. Ask her, Are you having sex with a boyfriend?
  d. Ask both the girl and her parent if she is sexually active.

Question 2

When interviewing the mother of a 3-year-old child, the nurse asks about developmental milestones such as the age of walking without assistance. This should be considered because these milestones are:
 
  a. Unnecessary information because the child is age 3 years.
  b. An important part of the family history.
  c. An important part of the child's past growth and development.
  d. An important part of the child's review of systems.

[stallen]

Answer to Question 1

ANS: B
Asking the adolescent girl if she is having sex with anyone is a direct question that is well understood. The phrase sexually active is broadly defined and may not provide specific information to the nurse to provide necessary care. The word anyone is preferred to using gender-specific terms such as boyfriend or girlfriend. Because homosexual experimentation may occur, it is preferable to use gender-neutral terms. Questioning about sexual activity should occur when the adolescent is alone.

Answer to Question 2

ANS: C
Information about the attainment of developmental milestones is important to obtain. It provides data about the child's growth and development that should be included in the history. Developmental milestones provide important information about the child's physical, social, and neurologic health. The developmental milestones are specific to this child. If pertinent, attainment of milestones by siblings would be included in the family history. The review of systems does not include the developmental milestones.

[theo]

Gracias!

[bdobbins]

Excellent