Which should the nurse do when counseling a teenage client who ...

[09madisonrousseau09]

Which should the nurse do when counseling a teenage client who has decided to relinquish her baby for adoption?
 
  a. Question her about her feelings regarding adoption.
  b. Tell her she can always change her mind about adoption.
  c. Affirm her decision while acknowledging her maturity in making it.
  d. Ask her if anyone is coercing her into the decision to relinquish her baby.

Question 2

In planning sex education classes for the 12- to 15-year-old age group, more emphasis should be placed on which?
 
  a. How to set limits for sexual behavior
  b. The inaccuracy of information from peers
  c. The use of oral contraceptives to prevent unwanted pregnancy
  d. The use of condoms to prevent sexually transmitted diseases as well as pregnancy

[joshraies]

Answer to Question 1

ANS: C
A supportive affirming approach by the nurse will strengthen the client's resolve and help her appreciate the significance of the event. It is important for the nurse to support and affirm the decision the client has made. This will strengthen the client's resolve to follow through. Later the client should be given an opportunity to express her feelings. Telling her that she can always change her mind about adoption should not be an option after the baby is born and placed with the adoptive parents. It is important that the teenager be treated as an adult, with the assumption that she is capable of making an important decision on her own.

Answer to Question 2

ANS: A
Setting limits for sexual behavior is particularly important for younger teenagers who may be pressured to become sexually active before they are physically and emotionally ready. Oral contraceptives are not the preferred method of birth control for teenagers because they forget to take them, and they do not protect against STIs. The use of condoms is appropriate and an important concept to discuss but should not be the emphasis.