A 14-year-old girl is visiting the community health centre for ...

[krzymel]

A 14-year-old girl is visiting the community health centre for birth control help. Which one of the following is the most appropriate question the nurse could ask her to obtain the most infor-mation?
 
  a. Have you told your parents that you are sexually active?
  b. Are any of your friends participating in sexual behaviours?
  c. What can you tell me about your past sexual activities?
  d. Have you been protecting yourself with safe sex measures?

Question 2

Which of the following physical changes that are commonly seen during puberty would be most likely to cause body image problems for a 12-year-old girl?
 
  a. Having her first menstrual period
  b. Growing 10 cm over the summer
  c. Experiencing a substantial increase in breast size
  d. Experiencing hair growth on legs and underarms

[Dnite]

Answer to Question 1

C
The nurse can be proactive by using the interview process and open-ended questions.
The question Have you told your parents that you are sexually active? does not obtain the most information.
The question Are any of your friends participating in sexual behaviours? does not address the individual and does not obtain the most information about the health behaviours of the client.
The question Have you been protecting yourself with safe sex measures? may be answered with a yes or no response and therefore does not obtain the most information.

Answer to Question 2

C
The adolescent experience appears to adversely affect self-esteem, more so for girls than for boys. For girls, adolescence brings menarche, its associated symptoms, the development of breasts, and a gain in body fat. As a result, adolescent girls may appear more sensitive to their appearance and how others view them.
The sudden visible physical changes would probably have more of an impact on body image than the first menstrual period.
Growing 10 cm over the summer may affect the client's body image but will have less impact than the substantial increase in breast size.
Experiencing hair growth on legs and underarms may affect the client's body image but will have less impact than the substantial increase in breast size.