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    RN Comprehensive Predictor 2026 Proctored Exam V2

    A nurse at a community health clinic is planning care for an adolescent who recently learned that they are pregnant and is concerned about their ability to afford and care for the baby. Which of the following actions should the nurse take?

    Explanation & Rationale

    Assisting with Medicaid application directly addresses the adolescent's expressed concern about affording care — it is a concrete, client-centered intervention. Mental health referral is not warranted based solely on financial concerns. Advising adoption imposes the nurse's values and violates autonomy — this is not the nurse's role. Contacting the guardian violates confidentiality; the adolescent has the right to privacy regarding pregnancy-related healthcare.

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