A nurse is caring for an adolescent who requests screening for sexually transmitted infections (STI). The client asks the nurse. "Do you have to tell my parents?" How should the nurse respond to the adolescent?

A. "We only have to tell your parents if your test comes back positive.": Parental notification is not required based on test results. Confidentiality for STI testing is maintained regardless of outcome, so this statement is misleading. B. "We will have to get your parents' consent before testing you for STIs.": Many states allow minors to consent to STI testing and treatment without parental permission. Requiring consent would violate the adolescent’s legal rights in these cases. C. "We need your parents' permission if you are on their insurance.": Using a parent’s insurance may result in billing statements being sent to the policyholder, potentially compromising confidentiality. However, this does not change the legal ability of the adolescent to consent to testing. D. "We can test you for STIs without informing your parents.": Adolescents generally have the right to confidential STI testing and treatment. This response accurately reflects their legal and ethical rights to privacy in sexual health care.