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    Ati n400 ew med surg final proctored exam

    A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use. Which of the following responses should the nurse make.

    Explanation & Rationale

    A. "You are so young. Are you ready for the responsibilities of a sexual relationship?" This response is judgmental and dismissive, which can shut down communication and prevent the adolescent from seeking necessary healthcare. Nurses must maintain a neutral, non-judgmental stance to foster a safe environment for sensitive discussions. Questioning a client's maturity rather than providing information violates the principles of therapeutic communication. B. "Before I can help you, I need to know more about your sexual activity." This approach may be perceived as intrusive and an interrogation rather than a helpful inquiry. While a sexual history is important, it should be collected within the context of a private clinical consultation rather than as a prerequisite for basic information. The nurse should focus on providing educational resources while respecting the client's privacy. C. "Because of your age, I think that a barrier method would be the best choice." Recommending a specific method based on age alone is prescriptive and ignores the client’s individual needs and preferences. While barrier methods protect against STIs, they may not be the most effective for pregnancy prevention in adolescents. The nurse’s role is to educate on all options rather than making a unilateral decision for the client. D. "A provider can help you with that after a physical examination." This response correctly directs the adolescent to a professional clinical setting where they can receive a comprehensive assessment and individualized counseling. It emphasizes that choosing a contraceptive method is a medical decision that requires a physical exam and a discussion of health history. This ensures the client receives the most safe and effective method for their specific health profile.

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