A 12-year-old girl is experiencing prepubescence, and tells the school nurse that she feels "very out of place" in her school. What would be acceptable responses by the nurse? Select all that apply
A) "It must be difficult for you. Why don't you sit down and we can talk about it."
B) "I would suggest that you talk to your parents about your feelings. This isn't something that I can talk to you about."
C) "All of the girls and boys will be going through the same thing as you so that should make you feel a little better."
D) "Tell me how this makes you feel. Talking about your feelings may help you feel better about school."
E) "I went through the same thing when I was in school. I know it doesn't feel like it now but I promise it will get easier."
Ans: A, D
Prepubescence typically occurs in the 2 years before the beginning of puberty and is characterized by the development of secondary sexual characteristics, a period of rapid growth for girls, and a period of continued growth for boys. Acknowledging the student's feelings and encouraging her to talk about her feelings will likely help her to feel better about herself. She may not be comfortable with talking about her feelings with her parents at this point, and the nurse discussing this topic with the student is acceptable. Telling her that everyone goes through it and that it will "get easier" does not address the student's feelings and is nontherapeutic communication.
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