You are going to obtain a social history on an early adolescent boy. How should you proceed to obtain the best information?
A) Ask his mother to leave the room.
B) Ask if he would prefer his mother to leave the room.
C) Ask your questions with his mother in the room.
D) Ask his mother how she would like to proceed.
B) Ask if he would prefer his mother to leave the room.
It is best to ask the patient what he or she would prefer. Because the examination should include a genitalia examination, some children in early adolescence are more comfortable with their parents in the room. Some examiners will provide “confidential time” to both the adolescent and the parent, so that parental concerns can also be adequately addressed. Leaving the parent in the room without asking the adolescent is usually not a good idea and can limit optimal history gathering and examination.
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