A nurse is caring for a 15-year-old who in the past 6 months has had multiple male and female sexual partners. The nurse knows that the therapeutic statement that would be most effective is
a. "I know you feel invincible, but STIs and unwanted pregnancy are a real risk. Let's discuss what you think is the best method for protecting yourself."
b. "Having sexual interaction with both males and females places you at higher risk for STIs. To protect yourself you need to decide which orientation you are."
c. "Your current friends are leading you to make poor choices. You should find new friends to hang out with."
d. "I think it's best to notify your parents. They know what's best for you and can help make sure you practice safe sex."
ANS: A
Most young adults feel invincible, and for this reason they participate in risky behaviors. The nurse should acknowledge this feeling to the patient and offer education and alternatives, while giving the patient the autonomy to make his own decisions. The nurse should not force the patient to make a choice of orientation and should not pass judgment on a patient's sexual orientation or social network; this would make the patient feel defensive and would eliminate the trust in the relationship. Involving parents is not the first line of action; parents should be notified only if the child is in a life or death situation.
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