A 14-year-old comes to the clinic with a suspected history of abuse. Which of the following findings would raise suspicions that she has been a victim of abuse?
a. She refuses a physical examination, claiming that she feels sick to her stomach.
b. She makes jokes about the physical examination to the nurse.
c. She refuses to discuss her relationship with her boyfriend.
d. She makes eye contact with the nurse and provider.
A
The nurse would be suspicious that the adolescent has been a victim of abuse, if the adolescent refuses to have a physical exam. Adolescents who have been abused may make complaints of feeling sick to the stomach. These feelings are a result of the memories of the abuse and being touched by another individual. Other signs and symptoms might include feelings of nausea, pain with no stimuli, and nervous twitching.
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