A 15-year-old patient is concerned because her mother wants her to receive the HPV vaccination, but the patient is unsure if she wants it. Which response by the nurse is most therapeutic?
a. Ask the patient what concerns she may have about the vaccination.
b. Remind her that her mother knows best, and that she should respect her parents' wishes.
c. Ask the patient how many sexual partners she has had in the past year.
d. Promote the importance of the vaccine, and recommend that the patient get the vaccine as soon as possible.
A
The nurse should encourage health promotion behaviors but first must consider the autonomy of the patient. The nurse would want to value the input of the patient in making a decision and to address any concerns the patient may have. The HPV vaccine is a preventative treatment, whether or not the patient is sexually active. The nurse should not make assumptions about a patient's home life; instead, the nurse should ask questions while establishing a therapeutic relationship.
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