The mother of a teenaged female with a severe case of acne expresses concern about her daughter's hygiene habits. Which response by the nurse is most helpful?
1. "Improving facial hygiene is the best way to treat your daughter's acne.".
2. "The most important causative factor for acne is poor diet, not inadequate hygiene.".
3. "Do you think your daughter is embarrassed by her appearance?"
4. "What are your concerns about her hygiene practices?"
4
Rationale 1: Improving facial hygiene should be included in the treatment plan, but it is not the best treatment for severe acne. Isotretinoin (Accutane) and laser and light treatments are used to treat severe acne.
Rationale 2: No connections have been found between diet and acne.
Rationale 3: This question would elicit important information, but it should be addressed to the daughter, not the mother. It also does not address the mother's statement about hygiene.
Rationale 4: Eliciting more specific information about the daughter's hygiene practices is primary. Identifying specific concerns will allow the nurse to begin to address the disorder.
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