The nurse is assessing an adolescent patient during a scheduled health maintenance visit. The adolescent's mother is currently in the examination room with the patient. Which topic should the nurse avoid until the mother has left the examination room?
1. School performance
2. Cigarette smoking
3. School friends
4. Seat belt use
2
Explanation:
1. The nurse can ask general questions about seat belt use, academic performance, and school friends without breaching confidentiality.
2. The nurse must maintain the nurse–client relationship, which is between the nurse and the adolescent, and the nurse must maintain confidentiality. Therefore, the nurse cannot ask any personal questions while the mother is in the room, such as those related to sexual activity, drug and alcohol use, and smoking cigarettes.
3. The nurse can ask general questions about seat belt use, academic performance, and school friends without breaching confidentiality.
4. The nurse can ask general questions about seat belt use, academic performance, and school friends without breaching confidentiality.
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