An obese adolescent who adamantly denies sexual activity has a positive pregnancy test. Which of the following statements would be most appropriate for the nurse to make to this adolescent?
1. "Tell me how you feel about your body image."
2. "When was your last menstrual period (LMP)?"
3. "Let's discuss some activities that you have done within the past few months that could possibly lead to pregnancy."
4. "Why are you denying sexual intercourse?"
3
Rationale:
1. The adolescent's body image does not address the teen's current situation.
2. Asking about the LMP does not help connect the adolescent's past behavior to her pregnancy.
3. The nurse must help the adolescent realize that previous behaviors have led to a positive pregnancy test. The only response by the nurse that will accomplish this goal is to ask a direct question in which the nurse and client search for an answer.
4. This option is too confrontational, and may alienate the adolescent.
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