An adolescent client has been taking oral contraceptives for the last 6 months for treatment of an irregular menstrual cycle. Which statement indicates that the client has met the goals of treatment?
1. The client reports that a period occurs every 30 days.
2. The client reports a decrease in premenstrual symptoms.
3. The client reports that acne has improved.
4. The client reports that migraine headaches are better.
Correct Answer: 1
Rationale 1: The client is taking oral contraceptives for treatment of an irregular menstrual cycle; therefore, a regular menstrual cycle is the goal of the treatment.
Rationale 2: Oral contraceptives can cause a decrease in premenstrual symptoms, but the goal of treatment is to have a regular menstrual cycle.
Rationale 3: Oral contraceptives can cause a decrease in acne symptoms, but this does not meet the goal of a regular menstrual cycle.
Rationale 4: An improvement in headaches is not the goal of treatment.
Global Rationale: This is the goal of the treatment. The client is taking oral contraceptives for treatment of an irregular menstrual cycle; therefore, a regular menstrual cycle is the goal of the treatment. Oral contraceptives can cause a decrease in premenstrual symptoms, but the goal of treatment is to have a regular menstrual cycle. Oral contraceptives can cause a decrease in acne symptoms, but this does not meet the goal of a regular menstrual cycle. An improvement in headaches is not the goal of treatment.
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