A thirteen-year-old female is admitted for abdominal pain. Her parents state that their daughter is not sexually active. As the health care provider, you:

Ask the parents to leave so that you can be with the patient alone.

Tell the parents you suspect the girl might be pregnant.

Obtain consent for pregnancy testing from the parents.

Omit the routine pregnancy test since the girl is not sexually active.

Answer and Explanation

The Correct Answer is C

Choice A reason: This is not appropriate because it may make the parents feel excluded or suspicious. It may also make the girl feel uncomfortable or scared. The parents have the right to be present and involved in their daughter's care, unless they pose a threat to her safety.

Choice B reason: This is not appropriate because it may offend or upset the parents and the girl. It may also damage the trust and rapport between the provider and the family. The provider should not make assumptions or accusations based on the girl's symptoms.

Choice C reason: This is appropriate because it respects the parents' authority and the girl's privacy. It also allows the provider to rule out pregnancy as a possible cause of the abdominal pain, and to offer appropriate counseling and treatment if needed.

Choice D reason: This is not appropriate because it may miss a potential diagnosis or complication. The provider should not rely solely on the parents' or the girl's statements about sexual activity, as they may be inaccurate or dishonest. The provider should follow the standard of care and perform a pregnancy test for any female of childbearing age with abdominal pain.

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Correct Answer is C

Explanation

Choice A reason: This is not the correct answer because infant bones are not prone to fractures. They are more flexible and resilient than adult bones, and require more force to break.

Choice B reason: This is not the correct answer because the focus should not be only on the injury, but also on how it occurred. The nurse should assess the mechanism of injury and the history of the child and the family for any signs of abuse or neglect.

Choice C reason: This is the correct answer because inconsistencies in how injury occurred may indicate child maltreatment. The nurse should be alert for any discrepancies or changes in the story, or any explanations that do not match the type or severity of the injury.

Choice D reason: This is not the correct answer because parents don't necessarily forget details when they are under stress. They may be anxious or emotional, but they should still be able to provide a consistent and coherent account of what happened.

A. Emancipation B. Informed consent C. Assent D. Confidentiality

Correct Answer is C

Explanation

Choice A reason: Emancipation is the legal process of granting a minor the rights and responsibilities of an adult. It is not related to the process of obtaining agreement from a child for medical treatment or research.

Choice B reason: Informed consent is the process of obtaining permission from a competent individual for medical treatment or research, after providing them with adequate information about the risks and benefits. It is not applicable to children who are not legally capable of giving consent.

Choice C reason: Assent is the process of obtaining agreement from a child for medical treatment or research, after explaining the procedures and outcomes in a developmentally appropriate way. It is an ethical requirement for involving children in health care decisions that affect them.

Choice D reason: Confidentiality is the principle of protecting the privacy of personal information of patients or research participants. It is not the same as obtaining agreement from a child for medical treatment or research.

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A thirteen-year-old female is admitted for abdominal pain. Her parents state that their daughter is not sexually active. As the health care provider, you:

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Staff members working with school-aged children believe it is important for each child to understand and agree to medical treatment, especially when treatment is part of research protocols. The term for this process is:

Correct Answer is C

Explanation

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