During a health check-up without his parents, a 17-year-old tells the nurse he is gay. Which approach should the nurse take?
"This puts you in an at-risk category."
"We need to talk about safe sex."
"You're not gay, you're confused."
"Tell me what makes you think you are gay."
The Correct Answer is D
A. Stating that being gay puts someone in an "at-risk" category can be stigmatizing and might not address the teenager's concerns or questions.
B. While discussing safe sex might be important, it assumes that being gay automatically implies a need for this conversation, which might not be the case.
C. Dismissing the teenager's statement by denying his sexual orientation can be harmful, dismissive, and invalidate the individual's feelings and identity.
D. Encouraging open communication and asking the teenager to share his thoughts fosters a supportive environment, allowing the nurse to understand the teenager's perspective and concerns.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This statement assumes without addressing the effects of peer influence on the child's behavior.
B. Acceptance and validation by peers, particularly those of the same gender, often hold significant importance during middle childhood, influencing interests and activities.
C. While camaraderie among children playing different sports is positive, it doesn't address the primary concern about peer influence on the child's choice.
D. Assuming the child's best friends will continue playing soccer doesn't explain the influence peers have on a child's preferences and decisions.
Correct Answer is C
Explanation
A. Notifying the doctor if fever persists despite acetaminophen is appropriate and shows understanding of when to seek medical guidance.
B. Encouraging frequent intake of water or sugar-free fluids helps prevent dehydration and supports metabolic stability during illness.
C. Checking blood sugar only twice daily is insufficient for a child with type 1 diabetes who is ill. Illness increases the risk of hyperglycemia and diabetic ketoacidosis, so blood glucose should be monitored every 3–4 hours during illness to ensure timely insulin adjustments.
D. Reporting changes in breathing or signs of confusion is appropriate because these can indicate worsening infection or metabolic complications, which require prompt intervention.
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