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Imaginary Audience refers to the adolescent's belief that others are constantly watching and judging them, which affects self-consciousness, not risk-taking.

Postconventional Moral Reasoning is a stage in Kohlberg's theory of moral development where individuals base decisions on universal ethical principles, not invincibility beliefs.

Identity vs. Role Confusion is Erikson’s psychosocial stage for adolescents, focusing on developing a sense of self, not beliefs about physical invulnerability.

While parental involvement can be valuable, it should not be automatic, especially when it comes to sensitive health issues. Adolescents have the right to private discussions with healthcare providers, unless there are safety concerns.

Asking the adolescent if she or he is sexually active is an important health screening question, but it is not the key factor. Such questions should come after establishing trust and ensuring confidentiality.

While discussing the negative effects of tobacco use is important in health education, it addresses only one specific concern, and does not encompass the broader approach needed to address multiple adolescent health needs.

Her growth spurt began when she was 9 years old: If her growth spurt began early, it is likely that she has already completed most of her height gain. Early puberty often results in early epiphyseal plate closure, limiting additional growth.

She is at the 75th percentile for weight: Weight percentile is not a direct indicator of growth potential. While nutrition affects overall development, weight percentile alone does not predict future height gain.

Her parents are both average for height and weight: While genetics influence ultimate height, parental height alone does not determine whether she will grow more at this moment. The timing of her pubertal development is a more accurate indicator.

While menstruation (menarche) typically follows within 1–2 years after breast development begins, it’s more important initially to explore how the adolescent feels about the physical changes, rather than focusing immediately on menstruation.

Asking about sexual activity is inappropriate at this stage unless there are other indicators. Initiating a conversation about sexual activity too early in the developmental process, without first building rapport and assessing emotional readiness, may make the child uncomfortable or guarded.

If there is no indication that menarche has occurred, asking about the menstrual cycle would be premature. It’s more important to assess psychosocial adaptation to pubertal changes at this stage.

Education on sexually transmitted infections are important for later discussions, particularly when sexual activity is disclosed or suspected, but not the focus during early puberty unless indicated.

Education about condom use is essential, but it is more relevant in later Tanner stages or when sexual activity begins.

Nocturnal emissions typically occur later, often in Tanner stage 3 or 4, not commonly at the onset of puberty.