American Nurses Credentialing Center (ANCC) Practice Exam 2025 - Free ANCC Practice Questions and Study Guide

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What is the most effective strategy for an adult nurse practitioner when interviewing a female adolescent patient about her sexual history?

Acknowledge the patient's feelings about the information

Conduct the history as part of the physical examination

Maintain an open attitude about the information that is divulged

Maintaining an open attitude about the information that is divulged is critical when interviewing a female adolescent about her sexual history. Adolescents may feel vulnerable and anxious when discussing their sexual experiences, so it's essential for the nurse practitioner to create a safe and non-judgmental environment. An open attitude helps the patient feel comfortable sharing sensitive information, which is crucial for accurate assessment and providing appropriate care.

This approach fosters trust between the patient and provider, encouraging honest and open communication. When the nurse practitioner demonstrates acceptance and understanding, it can lead to more comprehensive and meaningful discussions. This openness may also empower the adolescent to ask questions and express concerns about her sexual health, further enhancing the quality of care provided.

The other strategies, while beneficial in their own regard, may not create the same level of rapport. Acknowledging the patient's feelings is important, but it is more effective in conjunction with an open attitude. Conducting the history as part of a physical examination could make the patient feel rushed or anxious and may not allow for an adequate discussion. Suggesting the patient bring a friend could make her feel uncomfortable or embarrassed, causing barriers to open communication.

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Suggest that the patient reschedule the appointment and bring a friend

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