Question

The primary care pediatric nurse practitioner is performing an exam on an adolescent male who asks about sexual orientation. He states he is asking this question because he is concerned that a friend is worried about being labeled as "gay."

Which response will the nurse practitioner make in this situation?

a. Provide the teen with a questionnaire to gain information about his sexuality.

b. Remind the adolescent that mandatory reporting requires disclosure to parents.

c. Suggest that the adolescent discuss sexual concerns with his parents.

d. Tell the adolescent that, unless he is in physical or mental danger, what he says will be confidential.

Answer 1

The nurse practitioner should ensure confidentiality and provide support and information, unless there's risk of harm, which encourages trust and open communication about sensitive topics like sexual orientation.

Step-by-step explanation:

The primary care pediatric nurse practitioner should respond by telling the adolescent that, unless he is in physical or mental danger, what he says will be confidential. This respectful approach promotes open communication and trust between the healthcare provider and the adolescent, acknowledging the importance of patient privacy, especially when it relates to sensitive topics such as sexual orientation. The nurse practitioner can use this opportunity to provide the adolescent with support and resources regarding sexual orientation, sexual health, and any related concerns the teen may have.

Research shows that adolescent males who feel supported when exploring their sexual and gender identity tend to have lower incidences of depression or anxiety. Therefore, maintaining confidentiality and providing a safe space for discussion without the fear of mandatory reporting to parents unless there's harm involved is crucial.

Furthermore, when healthcare professionals are open to these discussions, and adolescents are assured of confidentiality, it reduces the risk of untreated infections or lack of protective measures due to reluctance in disclosing sexual behaviors or orientation.