Family Nurse Practitioner Exam

How should a nurse practitioner proceed with a 16-year-old requesting contraception during a clinic visit?

1. Refuse to see the patient until consent can be obtained from her parent or legal guardian

2. Perform a physical exam and discuss contraceptive options

3. Speak with the patient about contraception and have her obtain parental consent for the physical exam

4. Have the nurse discuss contraception with the patient

The correct answer is: Speak with the patient about contraception and have her obtain parental consent for the physical exam

In this scenario, the most appropriate approach for the nurse practitioner is to discuss contraception with the 16-year-old patient while encouraging her to obtain parental consent for the physical exam. This option respects the autonomy of the adolescent, acknowledging their right to seek reproductive health care and information. By speaking with the patient about contraception, the nurse practitioner can provide essential education on different options, their efficacy, potential side effects, and the importance of safe practices. This approach also promotes a trusting relationship between the provider and the patient, which is crucial for effective healthcare delivery. Encouraging parental consent for the physical exam aligns with legal and ethical guidelines often seen in adolescent health care, where the involvement of parents is generally encouraged but not strictly required in all states. In situations involving contraception, many jurisdictions allow minors to access these services without parental consent due to the understanding of their need for confidentiality and protection regarding sexual health matters. This method balances the importance of parental involvement in medical decisions and the patient's right to confidentiality and autonomy in making health decisions. Moreover, it reflects a comprehensive approach, allowing for informed choices while navigating the complexities of adolescent healthcare.