Family Nurse Practitioner Exam

Which area is not a priority to evaluate in a sexually active 16-year-old female with bruises during a visit?

1. Depression

2. Tanner stage

3. Sexual history

4. STDs

The correct answer is: Tanner stage

In the context of assessing a sexually active 16-year-old female with bruises, evaluating the Tanner stage is generally less of a priority compared to the other areas. The Tanner stage primarily provides information about sexual maturity based on physical development and is more relevant in contexts of growth and maturity rather than immediate health concerns, such as potential abuse or risk factors. In this scenario, evaluating for depression is essential as it can be associated with experiences of violence or trauma, including self-harm. Sexual history is critical in understanding any potential risks or exposure to sexually transmitted infections (STIs) and assessing for signs of possible exploitation. Screening for STDs is also a priority because sexually active adolescents are at a higher risk for STIs, which can complicate their overall health. Therefore, while understanding the Tanner stage is important in a broader developmental context, it does not directly address the immediate concerns that arise from the presence of bruises and the associated risks for this specific patient.