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Difficulty: MediumHigh Risk Behaviors

During a triage assessment at a local walk-in clinic, a 22-year-old client discloses, "I never use condoms because I only have intercourse with people who look clean and successful on dating apps." Which statement by the practical nurse is the most appropriate response?

  1. Barrier methods are necessary to prevent sexually transmitted infections, regardless of a partner's outward appearance.Answer
  2. B
    Why would you assume that an individual's physical appearance means they are free of disease?
  3. C
    I am going to formulate an individualized nursing care plan to address your high-risk behavioral patterns.
  4. D
    I will need to document this and alert the public health department so they can monitor your infection risk.

Answer

The statement reinforcing that barrier methods are necessary to prevent sexually transmitted infections, regardless of a partner's outward appearance.
The correct response directly addresses the client's knowledge deficit by providing factual, non-judgmental information about disease prevention. It reinforces essential health promotion concepts regarding high-risk sexual behaviors while maintaining a therapeutic relationship.

Step-by-Step Solution

1
Analyze the client's statement for knowledge deficits and safety risks.
The client holds a dangerous misconception that physical appearance correlates with sexually transmitted infection (STI) status.
Identifying the specific knowledge deficit is the first step in effective health promotion and client education.
2
Determine the appropriate role of the practical nurse in this scenario.
The practical nurse must reinforce primary prevention teaching and correct the misconception using therapeutic communication.
Providing accurate health information and reinforcing teaching falls within the practical nurse's scope of practice for health promotion.
3
Evaluate the response options against therapeutic communication standards and scope of practice.
The statement about barrier methods directly corrects the misconception without judgment, while the other options use confrontational language, exceed the practical nurse's scope, or violate confidentiality.
Safe and effective care requires maintaining professional boundaries, adhering to scope, and communicating therapeutically.

Key Concept

Reinforcing STI Prevention and Therapeutic Communication
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Topics

High Risk Behaviors

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