HESI Registered Nurse EXIT Practice Exam

What is the best approach for a nurse to take when gathering health history from a 14-year-old client?

1. Have the mother present to verify information

2. Allow an opportunity for the teen to express feelings

3. Use the same type of language as the adolescent

4. Focus on discussing risk factors in the peer group

The correct answer is: Allow an opportunity for the teen to express feelings

The most effective approach when gathering health history from a 14-year-old client is to allow an opportunity for the teen to express feelings. At this developmental stage, adolescents are navigating complex emotions and beginning to form their own identities. By creating a safe space for them to share their feelings, the nurse can foster trust and open communication. This approach encourages the adolescent to express any concerns or issues that might not come up if they feel pressured or cornered. Active listening and validating their feelings can also empower them to be more forthcoming with their health history, leading to a more comprehensive assessment. Moreover, engaging the adolescent in conversation about their feelings can help the nurse assess not just physical health, but also mental and emotional wellbeing, which is essential during this crucial period of development. This strategy aligns with adolescent-friendly communication techniques that prioritize the patient's comfort and encourages participation in their own healthcare decisions.