A nurse is performing a HEEADSSS psychosocial assessment with a 15-year-old at a wellness visit. The parent has stepped out. Which actions reflect adolescent-appropriate confidentiality practice? Select all that apply.

Select All That Apply

Choose your responses, then check the answer.

1 Explain the limits of confidentiality at the START of the conversation: information stays private EXCEPT in cases of imminent harm to self or others, or active abuse situations. 2 If the adolescent reports active suicidal ideation with plan, disclose to the parent and provider, document, and arrange immediate safety evaluation — confidentiality limits apply. 3 Most U.S. states allow minors to consent confidentially to STI testing/treatment, contraception, mental health, and substance use treatment WITHOUT parental notification. 4 Use the HEEADSSS framework to systematically screen risk areas; start with less sensitive topics and progress to more sensitive ones. 5 After the HEEADSSS assessment, inform the parent about any risky behaviors disclosed because the parent is legally responsible for the adolescent's well-being and medical consent.

Explanation

Adolescent confidentiality: explain limits UP FRONT, recognize state minor-consent laws (STI/contraception/mental health/substance use vary by state but generally protected), use HEEADSSS systematically (less to more sensitive), and disclose ONLY when imminent harm to self/others or active abuse — confidentiality limits explained from the start. Choice 5 violates trust and confidentiality and would prevent honest answers.

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A nurse is performing a HEEADSSS psychosocial assessment with a 15-year-old at a wellness visit. The parent has stepped out. Which actions reflect adolescent-appropriate confidentiality practice? Select all that apply.

Select All That Apply

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