reachable moment.see below
One way that I propose to create a therapeutic environment when taking the sexual history of a 16-year-old female client is by being extremely empathetic. A large part of this empathy is based on both appearing, and truly being, non-judgmental. The last thing that anybody wants to encounter when delivering their sexual history is someone who is opinionated, or acting as though there is some value associated with whatever the patient is stating. Such a sentiment doubly applies to a 16-year-old, since teenage girls are extremely impressionable, at time easily wounded, and still searching for their own identities.
Thus, it is important to convey the fact that as someone taking her sexual history, I am someone whom she can trust and, if need be, turn to regarding situations in her life. This approach is actually extremely vital to the taking of a sexual history, since honesty is required to transcribe a history that is accurate. Were a nurse practitioner to evince some sort of attitude about the information he or she was hearing -- either through his or her tone of voice or body language -- it is possible the patient might leave something out or not fully explain circumstances as the patient otherwise might not. So it is important to be accepting and willing to listen to a patient, no matter how bizarre or unusual a story that such a girl might tell.
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