Case Study

1. Beth, a 17-year-old girl, is diagnosed with acne on her face, chest, and back. She tells the pediatric nurse that she is very unhappy with “all of these ugly pimples all over my body. It’s getting to the point that I don’t even want to go out with my friends anymore!” What is the most therapeutic response by the nurse?

A. “Don’t worry about the acne. It will go away soon.”

B. “I’ll speak with the doctor to order some medication to treat the acne.”

C. “Tell me what bothers you the most about your acne.”

D. “Let’s discuss what you can do to prevent more acne from erupting.”

2. What is the priority diagnosis for a 17-year-old girl with acne?

A. Impaired skin integrity

B. Body image disturbance

C. Anxiety

D. Social isolation

3. The pediatric nurse provides health promotion teaching to Beth, a 17-year-old girl with acne who is given a prescription for isotretinoin (Accutane) to treat the acne. The nurse teaches her:

A. That she must drink two full glasses of water with this medication.

B. That she must refrain from sexual relationships while on this medication.

C. That she must use two forms of reliable birth control while on this treatment if sexually active.

D. That she must eat a high-protein diet while on this medication.