Problem:
The school nurse is assessing a female adolescent who reports irregular menstrual cycles. The client states, "It's bad enough that I'm so fat, now I am getting more acne and facial hair. I am so ugly." How should the nurse respond? Select all that apply. "I am sorry you are going through this. Have you ever had your hormone levels tested? If not, I could help you arrange this." "I hear that this is distressing for you. These changes are related to hormones changes during puberty and are temporary." "That sounds very difficult to deal with. I would like to perform an assessment related to depression if that is OK with you." "How long have you been overweight? Losing weight can improve your self-esteem and will likely help with acne as well." "I am sorry to hear you feel this way. It is common in adolescence to have negative feelings about one's appearance."