After reading attached case study;
Discuss the Nurse Practitioner’s legal obligation pertaining to:
1. Patient confidentiality in the case of the heath care of minors.
2. Legal STI reporting.
3. Standards of Care, specifically state requirements related to treating adolescents for sexual health.
4. Legal obligation for reporting to Protective Services.
5. Discuss how the Christian worldview could underpin the NPs care of this patient, considering the NPs legal obligations.
Document this assignment in 3 pages document, include 3 references published in last 5 years.
CASE STUDY: LEGAL ANALYSIS
A 15-year old female presents to your clinic with complaints of vaginal discharge. She reports a
3-month history of green vaginal discharge and a recent onset of lower abdominal pain. She
reports her last menstrual period was 7-weeks ago. She admits she has been sexually active with
3 male partners in the past 4 months. She has never used any form of protection or
contraceptive. She reports she took a home pregnancy test 1 week ago and that it was positive.
Past Health History: No history of health problems.
Surgical History: Appendectomy 7 years old.
Family History: Father with Hypertension. Mother and siblings healthy.
Social History: Lives with parents and one older female sibling in a single-dwelling home. She
is a 10th grade student in local high school. She describes herself as a “C-student” and does not
participate in any extracurricular school activities or athletics. She reports experimenting with
alcohol and cigarettes when she was in junior high school but that “both made her so sick” that
she did not continue to use. Denies illicit drug use in the past or present. She reports feeling safe
in her home. She’s had an 18-year old boyfriend for the past two months and her parents and she
thinks her parents are unaware of her relationship with him. She denies history of emotional,
sexual, and physical abuse. She reports she feels safe in her home and when she is with her
Physical exam reveals an afebrile, well-appearing female. Pelvic exam reveals a friable cervix
with green discharge from the cervix. There is no cervical motion or adnexal tenderness.
Diagnostics: Urine HCG positive. STD testing is positive for chlamydia and negative for N.
gonorrhea; rapid plasma regain (RPR) is nonreactive.