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What should the nurse do for an emancipated adolescent with an STI who is unaccompanied by a guardian?

  1. Have the adolescent sign a consent form for treatment.

  2. Instruct the adolescent to return with a guardian.

  3. Obtain consent from the adolescent's guardian over the phone.

  4. Treat the adolescent without a consent form.

The correct answer is: Have the adolescent sign a consent form for treatment.

An emancipated adolescent is considered legally capable of making their own healthcare decisions, which includes providing consent for medical treatment. In this scenario, the nurse should have the adolescent sign a consent form for treatment. This ensures that the legal rights of the emancipated minor are respected while also documenting their agreement to receive care for the sexually transmitted infection (STI). This situation highlights the importance of recognizing the autonomy of emancipated minors in making healthcare decisions. Emancipation grants them the ability to manage their health independently, which includes seeking treatment for medical conditions without needing a guardian's approval. By having the adolescent sign a consent form, the healthcare provider not only adheres to legal standards but also fosters trust and empowerment in the young person seeking care. While obtaining consent from a guardian over the phone or instructing the adolescent to return with a guardian fails to acknowledge their legal status as an emancipated minor, treating the adolescent without a consent form could raise legal and ethical issues regarding documentation and the adherence to established protocols for medical care. The proper course involves recognizing their right to consent and ensuring they have access to the treatment they need.