Topic 4: Ask in a Way an Adolescent Can Answer

Adolescents may not volunteer lesions involving the groin, buttocks, inframammary folds, or genital and perianal areas. They may use terms such as pimples, boils, ingrown hairs, cysts, or sores. A clinician must create a clear opening for disclosure without forcing it.

A developmentally appropriate approach

• Explain that these questions are routine for patients with recurrent boils or painful bumps.
• Use plain language and allow the adolescent to describe the problem in their own words.
• Offer private time with the adolescent according to applicable law, clinical policy, age, and developmental capacity.
• Explain the limits of confidentiality before asking about safety-sensitive concerns.
• Ask permission before examining sensitive areas and use appropriate draping and chaperone practices.
• Do not assume gender identity, anatomy, sexual activity, or the preferred role of a caregiver.