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Respond to the self-reflection questions below. Respond substantively to all required reflection questions below. 1.) Providing anticipatory guidance is an important part of caring for adolescent clients. Using the Bright Futures Adolescence Visits as a guide, identify 2 topics to include as anticipatory guidance for this client visit.2.) How would your topic selection or guidance change if the patient disclosed that she was bisexual? Cite your source(s) appropriately. Provide evidence from a scholarly resource within 5 years. Cite your source(s) appropriately
About the patient:
Angela Cortez is a 17-year-old female who presents to the clinic c/o of fatigue, decreased energy and interest in pleasurable activities. She reports having stress at school as a high school senior and fears not getting into college because of difficulty concentrating in her classes and as a result her grades have declined. She reports that her boyfriend broke up with her a few months ago for her best friend; she has been crying every day since and has gained 25-30 lbs weight since. She denies suicidal ideation but wishes that she could disappear from everyone and everything. Her physical exam showed no sign of self-harm. Mild, comedonal acne, acanthosis nigricans at the nape of her neck, and stribciae on her abdomen and buttocks.
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