1. Question: What are the key principles of clinical

management for the primary care nurse practitioner when

addressing acute complex issues in adolescents?

Answer: The key principles of clinical management in

adolescents include active communication, confidentiality,

informed consent, and involving the adolescent in decisionmaking. These principles foster trust and promote a patientcentered approach in managing acute complex issues.

Rationale: Adolescents are in a unique developmental

stage, and respecting their autonomy and involving them in

their care is essential for building a therapeutic relationship

and ensuring compliance with treatment.

2. Question: When dealing with acute complex issues in

older adults, what considerations should the nurse

practitioner keep in mind?

Answer: The nurse practitioner should consider the

physiological changes associated with aging, as well as

multiple chronic conditions, polypharmacy, and the

patient's functional status. Additionally, mental health, 

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