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Adolescent sexual health confidentiality — CCFP MCQ

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HardPaediatrics and adolescentAdolescent sexual health confidentialityCCFP

A capable 16-year-old requests contraception and STI testing, understands alternatives and consequences, denies coercion and asks that parents not be contacted. What should the clinician do?

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Correct answer: B — Provide confidential care after documenting capacity, consent, safety and disclosure limits

Explanation lettering: E = shown as A · C = shown as B · D = shown as C · A = shown as D · B = shown as E

C is correct. A capable adolescent can consent to confidential sexual-health care, subject to safety and mandatory-reporting limits that should be explained. D and B impose false age barriers. E ignores jurisdiction-specific law and the absence of a disclosed protection concern. A mistakes confidentiality for omission of a necessary safety assessment.

Reference: Canadian Paediatric Society: Privacy and confidentiality in adolescent care: https://cps.ca/en/documents/position/privacy-and-confidentiality-in-adolescent-health-care