The patient appears embarrassed and uncomfortable to discuss questions regarding woman’s health. T.E. face appears blushed, nervous, and looks at mother to answer the question. Body language of distress to answer the question is observed. When asked if T.E. would like to step out, T.E. declines the opportunity for privacy to answer. This creates difficulty to get honest answers from T.E. The N.P. Documents answers obtained from T.E. and gives additional information about HPV vaccination and other woman health topics and indicates where brochures are available in the office for literature.