T.E. is a 14 year old female being seen for a annual health screening. She is accompanied by her mother in the exam room. During the comprehensive health exam, T.E. looks at her mom during the woman's health history.

 
T.E. is a 14 year old female being seen for a annual health screening. She is accompanied by her mother in the exam room. During the comprehensive health exam, T.E. looks at her mom during the woman's health history. The HPV vaccine information is given. According to WHO, the HPV vaccination is recommended in girls between the ages of 9-14 years of age on the basis that girls are ten times more likely to develop cancer attributable from HPV (Phumaphi, et al., 2020). The mother would like T.E. to receive the vaccine. T.E. does not answer the questions pertaining to sexually active and the mother answers for her. T.E. appears flushed, nervous, and quiet when prompted to answer the question herself. The provider asks if the patient wishes the mother to step out to answer the questions pertaining to woman’s health. The client does not want the mother to leave and answers the question with the same answer as her mother. The rest of the psychical history in conducted. The HPV vaccine is administered in the visit.