Global Health Systems 1st Edition by Margie Lovett Scott ,Faith Prather

Exercise 21

Angel Eber, a 20-year-old, European American female arrives in her doctor's office for a routine sports physical. During her last office visit, two years ago, she was seen by the nurse practitioner for a college physical. Except for being treated during her mid-teens for severe acne, she is healthy, physically active, and has no complaints.
The doctor greets her as he enters, "Hello Angel. I haven't seen you for a long time. How's everything? You've grown up to be a beautiful young lady. The boys are probably in hot pursuit!" Angel frowns and looks away.
Near the end of the exam, the doctor asks Angel if they should be discussing birth control. She firmly replies, "No." Smiling, the doctor begins writing out a prescription, saying, "Trust me, an attractive young lady like you needs to be on birth control. You can't be too careful." Passing the prescription to Angel, he continues to advise, "If you're not sexually active now you soon will be; take this and read the directions carefully before using." Angel hangs her head quietly, and for the remainder of the visit she answers the doctor's questions with "yes" and "no" answers. As she leaves the office she rips up the prescription and disposes it in the trash basket.
What non-verbal cues did the doctor miss? Why is this important?