A pregnant woman is having a TORCH screening done at today’s prenatal visit. She states she is anxious to get the results back because she recently had unprotected sex with someone she just met and is afraid she might have HIV. Which of the following statements would be the best response by the nurse?
- A. “You will know your HIV status in about 1 week when the results come back.”
- B. “You will require additional testing for HIV as it is not tested for with the TORCH screen.”
- C. “You will need to be tested for HIV after you deliver because pregnancy can produce false HIV results.”
- D. “You need to be exposed for at least 6 months before being tested for HIV in order for the results to be accurate.”
Correct Answer: B
Rationale: TORCH screening does not test for HIV. The woman will need additional testing for HIV.
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Erikson’s task of autonomy vs. shame and doubt occurs during which stage of development?
- A. Infancy
- B. Early childhood
- C. Late childhood
- D. Early adolescence
Correct Answer: B
Rationale: Erikson's task of autonomy vs. shame and doubt occurs during early childhood (ages 1–3).
A nurse is providing care to a 15-year-old female who has recently been diagnosed with a sexually transmitted infection (STI). Which of the following actions should the nurse take next?
- A. Seek advice from an ethics expert.
- B. Facilitate interaction between the adolescent and her parents/guardians.
- C. Report the STI to the appropriate authorities.
- D. Contact the adolescent’s parents/guardians.
Correct Answer: B
Rationale: Federal and state laws protect adolescents' privacy and autonomy. The nurse should help the adolescent understand her options and facilitate communication with her guardians.
A nurse would like to be involved in promoting change in health care policies. Which of the following actions would be most appropriate for the nurse to accomplish this goal?
- A. Be an active member of a national nursing organization.
- B. Vote for political leaders in favor of health care reform.
- C. Enroll in a health policy class.
- D. Learn about community resources.
Correct Answer: A
Rationale: Being an active member of a national nursing organization provides a platform for advocating for health policy changes.
A teenager has been using laxatives for constipation but shows signs of erosion of tooth enamel. Which disorder is the client most likely experiencing?
- A. Bulimia nervosa
- B. Binge eating disorder
- C. Idiopathic constipation
- D. Irritable bowel syndrome
Correct Answer: A
Rationale: Bulimia nervosa involves binge eating and purging, leading to tooth enamel erosion.
WHO's Malnutrition Classifications
- A. Obesity
- B. Micronutrient deficiencies
- C. Protein-energy malnutrition
- D. Water insufficiency
Correct Answer: A
Rationale: Obesity is part of the WHO’s classification of malnutrition due to its links to various chronic diseases.