A 19-year-old student is distressed over unprotected sex and potential pregnancy. What should the nurse say?
- A. Let’s talk about your options; you must be 21 to purchase emergency contraception.
- B. Don’t worry; you can buy Plan B without a prescription; it will terminate the pregnancy.
- C. Don’t worry, we are in one of the 40 states that allow Plan B; let’s discuss how to use it.
- D. You have several options; let’s discuss what is best for you.
Correct Answer: D
Rationale: The nurse should provide a range of options and let the teen decide the next steps, including discussing emergency contraception.
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A nurse working with a Hispanic family is explaining the plan for managing a child’s asthma to the child’s mother, father, and grandmother. To whom should the nurse direct the education?
- A. Mother
- B. Father
- C. Grandmother
- D. Parents and grandmother
Correct Answer: D
Rationale: Cultural factors influence decision-making, so education should be directed to all adults involved.
A nurse who uses findings from a randomized, controlled trial on the care of Foley catheters to change practice at an institution is practicing:
- A. Evidence-based medicine
- B. Qualitative research
- C. Quantitative research
- D. Clinical judgment
Correct Answer: A
Rationale: Evidence-based medicine integrates clinical expertise with research findings to improve patient care.
Injury-prevention education: Who needs ongoing education?
- A. "Education should be focused on workers with the least experience."
- B. "All workers need continued education related to safety issues."
- C. "OSHA rules apply to all companies with more than 25 employees."
- D. "Middle-age workers have the lowest rate of injury of any age group."
Correct Answer: B
Rationale: Ongoing safety education is necessary for all workers, as experience does not eliminate injury risk.
A health care professional is caring for an Arab American individual. Which of the following cultural practices of this ethnic minority should be considered when planning care?
- A. This ethnic culture tends to be future oriented.
- B. Religion plays an important role in this culture.
- C. Traditional cultural practices are infrequently used during a health crisis.
- D. Members of this culture tend to have smaller families.
Correct Answer: B
Rationale: Religion plays a significant role in Arab American culture, influencing dietary rules, prayers, and health practices.
A nurse would like to assist Americans in improving their health. Which strategy would be most beneficial to improve the health of the American public?
- A. Encourage Americans to stop smoking
- B. Lobby for state-of-the-art magnetic resonance imaging machines in all hospitals
- C. Provide free medications for Americans
- D. Offer free condoms to teenagers
Correct Answer: A
Rationale: Encouraging behavior changes such as smoking cessation has the potential to significantly improve public health and reduce chronic disease.
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