Nokea
A nurse is caring for a patient who was diagnosed with urethritis. What does the nurse identify as a possible cause?
- A. Neisseria gonorrhoeae
- B. Escherichia coli
- C. pregnancy
- D. spermicides
Correct Answer: A
Rationale: Urethritis is inflammation of the urethra usually caused by an infection. Neisseria gonorrhoeae, commonly known as gonorrhea, is a sexually transmitted bacterium known to cause urethritis. It is a common cause of urethritis in sexually active individuals. Escherichia coli is associated with urinary tract infections but not typically urethritis. Pregnancy is not a cause of urethritis. Spermicides can potentially irritate the urethra but are not a common cause of urethritis.
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The patient makes the statement: “I’m afraid to take the baby home tomorrow.” Which response by the nurse would be the most therapeutic?
- A. “You’re afraid to take the baby home?”
- B. “Don’t you have a mother who can come and help?”
- C. “You should read the literature I gave you before you leave.”
- D. “I was scared when I took my first baby home, but everything worked out.”
Correct Answer: D
Rationale: The best response by the nurse in this situation would be D. By sharing a personal experience of feeling scared when taking their first baby home, the nurse is empathizing with the patient and offering reassurance that everything worked out in the end. This can help the patient feel understood and less alone in their fear, while also providing hope that things will be okay. It validates the patient's feelings and offers a positive perspective, which can be therapeutic in this situation.
A nurse is conducting an infertility assessment for a newly admitted client. Which of the following factors should the nurse identify as affecting the client's fertility?
- A. Premature ovarian failure
- B. Renal calculi
- C. Dysmenorrhea
- D. Recurrent urinary tract infection
Correct Answer: A
Rationale: Premature ovarian failure leads to decreased estrogen production and lack of ovulation, significantly affecting fertility.
Which nonpharmacologic contraceptive method has a failure rate of less than 25%?
- A. Standard days' variation
- B. Periodic abstinence
- C. Postovulation
- D. Coitus interruptus
Correct Answer: A
Rationale: The standard days variation method, a calendar-based approach, has a lower failure rate than periodic abstinence, postovulation, and coitus interruptus.
The nurse is providing care to a 46-year-old female patient. The patient appears hesitant when asked of her sexual history, and the nurse discovers that the patient is a lesbian. What education should the nurse provide to this patient pertaining to her health?
- A. Lesbians often are at higher risk for menstrual disorders, abnormal insulin production, and infertility.
- B. Lesbians often are at higher risk due to lower socioeconomic disparities than their heterosexual counterparts.
- C. Lesbians often refuse choices in health care such as the HPV vaccine as many feel they are not at risk.
- D. Lesbians often have fewer health issues than their heterosexual counterparts due to their strong support systems.
Correct Answer: A
Rationale: The education that the nurse should provide to the lesbian patient pertains to her health includes the fact that lesbians often are at higher risk for menstrual disorders, abnormal insulin production, and infertility. It is important for the nurse to be aware of potential health risks that may affect lesbians specifically, as this knowledge can help in providing appropriate care and interventions. By addressing these specific health concerns, the nurse can promote the patient's overall well-being and empower her to take proactive steps to maintain her health.
During which phase of the cycle of violence does the batterer become contrite and remorseful?
- A. Battering
- B. Honeymoon
- C. Tension-building
- D. Increased drug taking
Correct Answer: B
Rationale: During the cycle of violence, the batterer displays contrition and remorse during the Honeymoon phase. This phase follows the Battering phase, characterized by the abusive behavior and violence, and precedes the Tension-building phase where stress and tension begin to escalate. The Honeymoon phase is marked by the abuser showing remorse, apologizing, and trying to make amends for their violent behavior. This phase often involves the abuser being extra charming, affectionate, and demonstrating efforts to reconcile with the victim. It is important to note that the Honeymoon phase is often temporary and is part of the cycle that may repeat unless intervention and support are sought.