Nokea
A nurse is reviewing evidence-based teaching and learning principles. Which situation is most conducive to learning with patients of other cultures?
- A. An auditorium is being used as a classroom for 300 students.
- B. A teacher who speaks very little Spanish is teaching a class of Hispanic students.
- C. A class is composed of students of various ages and educational backgrounds.
- D. An Asian nurse provides nutritional information to a group of pregnant Asian women.
Correct Answer: D
Rationale: The correct answer is D because it demonstrates cultural congruence, which is essential for effective communication and learning. By having an Asian nurse providing information to pregnant Asian women, there is a shared cultural background that enhances understanding and trust. This setting promotes cultural sensitivity and tailors the information to meet the specific needs and preferences of the audience. In contrast, the other choices lack cultural relevance and may hinder effective communication and learning. Choice A involves a large group setting, which may not allow for individualized cultural considerations. Choice B highlights a language barrier that can impede understanding. Choice C presents a diverse group, which may not address the unique cultural needs of each individual.
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A woman has preinvasive cancer of the cervix. Which modality would the nurse discuss as an available option for a client with this condition?
- A. Cryosurgery
- B. Colposcopy
- C. Hysterectomy
- D. Internal radiation
Correct Answer: A
Rationale: Cryosurgery, laser surgery, and loop electrosurgical excision procedure (LEEP) are techniques used to treat preinvasive lesions. Colposcopy is the examination of the cervix with a stereoscopic binocular microscope that magnifies the view of the cervix.
A woman will be taking oral contraceptives using a 28-day pack. What advice should the nurse provide to protect this client from an unintended pregnancy?
- A. Limit sexual contact for one cycle after starting the pill.
- B. Use condoms and foam instead of the pill for as long as the client takes an antibiotic.
- C. Take one pill at the same time every day.
- D. Throw away the pack and use a backup method if two pills are missed during week 1 of her cycle.
Correct Answer: C
Rationale: Taking the pill at the same time each day helps maintain adequate hormone levels and ensures contraceptive effectiveness.
The nurse is assessing a patient’s use of complementary and alternative therapies. Which should the nurse document as an alternative or complementary therapy practice? (Select all that apply.)
- A. Practicing yoga daily
- B. Drinking green tea in the morning
- C. Taking omeprazole (Prilosec) once a day
- D. Using aromatherapy during a relaxing bath
Correct Answer: A
Rationale: The correct answer is A: Practicing yoga daily. Yoga is considered a complementary therapy as it focuses on integrating the mind, body, and spirit for overall well-being. It is a holistic approach that complements traditional medical treatments.
- B: Drinking green tea in the morning is a healthy habit but not specifically categorized as a complementary or alternative therapy.
- C: Taking omeprazole is a conventional medication for acid reflux and not considered an alternative or complementary therapy.
- D: Using aromatherapy during a relaxing bath is a complementary therapy, but the question asked for alternative or complementary therapy practices, not both.
A 32-year-old female patient arrives to the emergency department with heavy uterine bleeding. The nurse finds that the patient had a positive pregnancy test 1 month prior to the visit. What is the potential medical management for this patient's issue?
- A. Endometrial biopsy
- B. Dilation and curettage
- C. Colposcopy
- D. Laparoscopy
Correct Answer: B
Rationale: The correct answer is B: Dilation and curettage. This procedure is indicated for heavy uterine bleeding in the setting of a positive pregnancy test to diagnose and treat conditions such as incomplete miscarriage or ectopic pregnancy. Dilation and curettage involves dilating the cervix and scraping the uterine lining to remove any remaining products of conception. It is important in this case to rule out any potential sources of bleeding that could be life-threatening.
A: Endometrial biopsy is not the appropriate initial management in this scenario as it is primarily used to assess endometrial pathology such as cancer.
C: Colposcopy is a procedure used to examine the cervix and vagina for abnormalities, not typically indicated for heavy uterine bleeding in the setting of a positive pregnancy test.
D: Laparoscopy is a minimally invasive surgical procedure used to view the abdominal organs, not typically indicated for uterine bleeding related to a positive pregnancy test.
Which type of genetic tests in clinical practice are most often offered to clients with a family history of disease?
- A. Single-gene disorders
- B. Carrier screening
- C. Predictive value testing
- D. Predispositional testing
Correct Answer: A
Rationale: Most tests now offered are tests for single-gene disorders in clients with clinical symptoms or clients who have a family history of a genetic disease. Carrier screening is used to identify individuals who have a gene mutation for a genetic condition but do not display symptoms. Predictive value testing is used only to clarify the genetic status of asymptomatic family members. Predispositional testing differs from the other types of genetic screening in that a positive result does not indicate a 100% chance of developing the condition.