Nokea
A nurse is teaching a pregnant client who is Rh-negative about Rh (D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?
- A. If my partner is Rh-negative, I will not receive the shot.
- B. I will receive the shot after delivery if my baby is Rh-negative.
- C. I should not receive any immunizations for 3 months after the shot.
- D. This shot may be given after birth to protect future pregnancies.
Correct Answer: A
Rationale: If the partner is Rh-negative, the fetus cannot be Rh-positive, so Rh (D) immune globulin is unnecessary.
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While working in the prenatal clinic, nurses care for a very diverse group of clients. Which cultural factor related to health is most likely to drive acceptance of planned interventions?
- A. Educational achievement
- B. Income level
- C. Subcultural group
- D. Individual beliefs
Correct Answer: D
Rationale: Individual beliefs are the most significant factor in driving the acceptance of health care interventions, as personal values often outweigh other influences such as education or income.
The nurse should understand the process by which the HIV infection occurs. Once the virus has entered the body, what is the time frame for seroconversion to HIV positivity?
- A. 6 to 10 days
- B. 2 to 4 weeks
- C. 6 to 12 weeks
- D. 6 months
Correct Answer: C
Rationale: Seroconversion to HIV typically occurs within 6 to 12 weeks after the virus enters the body.
Which resource best describes a health care service representing the tertiary level of prevention?
- A. Stress management seminars
- B. Childbirth education classes for single parents
- C. BSE pamphlet and teaching
- D. Premenstrual syndrome (PMS) support group
Correct Answer: D
Rationale: A PMS support group represents tertiary prevention, addressing a condition post-occurrence. Primary prevention includes stress management, childbirth education, and BSE pamphlets, which focus on health promotion and early detection.
At the present time, which agency governs surrogate parenting?
- A. State law
- B. Federal law
- C. Individual court decision
- D. Protective child services
Correct Answer: A
Rationale: The correct answer is A: State law. Surrogate parenting is currently governed by state laws because family law matters, including surrogacy, fall under state jurisdiction. States have varying regulations and requirements for surrogate parenting arrangements. Federal law does not specifically address surrogate parenting. Individual court decisions may provide guidance but do not establish the overall governing framework. Protective child services do not typically have jurisdiction over surrogate parenting arrangements.
Which actions by the nurse indicate compliance with the Health Insurance Portability and Accountability Act (HIPAA)? (Select all that apply.)
- A. The nurse posts an update about a patient on Facebook.
- B. The nurse gives the report to the oncoming nurse in a private area.
- C. The nurse gives information about the patient’s status over the phone to the patient’s friend.
- D. The nurse logs off any computer screen showing patient data before leaving the computer unattended.
Correct Answer: B
Rationale: The correct answer is B because giving the report to the oncoming nurse in a private area ensures patient information is shared securely, maintaining patient confidentiality as required by HIPAA. Posting patient updates on social media (A) violates patient privacy. Sharing patient information with a friend (C) breaches confidentiality. Leaving computer screens unattended with patient data visible (D) risks unauthorized access. B is the only choice that aligns with HIPAA regulations by prioritizing patient privacy and security.