Nokea
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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A nurse and her client are engaged in meaningful conversation when suddenly there is silence between the two. To facilitate effective client-centered communication, the nurse should:
- A. ask the person what he is thinking, so they can understand each other.
- B. restate what the person said before silence ensued, to get clarification.
- C. change the subject to one that is more pleasant for the person to discuss.
- D. wait quietly to give the person time to reflect where he wants to lead the conversation.
Correct Answer: D
Rationale: Silence allows the person to reflect on what is being discussed or experienced and lets the nurse know that they are ready to continue when the client is ready.
A nurse is providing care for a 40-year-old adult with a BMI of 32. Which of the following best describes this person?
- A. Normal weight
- B. Overweight
- C. Obese
- D. Morbidly obese
Correct Answer: C
Rationale: A BMI of 32 is categorized as obese in adults.
The Denver Developmental Screening Test (DDST) has been said to have excellent test specificity. What does this statement mean?
- A. Rarely identifies children who have developmental delays
- B. Rarely identifies children who do not actually have developmental delays
- C. Has a large number of false positive results
- D. Has a large number of false negative results
Correct Answer: B
Rationale: Specificity measures a test’s ability to correctly identify those who do not have the condition, leading to fewer false positives.
The primary objective of social marketing is to:
- A. Plan behavior
- B. Analyze behavior
- C. Limit behavior
- D. Change behavior
Correct Answer: D
Rationale: The main goal of social marketing is to change behavior, particularly in health promotion contexts.
Which of the following actions demonstrates a health care professional providing culturally competent care?
- A. Encouraging the person to take medications as prescribed
- B. Asking the person to describe his folk healing methods
- C. Demonstrating the proper way to administer an insulin injection
- D. Assisting the person with discussing his health problems with the family
Correct Answer: B
Rationale: A culturally competent healthcare professional seeks to understand and incorporate the patient's cultural healing practices.