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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 parent expresses her frustration over the constant fighting between her toddler and preschooler. Which of the following would be an appropriate response from the nurse?
- A. Tell the mother not to worry about it and continue with the office visit
- B. Tell the mother this is normal behavior for the toddler, and she should be firm with the child without taking sides
- C. Say to the mother, “Don’t you remember fighting with your sibling? Don’t worry; everything will work out.”
- D. Say to the mother, “Don’t worry; this behavior will all end soon.”
Correct Answer: B
Rationale: Sibling rivalry is normal, and the nurse should provide guidance on firm, fair discipline without taking sides.
Who authored the framework which provides the foundation for nursing assessment and diagnosis using the functional health patterns?
- A. Erikson
- B. Gordon
- C. Newman
- D. Nightingale
Correct Answer: B
Rationale: Gordon's framework is the basis for nursing diagnoses using functional health patterns.
A 2-month-old infant is in for a well-baby visit. Which of the following immunizations should the nurse administer to the infant?
- A. DTaP-1
- B. MMR
- C. Varicella
- D. Influenza
Correct Answer: A
Rationale: The recommended immunizations for 2-month-olds include DTaP-1, Hib-1, PCV, Polio, and RV.
A teenager has been using laxatives for constipation but shows signs of erosion of tooth enamel. Which disorder is the client most likely experiencing?
- A. Bulimia nervosa
- B. Binge eating disorder
- C. Idiopathic constipation
- D. Irritable bowel syndrome
Correct Answer: A
Rationale: Bulimia nervosa involves binge eating and purging, leading to tooth enamel erosion.
Priorities in Preventative Health Care
- A. Global initiatives for health care needs
- B. Focus mainly on developed countries
- C. Focus mainly on developing countries
- D. Public health agencies lead health care development
Correct Answer: A
Rationale: Global health initiatives address needs in both developed and developing countries.