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After offering a teenager the HPV vaccine, the teenager responds by saying, “I can’t have the vaccine because I have already been sexually active.” Which of the following statements is the best response by the nurse?
- A. You can still benefit from the vaccine, but there is a chance it will not be as effective.
- B. The best way to protect yourself now is to make sure all your future sexual partners have received the vaccine.
- C. You are correct, the vaccine is only indicated for females who have never been sexually active.
- D. It depends on the number of partners you have had. If you have had less than five partners, you are still eligible for the vaccine.
Correct Answer: A
Rationale: The vaccine is most effective if given before sexual activity, but sexually active teens can still benefit, though it may be less effective.
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A nurse is assessing the language development of a 6-month-old infant. Which of the following findings would the nurse anticipate?
- A. The infant forms two-syllable sounds.
- B. The infant coos and makes vowel sounds.
- C. The infant babbles.
- D. The infant says “ma-ma” and “bye-bye.”
Correct Answer: C
Rationale: At 6 months, infants typically begin babbling. Two-syllable sounds emerge closer to 9-10 months.
Which of the following people are participating in alternative/complementary therapies?
- A. A 15-year-old who listens to rap music to lessen anxiety related to a painful dressing change
- B. A 45-year-old who burns lavender-scented candles while meditating
- C. A 7-year-old who draws as a means of communicating feelings
- D. A 78-year-old who practices yoga to increase balance
Correct Answer: D
Rationale: Yoga is recognized as an effective form of movement therapy, fitting within the category of alternative/complementary therapies.
Over the last week, a person has had finger stick glucose levels of 127, 132, 140, 138, 143, 145, and 140. This information allows the nurse to characterize the person’s function pattern by utilizing which area of focus?
- A. Age-developmental
- B. Functional
- C. Individual-environmental
- D. Pattern
Correct Answer: D
Rationale: Pattern recognition helps identify sequences of behavior, allowing the nurse to analyze health data over time.
A nurse is providing care to a 15-year-old female who has recently been diagnosed with a sexually transmitted infection (STI). Which of the following actions should the nurse take next?
- A. Seek advice from an ethics expert.
- B. Facilitate interaction between the adolescent and her parents/guardians.
- C. Report the STI to the appropriate authorities.
- D. Contact the adolescent’s parents/guardians.
Correct Answer: B
Rationale: Federal and state laws protect adolescents' privacy and autonomy. The nurse should help the adolescent understand her options and facilitate communication with her guardians.
A nurse is using the technique of mapping while implementing the nursing process in the community setting. The nurse is engaging in which aspect of the nursing process?
- A. Collection
- B. Planning
- C. Analysis
- D. Implementation
Correct Answer: C
Rationale: Mapping is an organizational technique used in data analysis to categorize and identify patterns.