Nokea
After teaching a group of parents on childhood discipline, the nurse understands that which statement, made by a parent, demonstrates an understanding of spanking as a form of discipline?
- A. When responding to inappropriate behavior it is OK to lightly spank.
- B. Use a combination of spanking along with other methods of discipline.
- C. Use spanking as a last resort when time-out has failed.
- D. Use methods other than spanking to respond to inappropriate behavior.
Correct Answer: D
Rationale: Because of the negative consequences of spanking, and because it has been shown to be no more effective than other methods for managing inappropriate behavior, it is recommended that parents use methods other than spanking to respond to inappropriate behavior.
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The nurse is answering the phone in the OB-GYN clinic. The person asks, 'I am a lesbian. Can an OB-GYN provider care for me?' What is the nurse's best response?
- A. All LGBTQIA+ persons are welcome and can be treated by an OB-GYN provider.'
- B. We can see you if you will be the person in the relationship that will get pregnant.'
- C. We suggest you see a provider that specializes in LGBTQIA+ persons.'
- D. Our OB-GYN provider can give you gynecologic care but not pregnancy care.'
Correct Answer: A
Rationale: The correct answer is A because it demonstrates inclusivity and respect for the individual's identity. The response affirms that all LGBTQIA+ persons are welcome and can receive care from an OB-GYN provider, promoting a safe and supportive environment. This answer prioritizes patient-centered care and emphasizes the provider's commitment to serving diverse populations.
Choice B is incorrect as it assumes the individual's role in a relationship determines their eligibility for care, which is discriminatory. Choice C is also incorrect as it suggests the individual needs a specialized provider solely based on their sexual orientation, which is not necessary for routine gynecologic care. Choice D is incorrect as it limits the scope of care based on the individual's sexual orientation, which goes against ethical principles of providing comprehensive healthcare to all individuals.
What is important for the nurse to provide a woman with bacterial vaginosis?
- A. The woman must be careful to observe for signs of preterm labor.
- B. The woman must advise her partner to seek therapy as soon as possible.
- C. A common side effect of the medicine is a copious vaginal discharge.
- D. A repeat culture should be taken two weeks after completing the therapy.
Correct Answer: A
Rationale: Bacterial vaginosis increases the risk of preterm labor in pregnant women.
A 9-month-old with glaucoma requires surgery. The infant's parents are divorced. To obtain informed consent, which action would be most appropriate?
- A. Contacting the father for informed consent
- B. Obtaining informed consent from the mother
- C. Seeking a court ruling on the course of care
- D. Determining sole or joint custody by the parents
Correct Answer: D
Rationale: The most appropriate action would be to determine legal custody by court decree. If the parents have joint custody, then either parent may give consent, but it is always best to have consent given by both parents.
The nurse is aware that a pre-term neonate may have a potential nutritional problem because of:
- A. Poor sucking reflex
- B. A decreased metabolic rate
- C. Decreased caloric requirement
- D. Increased absorption of nutrients
Correct Answer: A
Rationale: Pre-term infants often have an immature sucking reflex.
What is the best response by the nurse regarding condoms plus spermicide for contraception and infection prevention?
- A. That is correct. It is best to use a condom with spermicide during every sexual contact.
- B. That is true, except if you have intercourse twice in one evening. Then you do not have to apply more spermicide.
- C. That is not true. It has been shown that condoms alone are very effective and that the spermicide might increase the transmission of some viruses.
- D. That is not necessarily true. Spermicide has been shown to cause cancer in men and women who use it too frequently.
Correct Answer: A
Rationale: Combining condoms and spermicide enhances protection against pregnancy and STIs.