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An 18-year-old woman asks the nurse not to tell her mother about her STD diagnosis. Which action should the nurse take?
- A. Follow the principle of veracity and tell the mother the diagnosis.
- B. Respect the principle of confidentiality and support the client’s request.
- C. Tell the mother the client has a UTI.
- D. Ignore the mother’s request for information.
Correct Answer: B
Rationale: Confidentiality ensures the client’s privacy, and the client must authorize disclosure to others.
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What is the main focus of the National Institutes of Health (NIH)?
- A. Addressing and reducing health disparities
- B. Outlining nationwide health promotion and disease prevention
- C. Protecting minority populations through the development of health policies
- D. Supporting communities in addressing health disparities
Correct Answer: A
Rationale: The NIH primarily works on reducing health disparities by focusing on diseases that disproportionately affect minority populations.
Which functional health pattern provides information about problem-solving and decision-making within communities?
- A. Cognitive-perceptual pattern
- B. Self-perception–self-concept pattern
- C. Coping-stress tolerance pattern
- D. Health-perception–health-management pattern
Correct Answer: A
Rationale: The cognitive-perceptual pattern provides insight into how individuals and communities make decisions, solve problems, and perceive their health.
Which statement is most appropriate when discussing a woman concerned about osteoporosis and menopause?
- A. “The American diet is much better now.”
- B. “You have a strong genetic risk factor.”
- C. “You need about 1000 mg of calcium a day.”
- D. “Tell me about your diet, walking, and medications.”
Correct Answer: D
Rationale: The nurse should gather more information about the client’s lifestyle before providing specific advice, including dietary habits and physical activity.
A community believes many people in that community lead sedentary lives because they lack safe areas in which to exercise. What action should the nurse take in order to confirm or reject these beliefs?
- A. Walk around the neighborhood
- B. Interview members of the community
- C. Obtain town morbidity and mortality rates
- D. Go to the town hall to obtain the number of parks in the community
Correct Answer: B
Rationale: The nurse should interview community members to understand their perceptions and confirm the hypothesis about sedentary lifestyles.
During a screening, a test with a high specificity and low sensitivity is utilized. Which of the following issues could arise by using this test?
- A. Ethical issues
- B. Race issues
- C. Gender issues
- D. Cultural issues
Correct Answer: A
Rationale: A test with low sensitivity and high specificity can lead to false negatives, which can be ethically concerning as it misses true cases.