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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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A nurse is caring for a client who is 30 weeks pregnant at a prenatal visit. Which of the following statements made by the client would be of concern to the nurse and warrant further explanation and close follow-up?
- A. “I have been feeling more tired lately.”
- B. “My husband complains every time I ask him to do something for me.”
- C. “Sometimes, the smell of food makes me nauseous.”
- D. “I need to get up two times a night to go to the bathroom.”
Correct Answer: B
Rationale: Complaints of the husband’s behavior suggest possible domestic issues that require further assessment.
Osteoporosis risk: Who is at risk?
- A. A 55-year-old man on a low dose of prednisone daily
- B. A 40-year-old woman who works as a secretary
- C. A 60-year-old woman who walks three miles a day
- D. A 50-year-old man who works as a mason
Correct Answer: A
Rationale: Long-term prednisone use increases osteoporosis risk, especially in men.
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.
The mother of a 2-year-old toddler recently lost her job. In addition, her husband asked for a separation. Which of the following actions should the nurse take based on this information?
- A. Give the mother information about local support groups
- B. Provide the mother the name of a prominent local attorney
- C. Do not offer any advice unless the mother asks
- D. Help the mother find a job
Correct Answer: A
Rationale: The nurse should offer information about support groups to help the mother cope with her current stressors and reduce the risk of child abuse.
A nurse administers the T-ACE test to a pregnant woman. The woman’s responses result in a score of 3. This score indicates that the woman:
- A. requires interventions for problem drinking.
- B. lacks evidence of problem drinking.
- C. requires interventions for sexually transmitted disease risks.
- D. lacks evidence of sexually transmitted disease risks.
Correct Answer: A
Rationale: A score of 2 or higher on the T-ACE indicates the need for intervention for problem drinking in pregnant women.