Nokea
An 18-year-old woman in whom a sexually transmitted disease (STD) was recently diagnosed asks the nurse not to tell her mother that she has an STD. Her mother asks the nurse what is causing her daughter’s vaginal discharge. Which of the following actions 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 not to tell her mother the diagnosis.
- C. Tell the client’s mother that she has a urinary tract infection, to protect the client’s privacy and honor the mother’s request.
- D. Ignore the mother’s request for information.
Correct Answer: B
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) guarantees client confidentiality. The nurse must maintain confidentiality unless the client permits disclosure.
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According to the 2009-2010 National Health and Nutrition Examination Survey, what percentage of 6- to 11-year-old children are overweight?
- A. 14%
- B. 18%
- C. 24%
- D. 28%
Correct Answer: B
Rationale: 18% of 6- to 11-year-old children are overweight, according to the survey.
A nurse is providing care for a family in the community. Which of the following characteristics would the nurse assess to determine the health of the family?
- A. Coping mechanisms of each family member
- B. Developmental stage of each family member
- C. Maintenance of trust within the family
- D. Potential risk factors within the family
Correct Answer: A
Rationale: Coping mechanisms are crucial for evaluating a family's ability to manage stressors and maintain health.
A nurse and a man are involved in a conversation. When the person folds his arms across his chest, the nurse almost simultaneously folds her arms across her chest. This behavior is recognized as:
- A. Empathy
- B. Reciprocity
- C. Flexibility
- D. Spacing
Correct Answer: B
Rationale: Reciprocity refers to the patterning of similar activities between two people during communication.
Which of the following statements best describes the application of moral or ethical theory to the practices involved in health promotion?
- A. One can be assured of morally correct action in a given situation if one adheres to a theory of moral principles.
- B. There are no identifiable criteria that can be used effectively to determine correct actions in a given situation.
- C. The good of the larger population always takes precedence over the good of one individual.
- D. Making ethical decisions regarding human health involves the consideration of multiple factors.
Correct Answer: D
Rationale: Ethical decisions in health promotion require a balanced assessment of various factors.
Suspicion of Bioterrorism
- A. Two people from a restaurant with nausea and vomiting
- B. Lab worker with a headache
- C. 13 people with ascending muscle paralysis
- D. Five people with upper respiratory infections
Correct Answer: C
Rationale: Ascending paralysis is a hallmark sign of botulism, a potential bioterrorism event.