Nokea
Nurses in the emergency department (ED) have received education on identification of victims of human trafficking. Which patients would the ED nurse identify may be at risk? Select all that apply.
- A. Those who work in hotels, nail salons, or home-cleaning services
- B. Those who perform agricultural or ranch work
- C. Those who show evidence of being controlled physically or psychologically
- D. Those accompanied by someone who encourages them to share their own information
- E. Those who produce identification documents (ID or passport)
- F. Those who show the loss of the sense of time or space or not do know what city or state they are in
Correct Answer: A,B,C,F
Rationale: Risk indicators include working in high-risk jobs (A, B), being controlled , and disorientation (F). Encouraging information sharing or producing ID are not typical signs.
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A parent brings their preteen daughter to the pediatric office for an annual checkup. The parent asks when they should tell the child about menses. What information will the nurse provide?
- A. You can discuss this when you are ready.
- B. It isn't necessary to discuss menstruation until age 13.
- C. Most preteens have heard about menses from their friends. There is no rush.
- D. Menses begins between ages 10 and 13 years, so now is a good time.
Correct Answer: D
Rationale: Menses typically begins between ages 10-13 , so discussing now prepares the child. A, B, and C delay education, risking confusion or fear.
A school nurse is providing sex education classes for adolescents. Which statement would the nurse include when describing normal sexual functioning?
- A. People are born with a certain amount of sexual drive, which can be depleted in later years.
- B. If you want to be a great athlete, sexual abstinence is necessary during training.
- C. A nocturnal emission (wet dream), is an indicator of a sexual disorder.
- D. It is natural for women to have as strong a desire for sex and enjoy it as much as men.
Correct Answer: D
Rationale: Women's sexual desire can be as strong as men's , supported by physiologic studies. Sexual drive does not deplete with age. Abstinence is not required for athletic performance. Nocturnal emissions are normal, not a disorder.
A nurse is counseling an older couple regarding sexuality. Which statement from the couple should the nurse address?
- A. We're at the age when we should consider stopping sexual activity.
- B. We need more time for sexual stimulation than we used to.
- C. If we are unable to have sex, we can still have an intimate relationship.
- D. If we change our position, we can still have sex and be more comfortable.
Correct Answer: A
Rationale: The belief that sexual activity should stop due to age is incorrect; sexual activity can continue as desired with adaptations. B, C, and D reflect accurate understanding of aging and intimacy.
A school nurse is providing information for parents of teenagers regarding the human papillomavirus (HPV) and the recommended HPV vaccination. What teaching point would the nurse include?
- A. HPV causes genital warts and cervical and other cancers.
- B. HPV causes a single painless genital lesion and can lead to sterility.
- C. Fifty percent of females between ages 14 and 19 years are infected with HPV.
- D. The HPV vaccination is only recommended for the female population.
Correct Answer: A
Rationale: HPV causes genital warts and cancers . B, C, and D are incorrect: syphilis causes painless lesions, prevalence is lower, and vaccination is for both genders.
A nurse is teaching patients about contraception methods. Which statement by a patient indicates a need for further teaching?
- A. Depo-Provera is not effective against sexually transmitted infections, but contraceptive protection is immediate if I get the injection on the first day of my period.
- B. The hormonal contraceptive, NuvaRing, protects against pregnancy by suppressing ovulation, thickening cervical mucus, and preventing implantation of the fertilized eggs.
- C. Abstinence is an effective method of contraception and may be used as a periodic or continuous strategy to prevent pregnancy and STIs.
- D. Withdrawal is an effective method of birth control that reduces risk for STIs.
Correct Answer: D
Rationale: Withdrawal is not effective for contraception or STI prevention, indicating a need for teaching. A, B, and C are accurate.