The nurse is preparing a teaching plan for a polycystic ovary syndrome (PCOS) support group.
One of the teaching points will include diet and weight loss to decrease hirsutism and acne. What
is the reasoning for this rationale?
- A. Diet and exercise will promote weight loss, which will decrease
hyperandrogenemia - B. Diet and exercise will decrease the risk of type 2 diabetes and gestational diabetes
- C. Diet and exercise will decrease serum lipid levels and lower the risk for
cardiovascular disease. - D. Diet and exercise will increase the frequency of ovulation and menstruation and
increase fertility.
Correct Answer: E
Rationale: I see that there is a mistake in the question. There is no option "E" provided. Could you please provide the correct answer choice or clarify the question?
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While working in the prenatal clinic, nurses care for a very diverse group of clients. Which cultural factor related to health is most likely to drive acceptance of planned interventions?
- A. Educational achievement
- B. Income level
- C. Subcultural group
- D. Individual beliefs
Correct Answer: D
Rationale: Individual beliefs are the most significant factor in driving the acceptance of health care interventions, as personal values often outweigh other influences such as education or income.
Using the family stress theory as an interventional approach for working with families experiencing parenting challenges, the nurse can assist the family in selecting and altering internal context factors. Which statement best describes the components of an internal context?
- A. Biologic and genetic makeup
- B. Maturation of family members
- C. Family's perception of the event
- D. Prevailing cultural beliefs of society
Correct Answer: C
Rationale: The family stress theory focuses on a family's reaction to stressful events. Internal context factors include elements that the family can control, like perceptions, family structure, and values. The family's perception of the event directly influences how they cope with it.
The nurse is providing education for disease prevention to the adult female patient. Which factor puts the patient at a higher risk for multisystem disease processes such as cardiac issues, gynecological issues, and cancers?
- A. Consuming two glasses of wine a week
- B. Smoking two packs of cigarettes a day
- C. Having a body mass index of over 32
- D. Having poor intake of calcium and vegetables
Correct Answer: B
Rationale: Step 1: Smoking two packs of cigarettes a day is a significant risk factor for multisystem disease processes due to the harmful chemicals in cigarette smoke, which can lead to cardiovascular diseases, gynecological issues, and various cancers.
Step 2: The nicotine and other toxins in cigarettes can damage the heart, blood vessels, reproductive organs, and increase the risk of developing different types of cancers.
Step 3: Choices A, C, and D are not as directly linked to multisystem disease processes as smoking. Consuming two glasses of wine a week may have some health benefits, a BMI over 32 is a risk factor but not as directly related to the mentioned diseases, and poor intake of calcium and vegetables may lead to deficiencies but not as significantly connected to the mentioned diseases.
Which actions by the nurse indicate compliance with the Health Insurance Portability and Accountability Act (HIPAA)? (Select all that apply.)
- A. The nurse posts an update about a patient on Facebook.
- B. The nurse gives the report to the oncoming nurse in a private area.
- C. The nurse gives information about the patient’s status over the phone to the patient’s friend.
- D. The nurse logs off any computer screen showing patient data before leaving the computer unattended.
Correct Answer: B
Rationale: The correct answer is B because giving the report to the oncoming nurse in a private area ensures patient information is shared securely, maintaining patient confidentiality as required by HIPAA. Posting patient updates on social media (A) violates patient privacy. Sharing patient information with a friend (C) breaches confidentiality. Leaving computer screens unattended with patient data visible (D) risks unauthorized access. B is the only choice that aligns with HIPAA regulations by prioritizing patient privacy and security.
A nurse is teaching a pregnant client who is Rh-negative about Rh (D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?
- A. If my partner is Rh-negative, I will not receive the shot.
- B. I will receive the shot after delivery if my baby is Rh-negative.
- C. I should not receive any immunizations for 3 months after the shot.
- D. This shot may be given after birth to protect future pregnancies.
Correct Answer: A
Rationale: If the partner is Rh-negative, the fetus cannot be Rh-positive, so Rh (D) immune globulin is unnecessary.