Nokea
The nurse is working with a group of community health members to develop a plan to address the special health needs of women. The group would design educational programs to address which priority condition?
- A. Smoking
- B. Heart disease
- C. Diabetes
- D. Cancer
Correct Answer: B
Rationale: The group needs to address cardiovascular disease, the number one cause of death in women regardless of racial or ethnic group. Smoking is related to heart disease and the development of cancer. However, heart disease and cancer can occur in any woman regardless of her smoking history.
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What should the nurse teach a man requesting testing for human papillomavirus (HPV)?
- A. There is currently no approved test to detect HPV in men.
- B. A viral culture of the penis and rectum is used to detect HPV in men.
- C. A Pap smear of the meatus of the penis is used to detect HPV in men.
- D. There is no need for a test because men do not become infected with HPV.
Correct Answer: A
Rationale: No approved HPV test exists for men.
A 9-month-old with glaucoma requires surgery. The infant's parents are divorced. To obtain informed consent, which action would be most appropriate?
- A. Contacting the father for informed consent
- B. Obtaining informed consent from the mother
- C. Seeking a court ruling on the course of care
- D. Determining sole or joint custody by the parents
Correct Answer: D
Rationale: The most appropriate action would be to determine legal custody by court decree. If the parents have joint custody, then either parent may give consent, but it is always best to have consent given by both parents.
A community health nurse recognizes an increase in maternal mortality in the neighborhood. What could the community health nurse do?
- A. Conduct weekly prenatal appointments in their home.
- B. Draw blood on all pregnant persons to look for anemia.
- C. Assess the health of a baby using an ultrasound.
- D. Develop an educational pamphlet discussing signs of preeclampsia.
Correct Answer: D
Rationale: The correct answer is D because developing an educational pamphlet discussing signs of preeclampsia can help raise awareness and educate pregnant individuals about a life-threatening condition contributing to maternal mortality. This intervention can empower individuals to recognize warning signs early, seek timely medical care, and potentially prevent adverse outcomes. Conducting weekly prenatal appointments in their home (Choice A) may not address the underlying causes of maternal mortality and may not be feasible for all pregnant individuals. Drawing blood on all pregnant persons to look for anemia (Choice B) may not be the most effective strategy to address maternal mortality as anemia is just one of many contributing factors. Assessing the health of a baby using an ultrasound (Choice C) does not directly address the issue of maternal mortality and focuses on fetal, rather than maternal, well-being.
The nurse working in a maternity clinic suspects that a client and her children are in a violent relationship. While waiting for test results, the nurse decides to teach the client about intimate partner violence. What would be the best rationale for the nurse's decision?
- A. The nurse knows that the woman may be weak and controlled by her partner.
- B. The nurse has a legal responsibility to protect clients.
- C. The nurse understands there is an ethical responsibility to protect clients.
- D. The nurse knows that children exposed to family violence are likely to be victims of abuse.
Correct Answer: D
Rationale: Children exposed to family violence are more likely to be physically, sexually, or emotionally abused themselves. Children have died from family violence and neglect when no one has intervened on their behalf.
What information should the nurse teach a client regarding emergency contraception (EC) after a sexual assault?
- A. EC is illegal in all 50 states.
- B. The most common side effect of EC is excessive vaginal bleeding.
- C. The same medicine that is used for EC is used to induce abortions.
- D. EC is best when used within 72 hours of contact.
Correct Answer: D
Rationale: EC is most effective when administered promptly.