Nokea
The patient asked Nurse Vera when is the best time to visit the clinic for her 1st prenatal care. Which should be the APPROPRIATE answer of the nurse?
- A. Second trimester
- B. Third trimester
- C. Before delivery
- D. First trimester
Correct Answer: D
Rationale: The best time to visit the clinic for the first prenatal care is during the first trimester of pregnancy, ideally before the 12th week. This is because early prenatal care is crucial for monitoring the health of both the mother and the developing baby, identifying any risk factors or complications early on, and initiating important interventions such as prenatal vitamins and screenings. By starting prenatal care early in the first trimester, potential issues can be identified and addressed promptly, leading to better pregnancy outcomes. It is important for pregnant women to seek early prenatal care to ensure a healthy pregnancy and delivery.
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When providing health education to a patient, what is an essential aspect of effective communication?
- A. Using complex medical terminology to convey authority.
- B. Speaking quickly to cover more information in less time.
- C. Using clear and simple language to enhance understanding.
- D. Avoiding repetition to prevent boredom.
Correct Answer: C
Rationale: When providing health education to a patient, using clear and simple language is an essential aspect of effective communication. Medical terminology can be confusing and overwhelming for individuals without a medical background. By using language that the patient can easily understand, you improve their comprehension of the information being conveyed. Speaking quickly or using complex terms can actually hinder communication and may lead to misunderstanding. Clear and simple language helps ensure that the patient fully grasps the information and can make informed decisions about their health.
Which of the following dental conditions is characterized by the involuntary grinding or clenching of teeth, often leading to tooth wear, muscle pain, and temporomandibular joint dysfunction?
- A. Dental caries
- B. Attrition
- C. Bruxism
- D. Periodontitis
Correct Answer: C
Rationale: Bruxism is the dental condition characterized by the involuntary grinding or clenching of teeth, often occurring during sleep. This habitual behavior can lead to tooth wear, muscle pain, headaches, and temporomandibular joint dysfunction. Dental caries (choice A) refers to tooth decay, while attrition (choice B) specifically refers to the wearing down of teeth due to forces like chewing. Periodontitis (choice D) is a condition involving inflammation and infection of the gums and supporting structures of the teeth. Among the choices provided, bruxism is the most fitting description for the condition characterized by tooth grinding and clenching.
A postpartum client who experienced a traumatic birth expresses concerns about breastfeeding difficulties and emotional distress. What nursing intervention should be prioritized to address the client's concerns?
- A. Providing emotional support and empathy for the client's experience
- B. Recommending cessation of breastfeeding to alleviate stress
- C. Encouraging the client to avoid discussing the birth experience
- D. Referring the client to a mental health professional for counseling
Correct Answer: A
Rationale: Providing emotional support and empathy for the client's experience should be prioritized to address concerns of a postpartum client who experienced a traumatic birth. Emotional support can help the client feel validated and heard, which can be instrumental in starting the healing process. By acknowledging the client's emotions and experiences, the nurse can establish trust and create a safe space for the client to express their feelings. This can also help in building a therapeutic relationship that can positively impact the client's emotional well-being. Providing a supportive environment is essential for addressing breastfeeding difficulties and emotional distress in this situation.
The patient refuses to take the medication because it causes diarrhea. Nurse Parker explains the action of the drug but the patient vehemently refuses the medication. What should be the INITIAL action of the nurse?
- A. Discuss with a family member the need for the patient to take the medication.
- B. Document the patient 's refusa l to take the medication.
- C. Notify the physician of the patient 's refusal to take the medication.
- D. Explain again to the patient the consequences of refusing to take the medication.
Correct Answer: C
Rationale: The initial action the nurse should take when faced with a situation where a patient refuses to take medication after education and explanation is to notify the physician. The physician may need to be informed so they can reassess the medication and potentially explore alternative options or make adjustments based on the patient's concerns and preferences. It is important for medical decisions to be made in collaboration with the healthcare team to ensure the best care for the patient. Consulting the physician also helps in avoiding any potential negative outcomes resulting from the patient's refusal to take the prescribed medication. Once the physician is aware, further actions can be discussed and implemented to address the patient's concerns.
Which nursing diagnosis is NOT RELEVANT to sexual health?
- A. Anxiety-related inability to conceive after six months .
- B. Health-seeking behaviors related to reproductive functioning
- C. Sexual dysfunction related to an unknown cause.
- D. Risk for infection related to high-risk. sexual behaviors.
Correct Answer: B
Rationale: In the given situation, the nursing diagnosis that is NOT RELEVANT to sexual health is option B, Health-seeking behaviors related to reproductive functioning. This diagnosis focuses on the patient's proactive approach to seeking healthcare services related to reproductive health matters. However, in the situation presented of a pregnant patient with sickle cell anemia experiencing fever, painful swelling, and in labor pain, the immediate priority lies in addressing the health issues related to sickle cell disease and the current pregnancy. Sexual health is not the primary concern in this scenario compared to managing the complications of sickle cell anemia during pregnancy. Therefore, the diagnosis related to health-seeking behaviors related to reproductive functioning is not as pertinent in this specific case.