Through the use of social media technology, nurses can link with other nurses who may share similar interests, insights about practice, and advocate for clients. Which factor is the most concerning pitfall for nurses using this technology?
- A. Violation of client privacy and confidentiality
- B. Institutions and colleagues who may be cast in an unfavorable light
- C. Unintended negative consequences for using social media
- D. Lack of institutional policy governing online contact
Correct Answer: A
Rationale: The most significant pitfall is the violation of client privacy and confidentiality.
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Which menopausal discomfort would the nurse anticipate when evaluating a woman for signs and symptoms of the climacteric?
- A. Headaches
- B. Hot flashes
- C. Mood swings
- D. Vaginal dryness with dyspareunia
Correct Answer: B
Rationale: Hot flashes are the most common discomfort caused by fluctuating estrogen levels in perimenopausal women. Other symptoms like headaches or mood swings may occur but are less common.
Which contraceptive method best protects against STIs and the HIV?
- A. Periodic abstinence
- B. Barrier methods
- C. Hormonal methods
- D. Same protection with all methods
Correct Answer: B
Rationale: Barrier methods, such as condoms, protect against STIs and HIV the best of all contraceptive methods. Periodic abstinence and hormonal methods do not offer protection against STIs or HIV.
While interviewing a 31-year-old woman before her routine gynecologic examination the nurse collects data about the client's recent menstrual cycles. Which statement by the client should prompt the nurse to collect further information?
- A. My menstrual flow lasts 5 to 6 days
- B. My flow is very heavy
- C. The length of my menstrual cycles varies from 26 to 29 days
- D. I have had a small amount of spotting midway between my periods for the past 2 months
Correct Answer: B
Rationale: Heavy bleeding (menorrhagia) requires further investigation as it could indicate an underlying condition. A menstrual cycle of 5-6 days or slight spotting midway are normal.
Which statement is the most comprehensive description of sexual violence?
- A. Sexual violence is limited to rape.
- B. Sexual violence is an act of force during which an unwanted and uncomfortable sexual act occurs.
- C. Sexual violence encompasses a number of sexual acts.
- D. Sexual violence includes degrading sexual comments and behaviors.
Correct Answer: C
Rationale: Sexual violence includes a range of victimization, including sexual assault, harassment, and rape. It is broader than rape alone.
Nurses must remember that pregnancy is a time of risk for all women. Which condition is likely the biggest risk for the pregnant client?
- A. Preeclampsia
- B. IPV
- C. Diabetes
- D. Abnormal Pap test
Correct Answer: B
Rationale: IPV during pregnancy is more common than preeclampsia, gestational diabetes, or abnormal Pap tests, and poses greater risks.