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What is the most appropriate response by the nurse to a young woman stating she is pregnant and wants to do something about it?
- A. You can take medicine to abort the pregnancy so your parents won't know.
- B. Let's talk about your options.
- C. The best thing for you to do is to have the baby and to give it up for adoption.
- D. I can help you tell your parents.
Correct Answer: B
Rationale: Exploring options empowers the client to make informed decisions.
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During the counseling sessions about hepatitis B vaccination, what should the nurse advise the client to receive?
- A. Hepatitis B immune globulin before receiving the vaccine.
- B. Vaccine booster every 10 years.
- C. Complete series of three intramuscular injections.
- D. Vaccine as soon as she becomes 21.
Correct Answer: C
Rationale: The hepatitis B vaccine requires a complete series of three intramuscular injections.
What is the best response by the nurse regarding condoms plus spermicide for contraception and infection prevention?
- A. That is correct. It is best to use a condom with spermicide during every sexual contact.
- B. That is true, except if you have intercourse twice in one evening. Then you do not have to apply more spermicide.
- C. That is not true. It has been shown that condoms alone are very effective and that the spermicide might increase the transmission of some viruses.
- D. That is not necessarily true. Spermicide has been shown to cause cancer in men and women who use it too frequently.
Correct Answer: A
Rationale: Combining condoms and spermicide enhances protection against pregnancy and STIs.
The nurse makes an error of omission. What is an example of an error of omission?
- A. placing the fetal monitor incorrectly
- B. not recording input/output amounts
- C. not covering the computer screen when documenting
- D. removing an IV
Correct Answer: B
Rationale: The correct answer is B because not recording input/output amounts can lead to missed vital information affecting patient care. Omission errors involve failing to perform a required action. Placing the fetal monitor incorrectly (A) is an error of commission, actively doing something incorrectly. Not covering the computer screen (C) is a breach of patient confidentiality, not an omission error. Removing an IV (D) is an active intervention, not an omission error.
The nurse is doing a review of systems on a person in the clinic. The nurse asks if the patient has any problems with sexual dysfunction. Why is it important for the nurse to ask all patients this question?
- A. Some people may not bring up the topic of sex due to taboos and stigma.
- B. All patients will eventually have sexual problems.
- C. Nurses should ask because other health-care providers are not trained to ask those questions.
- D. Sexual dysfunction is a taboo only for persons AFAB.
Correct Answer: A
Rationale: The correct answer is A because sexual dysfunction is a sensitive and often stigmatized topic. By proactively asking all patients about sexual function, regardless of gender, the nurse creates an open and safe space for patients to disclose any issues they may be facing. Some individuals may feel uncomfortable or embarrassed discussing sexual problems, so it is crucial for healthcare providers to initiate the conversation. This approach allows for early identification and intervention, leading to better patient care and outcomes.
Choice B is incorrect because not all patients will experience sexual problems. Choice C is incorrect as it is the responsibility of all healthcare providers to address sexual health concerns. Choice D is incorrect as sexual dysfunction can affect individuals of any gender.
A nurse is preparing a breast cancer presentation for a health forum. Which fact would the nurse expect to address in this presentation?
- A. Breast cancer is more advanced in Black women when found.
- B. Black women have the BRCA1 and BRCA2 gene.
- C. More Hispanic women smoke, which increases their risk.
- D. White women respond better to breast cancer treatment.
Correct Answer: A
Rationale: White women get breast cancer at a higher rate than Black women; however, Black women are more likely to die because they get breast cancer before 40 years of age, cancer is more advanced when found, and survival at every cancer stage is worse among Black women.