What statement best describes risk management?
- A. identifying risk factors by analyzing processes and procedures
- B. creating disciplinary actions for nursing errors
- C. identifying health-care providers who are derogatory to patients
- D. implementing programs to keep errors secret
Correct Answer: A
Rationale: The correct answer is A because risk management involves identifying potential risks through analyzing processes and procedures to prevent any adverse events. This approach helps in proactively mitigating risks and improving overall safety.
Choice B is incorrect as risk management focuses on prevention rather than disciplinary actions after errors occur. Choice C is incorrect as it pertains to identifying problematic individuals rather than systemic risks. Choice D is incorrect as it goes against the principles of transparency and learning from mistakes in risk management.
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When planning a healthy diet with a pregnant patient, what should the nurse's first action be?
- A. Teach the patient about MyPlate.
- B. Review the patient's current dietary intake.
- C. Instruct the patient to limit the intake of fatty foods.
- D. Caution the patient to avoid large doses of vitamins, especially those that are fat-soluble.
Correct Answer: B
Rationale: The correct answer is B because reviewing the patient's current dietary intake is essential to assess their nutritional status and identify areas for improvement. This step helps the nurse understand the patient's eating habits, preferences, and potential deficiencies, laying the groundwork for personalized dietary recommendations. Option A is incorrect because teaching about MyPlate is premature without understanding the patient's current diet. Option C is incorrect as blanket advice to limit fatty foods may not be suitable for all pregnant patients. Option D is incorrect as cautioning about vitamins should come after assessing the patient's current intake to avoid unnecessary restrictions.
What client statement would most influence the nurse's teaching regarding contraceptive choices?
- A. I have 2 children.
- B. My partner and I have sex twice a week.
- C. I am 25 years old.
- D. I feel funny touching my private parts.
Correct Answer: D
Rationale: Comfort with intimate touch influences method selection.
What method would be most appropriate for a newly married couple wishing to delay childbearing for 3 years?
- A. Diaphragm.
- B. Cervical cap.
- C. Intrauterine device (IUD).
- D. Birth control pills (BCP).
Correct Answer: C
Rationale: IUDs are long-acting and effective for several years.
What procedure should a couple take if the man's penis becomes flaccid immediately after ejaculation?
- A. The woman should douche with white vinegar and water.
- B. The woman should consider taking a postcoital contraceptive.
- C. The man should hold the edges of the condom during its removal.
- D. The man should apply spermicide to the upper edges of the condom.
Correct Answer: C
Rationale: Holding the condom edges prevents semen leakage.
The nurse is answering the phone in the OB-GYN clinic. The person asks, 'I am a lesbian. Can an OB-GYN provider care for me?' What is the nurse's best response?
- A. All LGBTQIA+ persons are welcome and can be treated by an OB-GYN provider.'
- B. We can see you if you will be the person in the relationship that will get pregnant.'
- C. We suggest you see a provider that specializes in LGBTQIA+ persons.'
- D. Our OB-GYN provider can give you gynecologic care but not pregnancy care.'
Correct Answer: A
Rationale: The correct answer is A because it demonstrates inclusivity and respect for the individual's identity. The response affirms that all LGBTQIA+ persons are welcome and can receive care from an OB-GYN provider, promoting a safe and supportive environment. This answer prioritizes patient-centered care and emphasizes the provider's commitment to serving diverse populations.
Choice B is incorrect as it assumes the individual's role in a relationship determines their eligibility for care, which is discriminatory. Choice C is also incorrect as it suggests the individual needs a specialized provider solely based on their sexual orientation, which is not necessary for routine gynecologic care. Choice D is incorrect as it limits the scope of care based on the individual's sexual orientation, which goes against ethical principles of providing comprehensive healthcare to all individuals.