What statement by the nurse demonstrates an understanding of an ethical maternal-newborn dilemma?
- A. Female genital mutilation/cutting is a violation of human rights in the United States, but I can understand it is part of their culture.'
- B. I can't understand why the patient got mad when I checked her cervix. I just forgot to ask first.'
- C. Surrogacy should not happen because the surrogate is just in it for the money.'
- D. Every country should have abortion rights.'
Correct Answer: A
Rationale: Rationale: Answer A demonstrates an understanding of cultural relativism, acknowledging different cultural practices without condoning harmful acts. It respects cultural diversity while upholding human rights. Choices B, C, and D lack ethical consideration, empathy, and cultural sensitivity, making them incorrect. B shows a lack of respect for patient autonomy. C displays judgmental views on surrogacy. D oversimplifies a complex ethical issue. In summary, A is correct as it balances cultural understanding with the importance of human rights, while the other choices lack ethical awareness and sensitivity.
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The nurse is describing the difference between community-based nursing and community health nursing. What response best describes the difference?
- A. A community-based nurse would provide care in a mobile unit in the neighborhood.
- B. A community-based nurse only provides education.
- C. A community health nurse performs cardiac assessments.
- D. A community health nurse only provides hands-on care.
Correct Answer: A
Rationale: The correct answer is A because community-based nursing involves providing care directly to individuals and families within the community, often in non-traditional settings like mobile units or homes. This differs from community health nursing, which focuses on promoting and protecting the health of populations. Choice B is incorrect because community-based nurses do more than just provide education. Choice C is incorrect as cardiac assessments are a specific task that may not always be performed by community health nurses. Choice D is incorrect as community health nurses also provide a range of services beyond hands-on care.
What is recognized as effective use of hormone replacement therapy (HRT)?
- A. No woman should ever take hormone replacement therapy.
- B. Women experiencing severe menopausal symptoms.
- C. Women with severe coronary artery disease.
- D. Women with a history of breast cancer.
Correct Answer: B
Rationale: HRT is beneficial for managing severe menopausal symptoms.
When assessing a family for barriers to health care, the nurse documents the psychosocial barriers. What is an example of this type of health care deficit?
- A. Academic difficulties
- B. Respiratory illness
- C. Poor sanitation
- D. Inherited diseases
Correct Answer: A
Rationale: Environmental and psychosocial factors are now an identified area of concern in children. They include academic differences, complex psychiatric disorders, self-harm and harm to others, use of firearms, hostility at school, substance use disorder, HIV/AIDS, and adverse effects of the media.
What method would be best for an adolescent woman who refuses to see a gynecologist?
- A. Contraceptive patch.
- B. Withdrawal method.
- C. Female condom.
- D. Contraceptive sponge.
Correct Answer: A
Rationale: The contraceptive patch does not require a pelvic exam.
What response should the nurse make to a client complaining of headaches and leg pain while taking birth control pills?
- A. Continue the pill, but take one aspirin tablet with it each day from now on.
- B. Stop taking the pill, and start using a condom for contraception.
- C. Come to the clinic this afternoon so that we can see what is going on.
- D. Those are common side effects that should disappear in a month or so.
Correct Answer: C
Rationale: Headaches and leg pain may indicate a clotting disorder requiring immediate evaluation.