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When teaching a parenting class on childhood discipline, the nurse is asked by a parent, 'How long do I place my child in time-out?' How should the nurse best respond?
- A. Use the amount of time it takes to elicit a behavior change.
- B. Use 1 minute per year of age, but do not exceed 5 minutes.
- C. Use as much time as is needed to control the behavior.
- D. Use 1 minute per year of the child's age as needed.
Correct Answer: B
Rationale: When using time-out, use 1 minute per year of the child's age (a 3-year-old would have time-out for 3 minutes). Do not exceed 5 minutes.
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What response should the nurse make first to a young woman who showered after a sexual assault?
- A. The evidence kit may still reveal important information.
- B. It was important for you to do that for yourself.
- C. Have you washed your clothes? If not, we might be able to obtain evidence from them.
- D. Do you remember what happened? If not, someone may have put a drug in your drink.
Correct Answer: A
Rationale: Preserving evidence is critical for legal proceedings.
What advice should the nurse give if a woman forgets to take a low-dose combination birth control pill?
- A. Take it as soon as she remembers, even if that means taking two pills in one day.
- B. Skip that pill and refrain from intercourse for the remainder of the month.
- C. Wear a pad for the next week because she will experience vaginal bleeding.
- D. Take an at-home pregnancy test at the end of the month to check for a pregnancy.
Correct Answer: A
Rationale: Taking the missed pill promptly minimizes contraceptive failure.
What should the nurse teach a woman about treatment for human papilloma viral warts?
- A. An antiviral injection cures approximately fifty percent of cases.
- B. Aggressive treatment is required to cure warts.
- C. Warts often spread when an attempt is made to remove them surgically.
- D. Warts often recur a few months after a client is treated.
Correct Answer: D
Rationale: Recurrence is common despite treatment.
To which client is it most appropriate to recommend the intrauterine device (IUD)?
- A. Unmarried, 22-year-old, recent college graduate.
- B. Married, 24-year-old, G0 P0000.
- C. Unmarried, 25-year-old, history of chlamydia.
- D. Married, 26-year-old, G3 P2102.
Correct Answer: D
Rationale: IUDs are ideal for women in stable relationships with no history of PID.
For which conditions is the lactational amenorrhea method of birth control effective?
- A. Being less than 6 months postpartum.
- B. Being amenorrheic since delivery of the baby.
- C. Supplementing with formula no more than once per day.
- D. Losing less than 10% of weight since delivery.
Correct Answer: A
Rationale: Lactational amenorrhea is effective only within 6 months postpartum if exclusively breastfeeding.