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Which of the following teenagers is at increased risk for acquiring a sexually transmitted disease and should be provided with anticipatory guidance?
- A. Asks the nurse for information about condoms
- B. Feels her friends and family do not care about her
- C. Has multiple friends and feels good about herself
- D. Talks to her boyfriend on the phone for hours
Correct Answer: B
Rationale: Teens who feel neglected or unsupported are at increased risk of risky sexual behaviors.
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Healthy People 2020 objectives provide a framework for:
- A. assessment
- B. diagnosis
- C. prevention
- D. treatment
Correct Answer: C
Rationale: Healthy People 2020 provides a framework focused on prevention to improve the health of the population.
A nurse administers the T-ACE test to a pregnant woman. The woman’s responses result in a score of 3. This score indicates that the woman:
- A. requires interventions for problem drinking.
- B. lacks evidence of problem drinking.
- C. requires interventions for sexually transmitted disease risks.
- D. lacks evidence of sexually transmitted disease risks.
Correct Answer: A
Rationale: A score of 2 or higher on the T-ACE indicates the need for intervention for problem drinking in pregnant women.
A 30-year-old woman with a BMI of 36 is being counseled on weight reduction. In what order should interventions be discussed?
- A. 4, 3, 2, 1
- B. 4, 2, 3, 1
- C. 3, 4, 2, 1
- D. 3, 2, 1, 4
Correct Answer: A
Rationale: The nurse should start with a full assessment (lipid profile and blood pressure), followed by education on diet and exercise, then medication, and finally surgery if needed.
The mother of a 2-year-old toddler recently lost her job. In addition, her husband asked for a separation. Which of the following actions should the nurse take based on this information?
- A. Give the mother information about local support groups
- B. Provide the mother the name of a prominent local attorney
- C. Do not offer any advice unless the mother asks
- D. Help the mother find a job
Correct Answer: A
Rationale: The nurse should offer information about support groups to help the mother cope with her current stressors and reduce the risk of child abuse.
Parents recently discovered that their teenage daughter has been consuming alcohol on a regular basis. Which of the following recommendations should the nurse give to the parents?
- A. Talk to their daughter at length regarding the dangers associated with drinking.
- B. Tell their daughter she will not be allowed to use her cell phone if this continues.
- C. Enroll their daughter in a peer support group focused on teenage drinking.
- D. Provide their daughter with literature regarding the dangers of drinking.
Correct Answer: C
Rationale: Peer support groups are more effective than parental advice alone for influencing teenage behavior.