Nokea
Which statement is the most comprehensive description of sexual violence?
- A. Sexual violence is limited to rape.
- B. Sexual violence is an act of force during which an unwanted and uncomfortable sexual act occurs.
- C. Sexual violence encompasses a number of sexual acts.
- D. Sexual violence includes degrading sexual comments and behaviors.
Correct Answer: C
Rationale: Sexual violence includes a range of victimization, including sexual assault, harassment, and rape. It is broader than rape alone.
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Intervention for the sexual abuse survivor is often not attempted by maternity and women's health nurses because of the concern about increasing the distress of the woman and the lack of expertise in counseling. What initial intervention is appropriate and most important in facilitating the woman's care?
- A. Initiating a referral to an expert counselor
- B. Setting limits on what the client discloses
- C. Listening and encouraging therapeutic communication skills
- D. Acknowledging the nurse's discomfort to the client as an expression of empathy
Correct Answer: C
Rationale: The survivor needs support on many levels. Therapeutic communication skills and listening are initial interventions. Referring to a counselor is appropriate but not the most important initial intervention.
What is the primary role of practicing nurses in the research process?
- A. Designing research studies
- B. Collecting data for other researchers
- C. Identifying researchable problems
- D. Seeking funding to support research studies
Correct Answer: C
Rationale: When problems are identified, research can be properly conducteResearch of healthcare issues leads to evidence-based practice guidelines.
What is a risk factor for breast cancer?
- A. menarche at age 15
- B. family history of diabetes
- C. alcohol use of at least 2 drinks per day
- D. history of three vaginal births by age 25
Correct Answer: C
Rationale: The correct answer is C: alcohol use of at least 2 drinks per day. Alcohol consumption has been consistently linked to an increased risk of breast cancer. Alcohol can raise estrogen levels in the body, thereby increasing the risk of developing breast cancer. Menarche at age 15 (choice A) is not a risk factor as early menarche is associated with a slightly decreased risk. Family history of diabetes (choice B) and history of three vaginal births by age 25 (choice D) are not directly linked to breast cancer risk.
Which condition is inappropriate to treat with exogenous progesterone?
- A. Thyroid dysfunction
- B. Recent miscarriage
- C. PCOD
- D. Oocyte retrieval
Correct Answer: A
Rationale: Thyroid dysfunction is treated with Synthroid for anovulation, not with progesterone.
In which step of the nursing process does the nurse determine the appropriate interventions for the identified nursing diagnosis?
- A. Planning
- B. Evaluation
- C. Assessment
- D. Intervention
Correct Answer: A
Rationale: In the nursing process, planning is the step where the nurse determines the appropriate interventions for the identified nursing diagnosis. Firstly, after assessing the patient's needs (Assessment), the nurse analyzes the data to identify nursing diagnoses. Next, in the Planning step, the nurse sets goals, establishes priorities, and decides on specific interventions to address the nursing diagnoses. This step involves developing a comprehensive care plan tailored to the individual patient's needs. Evaluation comes after the interventions are implemented to assess the effectiveness of the care provided. The Intervention step involves carrying out the planned interventions. Thus, the correct answer is A: Planning.