Nokea
While working in the prenatal clinic, nurses care for a very diverse group of clients. Which cultural factor related to health is most likely to drive acceptance of planned interventions?
- A. Educational achievement
- B. Income level
- C. Subcultural group
- D. Individual beliefs
Correct Answer: D
Rationale: Individual beliefs are the most significant factor in driving the acceptance of health care interventions, as personal values often outweigh other influences such as education or income.
You may also like to solve these questions
A nurse is caring for a patient who has just been diagnosed with chlamydia and wants to know when she can have sex with her boyfriend again. What is the best response from the nurse?
- A. “You should not have sex until 7 days after you complete treatment and your partner gets treatment.”
- B. “You can have sex as soon as you finish the medicine.”
- C. “You can have sex once your partner takes the medicine.”
- D. “There is no need to wait.”
Correct Answer: A
Rationale: The correct answer is A because chlamydia is a sexually transmitted infection that requires treatment for both the infected person and their partner to prevent reinfection. The recommended practice is to abstain from sex until 7 days after completing treatment to ensure the infection is fully cleared from both individuals. This approach helps to prevent the spread of the infection and reduces the risk of complications.
Choice B is incorrect because simply finishing the medicine without waiting for the partner's treatment can lead to reinfection. Choice C is incorrect as it solely focuses on the partner's treatment without considering the completion of the patient's own treatment. Choice D is incorrect as it disregards the importance of completing treatment and waiting for the specified period before resuming sexual activity.
A nurse is providing breast care education to a client after mammography. Which information regarding fibrocystic changes in the breast is important for the nurse to share?
- A. Fibrocystic breast disease is a disease of the milk ducts and glands in the breasts.
- B. It is a premalignant disorder characterized by lumps found in the breast tissue.
- C. Healthy women with fibrocystic breast disease find lumpiness with pain and tenderness in varying degrees in the breast tissue during menstrual cycles.
- D. Lumpiness is accompanied by tenderness after menses.
Correct Answer: C
Rationale: Fibrocystic changes are palpable thickenings in the breast usually associated with pain and tenderness. The pain and tenderness fluctuate with the menstrual cycle. They are not premalignant changes and tenderness most often occurs before menses.
The nurse is assessing a patient’s use of complementary and alternative therapies. Which should the nurse document as an alternative or complementary therapy practice? (Select all that apply.)
- A. Practicing yoga daily
- B. Drinking green tea in the morning
- C. Taking omeprazole (Prilosec) once a day
- D. Using aromatherapy during a relaxing bath
Correct Answer: A
Rationale: The correct answer is A: Practicing yoga daily. Yoga is considered a complementary therapy as it focuses on integrating the mind, body, and spirit for overall well-being. It is a holistic approach that complements traditional medical treatments.
- B: Drinking green tea in the morning is a healthy habit but not specifically categorized as a complementary or alternative therapy.
- C: Taking omeprazole is a conventional medication for acid reflux and not considered an alternative or complementary therapy.
- D: Using aromatherapy during a relaxing bath is a complementary therapy, but the question asked for alternative or complementary therapy practices, not both.
The nurse is assessing a 25-year-old female patient when the patient becomes tearful. The patient states that she has thin milky discharge from her nipples and two small masses on her left breast. She has lost over 40 pounds in the past year due to intensive exercises and finds that she needs to wear a sports bra during her sessions. The patient states that she is afraid that she will become the first member of her family to have breast cancer. Besides a negative mammogram, what other symptoms would correlate with this being a benign finding? Select all that apply.
- A. Milky discharge from nipples
- B. Extensive weight loss
- C. Painful masses
- D. Mood swings
Correct Answer: A
Rationale: The correct answer is A: Milky discharge from nipples. Milky discharge from nipples is often a benign finding and can be related to hormonal changes or medications. In this case, the patient's description of thin milky discharge in the context of her age, weight loss, and fear of breast cancer makes it more likely to be benign. The other choices are incorrect because extensive weight loss and painful masses could be concerning signs of malignancy, and mood swings are not directly related to breast cancer diagnosis. Therefore, the presence of milky discharge from the nipples in this patient's case would be more indicative of a benign finding.
The nurse should be aware that a pessary is most effective in the treatment of which disorder?
- A. Cystocele
- B. Uterine prolapse
- C. Rectocele
- D. Stress urinary incontinence
Correct Answer: B
Rationale: A fitted pessary may be inserted into the vagina to support the uterus and hold it in the correct position. Usually a pessary is used for only a short time and is not used for the client with a cystocele. A rectocele cannot be corrected.