In reviewing information related to the occurrence of pregnancies using a focus group discussion with women, concern was expressed that many of them had problems using their respective type of contraception and, as a result, became pregnant
Based on this information, the nurse would incorporate which of the following in a teaching plan for group members?
a. Provide information relative to product recalls of contraceptive devices.
b. Have the clients keep a contraceptive diary related to the consistency of using methods because it is apparent that they forgot to use their preferred method as directed.
c. Have the clients consider switching to a different form of contraception because the contraception did not prevent pregnancy for them.
d. Plan for assessing the clients' knowledge related to the contraception methods and provide information to increase the knowledge base so that the effectiveness rate would improve.
ANS: D
A typical effectiveness rate refers to the occurrence of pregnancy while using contraception methods. If contraception is used correctly and consistently, pregnancy should not occur. A decreased effectiveness rate is associated with incorrect usage in terms of application or inconsistent use. Providing information relative to product recalls of contraceptive devices refers to an ideal effectiveness rate; the implication is that the contraception method, although used correctly, is at fault. There is no evidence to support this finding. Having the client keep a contraceptive diary does not address the primary concerns related to the typical effectiveness rate. Having the client switch methods may not be necessary because the primary focus is to determine the knowledge base and identify learning needs.
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