A patient has been taking a progestin-only, or "minipill," OC for 3 months and reports spotting and irregular menstrual cycles. The nurse will:
a. question the patient about any possible missed doses of the pill.
b. reassure the patient that this is normal with this form of contraception.
c. recommend that she take a pregnancy test to rule out pregnancy.
d. suggest that she use a backup form of contraception until these symptoms re-solve.
B
Patients taking the progestin-only OC may expect irregular bleeding, including spotting and ir-regular periods. This symptom does not indicate lack of compliance with the regimen. A preg-nancy test is not indicated. It is not necessary to use a backup form of contraception.
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The nurse is caring for a 45-year-old patient who reveals that recent injuries are a result of domestic violence. The patient begs the nurse not to "tell." What action, taken by the nurse, is correct?
1. Report the revelation to the charge nurse. 2. Tell the patient that the law requires reporting this incident. 3. Promise the patient not to tell anyone. 4. Talk with the patient about the reason for secrecy.
As the family's story emerges, meaningful ____________________ occur, ____________________is built and the groundwork for a/an ____________________ is established
Fill in the blank with the appropriate word.
The work of Joffe et al. emphasizes that studies of efficacy of treatment may need to focus on:
a. the client's perception of benefit b. the DSM-based diagnostic criteria c. hormonal responses to medication d. length of symptom-free periods
An older patient, recovering from surgery, is prescribed a soft diet. Which age-related change does this type of diet support?
A. Gall bladder insufficiency B. Lactose intolerance C. Decline in gastric motility D. Reduced intestinal absorption