A nurse is counseling an adolescent and her mother about preventing cervical cancer. The most important health promotion action the nurse could suggest is to

a. abstain from alcohol.
b. avoid sexual intercourse.
c. do not start smoking.
d. get the HPV vaccine.


D
Infection with HPV (human papillomavirus) is the leading cause of cervical cancer. The vaccine that is now available is best given before a woman becomes sexually active (see Chapter 41). Option b is not the best answer because the girl will probably become sexually active at some point in her life and because STDs do not need sexual intercourse to be spread. Smoking is a risk factor for cervical cancer, although the link is not as strong as the link with HPV. Alcohol is not a risk factor.

Nursing

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The patient lives with her roommate in a condominium. The roommate has observed her leaving the condo wearing seductive clothing quite different from her usual wardrobe and returning 12 to 24 hours later, after which she sleeps for 8 to 12 hours

Episodes have also occurred in which the patient and her roommate have argued about household matters, and the patient has gone to sit on the floor in the corner of the kitchen. While seated there, she has spoken like a young child. The patient's problem can be assessed as being consistent with DSM-IV-TR criteria for: a. dissociative fugue state. b. dissociative identity disorder. c. body dysmorphic disorder. d. depersonalization disorder.

Nursing

Social media policies should contain: (Select all that apply.)

a. guidance on acceptable behavior. b. methods for handling unacceptable behaviors. c. statement to promote ethical behaviors. d. penalties for misuse.

Nursing

A single transverse line seen in the palm of a small child may imply:

a. Down syndrome. b. Turner syndrome. c. systemic sclerosis. d. profound dehydration.

Nursing

The patient with terminal liver cancer says to the nurse, "I'm going to take a long time to die, aren't I? I'm going to get sicker and weaker every day." What would be the best response by the nurse?

a. "You will die in 4 to 6 months." b. "I don't want to hear this kind of negative talk. Make use of the time you have." c. "We have many medications that can make you feel better." d. "What concerns you the most about dying?"

Nursing