A male patient reports difficulty starting a urine stream and a weak urine flow. When prompted to seek medical attention, the patient asks why, as it's "obviously" benign prostatic hypertrophy. What response by the nurse is best?
a. "You never know; it could be cancer."
b. "You should have any change checked out."
c. "Only the physician can make a diagno-sis,"
d. "BPH and prostate cancer have similar symptoms."
D
The patient should have these new symptoms checked out. Although only the provider can make the diagnosis, the best answer is to explain that symptoms of BPH and cancer are similar. The other options do not give useful information.
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Which of the following conservative management measures will the nurse teach a patient with a cervical disk herniation to implement?
A) Increase daily activity B) Sleep on a firm mattress C) Apply cool compresses to the back of the neck daily D) Wear the cervical collar when the pain begins to resolve
You are taking sexual history on an adolescent who has come into the free clinic. What question best demonstrates an appropriate nursing approach to effective assessment of the patient's need for further information?
A) "Are you involved in an intimate relationship at this time?" B) "How many sexual partners have you had?" C) "What questions or concerns do you have about your sexual health?" D) "Have you ever been diagnosed with a sexually transmitted disease?"
Which statement indicates that a nurse's teaching to parents about childhood pneumococcal vaccination has been understood?
A) "For children older than 15 months who have not received the vaccine, the vaccine is no longer recommended." B) "The final dose should be administered between 2 and 3 years of age." C) "The series of vaccinations starts at 6 months." D) "This is a series of four vaccinations."
Which factor is not utilized in Donabedian's framework for outcomes research?
A) Outcomes B) Interactions C) Processes D) Structures