The nurse is discussing sexuality with the parents of an adolescent girl who has a moderate cognitive impairment. What factor should the nurse consider when dealing with this issue?

a. Sterilization is recommended for any adolescent with cognitive impairment.
b. Sexual drive and interest are very limited in individuals with cognitive impairment.
c. Individuals with cognitive impairment need a well-defined, concrete code of sexual conduct.
d. Sexual intercourse rarely occurs unless the individual with cognitive impairment is sexually abused.


Individuals with cognitive impairment need a well-defined, concrete code of sexual conduct.

Adolescents with moderate cognitive impairment may be easily persuaded and lack judgment. A well-defined, concrete code of conduct with specific instructions for handling certain situations should be defined for the adolescent. Permanent contraception by sterilization presents moral and ethical issues and may have psychologic effects on the adolescent. It may be prohibited in some states. The adolescent needs to have practical sexual information regarding physical development and contraception. Cognitively impaired individuals may desire to marry and have families. The adolescent needs to be protected from individuals who may make intimate advances.

Nursing

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Genetic testing has revealed that woman of European origin lacks CYP2D6 activity. This fact is likely to have an influence on which aspect of pharmacokinetics?

A) Excretion B) Distribution C) Metabolism D) Absorption

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Which of the following statements best explains why family functions and structures create unique challenges in family nursing?

a. Function and structure change over time. b. Function and structure do not apply to all family units. c. Some clients do not have families. d. Traditional families are rare in society.

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After a series of admissions to the emergency department over the past several months, an 80-year-old woman's malnutrition, vague history, and pattern of physical injuries lead the nurse to suspect elder abuse

Which of the following aspects of the woman's situation may contribute to elder abuse? (Select all that apply.) A) The woman is physically dependent on her son since she lost her mobility. B) The woman has no income or savings of her own. C) The woman's son describes her as "needy, helpless, and pathetic." D) The woman and her son are recent immigrants to the United States. E) The woman describes herself and her son as "not well-off, but not terribly poor either."

Nursing

The nurse is providing patient education for saquinavir (Fortovase). The nurse should instruct the patient to avoid which of the following? (Select all that apply.)

a. Acetaminophen b. St. John's wort c. Fluoxetine d. Garlic e. Calcium

Nursing