While obtaining a detailed history from a woman who has recently emigrated from Somalia, the nurse recognizes that the woman has undergone female genital mutilation (FGM). The nurse's best response to this woman is:
a. "This is a very abnormal practice and rarely seen in the United States."
b. "Do you know who performed this so that it can be reported to the authorities?"
c. "We will be able to fully restore your circumcision after delivery."
d. "The extent of your circumcision will affect the potential for complications."
D
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A Although this practice is not prevalent in the United States, it is very common in many African and Middle Eastern countries for religious reasons. This response is culturally insensitive.
B The infibulation may have occurred during infancy or childhood. The woman will have little to no recollection of the event. She would have considered this to be a normal milestone during her growth and development.
C The International Council of Nurses has spoken out against this procedure as harmful to a woman's health.
D This response is the most appropriate. The patient may experience pain, bleeding, scarring, or infection and may require surgery before childbirth. With the growing number of immigrants from countries where FGM is practiced, nurses will increasingly encounter women who have undergone the procedure.
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How should health care student training most efficiently be handled by an institution?
1. Each nursing student receives the same amount of training as the staff nurse on the unit. 2. Practical or vocational nursing students are placed in the user class with LPNs or LVNs to access information and document client care. 3. Students must be trained to provide appropriate clinical information to an assigned staff nurse, who will document client care in the system. 4. Students assess and document client care and medication administration by giving their information to the clinical instructor to input into the system.
The pediatric nurse discusses home care with the parents of a patient who is returning home following a spinal fusion. Some of the recommended measures discussed by the nurse include:
Select all answers that apply. A) encourage swimming and cycling at 3 to 4 weeks following surgery. B) allow the child to return to school about 2 to 3 months following surgery. C) maintain a regular diet with added calcium, fiber, fluids, and vitamin C. D) encourage ambulation when permitted, usually 2 to 3 weeks postoperatively.
A nurse is planning care for a hospitalized toddler in the preoperational thinking stage. Which characteristics should the nurse expect in this stage? Select all that apply
a. Concrete thinking b. Egocentrism c. Animism d. Magical thought e. Ability to reason
A patient asks the nurse, "Can you explain to us how to use the basal body temperature method to detect ovulation and prevent pregnancy?" What response by the nurse is best?
1. "Take your temperature every evening at the same time and keep a record for a period of several weeks. A noticeable drop in temperature indicates that ovulation has occurred." 2. "Take your temperature every day at the same time and keep a record of the findings. A noticeable rise in temperature indicates ovulation." 3. "Take your temperature each day, immediately upon awakening, and keep a record of each finding. A noticeable drop in temperature indicates that ovulation is about to occur." 4. "This is an unscientific and unproven method of determining ovulation, and is not recognized as a means of birth control."