A 15-year-old girl came to the free clinic for care as she had become sexually active some time ago and decided she needed to obtain appropriate health care
What care can the clinic probably give to her without involving her parents? Select all that apply.
A. An abortion if that is her decision
B. Antibiotics for a skin infection from scratching her acne
C. Birth control pills or Depo-Provera
D. Pap smear and routine gynecologic care
E. Pregnancy tests and prenatal care if pregnant
F. Diagnosis and treatment for any sexually transmitted disease
ANS: D, E, F
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Mr. Hosa is a 68-year-old man who is in the end stages of pancreatic cancer. His care team has suggested the possibility of hospice care but Mr. Hosa is opposed, stating, "A hospice is just a place to wait to die
" Which of the following statements should underlie the nurse's response to Mr. Hosa? A) Spiritual and emotional needs are more important than physical needs. B) A hospital setting is an inappropriate place to die. C) Meaningful living can take place despite terminal illness. D) Acceptance of mortality can delay physiologic death.
An older patient asks a nurse: "I went to my diabetes doctor and everything was stable. The nurse practitioner spent the entire time teaching me about decreasing my risks of heart disease
It seemed odd that she did not focus on teaching me how to better control my diabetes. Do you know why?" The nurse formulates a response based on the understanding that: (Select all that apply.) a. promoting cardiovascular health has the potential to minimize the complications of DM. b. there is little evidence that demonstrates that the course of DM can be altered in an older adult. c. the benefits of better control of blood pressure and lipid levels are seen much quicker than the benefits of better glyce-mic control. d. older adults are less receptive to teaching about diabetes than they are to teaching about cardiovascular disease. e. diabetes is not a common chronic condi-tion in older adults.
The certified nursing assistant (CNA) tells the nurse: "I can help you with your assessment." What is the most appropriate response by the nurse?
a. "Thank you. I am having a busy day and I can use your help." b. "I'm sorry, but nurses are responsible for all patient assessment." c. "How long have you been a CNA?" d. "If you will obtain the vital signs and place them in the chart then that would be a big help."
Jerry is a home health nurse who is assessing Mr. Williams' home to promote a safe sleeping environment. Which of the following is an unsafe situation in Mr. Williams' home?
A. A small night light in Mr. Williams' bedroom B. All clutter removed between the bed and the bathroom C. Side rails on the bed used to keep Mr. Williams from getting out of bed on his own D. Small call bell at the bedside for Mr. Williams to alert family members