Which question by the nurse will most likely promote sharing of sensitive information during a genetic counseling interview?
a. "How many people in your family are mentally retarded or handicapped?"
b. "What kinds of defects or diseases seem to run in the family?"
c. "Did you know that you can always have an abortion if the fetus is abnormal?"
d. "Are there any family members who have learning or developmental problems?"
D
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A This question assumes that there are genetic problems that result in intellectual
disability in the family. Some individuals may find these terms offensive.
B Some individuals may not be aware of which diseases are genetically linked and
may not answer the question accurately.
C This is taking the decision away from the parents. They are seeking counseling in
order to prevent problems, not to find out what to do if there is a problem.
D The nurse should probe gently by using lay-oriented terminology rather than
direct questions or statements.
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An obese adolescent who adamantly denies sexual activity has a positive pregnancy test. Which statements would be most appropriate for the nurse to make to this adolescent?
1. "When was your last menstrual period (LMP)?" 2. "Tell me how you feel about your body image." 3. "Let's discuss some activities that you have done within the past few months that could possibly lead to pregnancy." 4. "Why are you denying sexual intercourse?"
A new nurse is learning how to prioritize time. One of the best ways that this can be accom-plished is for the new nurse to focus on which of the following?
a. Nursing tasks b. Patient priorities c. Medication schedule d. Ancillary procedures
A nurse is preparing to insert an intravenous line and begin administering intravenous fluids. The patient has visitors in the room. What should the nurse do?
A) Ask the visitors to leave the room. B) Ask the patient if visitors should remain in the room. C) Tell the patient to ask the visitors to leave the room. D) Wait until the visitors leave to begin the procedure.
The research tradition known as hermeneutics is closely allied to another research tradition known as:
A) Ethnography B) Phenomenology C) Ethology D) Symbolic Interaction