The school sexual health clinic nurse has female adolescent students waiting to be seen. Which student should be seen first?
1. 14-year-old whose 17-year-old sister is pregnant
2. 15-year-old who reports using condoms regularly
3. 16-year-old who had Chlamydia treated two weeks ago
4. 17-year-old with a history of child abuse
3
Rationale:
1. Although this student is at risk for becoming pregnant because her sister is experiencing an adolescent pregnancy, it is not known whether this client is sexually active. This student is not the top priority.
2. Condom use will decrease the risk of becoming pregnant. This client is a low priority.
3. This client is the top priority. Having had Chlamydia, a sexually transmitted infection, indicates that the client is sexually active and not using a barrier method of birth control. This client is at risk for pregnancy and another STI.
4. Although adolescents with a history of abuse are more likely to become pregnant than are their peers who have not experienced abuse, too little information is given about this client to determine risk for pregnancy. This client is not the top priority.
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The nurse is counseling a middle-aged couple regarding hormonal shifts that occur during middle age. His wife has told him that both men and women experience decreasing hormonal production during middle adulthood, and he asks the nurse if this is true
Which response by the nurse is the most appropriate? 1. "Your wife has obtained some incorrect data." 2. "Why do you ask?" 3. "Your hormonal levels increase, not decrease with age." 4. "Your wife is correct. Both men and women experience a decrease in hormone production with aging."
A patient with morbid obesity was enrolled in a weight loss program last month and has attended four weekly meetings. But now he believes he no longer needs to attend meetings because he has "learned what to do."
He informs the nurse facilitator about his decision to quit the program. What should the nurse tell him? a. "By now, you have successfully completed the steps of the change process. You should be able to successfully lose the rest of the weight on your own." b. "Although you have learned some healthy habits, you will need at least another 6 weeks before you can quit the program and have success." c. "You have done well in this program. However, it is important to continue in the program to learn how to maintain weight loss. Otherwise, you are likely to return to your previous lifestyle." d. "You have entered the ‘determination stage' and are ready to make positive changes that you can keep for the rest of your life. If you need additional help, you can come back at a later time."
Prior to terminating the interview with a client, the nurse should ask:
1. "Do you have any concerns or questions?" 2. "Do you have any valuables to declare?" 3. "How is your insurance coverage for this admission?" 4. "You are frightened about dying, aren't you?"
The nurse uses a chart to show the vital nutrients required by all persons, which are _____________________________. (Select all that apply.)
a. carbohydrates. b. proteins. c. vitamins and minerals. d. fats. e. fluids.