A client states, "I asked my aunt if she had any history of miscarriage, but she wouldn't tell me." What should the nurse consider when responding to this statement?

1. Most family members are willing to divulge important health information.
2. The client must not have a good relationship with the aunt.
3. The aunt has a right to keep her health history private.
4. The aunt probably has had miscarriages that she is still mourning.


3
Rationale 1: There is no guarantee that family members will be willing to give information about their health that might be shared with strangers.
Rationale 2: The client may have a good relationship with the aunt, but the aunt may be unwilling to divulge personal information.
Rationale 3: The aunt does have a right to privacy, even if knowing about possible miscarriages might help the client identify a genetic pattern.
Rationale 4: There is no evidence that the aunt has had miscarriages or is mourning.

Nursing

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Which of the following types of followers may best enhance a leader's performance?

a. Followers demonstrating high critical thinking and who passively contribute b. Followers who are dependent and passive when they disagree c. Followers who are active contributors but who may not contribute to idea development d. Followers who are active contributors and who participate in developing and analyzing ideas

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The commonality a nurse would be most likely to assess when working with clients with personality

disorders is that client a. demonstrates behavior that causes little distress to self or others. b. has self-esteem issues despite outward confidence. c. does not experience real distress from symptoms. d. invariably becomes psychotic under stress.

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Development of an individual's moral reasoning and associated behaviors was addressed by which theorist?

a. Erikson c. Kohlberg b. Freud d. Piaget

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A postoperative vaginal hysterectomy client complains of pain that is more intense than this morning. This factor should be explained to the client as

A) "Your present pain is worse because you had your packing removed." B) "Pain that is more intense in the evening is routine pain response." C) "I will call your doctor because you may have loosened sutures when walking." D) "You will need more pain medication as the days progress."

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