A nurse is caring for an adolescent who requests screening for sexually transmitted infections (STI). The client asks the nurse. "Do you have to tell my parents?" How should the nurse respond to the adolescent?

"We only have to tell your parents if your test comes back positive."

"We need your parents" permission if you are on their insurance."

"We will have to get your parents' consent before testing you for STIs."

“We can test you for STIs without informing your parents."

Answer and Explanation

The Correct Answer is D

Rationale:

A. "We only have to tell your parents if your test comes back positive.": Giving conditional privacy based on test results is misleading. Confidentiality in STI testing applies regardless of the outcome and is protected by law in many regions for adolescents.

B. "We need your parents' permission if you are on their insurance.": Insurance coverage does not determine the legal right to consent. While explanation of benefits forms may create confidentiality challenges, consent laws usually allow minors to access STI testing independently.

C. "We will have to get your parents' consent before testing you for STIs.": Requiring parental consent for STI testing contradicts legal protections in many areas that allow minors to access sexual and reproductive health care without parental involvement.

D. “We can test you for STIs without informing your parents.": Supporting the adolescent's autonomy and legal rights, this answer provides accurate information about confidential care and encourages open, respectful communication between the nurse and client.

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Correct Answer is D

Explanation

Rationale:

A. A child who was conceived by in vitro fertilization: Children conceived through IVF are typically highly desired and planned for, and families may invest significant emotional and financial resources into their care. This background generally reduces rather than increases the risk of maltreatment.

B. A toddler who has atopic dermatitis: Although chronic conditions can be stressful for caregivers, atopic dermatitis is relatively common and manageable. It does not significantly increase the risk of child abuse or neglect compared to more severe or demanding conditions.

C. An only child: Being an only child does not inherently increase the risk for maltreatment. Risk factors for abuse are more closely associated with caregiver stress, socioeconomic status, substance use, and the presence of physical or cognitive impairments in the child.

D. A school-age child who has cerebral palsy: Children with disabilities like cerebral palsy are at higher risk for maltreatment due to the physical, emotional, and financial stress their care may place on caregivers. These children often require more supervision and support, which can lead to frustration or neglect in high-risk environments.

A. Prescribed epoetin V B. Sleeps 8 to 10 hr per night C. Uses a firm-bristled toothbrush D. Prescribed vitamin B IM

Correct Answer is C

Explanation

Rationale:

A. Prescribed epoetin V: Epoetin is used to stimulate red blood cell production, typically for anemia related to chronic kidney disease or chemotherapy. It is not a standard treatment for pernicious anemia and does not directly increase the client’s injury risk in this context.

B. Sleeps 8 to 10 hr per night: Sleeping 8 to 10 hours is within the normal range for many adults, particularly those recovering from fatigue associated with anemia. This finding does not pose any additional risk for injury.

C. Uses a firm-bristled toothbrush: A firm-bristled toothbrush can cause gum irritation or bleeding, especially in clients with anemia who may have fragile oral mucosa or concurrent thrombocytopenia. This increases the risk of oral injury or infection and should be avoided.

D. Prescribed vitamin B IM: Vitamin B12 IM injections are the standard treatment for pernicious anemia due to impaired intrinsic factor and poor absorption. This intervention helps correct the deficiency and prevent neurologic complications, not increase injury risk.

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A nurse is caring for an adolescent who requests screening for sexually transmitted infections (STI). The client asks the nurse. "Do you have to tell my parents?" How should the nurse respond to the adolescent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing risk factors for child maltreatment with a newly licensed nurse. Which of the following examples should the nurse include?

Correct Answer is D

Explanation

A nurse is collecting data from a client who has pernicious anemia. The nurse should identify that which of the following findings increases the client's risk for injury?

Correct Answer is C

Explanation

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