A nurse is providing teaching about lifestyle changes that can increase the chance for conception with a client who is experiencing infertility. Which of the following instructions should the nurse include?

"Increase your daily intake of fruits and vegetables."

"Use a lubricant each time you have sexual intercourse."

"Have sexual intercourse 2 days following ovulation."

"Encourage your partner to wear tight-fitting underwear."

Answer and Explanation

The Correct Answer is C

Choice A rationale:

A balanced diet that includes fruits and vegetables is important for overall health, but it is not specifically related to the timing of sexual intercourse for conception.

Choice B rationale:

Using a lubricant during sexual intercourse can sometimes interfere with sperm motility and decrease the chances of conception.

Choice C rationale:

Having sexual intercourse 2 days following ovulation can increase the chances of fertilization since sperm can survive in the female reproductive tract for several days, and the egg is viable for a shorter period.

Choice D rationale:

While the type of underwear worn by the partner can influence testicular temperature, there is limited evidence to support the claim that tight-fitting underwear significantly affects fertility.

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Correct Answer is B

Explanation

Choice A rationale:

A 7-month-old infant with Down syndrome is less likely to use a spoon.

Choice B rationale:

Crawling short distances is a developmental milestone that can be expected at this age.

Choice C rationale:

Speaking five to eight words is not an appropriate milestone for a 7-month-old infant.

Choice D rationale:

Standing with assistance usually occurs around 9-12 months, which might be delayed in infants with Down syndrome.

A. Allow the client autonomy in scheduling daily activities. B. Administer an antipsychotic medication to the client. C. Provide ample time for rituals in the early treatment stages. D. Initiate implosion therapy for the client.

Correct Answer is A

Explanation

Choice A rationale:

Clients with obsessive-compulsive disorder (OCD) often benefit from maintaining control over their daily activities and schedules. Allowing the client autonomy in scheduling activities can help them manage their symptoms while feeling in control.

Choice B rationale:

Antipsychotic medications are not the first-line treatment for OCD, and their use would depend on the presence of other coexisting conditions.

Choice C rationale:

Providing ample time for rituals may inadvertently reinforce the compulsive behaviors associated with OCD. Cognitive-behavioral therapy (CBT) with exposure and response prevention is the recommended treatment for OCD.

Choice D rationale:

Implosion therapy, also known as flooding, exposes the client to anxiety-provoking stimuli in a controlled and safe environment. However, it is not typically the first-line treatment for OCD and requires careful implementation under the guidance of a mental health professional.

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A nurse is providing teaching about lifestyle changes that can increase the chance for conception with a client who is experiencing infertility. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a 7-month-old infant who has Down syndrome. Which of the following developmental milestones should the nurse expect?

Correct Answer is B

Explanation

A nurse is developing a plan of care for a client who has obsessive-compulsive disorder. Which of the following interventions should the nurse include?

Correct Answer is A

Explanation

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