A nurse is teaching a group of newly licensed nurses on effective techniques for counseling clients about sexually transmitted infections (STIs). Which of the following statements should the nurse include in the teaching?
"Use closed-ended questions when obtaining the health history."
"A client's reproductive health history is not needed for counseling purposes."
"Refer the client to genetic counseling if they have had an STI."
"Ask about the client's exposure to any past or present STIs."
The Correct Answer is D
Choice A reason:
Using closed-ended questions when obtaining a health history can be limiting and may not provide the full context of the patient's sexual health risks. Open-ended questions are generally recommended to encourage a more comprehensive discussion about sexual behaviors and risks.
Choice B reason:
A client's reproductive health history is crucial for counseling purposes. It provides insight into potential risks for STIs and helps tailor the counseling to the client's specific needs and circumstances.
Choice C reason:
Referring a client to genetic counseling for having had an STI is not typically necessary. Genetic counseling is more relevant for hereditary conditions and is not a standard part of STI management.
Choice D reason:
Asking about a client's exposure to past or present STIs is essential in STI counseling. It helps assess the client's risk level and informs the necessary prevention and treatment strategies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Nausea and vomiting are common symptoms of peritonitis, which can occur in clients receiving peritoneal dialysis. These symptoms result from the irritation and inflammation of the peritoneum, the membrane lining the abdominal cavity.
Choice B reason:
Hyperactive bowel sounds are not typically associated with peritonitis. In fact, bowel sounds may be diminished or absent due to the inflammatory process and potential ileus associated with peritonitis.
Choice C reason:
Bradycardia, or a slower than normal heart rate, is not a common manifestation of peritonitis. Peritonitis can cause tachycardia, an increased heart rate, as the body responds to inflammation and infection.
Choice D reason:
Increased urinary output is not a manifestation of peritonitis. Peritoneal dialysis involves the peritoneal cavity and not the urinary system directly. Peritonitis may actually lead to decreased urine output if the infection causes systemic effects.
Correct Answer is C
Explanation
Choice A reason:
Clay-colored stools are typically associated with issues in the biliary system, such as bile duct obstruction, and not directly with aspirin use. Aspirin, especially when used in high doses, is more commonly associated with gastrointestinal side effects like bleeding, which would likely cause dark or bloody stools rather than clay-colored ones.
Choice B reason:
Nystagmus, which is a vision condition characterized by repetitive, uncontrolled eye movements, is not a recognized side effect of aspirin. While aspirin can have effects on various systems in the body, it does not typically affect the muscles or nerves controlling eye movements.
Choice C reason:
Tinnitus, or ringing in the ears, is a well-documented adverse effect of aspirin, particularly when taken in high doses or for a prolonged period. It is related to the effect of aspirin on the inner ear structures and is usually reversible once the medication is stopped or the dosage is reduced.
Choice D reason:
Respiratory depression is not a typical side effect of aspirin. Aspirin can cause respiratory alkalosis in cases of overdose due to hyperventilation, but it does not cause respiratory depression. If respiratory depression occurs, it would likely be due to a different cause and not the aspirin itself.
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