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."

Answer and Explanation

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.

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Correct Answer is ["A","B","D","E"]

Explanation

Choice A reason: Thyroid stimulating hormone (TSH)
TSH levels can affect sexual function. Both hyperthyroidism and hypothyroidism can lead to ED. Hyperthyroidism can cause premature ejaculation, while hypothyroidism can reduce libido and cause ED. Therefore, assessing thyroid function is important in the evaluation of ED.

Choice B reason: Blood glucose
Diabetes mellitus is a common cause of ED. High blood glucose levels can damage blood vessels and nerves that control erection. Therefore, testing for diabetes with a blood glucose test is a standard part of the ED evaluation.

Choice C reason: Partial thromboplastin time (PTT)
PTT is not typically used to evaluate ED. It measures the time it takes for blood to clot and is usually used to assess bleeding disorders or the effectiveness of blood-thinning medication.

Choice D reason: Testosterone
Low testosterone levels can lead to a decrease in sexual desire and ED. Testosterone replacement therapy may improve the situation if this is the case. Hence, measuring testosterone levels is a critical part of the ED workup.

Choice E reason: Total cholesterol
High cholesterol can lead to atherosclerosis, which can impede blood flow to the penis and cause ED. Therefore, a lipid profile, including total cholesterol, is often checked when evaluating ED.

A. Mantoux test B. Sputum culture for acid-fast bacillus C. Sputum smear D. Chest x-ray

Correct Answer is B

Explanation

Choice A reason:
The Mantoux test, also known as the tuberculin skin test, is used to detect latent TB infection but is not the most reliable for confirming active pulmonary TB. It can indicate if someone has been infected with TB bacteria, but it cannot differentiate between latent and active TB.

Choice B reason:
A sputum culture for acid-fast bacillus is the gold standard for diagnosing active pulmonary TB. It involves culturing a sample of sputum (phlegm) to see if TB bacteria grow, which confirms the diagnosis. This test is the most definitive and reliable method, although it may take several weeks to obtain results.

Choice C reason:
A sputum smear can detect TB bacteria in sputum samples quickly, but it is less sensitive than a culture. It can miss cases, especially if the bacterial load is low. Therefore, while useful for initial screening, it is not as reliable as a culture for confirming active TB.

Choice D reason:
A chest x-ray can show signs suggestive of TB, such as infiltrates or cavities in the lungs, but it cannot confirm the presence of TB bacteria. It is a supportive diagnostic tool but not definitive for active TB diagnosis.

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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?

Nursing Test Bank

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Explanation

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