During a health check-up without his parents, a 17-year-old tells the nurse he is gay. Which approach should the nurse take?

"This puts you in an at-risk category."

"We need to talk about safe sex."

"You're not gay, you're confused."

"Tell me what makes you think you are gay."

Answer and Explanation

The Correct Answer is D

A.   Stating that being gay puts someone in an "at-risk" category can be stigmatizing and might not address the teenager's concerns or questions.
B.   While discussing safe sex might be important, it assumes that being gay automatically implies a need for this conversation, which might not be the case.
C.   Dismissing the teenager's statement by denying his sexual orientation can be harmful, dismissive, and invalidate the individual's feelings and identity.
D.   Encouraging open communication and asking the teenager to share his thoughts fosters a supportive environment, allowing the nurse to understand the teenager's perspective and concerns.

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Correct Answer is C

Explanation

A. Encouraging the parents to speak English to the child may influence language acquisition but might not be the priority if there are concerns about speech development.
B. Referring the child to a developmental specialist could be considered, but conducting a developmental evaluation should be the first step to determine if intervention is needed.
C. Performing a developmental evaluation will provide a clearer understanding of the child's speech and language development to ascertain if there are delays or concerns.
D. While understanding if the child uses Spanish words is relevant, it may not be the priority over a comprehensive developmental assessment.

A. The newborn's eye focuses on near objects. B. The newborn does not respond to loud noise. C. The newborn's eyes wander and occasionally are crossed. D. The newborn becomes more alert with stroking when drowsy.

Correct Answer is B

Explanation

A. The ability to focus on near objects is a normal sensory development in newborns.
B. Lack of response to loud noise might indicate a hearing deficit or impairment in the newborn's sensory skills.
C. Occasional eye wandering and crossing are common in newborns as their eye muscles are still developing and might not indicate a sensory deficit.
D. Becoming more alert with stroking when drowsy is a normal response and does not necessarily indicate a sensory deficit.

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During a health check-up without his parents, a 17-year-old tells the nurse he is gay. Which approach should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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