The nurse is providing sexually transmitted infection education to a 16-year-old. What nursing intervention demonstrates patient-cantered care?

Have the caregivers in the room with the patient.

Provide written reading materials.

Educate the patient to avoid sexual activity.

Assess the patient alone.

Answer and Explanation

The Correct Answer is D

Choice A reason: Having the caregivers in the room with the patient may not provide a confidential and comfortable environment for the 16-year-old. Adolescents may feel embarrassed or reluctant to discuss sensitive issues related to sexually transmitted infections (STIs) in front of their caregivers. This approach does not fully support patient-cantered care, which focuses on respecting the patient’s privacy and promoting open communication.

Choice B reason: Providing written reading materials is an important aspect of education, but it may not be sufficient on its own to ensure that the patient fully understands the information. Reading materials should be supplemented with personalized discussion to address specific concerns and questions the patient may have. Therefore, while helpful, this intervention alone does not represent the most patient-cantered approach.

Choice C reason: Educating the patient to avoid sexual activity is a limited approach that does not consider the complexities of an adolescent's experiences and needs. A more patient-cantered approach would involve discussing safe sexual practices, STI prevention methods, and empowering the patient with comprehensive information to make informed decisions about their sexual health, rather than simply advising abstinence.

Choice D reason: Assessing the patient alone provides a private and supportive environment where the 16-year-old can feel more comfortable discussing sensitive topics. This approach respects the patient’s autonomy, ensures confidentiality, and allows for more open and honest communication. It demonstrates a commitment to patient-cantered care by addressing the individual needs and concerns of the patient.

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Correct Answer is B

Explanation

Choice A reason: A colouring book may not be the best choice for a 12-month-old as it requires fine motor skills that are still developing at this age. Additionally, crayons can pose a choking hazard.

Choice B reason: Large building blocks are appropriate for a 12-month-old toddler. They promote gross motor skills, hand-eye coordination, and cognitive development. These blocks are easy to grasp and safe for young children.

Choice C reason: Hanging crib toys are more suitable for younger infants who are not yet mobile. A 12-month-old is likely more interested in interactive and manipulative toys that they can hold and manipulate.

Choice D reason: Modelling clay is not recommended for a 12-month-old due to the potential choking hazard and the fact that the child may try to put it in their mouth.

A. An infant 6 hours old, 41 weeks and 5 days gestation. B. An infant 18 hours old, 36 weeks and 6 days gestation. C. An infant 34 hours old, 37 weeks and 3 days gestation. D. An infant 27 hours old, 38 weeks and 0 days gestation.

Correct Answer is B

Explanation

Choice A reason: A newborn at 41 weeks and 5 days gestation is past full term and, while being older in gestational age, does not typically present increased risk for feeding difficulties as compared to preterm infants. At 6 hours old, this infant would still be adapting, but no additional risk is posed by the gestational age.

Choice B reason: An infant born at 36 weeks and 6 days gestation is considered late preterm. Late preterm infants often have immature suck and swallow reflexes and may experience difficulties with feeding, coordinating breathing with feeding, and maintaining body temperature. These issues place them at a higher risk for feeding difficulties compared to full-term infants.

Choice C reason: A newborn at 37 weeks and 3 days gestation is considered early term and generally faces fewer risks compared to preterm infants. At 34 hours old, feeding patterns are still being established, but there are no significant additional risks related to their gestational age.

Choice D reason: An infant born at 38 weeks gestation is considered full term. At 27 hours old, the baby would still be in the early stages of adapting to feeding, but being full term generally implies a lower risk for feeding difficulties compared to preterm infants.

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The nurse is providing sexually transmitted infection education to a 16-year-old. What nursing intervention demonstrates patient-cantered care?

Nursing Test Bank

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