A 25-year-old single woman comes to the gynecologist's office for a follow-up visit related to her abnormal Papanicolaou (Pap) smear. The test revealed that the patient has human papillomavirus (HPV). The patient asks, "What is that? Can you get rid of it?" Your best response is:
Just a little lump on your cervix. We can freeze it off.
You probably caught this from your current boyfriend. He should get tested for this.
HPV is a type of early human immunodeficiency virus (HIV). You will die from this.
HPV stands for human papillomavirus. It is a sexually transmitted infection (STI) that can lead to cervical cancer. There is no known cure but symptoms are treatable.
The Correct Answer is D
Choice A reason: This is a misleading and dismissive response that does not explain what HPV is or how it can affect the patient's health. It also implies that the patient's condition is trivial and easily resolved, which is not true.
Choice B reason: This is a judgmental and accusatory response that does not answer the patient's question. It also assumes that the patient's current partner is the source of the infection, which may not be the case. HPV can remain dormant for years and be transmitted by previous partners.
Choice C reason: This is a false and alarming response that does not provide accurate information about HPV or HIV. It also scares the patient unnecessarily and does not offer any hope or support.
Choice D reason: This is the best response as it provides a clear and factual explanation of what HPV is and how it can affect the patient's health. It also acknowledges that there is no cure for the infection but that the symptoms can be managed with proper treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: None of the above is incorrect because the other choices are not true statements about the overall number of cases of STIs.
Choice B reason: Staying about the same is incorrect because the overall number of cases of STIs is not constant. According to the World Health Organization, more than 1 million STIs are acquired every day worldwide.
Choice C reason: Going down is incorrect because the overall number of cases of STIs is not decreasing. On the contrary, some STIs such as syphilis, gonorrhea, and chlamydia are resurging in many regions due to factors such as antimicrobial resistance, lack of access to prevention and treatment services, and stigma.
Choice D reason: Rising is correct because the overall number of cases of STIs is increasing globally. The World Health Organization estimates that there were 376 million new cases of four curable STIs (chlamydia, gonorrhea, syphilis, and trichomoniasis) in 2016, up from 357 million in 2012. Additionally, there are millions of cases of incurable STIs such as herpes, HPV, and HIV that affect the health and well-being of people worldwide.
Correct Answer is A
Explanation
Choice A reason: Strategies to enhance condom use is correct because it is the most effective way to motivate clients to use condoms consistently and correctly. Some of these strategies include providing education, demonstrating skills, addressing barriers, and promoting communication.
Choice B reason: Places to carry condoms safely is incorrect because it is not the most essential component of counseling related to the prevention of sexually transmitted infections and human immunodeficiency virus. It is a practical aspect of condom use, but it does not address the underlying attitudes, beliefs, and behaviors that influence condom use.
Choice C reason: Leaving the decision up to the male partner is incorrect because it is not a way to motivate clients to use condoms. It is a passive and disempowering approach that can increase the risk of infection and unwanted pregnancy. Clients should be encouraged to take an active role in their sexual health and negotiate condom use with their partners.
Choice D reason: Choice of colors and special features is incorrect because it is not the most essential component of counseling related to the prevention of sexually transmitted infections and human immunodeficiency virus. It is a superficial aspect of condom use, but it does not address the underlying attitudes, beliefs, and behaviors that influence condom use.
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