A client diagnosed with Polycystic Ovary Syndrome (PCOS) is prescribed oral contraceptive pills.
The client expresses concerns about this treatment.
Which statement by the nurse provides accurate information and reassurance?
"Oral contraceptives can help regulate your menstrual cycles and reduce excessive hair growth.”
"You won't need any lifestyle modifications with oral contraceptive pills; they will solve all your issues.”
"PCOS doesn't affect fertility, so you can safely discontinue your medications.”
"Anti-androgen medications are a better choice than oral contraceptives for PCOS management.”
The Correct Answer is A
Choice A rationale:
This statement is the correct choice because it provides accurate information and reassurance to the client.
Oral contraceptives are commonly prescribed for clients with PCOS to regulate their menstrual cycles by balancing hormone levels, including reducing excessive androgen production, which can lead to symptoms like hirsutism (excessive hair growth).
By addressing the client's concerns and explaining the potential benefits of oral contraceptives, the nurse promotes understanding and compliance with the treatment plan.
Choice B rationale:
This statement is incorrect because it oversimplifies the management of PCOS.
While oral contraceptives can be a valuable part of PCOS management, they are not a one-size-fits-all solution, and lifestyle modifications may also be necessary.
Choice C rationale:
This statement is inaccurate and potentially harmful.
PCOS can indeed affect fertility, and discontinuing medications without proper guidance can have adverse consequences for a client's health and fertility.
It is essential to provide accurate information to the client.
Choice D rationale:
This statement is incorrect because anti-androgen medications alone are not necessarily a better choice than oral contraceptives for PCOS management.
The choice of treatment depends on the individual's symptoms and goals, and a healthcare provider should make this determination based on a thorough assessment.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Telling the client that there's nothing they can do about infertility is not supportive and may discourage them.
While infertility is common in PCOS, there are fertility treatment options available, and it's important to provide hope and support to the client.
Choice B rationale:
Advising the client to blame themselves for their infertility issues is not appropriate and can be emotionally harmful.
Infertility is a complex issue, and self-blame is not productive.
Choice C rationale:
Saying, "I understand your concerns, and we can explore fertility treatment options," is a supportive and empathetic response.
It acknowledges the client's feelings while also offering to explore potential solutions and treatment options for infertility.
Choice D rationale:
Suggesting that the client should avoid seeking emotional support is not appropriate.
Emotional support is crucial for individuals dealing with infertility and other emotional challenges related to PCOS.
Encouraging the client to seek support is a more helpful approach.
Correct Answer is C
Explanation
Choice A rationale:
Advising the patient to avoid all forms of exercise is incorrect.
Exercise can be beneficial for individuals with PCOS as it can help improve insulin sensitivity and manage weight, both of which are important for symptom management.
Choice B rationale:
Stating that a healthy diet is not necessary for managing PCOS is incorrect.
Diet plays a crucial role in managing PCOS symptoms, especially in terms of weight management and insulin resistance.
A balanced diet is essential for overall health.
Choice C rationale:
The statement "Regular exercise and a balanced diet can help manage PCOS symptoms" is appropriate and evidence-based.
Regular exercise and a healthy diet can improve insulin sensitivity, regulate menstrual cycles, and manage weight, which are important aspects of PCOS management.
Choice D rationale:
Telling the patient that they don't need to worry about their diet and that medication will control PCOS is not accurate.
While medication may be prescribed to manage specific symptoms, lifestyle modifications, including diet and exercise, are typically recommended alongside medication for comprehensive PCOS management.
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