A nurse is educating a group of clients about STIs.
Select all the appropriate nursing assessments related to STIs:
Ask about the number of sexual partners.
Inquire about condom use during sexual activity.
Check for the presence of a painless sore at the site of infection.
Perform a physical examination of the genital area.
Assess for swollen lymph nodes in the neck.
Correct Answer : A,B,D,E
Choice A rationale:
Ask about the number of sexual partners.
Assessing the number of sexual partners is an important nursing assessment related to STIs.
A higher number of sexual partners increases the risk of exposure to STIs.
Understanding this information allows the nurse to provide appropriate education on safe sex practices and the importance of regular STI screenings.
Choice B rationale:
Inquire about condom use during sexual activity.
Inquiring about condom use is crucial when discussing STIs because consistent and correct condom use can significantly reduce the risk of transmission.
Understanding a client's condom use practices provides insight into their level of protection against STIs and can guide the nurse in providing education on safer sex practices.
Choice D rationale:
Perform a physical examination of the genital area.
A physical examination of the genital area is essential for assessing and diagnosing STIs.
Some STIs may present with visible symptoms or lesions in the genital area, and a physical examination helps in identifying these signs.
It also allows for the assessment of any painless sores or unusual skin changes that may indicate an STI.
Choice E rationale:
Assess for swollen lymph nodes in the neck.
Swollen lymph nodes in the neck can be an indicator of certain STIs, particularly syphilis.
Lymphadenopathy is one of the clinical manifestations of syphilis, and assessing for swollen lymph nodes is part of a comprehensive STI assessment.
It can help identify possible systemic involvement of the infection.
Choice C rationale:
Check for the presence of a painless sore at the site of infection.
While the presence of a painless sore is important in diagnosing syphilis, this choice alone is not sufficient as a nursing assessment.
A comprehensive assessment should include inquiries about sexual partners, condom use, and physical examinations, as STIs can manifest in various ways beyond just painless sores.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
"You should be ashamed of yourself for contracting an STI." This response is inappropriate and stigmatizing.
It is essential for healthcare professionals to provide support and empathy to individuals diagnosed with STIs rather than making them feel ashamed or guilty.
Such responses can discourage individuals from seeking care and support.
Choice B rationale:
"I can't provide emotional support; you should talk to someone else." This response is dismissive and unhelpful.
Nurses and healthcare providers should be prepared to offer emotional support to clients dealing with STI diagnoses.
Referring them to another source of support without offering any assistance is not in line with providing comprehensive care.
Choice C rationale:
"It's normal to feel upset, and I'm here to support you through this." This is the correct choice.
The response acknowledges the client's emotional distress, normalizes their feelings, and offers support.
Providing emotional support is an essential aspect of nursing care, especially when clients are dealing with the emotional impact of an STI diagnosis.
Choice D rationale:
"You shouldn't worry; STIs are not a big deal." This response is inaccurate and dismissive of the client's concerns.
While some STIs may have milder symptoms and are treatable, others can lead to severe health complications if left untreated.
It is crucial to take STIs seriously and provide clients with accurate information and support.
Correct Answer is C
Explanation
Choice A rationale:
"Using condoms inconsistently is acceptable as long as you're in a monogamous relationship." This statement is incorrect.
Inconsistent condom use, even in a monogamous relationship, can still lead to the transmission of sexually transmitted infections (STIs).
It is important to emphasize consistent condom use as part of safe sex practices to reduce the risk of STIs.
Choice B rationale:
"Regular STI screening is unnecessary if you have no symptoms." This statement is also incorrect.
Many STIs can be asymptomatic, meaning individuals may carry and transmit the infection without experiencing symptoms.
Regular STI screening is essential for early detection and treatment, even in the absence of symptoms, to prevent the spread of infections and their potential complications.
Choice C rationale:
"Practicing safe sex involves consistent condom use." This is the correct choice.
Practicing safe sex does indeed involve consistent condom use, regardless of one's relationship status.
Condoms act as a barrier to prevent the transmission of STIs, including HIV, chlamydia, gonorrhea, and syphilis.
Consistency in condom use is a crucial aspect of STI prevention.
Choice D rationale:
"STIs are only a concern for people with multiple sexual partners." This statement is incorrect and stigmatizing.
STIs can affect anyone, regardless of the number of sexual partners they have had.
It's essential to promote awareness that STIs can be transmitted through sexual contact, and preventive measures like condom use and regular screening should be encouraged for all sexually active individuals.
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