An 18-year-old male patient informs the nurse that he isn’t sure if he is homosexual because he is attracted to both genders. Which response by the nurse will help establish a trusting relationship?

Don’t worry. It’s just a phase you will grow out of

Having questions about sexuality is normal but if these sexual activities make you feel bad you should stop

Those are abnormal impulses. You should seek therapy

At your age, it is normal to be curious about both genders

Answer and Explanation

The Correct Answer is D

Choice A reason: Dismissing the patient’s feelings as a phase minimizes their experience, risking trust. Sexual orientation exploration is normal in adolescence, and this response fails to validate the patient’s concerns, potentially alienating them, making it an inappropriate choice for building rapport.

Choice B reason: Suggesting to stop sexual activities if they feel bad implies judgment and may shame the patient. It does not normalize their exploration or foster trust, focusing on negative outcomes rather than open dialogue, making this choice less effective.

Choice C reason: Labeling impulses as abnormal is judgmental and stigmatizing, damaging trust. It pathologizes normal sexual orientation exploration, discouraging open communication and potentially harming the patient’s self-esteem, making this an inappropriate response for a therapeutic relationship.

Choice D reason: Affirming that curiosity about both genders is normal at this age validates the patient’s feelings, fostering trust. It supports open exploration of sexual orientation without judgment, aligning with therapeutic communication principles, making this the correct response.

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Correct Answer is C

Explanation

Choice A reason: Pernicious anemia causes vitamin B12 deficiency, leading to fatigue and neurological issues, not hematuria. Blood-tinged urine is unrelated to this condition, making it an incorrect cause of the observed finding.

Choice B reason: Dehydration concentrates urine, causing dark color but not blood-tinging. Hematuria suggests irritation or infection, not fluid status, making dehydration an incorrect explanation for blood in the catheter bag.

Choice C reason: Bladder infection (cystitis) irritates the bladder mucosa, causing hematuria, common with indwelling catheters due to bacterial entry. Blood-tinged urine aligns with this, making it the correct cause to recognize.

Choice D reason: Prostate enlargement may cause hematuria in males, but catheter-related blood-tinged urine is more likely from infection. Without gender specificity, infection is the primary concern, making this less likely.

A. Store unopened insulin vials in the freezer B. Rotate injection sites to prevent lipodystrophy C. Shake the insulin vial vigorously before drawing up D. Inject insulin at a 30-degree angle

Correct Answer is B

Explanation

Choice A reason: Storing unopened insulin in the freezer can degrade it. Refrigeration is correct, keeping insulin stable, making freezing incorrect for proper storage instructions.

Choice B reason: Rotating injection sites prevents lipodystrophy (tissue changes) by avoiding repeated trauma. This ensures consistent absorption, making it a critical instruction for insulin administration.

Choice C reason: Shaking insulin vials can damage proteins or create air bubbles, affecting efficacy. Gentle rolling is recommended for cloudy insulin, making this incorrect for proper handling.

Choice D reason: A 30-degree angle is too shallow for subcutaneous insulin; a 45–90-degree angle is standard. This incorrect technique may affect absorption, making it wrong.

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An 18-year-old male patient informs the nurse that he isn’t sure if he is homosexual because he is attracted to both genders. Which response by the nurse will help establish a trusting relationship?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an indwelling urinary catheter and notes blood-tinged urine in the catheter bag. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations?

Correct Answer is C

Explanation

A nurse is providing discharge teaching to a client who has a new prescription for insulin. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

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