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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B,D,A,C
Explanation
Choice A reason: Closing doors first (1, 2, 3, 4) delays activating the alarm and evacuating the client, risking patient safety and delayed response. Activating the alarm and ensuring patient safety are higher priorities, making this incorrect.
Choice B reason: The RACE protocol (Rescue, Alarm, Contain, Contain Extinguish) prioritizes: activating the alarm (2) to notify others, moving the client (4) to safety, closing doors (1) to contain the fire, and extinguishing (3) if safe, making this correct.
Choice C reason: Moving the client first (4, 2, 3, 1) delays notifying others via the alarm, risking broader safety. The alarm ensures a coordinated response, followed by evacuation, making this order incorrect.
Choice D reason: Activating the alarm first (2, 1, 3, 4) is correct, but extinguishing before moving the client (4) risks patient exposure. Evacuation precedes extinguishing, as per RACE, making this order incorrect.
Correct Answer is ["C","E"]
Explanation
Choice A reason: Prolonged stress elevates cortisol, increasing blood pressure via vasoconstriction and sodium retention, not lowering it. Low blood pressure is not a typical stress-related condition, making this an incorrect choice for monitoring.
Choice B reason: Cancer risk may increase with chronic stress due to immune suppression, but it is not an immediate condition to monitor. Acute stress-related issues like diabetes or infections are more urgent, making this incorrect.
Choice C reason: Prolonged stress increases cortisol, promoting insulin resistance and hyperglycemia, raising diabetes risk. Monitoring blood glucose is critical, as stress exacerbates glycemic control, making this a correct condition to monitor.
Choice D reason: Alkalosis is not directly linked to prolonged stress, which more commonly causes metabolic acidosis in severe cases (e.g., lactic acidosis). Respiratory or metabolic alkalosis is less relevant, making this incorrect.
Choice E reason: Prolonged stress suppresses immunity via cortisol, increasing infection susceptibility. Monitoring for signs like fever or delayed healing is essential, as infections are a common stress complication, making this correct.
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