During a health check-up without his parents, a 17-year-old tells the nurse he is gay. Which approach should the nurse take?

"This puts you in an at-risk category."

"We need to talk about safe sex."

"You're not gay, you're confused."

"Tell me what makes you think you are gay."

Answer and Explanation

The Correct Answer is D

A.   Stating that being gay puts someone in an "at-risk" category can be stigmatizing and might not address the teenager's concerns or questions.
B.   While discussing safe sex might be important, it assumes that being gay automatically implies a need for this conversation, which might not be the case.
C.   Dismissing the teenager's statement by denying his sexual orientation can be harmful, dismissive, and invalidate the individual's feelings and identity.
D.   Encouraging open communication and asking the teenager to share his thoughts fosters a supportive environment, allowing the nurse to understand the teenager's perspective and concerns.

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Correct Answer is A

Explanation

A. The step reflex is an expected primitive reflex in infants, disappearing around 2 months of age.Therefore, if ounf in a 4 month old baby, the nurse should be concerned.
B. The plantar grasp reflex should be present in infants and typically disappears by 9 to 12 months of age.
C. Neck righting reflex is a normal response in infants, allowing them to orient their heads in relation to their body movements.
D. The Babinski reflex is typically present in infants but should disappear by around 12 months of age. If it persists beyond this age, it could indicate neurological concerns and warrant further evaluation. therefore, the reflex is normal in a 44 month old baby

A. Encourage the parents to rock the infant. B. Position the infant on her abdomen. C. Administer ibuprofen as needed for pain. D. Offer the infant a pacifier.

Correct Answer is A

Explanation

A. Encouraging the parents to rock the infant provides comfort and soothing without risking trauma to the surgical site. It also promotes bonding and emotional reassurance.
B. Positioning the infant on the abdomen is contraindicated because it can put pressure on the surgical site, increasing the risk of complications. The infant should be positioned on their back or side to protect the repair.
C. Administering ibuprofen is not appropriate for a 2-month-old infant due to the risk of gastrointestinal and renal complications. Acetaminophen is typically used for pain management at this age.
D. Offering a pacifier is not recommended because sucking motions could disrupt the surgical repair and delay healing. Alternative soothing methods should be used instead.

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During a health check-up without his parents, a 17-year-old tells the nurse he is gay. Which approach should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which reflex, if found in a 4-month-old infant, would cause the nurse to be concerned?

Correct Answer is A

Explanation

A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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