During the nursing assessment of a 23-year-old female patient, the nurse considers the patient's risk for sexually transmitted diseases (STDs). Which statement by the patient indicates the most need for patient teaching?
"I have an IUD and have had the same boyfriend for 3 years."
“I have never been tested for syphilis or chlamydia."
"I make an appointment every year for a pelvic exam."
"I use the birth control pill because I am not ready to settle down yet."
The Correct Answer is B
A. "I have an IUD and have had the same boyfriend for 3 years.": Being in a mutually monogamous relationship reduces the risk of acquiring STDs, and the presence of an IUD primarily prevents pregnancy rather than influencing STD risk. This statement indicates lower concern for immediate STD education.
B. “I have never been tested for syphilis or chlamydia.": Lack of screening for common STDs places the patient at increased risk of undiagnosed infections. Chlamydia and syphilis can be asymptomatic but cause long-term complications, highlighting the critical need for patient teaching about routine testing and early detection.
C. "I make an appointment every year for a pelvic exam.": Annual pelvic exams are important for reproductive health and early detection of abnormalities, but they do not guarantee protection against STDs. The patient demonstrates proactive preventive care in this context.
D. "I use the birth control pill because I am not ready to settle down yet.": Using oral contraceptives addresses pregnancy prevention but does not prevent STDs. While additional teaching on barrier protection may be warranted, this statement primarily reflects awareness of contraceptive needs rather than immediate high-risk behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Determine the child’s preferred method of communication: Identifying whether the child uses sign language, lip reading, gestures, or assistive devices is essential for effective communication. Tailoring interactions to the child’s preferred method promotes language development, social interaction, and learning opportunities.
B. Assess the child’s hearing and visual capabilities: While important for overall assessment, these evaluations provide baseline data but do not directly facilitate immediate communication strategies or support language development.
C. Encourage the parent to have the child participate in activities that promote adaptation: Participation in adaptive activities supports social and emotional growth, yet without knowing the child’s preferred communication method, these interactions may be less effective for promoting language and communication skills.
D. Serve meals at the child’s usual mealtimes: Maintaining routine mealtimes supports predictability and general care, but it does not directly address communication development or language acquisition.
Correct Answer is D
Explanation
A. Penicillin: Penicillin is effective against bacterial infections such as syphilis and streptococcal infections, but it has no activity against viral infections like herpes simplex virus.
B. Tetracycline: Tetracyclines are broad-spectrum antibiotics used to treat bacterial infections, including acne and certain sexually transmitted infections, but they are not effective for viral infections such as herpes.
C. Ceftriaxone: Ceftriaxone is a cephalosporin antibiotic used to treat bacterial infections including gonorrhea. It has no effect on viral replication and cannot treat herpes infections.
D. Acyclovir: Acyclovir is an antiviral medication that inhibits herpes simplex virus replication. It is the first-line treatment for both initial and recurrent herpes infections, reducing severity, duration, and frequency of outbreaks.
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