The nurse is caring for a client at the clinic who tests positive for the sexually transmitted infection (STI) trichomoniasis. The client reports having sex with multiple partners. Which response should the nurse provide?
Confirm that sexual activity may resume after initial treatment.
Notify that persons with STIs are reported to local health departments.
Provide counseling that most contraceptives protect against infection.
Remain non-judgmental and assure the client of confidentiality.
The Correct Answer is D
Choice A rationale: Sexual activity should be avoided until the client and all sexual partners have completed treatment and are symptom-free. This is to prevent reinfection and transmission of the STI.
Choice B rationale: Persons with STIs are not reported to local health departments unless they have a reportable disease such as syphilis, gonorrhea, chlamydia or HIV. Trichomoniasis is not a reportable disease in most jurisdictions.
Choice C rationale: Most contraceptives do not protect against infection. The only contraceptive method that provides some protection against STIs is the male or female condom.
Choice D rationale: The nurse should remain non-judgmental and assure the client of confidentiality. This is because the nurse has a professional and ethical obligation to respect the client's autonomy, privacy and dignity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Asking the PN to change the sterile dressing while the nurse is busy may compromise patient safety and is not a prudent approach.
Choice B rationale: Reviewing the PN's skill checklist is important, but it may not provide immediate confirmation of the PN's competency in performing sterile wound care.
Choice C rationale: Telling the PN that past experience does not indicate the ability to perform skills may be discouraging and may not directly address the immediate need for a sterile dressing change.
Choice D rationale: Watching the PN perform sterile wound care to validate her skill level is the most direct and immediate way to ensure competency and patient safety.
Correct Answer is D
Explanation
Choice A rationale: Paging a chaplain on call can be a supportive measure, but it might not address the immediate need for communication and coordination with the family.
Choice B rationale: Allowing each family member to ask a question one at a time may not be the most effective approach when dealing with multiple and repetitive questions.
Choice C rationale: Requesting the healthcare provider to speak with the family might be appropriate, but it could take time, and the immediate need is to establish effective communication.
Choice D rationale: Asking the family to identify a specific spokesperson helps streamline communication and ensures that information is conveyed more efficiently. This approach can help manage the situation and address the family's concerns collectively.
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