The nurse is completing a health assessment and medical history on a recently married, 26-year-old transgender male at the clinic. While completing the client's health history, you find the client started taking oral testosterone about one month ago. What would be the priority education about testosterone for this client?

The client can have issues with fertility.

The client may observe an increase in muscle mass.

The client may experience an increase in acne.

The client may notice a change in emotion.

Answer and Explanation

The Correct Answer is A

Choice A reason: This statement is a priority because testosterone therapy can significantly impact fertility. Clients should be informed about the potential effects on their reproductive health, including the possibility of reduced fertility or infertility. This knowledge allows them to make informed decisions about fertility preservation before starting hormone therapy.

Choice B reason: While an increase in muscle mass is a common and expected effect of testosterone therapy, it is not as critical as discussing the potential impact on fertility. Increased muscle mass is generally seen as a desired outcome for transgender men undergoing hormone therapy.

Choice C reason: Acne is a known side effect of testosterone therapy, but it is not as high of a priority compared to the long-term implications of fertility. Acne can be managed with appropriate skincare and treatment.

Choice D reason: Changes in emotion or mood can occur with hormone therapy, but they are generally considered part of the overall effects of transitioning. These changes are important to monitor but are not as immediately critical as the impact on fertility.

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Correct Answer is B

Explanation

Choice A reason: Libel refers to written statements that are false and damaging to a person's reputation. In this scenario, since the nurses are speaking and not writing, libel is not applicable.

Choice B reason: Invasion of privacy pertains to disclosing private information about an individual without their consent. Discussing a client's medical condition in a public place such as the hospital cafeteria where others can overhear constitutes an invasion of privacy. The client’s right to confidentiality has been violated, which could lead to a formal complaint.

Choice C reason: Slander involves spoken statements that are false and damaging to a person's reputation. While the nurses are speaking, there is no indication that what they are saying is false, so slander is not the applicable concern in this situation.

Choice D reason: Defamation is a broad term that includes both libel and slander, which are false statements made to damage someone's reputation. As mentioned earlier, there is no indication that the statements made by the nurses are false; rather, the issue is the inappropriate sharing of private information.

A. Radiology B. Hospital Security C. Hospital Housekeeping D. Dietary E. Registration

Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason: The radiology department plays a crucial role in mass casualty incidents by providing imaging services to diagnose and assess the extent of injuries. Involving radiology in the drill planning process ensures that they are prepared to handle a sudden influx of patients.

Choice B reason: Hospital security is essential for managing crowd control, maintaining order, and ensuring the safety of patients, staff, and visitors during a mass casualty incident. Their involvement in the drill planning process is necessary to coordinate security measures effectively.

Choice C reason: Hospital housekeeping is responsible for maintaining cleanliness and sanitation, which is especially important during a mass casualty incident to prevent the spread of infections and ensure a safe environment for patient care. Their participation in the drill planning helps prepare them for increased demands.

Choice D reason: The dietary department, while important for overall patient care, is not immediately critical in the context of a mass casualty drill. The focus of such drills is typically on urgent medical care, security, and logistical coordination.

Choice E reason: The registration department is vital for efficiently processing and documenting patient information during a mass casualty incident. Their involvement in the drill planning process ensures that they are prepared to handle a large number of patients quickly and accurately.

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Naxlex Comprehensive Predictor Exams

The nurse is on her break in the hospital cafeteria when she overhears two nurses talking about a client's condition. The nurse understands this could lead to which of the following complaints?

Correct Answer is B

Explanation

The emergency department nurse manager would like to develop a mass casualty drill to help with the training of the staff. What other hospital departments should be involved in the drill planning process? (Select All that Apply)

Correct Answer is ["A","B","C","E"]

Explanation

The emergency department nurse is triaging clients arriving from a mass casualty incident. During the triage, the nurse confirms that each client has a disaster tag. What information should be placed on the tag for each client? (Select all that apply)

The nurse educator is educating new staff nurses about mass casualty events. Which statements by the new nurse indicate a need for further teaching? (Select All That Apply)

As a member of the quality improvement committee, a nurse is evaluating the results of recently implemented measures designed to reduce medication errors. Which of the following methods should the nurse use to evaluate the success of the changes?

A hospital is preparing to receive a large number of casualties from a community disaster. Which clients should the nurse identify as appropriate for discharge?

The nurse is eating lunch in the hospital cafeteria, which is crowded with visitors and other staff. A health care provider approaches the nurse and asks, "How is my client Ms. Jones in room 312 doing?" Which response by the nurse would be most appropriate?

The nurse is evaluating a transgender female client in the emergency department who is taking estrogen therapy. Which of the following assessment findings would be of priority concern for the nurse?

When planning the delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which element regarding the role of assistive personnel should the nurse consider when delegating tasks?

The nurse educator is reviewing the role of a nurse advocate with a group of newly hired nurses to the hospital. Which of the following statements indicate the newly hired nurses understand the roles of a nurse advocate? (Select All That Apply)