The nurse is educating a sexually active female teenager about the importance of sexual health.
The client is resistant to undergoing sexually transmitted infection (STI) testing and states that they do not need testing because they do not have any symptoms.
What is the best response by the nurse?
It is important to be tested because you may not have symptoms with a sexually transmitted infection.
As long as you have only one partner, you do not really need testing.
If you were practicing abstinence, you would not be dealing with this issue.
You should get tested because STIs are more prevalent among people of your race and background.
The Correct Answer is A
The scenario requires application of public health education and adolescent communication principles. Knowledge of asymptomatic sexually transmitted infections and barrier methods is essential to address the client resistance while maintaining a therapeutic relationship and promoting preventative health screenings in a non-judgmental manner.
Choice A rationale
Many infections, particularly chlamydia and gonorrhea, are asymptomatic in females. Without screening, these can lead to pelvic inflammatory disease or infertility. Education on silent transmission is the primary evidence-based method to encourage diagnostic compliance in sexually active populations.
Choice B rationale
Monogamy reduces but does not eliminate risk if the partner has an undiagnosed infection. This statement provides a false sense of security and ignores the reality of previous exposure or partner infidelity, violating basic health promotion standards.
Choice C rationale
This response is judgmental and shaming, which destroys the nurse-client relationship. Discussing abstinence after a client is already sexually active is non-therapeutic and fails to address the immediate clinical need for screening and risk reduction.
Choice D rationale
Linking infection risk strictly to race or background is discriminatory and lacks clinical nuance. While health disparities exist, stereotyping the client based on demographics is unprofessional and fails to address the individual biological risk factors of sexual activity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Differentiating between true and false labor involves assessing physical changes in the reproductive system. Nurses must apply knowledge of cervical effacement and dilation. True labor is defined specifically by progressive changes in the cervix regardless of contraction patterns.
Choice A rationale
Lightening occurs when the fetal head descends into the pelvic inlet, often happening weeks before labor in primigravidas. While it indicates readiness for labor, it does not confirm that active, true labor has actually begun.
Choice B rationale
False labor contractions, or Braxton Hicks, often diminish with activity or position changes. While this assessment provides subjective data about the nature of the discomfort, it is not a definitive diagnostic indicator of true labor.
Choice C rationale
Contraction frequency and intensity can be regular in both true labor and prodromal labor. Relying solely on the timing of contractions is less reliable than physical evidence of cervical progress when diagnosing active labor.
Choice D rationale
The hallmark of true labor is progressive cervical effacement and dilation. Assessing the cervix through a manual exam provides objective evidence that the uterine contractions are effective and that the birthing process is definitively underway.
Correct Answer is A
Explanation
Triage in a clinic setting requires prioritizing clients based on the potential for permanent harm or transmission. Knowledge of infectious disease impacts on fetal development and the urgency of preventing congenital complications is vital for determining the order of care.
Choice A rationale
Syphilis during pregnancy poses an immediate threat to the fetus, including risks of stillbirth, neonatal death, or congenital syphilis. Early treatment with penicillin is critical to prevent vertical transmission and ensure the health of the developing fetus.
Choice B rationale
A painful penile lesion is often a symptom of herpes or chancroid, which requires evaluation and treatment but is not immediately life-threatening. While uncomfortable, this client is stable and does not take priority over the risk to a fetus.
Choice C rationale
Herpes simplex virus is a chronic condition that causes painful outbreaks but is generally managed with antiviral medications in an outpatient setting. It does not present the same level of urgency as an active syphilis infection in pregnancy.
Choice D rationale
Requesting education for the HPV vaccine is a preventive health measure and is classified as non-urgent. This client is stable and can wait until higher-priority cases involving active infections and pregnancy risks have been addressed by the provider..
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