The practical nurse (PN) enters an examination room to gather routine health information for a teenage female client who is accompanied by her mother. Which action by the PN is likely to facilitate accurate responses to personal and social history questions?

Use highly structured and directed questions to explore sensitive topics.

Request that the mother leave the exam room.

Allow the client to broach discussion of any sensitive topics.

Include the mother in the interviewing process.

Answer and Explanation

The Correct Answer is B

The action by the PN that is likely to facilitate accurate responses to personal and social history questions is to **request that the mother leave the exam room**. The personal and social history contains many areas of special sensitivity to adolescents including such issues as drug and alcohol use and sexual activity. The teen should provide the personal and social history, not the parent⁴.

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Correct Answer is B

Explanation

Repeated visits to multiple emergency departments for various injuries or complaints can be a red ﬂag for possible child abuse. The other options may indicate other issues or concerns, but they do not provide as much reason to suspect child abuse as the history of repeated visits to diﬀerent emergency departments. It is important for healthcare providers to remain vigilant for signs of child abuse and to report any suspicions to the appropriate authorities.

A. Ask the client if she has been experiencing constipation. B. Suggest that she should avoid citrus fruits when taking the iron. C. Recommend increasing dietary iron-rich foods. D. Explain that she should report stools that are dark green and sticky.

Correct Answer is C

Explanation

Iron supplements are often recommended for pregnant women to prevent or treat anemia and to improve the iron status of both the mother and the baby ¹. During pregnancy, you need 27 milligrams of iron a day ². Iron is also found in some foods, such as meat, beans, and leafy greens ¹. So, it is recommended to increase dietary iron-rich foods.

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The practical nurse (PN) enters an examination room to gather routine health information for a teenage female client who is accompanied by her mother. Which action by the PN is likely to facilitate accurate responses to personal and social history questions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 4-year-old girl is brought to the emergency room with a fractured arm. Which information should be a basis for the practical nurse (PN) to suspect child abuse?

Correct Answer is B

Explanation

A client at 8-weeks gestation has a hemoglobin of 9.5 mg/dl. The healthcare provider prescribes an oral iron supplement. Which information should the practical nurse (PN) provide the client?

Correct Answer is C

Explanation

The practical nurse (PN) is interviewing a middle-aged married male who is being treated for depression and reports an increasing lack of interest in sexual intimacy with his wife. Which information is most important for the PN to obtain?

The practical nurse (PN) notes several nutritional goals in a standardized plan of care used in the antepartum clinic. Which client goal takes priority?

When changing a diaper on a 2-day-old infant, the practical nurse (PN) observes that the baby's legs are ﬂexed with limited abduction. Based on this finding, what action should the PN take next?

The practical nurse (PN) is caring for a client who delivered 6 hours ago. Assessment findings reveal a boggy uterus that is displaced above and to the right of the umbilicus. Which action should the PN take?

A client at 8-weeks gestation presents to the office with a report of vaginal bleeding for the last 12 hours without cramping. Which action should the practical nurse (PN) take?

A 6-year-old female client who was recently diagnosed with type 1 diabetes mellitus (DM) comes to the clinic with anorexia, drowsiness, and polydipsia. Her parents report frequent urination and bedwetting episodes almost nightly. Which action should the practical nurse (PN) take?

A patient is admitted to the postpartum unit one hour after a sterile vaginal delivery of a normal neonate weighing 8 pounds 2 ounces (3.7 kg). When the client's fundus becomes boggy and displaced above the umbilicus, which action should the practical nurse (PN) take first?