Question 1

The nurse is working with a community center to identify adolescents who are at high risk for teenage pregnancy. Which group does the nurse recognize as fitting into this description?&#10;A) Clients who live with nonbiological guardians.&#10;B) Clients who perform well in school.&#10;C) Clients who are American.&#10;D) Clients who have teenage parents.

Accepted Answer

Adolescents who are at high risk for teenage pregnancy include those who are in care or are leaving care, the homeless, those underachieving at school, those with teenage parents, those who are members of specific ethnic groups, and those involved in crime or living in areas of higher social deprivation.

Question 2

Which does the nurse recognize as a goal of Healthy People 2020, in relation to teenage pregnancy?&#10;A) Encourage parents to be more involved with their children.&#10;B) Improve health in all social groups.&#10;C) Make college more affordable for all ethnic groups.&#10;D) Create better access to policy makers

Accepted Answer

Healthy People 2020 aims to increase the overall health of all social groups and to eliminate health disparities.

Question 3

What action can the nurse take to encourage younger clients to seek medical care?&#10;A) Involve parents in all healthcare needs.&#10;B) Provide free services for minors.&#10;C) Open a clinic along a bus route&#10;D) Keep clinic hours consistent with normal business hours

Accepted Answer

To make young people believe their sexual health matters, attention to a youth-friendly environment matters. Inconvenient clinic hours, lack of transportation, and fear of a lack of confidentiality are obstacles to accessing services.

Question 4

The nurse is working in a clinic that serves the sexual health needs of a community. Which action shows the nurse functioning as an advocate?&#10;A) Participating in an interview about sexual health&#10;B) Updating the policies within the clinic&#10;C) Scheduling follow up appointments for at risk youth&#10;D) Performing preventative screenings

Accepted Answer

The nurse functions as an advocate by contributing to sexual health policy making or participating in an interview about sexual health.

Question 5

The nurse is assessing a client who is requesting birth control pills. Which finding would contraindicate starting the client on combined hormone contraception?&#10;A) Obesity&#10;B) Under the age of 18&#10;C) Low blood pressure&#10;D) Recurrent ear infections

Accepted Answer

Obesity or focal migraines are frequent contraindications in young people to starting combined hormonal contraception. Progesterone-only pills may be recommended in these cases.

Question 6

Which has been recorded as a short-term adverse side effect of male hormonal contraception?&#10;A) Weight loss&#10;B) Increased need for sleep&#10;C) Enlarged testes size&#10;D) Altered mood

Accepted Answer

Studies have shown that males experience a variety of short-term, adverse side effects from hormonal contraception, including weight gain, sleep disturbances, reduced size of testes, and altered mood.

Question 7

What action should the nurse take first to help educate a client with a learning disability?&#10;A) Give the client general reading materials to take home&#10;B) Suggest that the client get help from a qualified educator&#10;C) Assess what the client's disabilities are&#10;D) Ask the client to bring someone as an advocate at the next appointment

Accepted Answer

The nurse should first assess the client's disabilities, and then a plan of action can be taken.

Question 8

The nurse is reviewing medications with a client with depression. The client reports taking St. John's wort. What does the nurse expect to assess?&#10;A) Estrogen and progesterone levels&#10;B) CBC and WBC&#10;C) Fasting glucose&#10;D) Serum albumin

Accepted Answer

St. John's wort is known to interfere with the absorption of estrogen and progesterone levels. The nurse would expect to assess this.

Question 9

What education should the nurse provide to an epileptic client who is interested in contraceptives?&#10;A) Hormonal contraceptives may increase seizure frequency.&#10;B) Anti-epileptic medications prevent hormonal contraceptives from working.&#10;C) Hormonal contraceptives can lead to hypotension in the epileptic client.&#10;D) Use of anti-epileptic medications and hormonal contraceptives can lead to heart attack

Accepted Answer

The use of certain anti-seizure medications along with contraceptives may increase frequency of seizures.

Question 10

The nurse is working with an obese client who is interested in discussing birth control options. What caution should the nurse explain to the client?&#10;A) The client has a higher risk of sterilization with use of contraceptives.&#10;B) The client may experience greater side effects from contraception.&#10;C) The client's weight may reduce the effectiveness of certain contraceptive methods.&#10;D) The client may suffer from seizures as a result of contraceptive use.

Accepted Answer

The nurse should explain to the client, that obesity may cause certain contraceptives to be ineffective against pregnancy, such as the birth control pill.

Deck 11: Identifying Special Client Groups With Recommended Screening Services and Referral Systems