1500 Quiz 5 Practice Questions with Rationales

1. A nurse in a family planning clinic is caring for a 17-year-old female client who is requesting oral contraceptives. The client states that she is nervous because she has never had a pelvic examination. Which of the following responses should the nurse make? a. "What part of the exam makes you most nervous?" i. This therapeutic response recognizes the client's feelings. It also uses the therapeutic technique of clarification to encourage the client to tell the nurse more about her concerns. b. "Don't worry, I will be with you during the exam." i. This closed-ended nontherapeutic response discounts the client's feelings and does not encourage further discussion. c. "All you need to do is relax." i. This closed-ended nontherapeutic response does not address the client's concerns and does not encourage further discussion. It blocks communication by using a cliché and false reassurance. d. "A pelvic exam is required if you want birth control pills." i. This statement fails to address the client’s feelings that she shared with the nurse. It blocks communication and does not encourage further discussion. 2. A nurse is caring for a client who is considering several methods of contraception. Which of the following methods of contraception should the nurse identify as being most reliable? a. A male condom i. This method of contraception has 11 to 16 failures for every 100 users. b. An intrauterine device (IUD) i. An IUD is found to have a failure rate of less than 1 in 100 users, which makes it one of the most reliable methods of contraception. c. An oral contraceptive i. This method of contraception has about 8 failures for every 100 users, due to failure to take pill consistently and decreased efficacy when taken with certain medications. d. A diaphragm with spermicide. i. This method of contraception has about 16 failures for every 100 users during the first year of use. 3. A nurse is caring for an adolescent client who has pelvic inflammatory disease as a consequence of a sexually transmitted infection, and will need intravenous antibiotic therapy. The client tells the nurse, "My parents think I am a virgin. I don't think I can tell them I have this kind of an infection." Which of the following responses should the nurse make? a. "Give your parents a chance; they'll understand." i. This response is nontherapeutic because it offers false reassurance using a cliché and makes a promise that the nurse cannot keep. The nurse does not know if the adolescent's parents will be supportive. b. "If you want me to, I can tell your parents for you." i. This response is nontherapeutic because the nurse is giving advice. It also changes the topic instead of focusing on the issue of the client's fear of telling her parents that she is sexually active. c. "You seem scared to talk to your parents." i. This is an open-ended therapeutic statement that focuses on the adolescent's concern and allows for further exploration of the client's fear of telling her parents that she is sexually active. d. "Your parents will have to be told why you are being admitted." i. This response is nontherapeutic because it changes the subject. The issue is no