Author Question: In discussion with teenagers, the nurse chooses to use the term sexually transmitted infection ... (Read 42 times)

FButt · **on:** Jul 23, 2018

In discussion with teenagers, the nurse chooses to use the term sexually transmitted infection rather than sexually transmitted disease. What is the rationale for this choice?

1. Infection is a much more precise term for the transmission that occurs.
2. The word disease may elicit guilt, shame, and fear in the client.
3. Sexually transmitted disease does not receive as much third-party reimbursement as does sexually transmitted infection.
4. These terms can be used interchangeably and there is no good rationale for using one over the other.

Question 2

The nurse who is teaching a client breast self-examination describes inspection of the breasts before a mirror. Which findings should the nurse tell the client should be evaluated by a health care provider? (Select all that apply.)

1. Puckering of the skin
2. Flattening of the breast from the side view
3. Free movement of the breast over the chest wall
4. Symmetry of the nipples
5. Change in shape

sultansheikh · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale: The term sexually transmitted disease can elicit guilt, shame, and fear in the client. Substituting the term infection for disease makes the diagnosis less threatening and makes it sound more treatable. Third-party reimbursement is not a reason for choice of terms in this instance. The preciseness of the term is not an issue.

Answer to Question 2

Correct Answer: 1,2,5
Rationale: The client should be taught to observe for change in size or shape, lumps or thickenings, rashes or skin irritations, dimpled or puckered skin, and discharge or change in nipples. The nipples should be symmetrical and the breasts should have free movement over the chest wall.