Answer to Question 1
Correct Answer: 1
Rationale 1: Teens have the highest incidence of sexually transmitted infections, especially Chlamydia. A patient not using contraceptives is not using condoms, which decrease the risk of contracting a STI.
Rationale 2: Dyspareunia sometimes develops with Chlamydia infection, but dyspareunia is not a symptom specific to Chlamydia.
Rationale 3: There is no correlation between oral contraceptive use and an increased rate of Chlamydia infection. Additionally, Chlamydia is more commonly seen in young women
Rationale 4: This patient is experiencing signs of menopause, not Chlamydia infection.
Answer to Question 2
Correct Answer: 1,4
Rationale 1: Infertility is often stressful on a marriage, as a result of the need to schedule intercourse and pay for treatments and the societal expectation to have children.
Rationale 2: Some infertility cannot be explained, despite extensive treatments.
Rationale 3: Insurance often does not pay for infertility treatment.
Rationale 4: Communication is important to help cope with stress. A nurse should always encourage patients to ask questions.
Rationale 5: A common myth is that taking a vacation or just relaxing will result in conception.
Developing a two part nursing diagnostic label
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