Author Question: The clinic nurse talks with a patient about her possible pregnancy. The patient has experienced ... (Read 55 times)

bio_gurl · **on:** Jun 28, 2018

The clinic nurse talks with a patient about her possible pregnancy. The patient has experienced amenorrhea for 2 months, nausea during the day with vomiting every other morning, and breast tenderness.

She is convinced she is pregnant and is reluctant to pay for a pregnancy test. Which action by the nurse is best?

A.
Agree that these signs usually signal pregnancy so no test is needed.
B.
Delete the order for the pregnancy test and inform the provider.
C.
Explain that these symptoms can be caused by other conditions.
D.
Inform the woman that this is standard procedure and must be done.

Question 2

The nurse includes screening for intimate partner violence in the first prenatal visit for all patients. Which of the following is an appropriate question for the nurse to ask?

A.
I need to ask you, do you feel safe from abuse right now?
B.
Is your partner threatening or harming you in any way right now?
C.
This is something we ask everyone: Do you have any abuse in your life right now?
D.
We ask everyone this: Do you feel safe in your living environment and relationships?

olderstudent · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Presumptive signs of pregnancy are those subjectively reported symptoms that could be caused by another condition and include amenorrhea, nausea and vomiting, frequent urination, breast tenderness, perception of fetal movement, skin changes, and fatigue. The nurse should explain this and encourage the woman to have the pregnancy test. Simply telling the woman this is standard procedure does not educate her to make an informed decision.

Answer to Question 2

ANS: D
Intimate partner violence is a difficult subject to discuss and the nurse may fear insulting or psychologically hurting the patient more. A nonthreatening approach is to ask patients directly whether they feel safe going home and whether they have been hurt physically, emotionally, or sexually by a past or present partner.