In a college health course, the question arose as to when a woman ...

[ishan]

In a college health course, the question arose as to when a woman needs to see her health care provider for a Pap smear. Which of the following would be the most appropriate response by the nurse?
 
  a. After you begin having intercourse or reach age 21, whichever is sooner
  b. Before having sexual intercourse, when you go to obtain your birth control
  c. If your periods change at all, go to see your health care provider.
  d. If you have a vaginal discharge that's unusual, go right in for a Pap smear.

Question 2

Which of the following best explains why all family members should want their aged relatives to have a living will?
 
  a. To confirm that the attorney is serving as guardian and family members do not have to be responsible
  b. To fulfill the federal Patient Self-Determination Act requirements
  c. To help family members know what their loved one does or does not want if he or she becomes incapacitated
  d. To keep physicians from writing a do-not-resuscitate order

[guyanai]

Answer to Question 1

ANS: A
Current guidelines recommend cervical cancer screening to begin approximately 3 years after a woman begins having vaginal intercourse, but no later than 21 years of age. So it will be important for the woman to have a Pap smear after beginning to have intercourse, or by the age of 21. It is not necessary to obtain a Pap smear before having sexual intercourse. A Pap smear may not be necessary for a change in periods or unusual vaginal discharge, these may be signs of other problems that will not be diagnosed through a Pap smear.

Answer to Question 2

ANS: C
Living wills are legal documents whose purpose is to allow individuals to specify what type of medical treatment they would or would not want if they became incapacitated or had an irreversible terminal illness. Living wills can direct physicians to withhold life-sustaining procedures and can assist family members in making decisions when they are unable to consult a comatose or medically incompetent relative. The purpose of a living will is not to appoint an attorney as a guardian. The Patient Self-Determination Act requires health care facilities that receive Medicare and Medicaid funds to ask patients on admission if they possess an advance directive; it does not require that patients complete

[ishan]

Excellent

[alvinum]

Gracias!