A 68-year-old female asks the nurse if a contraceptive is still ...

[TFauchery]

A 68-year-old female asks the nurse if a contraceptive is still necessary. What is the best response by the nurse?
 
  a. A barrier such as a condom is recommended if you are unsure whether your sexual partners have been tested for STIs.
  b. No, because you have gone through menopause and can no longer become pregnant.
  c. Let's discuss this further, what is your current level of sexual activity?
  d. Yes, as long as using a barrier does not decrease sexual performance.

Question 2

A nurse developed the following discharge summary sheet. Which critical information should be added? TOPIC DISCHARGE SUMMARY Medication Diet Activity level Follow-up care Wound care Phone numbers When to call the doctor Time of
 
  discharge a. Kardex form
  b. Admission nursing history
  c. Mode of transportation
  d. SOAP notes

[stanleka1]

Answer to Question 1

C
The nurse should first assess the patient's risk for contracting an STI. If the patient has been in a monogamous relationship, and both parties are STI free, there is no need for a barrier. However, even though a patient has gone through menopause, there is still risk for an STI. The best way for a nurse to be sensitive to a patient's needs is to find out more about the patient. Discussing sexual performance in relation to using a barrier method does not answer the patient's question.

Answer to Question 2

C
List actual time of discharge, mode of transportation, and who accompanied the patient for discharge summary information. In some settings, a Kardex, a portable flip-over file or notebook, is kept at the nurses' station. A Kardex is for nurses, not for patients to take upon discharge. A nurse completes a nursing history form when a patient is admitted to a nursing unit, not when the patient is discharged. SOAP notes are not given to patients who are being discharged. SOAP notes are a type of documentation style.

[TFauchery]

Excellent

[ktidd]

TYSM