Evolve - STI, Sexuality, Reproduction, Alzheimer's/Dementia/Delirium

A nurse is interviewing a client with the diagnosis of dementia of the Alzheimer type. What question should the nurse ask to assess the client's orientation to place?

"WHERE ARE YOU?" RATIONALE: "Where are you?" is the best question with which to elicit information about the client's orientation to place, because it encourages a response that can be assessed. Asking who brought the client focuses on recent memory; it does not assess orientation to place. "Do you know where you are?" can be answered yes or no and will not objectively reveal the client's orientation. "How long have you been here?" focuses on orientation to time, not place.

Which Food and Drug Administration pregnancy risk category do drugs that have not undergone any studies in animal and pregnant women belong to?

1 - Category B 2- Category C --CORRECT 3 -Category D 4 - Category X Rationale: Category C constitutes drugs on which no studies have been done. It also constitutes the drugs that have shown positive fetal risks in animal studies but with no studies conducted in humans. Category X constitutes drugs that have shown risks of fetal abnormalities in both animal and human studies. Category B constitutes drugs that show no fetal risk in animals; these drugs have not been involved in controlled studies in humans. Category D constitutes drugs that show a fetal risk in human studies but cannot be prohibited because of the safety of use.

Which sexually transmitted disease is caused by the human papilloma virus?

1 - Gonorrhea 2 - Genital herpes 3- Chlamydia infection 4- Condylomata acuminata (GENITAL WARTS)-CORRECT #4

An older client is admitted to the hospital with the diagnosis of dementia of the Alzheimer type and depression. Which signs of depression does the nurse identify? Select all that apply.

1 - Loss of memory 2 - Increased appetite 3 - Neglect of personal hygiene -CORRECT 4 - "I don't know" answers to questions - CORRECT 5 - "I can't remember" answers to questions - CORRECT

A nurse is teaching a client and family about the characteristics of dementia of the Alzheimer type. What physiologic characteristic should the nurse include?

1 - Periodic exacerbation 2 - Aggressive acting-out behavior 3 - Hypoxia of selected areas of brain tissue 4 - Areas of brain destruction called senile plaques -CORRECT #4

A pregnant woman continues consuming alcohol during pregnancy. Which teratogenic effects might be seen in the fetus or neonate? Select all that apply.

1 - Stillbirth -CORRECT 2 - Ebstein anomaly 3 - Neural tube defects 4 - Spontaneous abortion-CORRECT 5 - Intellectual disabilities -CORRECT Rationale: Prolonged fetal exposure to alcohol may cause a stillbirth. A spontaneous abortion may occur if the pregnant woman consumes alcohol in excess amounts. Intellectual disabilities may be seen in the neonate if it is exposed to alcohol in the fetal stage. Ebstein anomaly is caused by lithium exposure during pregnancy. Neural tube defects may be due to exposure to antiseizure drugs during pregnancy.

How should a nurse respond to parents who are concerned about separation anxiety in their 15-month-old toddler?

1. "This is an expected developmental reaction." -CORRECT #1 2. "You may be spending too much time with your child." 3. "It might be helpful to leave your child with someone once in a while." 4. "Toddlers who have separation anxiety may have difficulty when they start school."

In order to implement primary prevention of STIs (sexually transmitted infections) a nurse is counseling an adolescent. What would be the priority nursing action?

1. Help the adolescent recognize the risk. 2. Educate the adolescent about proper preventive measures. 3. Provide complete information about STIs. 4.Assess the adolescent's sexual risk behaviors -CORRECT #4

An older client is admitted to the hospital with the diagnosis of dementia of the Alzheimer type and depression. Which signs of depression does the nurse identify? Select all that apply.

Neglect of personal hygiene "I don't know" answers to questions "I can't remember" answers to questions Rationale: Neglect of personal hygiene is associated with depression because of low self-esteem. People who are depressed do not have physical or emotional energy; "I don't know" and "I can't remember" answers require little thought or decision-making. Depression does not cause memory deficits. A typical symptom of depression is loss of interest in food.