The Nurse’s Role in Providing Care

Every question here, with the answer

1. A patient states that they fear pregnancy and want contraception information, but some methods conflict with their religious beliefs. Which nursing response best reflects the nurse’s role as an educator?

   1. Refer the patient elsewhere without first addressing their questions.
   2. Provide accurate, understandable contraception information while respecting the patient’s beliefs and preferences.
   3. Avoid discussing contraception because sexual health topics are too personal.
   4. Tell the patient which method the nurse personally believes is best.

   Answer: Provide accurate, understandable contraception information while respecting the patient’s beliefs and preferences.

   The nurse should educate the patient with accurate information and support while creating a safe, nonjudgmental environment. The other options either impose the nurse’s values, avoid the educator role, or fail to address the patient’s immediate concerns.

2. A patient says, 'I use contraception, so I do not need to think about condoms or STI prevention.' Which teaching by the nurse is most appropriate?

   1. STI prevention should be discussed only after an infection is diagnosed.
   2. Limiting sexual partners or using appropriate protection such as condoms can decrease STI risk.
   3. STIs are only a concern when symptoms are severe.
   4. Contraception eliminates the need for STI prevention education.

   Answer: Limiting sexual partners or using appropriate protection such as condoms can decrease STI risk.

   The section identifies limiting sexual partners and using appropriate protection such as condoms as safe sex practices that decrease STI risk. The other responses minimize prevention, ignore asymptomatic infections, or delay education until after a problem occurs.

3. A nurse feels uncomfortable discussing a patient’s sexual health concern because of personal beliefs. Which actions demonstrate appropriate self-awareness? Select all that apply.

   1. Acknowledge and manage emotional discomfort so it does not interfere with supportive care.
   2. Explain the nurse’s personal values so the patient can understand the nurse’s viewpoint.
   3. Avoid sexual health teaching whenever the nurse feels uncomfortable.
   4. Maintain appropriate professional boundaries when discussing sensitive sexual health issues.
   5. Reflect on personal attitudes, beliefs, and biases regarding sexuality.

   Answer: Acknowledge and manage emotional discomfort so it does not interfere with supportive care., Maintain appropriate professional boundaries when discussing sensitive sexual health issues., Reflect on personal attitudes, beliefs, and biases regarding sexuality.

   Self-awareness requires reflection on biases, management of emotional reactions, and maintenance of professional boundaries. Sharing personal values or avoiding the topic can interfere with nonjudgmental, patient-centered care.

4. An older adult patient tells the nurse that a caregiver forced unwanted sexual touching and begs the nurse not to tell anyone. Which action is required by the nurse’s role as a mandatory reporter?

   1. Promise not to report unless the patient decides to press charges.
   2. Report the suspected mistreatment or abuse to the proper authorities.
   3. Avoid asking further questions because sexual assault violates criminal laws.
   4. Document the statement but wait to see whether physical injuries appear.

   Answer: Report the suspected mistreatment or abuse to the proper authorities.

   Older adults are identified as an at-risk population, and nurses are mandatory reporters. The nurse cannot promise secrecy or delay reporting suspected abuse; documentation alone does not meet the reporting requirement.