Which questionnaire would be best for the nurse to use when screening an adolescent client for an eating disorder?

Correct Answer: C

Rationale: The correct answer is C) SCOFF screening tool. This tool is specifically designed to screen for eating disorders, making it the most appropriate choice for screening an adolescent client for this issue. The SCOFF tool is a brief, validated questionnaire that assesses key symptoms and behaviors associated with eating disorders, such as anorexia nervosa and bulimia nervosa. Option A) Four Cs and Option B) Dietary Guidelines for America are not appropriate for screening for eating disorders. The Four Cs refer to color, clarity, carat, and cut in the context of evaluating diamonds, not for assessing eating disorders. The Dietary Guidelines for America are recommendations for healthy eating habits and do not serve as a screening tool for eating disorders. Option D) Dual-energy x-ray absorptiometry (DEXA) scan is a diagnostic tool used to measure bone mineral density, primarily for osteoporosis screening, not for assessing eating disorders. It is not a suitable screening tool for identifying eating disorder behaviors and symptoms in adolescents. In an educational context, it is crucial for nurses working with adolescent clients to be equipped with appropriate screening tools to identify potential eating disorders early on. Using validated tools like the SCOFF screening tool can help nurses initiate timely interventions and support for adolescents struggling with eating disorders, ultimately promoting better health outcomes.

Correct Answer: B

Rationale: The correct answer is B) "I will examine my breasts 1 week after my menstrual period starts" because performing a breast self-exam (BSE) at this time helps minimize discomfort due to hormonal changes and breast tenderness associated with the menstrual cycle. Educating clients to conduct BSE after their period also ensures a consistent time each month for comparison. This timing increases the likelihood of detecting changes in breast tissue. Option A is incorrect because examining both breasts in two different positions is a vague statement that does not specifically indicate understanding of the proper technique for BSE. Option C is incorrect as it suggests only examining a limited area of the breast, which is not thorough enough for early detection of abnormalities. Option D is incorrect because using the palm of the hand is not the recommended technique for performing a BSE; using the fingertips pads allows for better detection of lumps or changes in breast tissue. In an educational context, it is crucial for nurses to teach clients the correct timing and technique for conducting a BSE to empower women to take charge of their breast health. By emphasizing the importance of regular self-exams and providing clear instructions, nurses can help promote early detection of breast abnormalities and ultimately improve health outcomes for their clients.

Correct Answer: C

Rationale: The correct answer is C) Male dominance and coercive control over women. The feminist perspective on violence against women emphasizes the role of power dynamics and gender inequality in perpetuating such violence. This perspective views violence as a tool used by men to maintain dominance and control over women, rather than attributing it to biological factors like testosterone (option A) or instinctual drives (option B). In an educational context, understanding the feminist perspective is crucial for healthcare professionals, especially in maternal newborn nursing, as it helps them recognize and address the social and cultural factors that contribute to violence against women. By acknowledging the influence of male dominance and coercive control, nurses can provide more effective support and care to victims of violence and work towards promoting gender equality and empowerment. It also highlights the importance of advocating for policies and practices that aim to prevent and respond to violence against women from a feminist lens.

Correct Answer: C

Rationale: In the context of maternal newborn nursing, addressing the needs of a sexual abuse survivor is crucial for providing holistic care. The correct answer, C) Listening and encouraging therapeutic communication skills, is the most appropriate initial intervention. By actively listening and fostering therapeutic communication, the nurse can create a safe and supportive environment for the woman to express her feelings and concerns. Option A) Initiating a referral to an expert counselor may be necessary at some point, but it should not be the initial step as the woman may not be ready or willing to engage with a counselor right away. Setting limits on what the client discloses, as in option B, can hinder the woman's ability to trust the nurse and may further exacerbate feelings of shame and isolation. Option D) Acknowledging the nurse's discomfort to the client is not appropriate as it shifts the focus from the woman's needs to the nurse's comfort level, potentially causing further distress to the survivor. By using therapeutic communication skills, the nurse can validate the woman's experiences, build trust, and lay the foundation for further support and appropriate referrals, ultimately facilitating the woman's care effectively in this sensitive situation.

Correct Answer: B

Rationale: In the context of maternal newborn nursing, understanding the risks associated with pregnancy is crucial for providing optimal care to pregnant clients. The correct answer to this question is B) IPV (Intimate Partner Violence). IPV poses a significant risk to pregnant women due to its potential adverse effects on both the mother and the developing fetus. Intimate Partner Violence can lead to physical injuries, emotional trauma, and even death for the pregnant woman. It can also result in poor pregnancy outcomes such as preterm birth, low birth weight, and increased maternal stress. Furthermore, IPV can continue postpartum, affecting the mother's ability to care for herself and her newborn. While conditions like preeclampsia, diabetes, and abnormal Pap tests are important considerations in maternal health, they do not pose as immediate and direct a risk to the pregnant client as IPV does. Preeclampsia and diabetes can be managed through appropriate prenatal care, while an abnormal Pap test may indicate a potential issue that can be addressed postpartum. Educationally, this question highlights the importance of recognizing non-medical risks that pregnant clients may face. Nurses need to be vigilant in assessing for signs of IPV and providing support, resources, and appropriate interventions to ensure the safety and well-being of both the mother and the unborn child. Understanding these social determinants of health is vital in delivering holistic and comprehensive care to pregnant individuals.