Gina, a 37-year-old client, discovered a “bump” in her vaginal introitus a few days ago. She says that it is small and painless, but she was concerned and decided to have it checked out. After conducting a vaginal examination, the nurse determines that the condition is a Bartholin duct cyst. At this point, the cyst is mild. What are the two best interventions that the NP should advise in response to this finding? (Select all that apply.)

When considering offering HIV testing to clients, the nurse should keep which of the three following in mind?

Rachel is a talkative, open 13-year-old who is in for a physical exam today by herself. In talking with Rachel, the clinician should recognize which of the following three as characteristics typical of this stage of development? (Select all that apply.)

The nurse is reviewing contraception options for Olivia, a 37-year-old client who gave birth 3 weeks ago. Olivia is interested in trying a combined oral contraceptive (COC) but is not sure whether it would be safe for her. Which three of the following would be contraindications for Olivia beginning COCs now, given her situation? (Select all that apply.)

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A test consisting of 25 multiple-choice questions with 5 answer choices for each question is administered. For each question, there is only 1 correct answer.  (a) Let X be the number of correct answers if a student guesses randomly from the 5 choices for each of the 25 questions. What is the probability distribution of X ? (give all relevant parameters for the distribution as well as the distribution type)   This test, like many multiple-choice tests, is scored using a penalty for guessing. The test score is determined by awarding 1 point for each question answered correctly, deducting 0.25 point for each question answered incorrectly, and ignoring any question that is omitted. That is, the test score is calculated using the following formula: Score = (1 * number of correct answers) – (0.25 * number of incorrect answers) + (0 * number of omits)  For example, the score for a student who answers 17 questions correctly, answers 3 questions incorrectly, and omits 5 questions is Score =( 1 * 17) – (0.25 * 3) + ( 0 * 5) = 16.25 b) Suppose a student knows the correct answers for 18 questions, answers those 18 questions correctly, and chooses randomly from the 5 choices for each of the other 7 questions. Show that the expected value of the student’s score is 18 when using the scoring formula above.    (c) A score of at least 20 is needed to pass the test. Suppose a student knows the correct answers for 18 questions, answers those 18 questions correctly, and chooses randomly from the 5 choices for each of the other 7 questions. What is the probability that the student will pass the test?