Walkthrough: Health Promotion and Maintenance Q5 – NCLEX-RN®

00:00 The nurse is providing teaching about birth control methods to a group of postpartum women. A client asked about the different barrier methods of birth control. Which statement by the nurse answers this question? Select all that apply. Hey, I hope you're not having that response. We're going to give you really consistent and strong strategies so you're going to be able to raise your scores on these types of questions. Let me show you how you do that but before, what I want you to do is rip apart that question like we always do. So, the nurse is providing teaching about birth control methods to a group of postpartum women. Okay, so you've got the setting. A client asked about the different barrier methods of birth control. So, I'm doing teaching as a nurse, someone asked me about barrier methods of birth control. So you have and thought in your mind what are considered barrier methods. So this is not going to be a pill or we're looking for barrier methods. So, which statement by the nurse answers this question, select all that apply. Okay. So, if I'm teaching birth control to a group of postpartum women, someone asked me about barrier methods so I'm going to look for any statement which answers the questions correctly about barrier methods of birth control. Alright, ready? Let's bring on the question options. Okay, it's just 5. That's kind of nice, isn't it? Because sometimes it can be more than 5 options but think of this as 5 separate questions. So, you know the drill, write down on a piece of scratch paper the numbers 1, 2, 3, 4, and 5. I want you to treat this as 5 separate or individual questions. Ask yourself, I walk through number 1 and then I'll turn you lose on your own. Number 1, is this an appropriate statement about barrier birth control to say "Use condoms if you do not have a latex allergy." Okay, pause the tape, go to work on your own, and we'll come back and go through the question together. Remember, treat each option as a separate question, decide to leave them in or out and say why then move on to the next one. Once you finished all the way through 1, 2, 3, 4, 5, then go back, read one more time, make sure it makes sense and you were consistent. Make sure you ask the same question for each one of those 5 choices. See you in a minute. Welcome back. Alright, let's break this down. So, we're looking about barrier methods of birth control. Number 1, use condoms if you do not have a latex allergy. Well you may think, well that makes sense but if I have a latex allergy can I use condoms? I can, because condoms are not only made of latex. So, eliminate number 1. I know, I can hear you groaning if you got that wrong, if you selected it. So what do you need to do with all that energy? Write yourself a note in your notebook. Not all condoms are made of latex, alright. So, clients with latex allergies can use other forms of condoms.

03:44 That's it. So don't spend time wailing and gnashing and moaning here at this point.

03:49 Just go "Whop, I miss that one. Here's how I can choose to learn from this very question and carry it with me to the next time I take a question or on the NCLEX exam. Second one, female and male condoms are the same except for the size.

04:06 Nope, you definitely want to google that. Most people are very familiar on what a male condom looks like. Right? And sometimes in sex eds in school they would give you a condom and a banana and try and show you how to use that. That's a male condom. A female condom is completely different. Right? A male condom is put on right before sexual intercourse, a female condom can be put on up or put in up to 8 hours before you have intercourse. It's longer, it has a ring on both ends to keep it in place, it has to go in to the vagina. So, no, they are not the same except for the size. So, number 2 is incorrect. Now, and if you haven't seen a female condom, go ahead and google it. Make sure you have a feel for what that looks like and how it's different. Number 3, diaphragms are prescribed and fitted by a healthcare provider. Does that describe a method of barrier birth control? Yup, diaphragms are a method of barrier control. Are they prescribed and fitted by a healthcare provider? Yes, absolutely. And if you have significant changes in your body, gained a lot of weight, lose a lot of weight, that will actually affect the fit. So it has to be fit well in order for it to be effective. So, let's back up a little bit. Was one a barrier method? Yes, talking about condoms but it was incorrect in the last half of the sentence, that's why we had to eliminate it.

05:37 Number 2, talked about barrier methods but the last half of the sentence was incorrect. So be aware, they will likely be parts of this answer choice that are correct, but something in it can turn the whole deal around. Right? Can make it go from "yup, that's a barrier method" to "yes, but that's not correct information.

05:58 So speed is the enemy. You read through this too quickly, you're going to miss those things and get answers that you could get right because you have the knowledge but you just went through it too quickly. Then number 3, we talked about diaphragms are prescribed. Remember they must be fitted by a healthcare provider, check and check. Yes. Number 3 is one that we should select. 1 and 2 were eliminated, number 3 should be selected as correct. Number 4, do not remove a cervical cup immediately after sexual intercourse. So, is the cervical cup a barrier method? Yes. Do you not want to remove it immediately? That is correct. The reason you don't want to remove that is you want to make sure that that barrier stays in place. Okay. So, you want to wait at least 6 hours after the last intercourse to make sure those last remaining sperm will not be able to access the cervix. Because if you're using a cervical cup, the goal is to not get pregnant. So number 4 is also correct. Number 5, sponges already contain spermicides so no need to add more spermicide. Well, sponges, is that a barrier method? Absolutely. Do they contain spermicides? Yes, so do you need more spermicides? No, you don't. So, number 5 is also correct. So if you go back and you look at this answer choice one more time. Does it make sense to eliminate 1? Yes. Does it make sense to eliminate 2? Yes, because they are not the same except for size. Does it make sense to keep in number 3? Yes. What about number 4? Yes. What about number 5? Yes. Now, what do you have to do? Let it go. Right? Don't stay here and wailing and moaning, and wailing in.

07:56 You need to be decisive. If you are thorough, you take your time and you apply logic and reasoning. Once you've done this process, you've gone through all 5 of the answers, you've done the last check, you got to let it go as they say in Frozen, Elsa that. Okay, go on to the next question and this question becomes dead to you. You know what I mean, don't keep thinking about this question.

08:21 You don't have the mental realm available to be worrying about the question you've already answered. You want to answer it in a consistent and systematic way, be confident in what you chose and then it's on to the next question.

08:34 So we'll see you for the next one.