Chapter 03 Common Concerns

Chapter 03  Common Concerns

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. When assessing the patient for amenorrhea, the nurse should be aware that this may be caused by all conditions except:
a.
Anatomic abnormalities.
b.
Type 1 diabetes mellitus.
c.
Lack of exercise.
d.
Hysterectomy.

ANS: C

Feedback
A
Anatomic abnormalities are a possible cause of amenorrhea.
B
Type 1 diabetes is a possible cause of amenorrhea.
C
Lack of exercise is not a cause of amenorrhea. Strenuous exercise may cause amenorrhea.
D
Hysterectomy is a possible cause of amenorrhea.

DIF: Cognitive Level: Comprehension REF: 61
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Assessment

2. The nurse who is teaching a group of women about breast cancer would tell the women that:
a.
Risk factors identify more than 50% of women who will develop breast cancer.
b.
Nearly 90% of lumps found by women are malignant.
c.
One in ten women in the United States will develop breast cancer in her lifetime.
d.
The exact cause of breast cancer is unknown.

ANS: D

Feedback
A
Risk factors help to identify fewer than 30% of women in whom breast cancer eventually will develop.
B
Women detect about 90% of all breast lumps. Of this 90%, only 20% to 25% are malignant.
C
One in eight women in the United States will develop breast cancer in her lifetime.
D
The exact cause of breast cancer in unknown.

DIF: Cognitive Level: Comprehension REF: 87
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Assessment

3. When a nurse is counseling a woman for primary dysmenorrhea, which nonpharmacologic intervention would most likely be recommended?
a.
Increasing the intake of red meat and simple carbohydrates
b.
Reducing the intake of diuretic foods such as peaches and asparagus
c.
Temporarily substituting physical activity for a sedentary lifestyle
d.
Using a heating pad on the abdomen to relieve cramping

ANS: D

Feedback
A
Dietary changes such as eating less red meat may be recommended for women experiencing dysmenorrhea.
B
Increasing the intake of diuretics, including natural diuretics such as asparagus, cranberry juice, peaches, parsley, and watermelon, may help ease the symptoms associated with dysmenorrhea.
C
Exercise has been found to help relieve menstrual discomfort through increased vasodilation and subsequent decreased ischemia.
D
Heat minimizes cramping by increasing vasodilation and muscle relaxation and minimizing uterine ischemia.

DIF: Cognitive Level: Analysis REF: 63
OBJ: Client Needs: Physiologic Integrity TOP: Nursing Process: Planning

4. An essential component of counseling women regarding safe sex practices includes discussion regarding avoiding the exchange of body fluids. The physical barrier promoted for the prevention of sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) is the condom. Nurses can help motivate patients to use condoms by initiating a discussion related to a number of aspects of condom use. The most important of these is:
a.
Strategies to enhance condom use.
b.
Choice of colors and special features.
c.
Leaving the decision up to the male partner.
d.
Places to safely carry condoms.

ANS: A

Feedback
A
When the nurse opens discussion on safe sex practices, it gives the woman permission to clear up any concerns or misapprehensions that she may have regarding condom use. The nurse can also suggest ways that the woman can enhance her condom negotiation and communications skills. These include role-playing, rehearsal, cultural barriers, and situations that put the woman at risk.
B
Although women can be taught the differences among condoms such as size ranges, where to purchase, and price, this is not as important as negotiating the use of safe sex practices.
C
Women must address the issue of condom use with every sexual contact. Some men need time to think about this. If they appear reluctant, the woman may want to reconsider the relationship.
D
Although not ideal, women may safely choose to carry condoms in shoes, wallets, or inside their bra. They should be taught to keep the condom away from heat. This information is important; however, it is not germane if the woman cannot even discuss strategies on how to enhance condom use.

DIF: Cognitive Level: Analysis REF: 72
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Planning

5. A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months. These symptoms are most likely related to:
a.
Endometriosis.
b.
PMS.
c.
Primary dysmenorrhea.
d.
Secondary dysmenorrhea.

ANS: A

Feedback
A
Symptoms of endometriosis can change over time and may not reflect the extent of the disease. Major symptoms include dysmenorrhea and deep pelvic dyspareunia (painful intercourse). Impaired fertility may result from adhesions caused by endometriosis.
B
Endometriosis is not a cause of PMS.
C
Although endometriosis may be associated with secondary dysmenorrhea, it is not a cause of primary dysmenorrhea.
D
Although endometriosis may be associated with secondary dysmenorrhea, this woman is complaining of dyspareunia and infertility.

DIF: Cognitive Level: Comprehension REF: 66, 67
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Assessment