Chapter 56 Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13Th Edition

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Chapter 56  Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13Th Edition

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

1. A school nurse is presenting information on human development and sexuality. When describing the role of hormones in sexual development, which hormone does the nurse teach the class is the most important one for developing and maintaining the female reproductive organs?

A)  Estrogen
B)  Progesterone
C)  Androgens
D)  Follicle-stimulating hormone
Ans: A

Feedback:

Estrogens are responsible for developing and maintaining the female reproductive organs. Progesterone is the most important hormone for conditioning the endometrium in preparation for implantation of the fertilized ovum. Androgens, secreted by the ovaries in small amounts, are involved in the early development of the follicle and affect the female libido. Follicle-stimulating hormone is responsible for stimulating the ovaries to secrete estrogen.

2. The nurse is taking the sexual history of an adolescent who has come into the free clinic. What question best assesses the patient’s need for further information?

A)  “Are you involved in an intimate relationship at this time?”
B)  “How many sexual partners have you had?”
C)  “What questions or concerns do you have about your sexual health?”
D)  “Have you ever been diagnosed with a sexually transmitted infection?”
Ans: C

Feedback:

An open-ended question related to the patient’s need for further information should be included while obtaining a sexual history. None of the other listed questions are open- ended.

3. The nurse is being trained to perform assessment screenings for abuse on patients who come into the walk-in clinic where the nurse works. Which of the following assessment questions is most appropriate?

A)  “Would you describe your relationship as healthy and functional?”
B)  “Have you ever been forced into sexual activity?”
C)  “Do you make your husband uncontrollably angry?”
D)  “How is conflict usually handled in your home?”
Ans: B

Feedback:

Asking about abuse directly is effective in identifying the presence of abuse and should be included in the health history of all women. Oblique questions that relate to the character of the relationship or conflict resolution are less useful clinically. Asking about making a partner angry is not an appropriate way to screen for family violence because it does not directly address the problem.
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4. A premenopausal patient is complaining of vaginal spotting and sharp, colicky lower abdominal pain. She informs the nurse that her period is 2 weeks late. The nurse should recognize a need for this patient to be investigated for what health problem?

A)  Trichomonas vaginalis
B)  Ectopic pregnancy
C)  Cervical cancer
D)  Fibromyalgia
Ans: B

Feedback:

Clinical symptoms of an ectopic pregnancy include delay in menstruation of 1 to 2 weeks, vaginal spotting, and sharp, colicky pain. Trichomonas vaginalis causes a vaginal infection. Cervical cancer and fibromyalgia do not affect menstruation.

5. A female patient who has cognitive and physical disabilities has come into the clinic for a routine check-up. When planning this patient’s assessment, what action should the nurse take?

A)  Ensure that a chaperone is available to be present during the assessment.
B)  Limit the length and scope of the health assessment.
C)  Avoid health promotion or disease prevention education.
D)  Avoid equating the patient with her disabilities.
Ans: D

Feedback:

When working with women who have disabilities, it is important that the nurse avoid equating the woman with her disability; the nurse must make an effort to understand that the patient and the disability are not synonymous. A chaperone is not necessarily required and there may or may not be a need to abbreviate the assessment. The nurse should provide education as needed.

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