Ch49 Women’s Repro & Breast Disorders Complete Test Bank - Medical Surgical Nursing 7e | Test Bank by LeMone, Burke, Bauldoff by LeMone, Burke, Gerene Bauldoff. DOCX document preview.
LeMone & Burke's Medical-Surgical Nursing, 7e (Bauldoff/Gubrud/Carno)
Chapter 49 Nursing Care of Women with Reproductive System and Breast Disorders
1) A female patient is concerned that a personal relationship will end because of a loss of interest in sex. Which would be an appropriate response for the nurse to make to this patient?
1. "I'm sure it's nothing and will go away in time."
2. "There are other activities you and your partner can do together."
3. "Sex isn't that important in a relationship anyway."
4. "Let's talk more about how you are feeling right now."
Page Ref: 1791
Cognitive Level: Applying
Client Need & Sub: Psychosocial Integrity: Therapeutic Communication
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.4. Communicate effectively with all members of the healthcare team, including the patient and the patient's support network | NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 49.1 Describe the pathophysiology and manifestations of disorders of female sexual function, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for women with reproductive system and breast disorders.
2) A middle-aged female patient reports constant anxiety, inability to sleep, and headaches. Which health problem should the nurse suspect this patient is experiencing?
1. Amenorrhea
2. Perimenopause
3. Postmenopause
4. Dysmenorrhea
Page Ref: 1798
Cognitive Level: Analyzing
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 49.3 Describe the pathophysiology and manifestations of perimenopause, and outline the interprofessional care and nursing care of patients with this condition.
MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for women with reproductive system and breast disorders.
3) A female patient who is experiencing menopause is "tired of the night sweats." What should the nurse suggest to help this patient?
1. Ensure that the bedroom temperature is cool, and limit sleeping attire.
2. Reduce intake of milk and milk products.
3. Talk with the physician about a hysterectomy.
4. Exercise 1 hour before going to sleep.
Page Ref: 1800
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Self-Care
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 49.3 Describe the pathophysiology and manifestations of perimenopause, and outline the interprofessional care and nursing care of patients with this condition.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for women with reproductive system and breast disorders.
4) A female patient is experiencing increasing premenstrual symptoms over the past few years and thinks "something must be wrong." What should the nurse suspect is occurring with this patient?
1. Early menopausal symptoms
2. Premenstrual dysphoric disorder
3. Interpersonal relationship difficulties
4. Normal pattern of premenstrual syndrome
Page Ref: 1791
Cognitive Level: Analyzing
Client Need & Sub: Health Promotion and Maintenance: Techniques of Physical Assessment
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 49.2 Describe the pathophysiology and manifestations of menstrual disorders, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for women with reproductive system and breast disorders.
5) The nurse is assisting a patient with ways to reduce the severity of the monthly discomfort associated with premenstrual syndrome. What information should the nurse review with this patient? Select all that apply.
1. Apply ice packs to the lower abdominal region.
2. Practice abdominal breathing.
3. Balance exercise with rest.
4. Increase sodium intake.
5. Restrict caffeine intake.
Page Ref: 1791, 1793
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Basic Care and Comfort
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 49.2 Describe the pathophysiology and manifestations of menstrual disorders, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for women with reproductive system and breast disorders.
6) A patient is scheduled for an endometrial ablation for extreme uterine bleeding. Which patient statement indicates understanding of the long-term effects of this treatment?
1. "My future menstrual cycles will be normal."
2. "My menstrual cycles will be irregular from now on."
3. "I will stop menstruating and I can't get pregnant now."
4. "I will need hormone replacement therapy to regulate my menstrual cycles."
Page Ref: 1796
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.9. Monitor client outcomes to evaluate the effectiveness of psychobiological interventions | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Evaluation/Teaching/Learning
Learning Outcome: 49.2 Describe the pathophysiology and manifestations of menstrual disorders, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 2. Consider intraprofessional care for women with reproductive system and breast disorders.
7) A patient is diagnosed with uterine prolapse into the vagina. Which factor should the nurse consider that likely contributed to this disorder?
1. Multiple pregnancies
2. Endometriosis
3. Pelvic inflammatory disease
4. Cervical tumor
Page Ref: 1801
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 49.4 Describe the pathophysiology and manifestations of structural disorders of the female reproductive system, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for women with reproductive system and breast disorders.
8) A female patient is diagnosed with "chocolate" cysts. Which should the nurse consider as the reason for these cysts?
1. Pelvic inflammatory disease
2. Use of oral contraceptives
3. Endometrial overgrowth
4. Hormone imbalance
Page Ref: 1804
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 49.5 Describe the pathophysiology and manifestations of disorders of female reproductive tissue, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for women with reproductive system and breast disorders.
9) A female patient of childbearing age is diagnosed with large uterine fibroids. What should the nurse expect the treatment of choice would be for this patient?
1. Oral contraceptives
2. Estrogen replacement
3. Iron replacement therapy
4. Leuprolide acetate (Lupron)
Page Ref: 1805
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 49.5 Describe the pathophysiology and manifestations of disorders of female reproductive tissue, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 2. Consider intraprofessional care for women with reproductive system and breast disorders.
10) A 25-year-old female is diagnosed with endometriosis. What should the nurse include when teaching the patient about this disorder? Select all that apply.
1. Endometriosis can be treated without any long-term effects.
2. If the woman desires children, she should be encouraged to become pregnant before the disease progresses.
3. Laser ablation and birth control pills are the treatments for this condition.
4. Leaving the condition untreated will not result in any long-term health issues.
5. Dyspareunia can occur.
Page Ref: 1806
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 49.5 Describe the pathophysiology and manifestations of disorders of female reproductive tissue, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for women with reproductive system and breast disorders.
11) A postmenopausal patient is diagnosed with cervical dysplasia caused by the human papillomavirus. For which procedure that would both diagnose and treat the dysplasia should the nurse prepare this patient?
1. Pap smear
2. Colposcopy
3. Cervical biopsy
4. Loop diathermy
Page Ref: 1808-1809
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 49.5 Describe the pathophysiology and manifestations of disorders of female reproductive tissue, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 2. Consider intraprofessional care for women with reproductive system and breast disorders.
12) A female patient is experiencing a recurrence of endometrial cancer. Which treatment should the nurse expect to be prescribed for this patient? Select all that apply.
1. Radiation therapy
2. Hormone therapy
3. Partial abdominal hysterectomy
4. Chemotherapy
5. Endometrial ablation
Page Ref: 1812-1813
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 49.5 Describe the pathophysiology and manifestations of disorders of female reproductive tissue, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 2. Consider intraprofessional care for women with reproductive system and breast disorders.
13) A patient recovering from a complete hysterectomy for endometrial cancer is concerned about having sexual encounters because of activity intolerance. What should the nurse suggest to assist this patient?
1. The patient should engage in other activities.
2. The patient should discuss fears with a counselor.
3. The patient should be thankful for surviving cancer surgery.
4. The patient can coordinate sexual activity with rest periods and pain-free periods.
Page Ref: 1814
Cognitive Level: Applying
Client Need & Sub: Psychosocial Integrity: Coping Mechanisms
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Caring
Learning Outcome: 49.5 Describe the pathophysiology and manifestations of disorders of female reproductive tissue, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for women with reproductive system and breast disorders.
14) A female patient is concerned about developing ovarian cancer because a great-grandmother had the disease. Which information from the patient's health history will help reduce the risk for this patient?
1. The patient began her menses at age 10.
2. The patient has never had long-term antibiotic therapy.
3. The patient had her first child at the age of 20.
4. The patient has asymptomatic menstrual cycles.
Page Ref: 1814
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Health Screening
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 49.5 Describe the pathophysiology and manifestations of disorders of female reproductive tissue, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for women with reproductive system and breast disorders.
15) A patient who was recently diagnosed with ovarian cancer wants to have children. Which type of treatment should the nurse expect to be prescribed first for this patient?
1. Chemotherapy
2. Radiation therapy
3. Surgery to remove one ovary
4. Hormone replacement therapy
Page Ref: 1815
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 49.5 Describe the pathophysiology and manifestations of disorders of female reproductive tissue, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 2. Consider intraprofessional care for women with reproductive system and breast disorders.
16) A mass is found on a mammogram of a 42-year-old female patient and a cyst is confirmed by an ultrasound of the breast. Which should the nurse expect the next course of action to be for this patient?
1. Adopt the "watch and wait" approach.
2. Reduce caffeine intake.
3. Apply warm soaks to the cyst.
4. Have a surgical biopsy.
Page Ref: 1819
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 49.6 Describe the pathophysiology and manifestations of disorders of the breast, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 2. Consider intraprofessional care for women with reproductive system and breast disorders.
17) A female patient is recovering from breast cancer surgery that included axillary node dissection. For which potential complication should the nurse plan teaching for this patient?
1. Lymphedema
2. Metastasis
3. Anemia and bleeding
4. Altered shoulder movement
Page Ref: 1820
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Planning/Teaching/Learning
Learning Outcome: 49.6 Describe the pathophysiology and manifestations of disorders of the breast, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for women with reproductive system and breast disorders.
18) During a routine patient admission history, a patient reports light bleeding between menstrual periods. What initial action by the nurse is most appropriate?
1. Determining the timing of the bleeding episodes
2. Determining the amount of bleeding
3. Assessing for the presence of sexually transmitted infections
4. Reviewing the length of the patient's normal menstrual cycles
Page Ref: 1795
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Techniques of Physical Assessment
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 49.2 Describe the pathophysiology and manifestations of menstrual disorders, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for women with reproductive system and breast disorders.
19) A 25-year-old patient has been experiencing abnormal uterine bleeding and is concerned about maintaining fertility. About which therapy should the nurse instruct this patient? Select all that apply.
1. Oral contraceptives
2. Progestin therapy
3. Therapeutic D&C
4. Endometrial ablation
5. Iron replacement therapy
Page Ref: 1796
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Context and Environment; Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 49.2 Describe the pathophysiology and manifestations of menstrual disorders, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 2. Consider intraprofessional care for women with reproductive system and breast disorders.
20) A patient has been experiencing the clinical manifestations associated with menopause and expresses an interest in using alternative and complementary therapies to manage them. What is the best response by the nurse?
1. "Alternative and complementary therapies seldom work."
2. "Many women report success with those measures."
3. "What types of therapies are of interest to you?"
4. "Have you discussed this with the healthcare provider?"
Page Ref: 1799
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Self-Care
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Assessment/Communication and Documentation
Learning Outcome: 49.3 Describe the pathophysiology and manifestations of perimenopause, and outline the interprofessional care and nursing care of patients with this condition.
MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for women with reproductive system and breast disorders.
21) A 30-year-old patient reports increased irritability during the days preceding the onset of her menstrual cycle. What should the nurse suggest to assist in the management of her irritability? Select all that apply.
1. Increasing dietary sugar intake to promote energy
2. Increasing intake of simple carbohydrates
3. Reducing caffeine intake
4. Using guided imagery
5. Drinking two glasses of red wine each evening
Page Ref: 1791
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 49.2 Describe the pathophysiology and manifestations of menstrual disorders, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for women with reproductive system and breast disorders.
22) A patient who has been experiencing premenstrual syndrome (PMS) reports to the clinic with a diet diary she has kept over the past several weeks. For which entry should the nurse recommend making a dietary change?
1. Daily intake of caffeine-free soda
2. Daily intake of low-fat yogurt
3. Daily intake of foods rich in magnesium
4. Daily intake of white bread
Page Ref: 1791
Cognitive Level: Analyzing
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 49.2 Describe the pathophysiology and manifestations of menstrual disorders, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for women with reproductive system and breast disorders.
23) A patient is scheduled for a laparoscopic procedure. Which patient statement indicates a need for further education about the procedure?
1. "I can expect to go home a few hours after the procedure."
2. "I might experience some abdominal pain after the procedure."
3. "There might be some vaginal bleeding after the procedure."
4. "Shoulder pain should be reported, as it might signal a complication."
Page Ref: 1794
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Evaluation/Teaching/Learning
Learning Outcome: 49.2 Describe the pathophysiology and manifestations of menstrual disorders, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 2. Consider intraprofessional care for women with reproductive system and breast disorders.
24) A patient is preparing to be discharged to home after a hysterectomy. Which patient statement indicates that discharge teaching has been successful? Select all that apply.
1. "I will need to report a temperature greater than 101 degrees."
2. "I might experience vaginal bleeding for about 1 week."
3. "I will need to report any hot flashes and night sweats."
4. "I will still need to see my physician for gynecological examinations."
5. "I should not drive my car for the next few weeks."
Page Ref: 1797
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Evaluation/Teaching/Learning
Learning Outcome: 49.2 Describe the pathophysiology and manifestations of menstrual disorders, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for women with reproductive system and breast disorders.
25) The nurse is preparing to review the sexual response cycle with an adolescent patient. In which order should the nurse review the phases of the cycle? Place in order the phases of the cycle.
Choice 1. Plateau
Choice 2. Resolution
Choice 3. Excitement
Choice 4. Orgasm
Page Ref: 1790
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Developmental Stages and Transitions
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 49.1 Describe the pathophysiology and manifestations of disorders of female sexual function, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for women with reproductive system and breast disorders.
26) A patient reports having pain during intercourse. For which health problem should the nurse assess this patient? Select all that apply.
1. Perforated hymen
2. Vaginal scarring
3. Fear of sexual abuse
4. Vaginismus
5. Climacteric
Page Ref: 1790
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 49.1 Describe the pathophysiology and manifestations of disorders of female sexual function, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for women with reproductive system and breast disorders.
27) The nurse is preparing to counsel a 46-year-old woman who has been postmenopausal for 1 year about the common health risks associated with menopause. What should the nurse include in this teaching? Select all that apply.
1. Hypertension
2. Heart disease
3. Diabetes
4. Macular degeneration
5. Osteoporosis
Page Ref: 1798
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 49.3 Describe the pathophysiology and manifestations of perimenopause, and outline the interprofessional care and nursing care of patients with this condition.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for women with reproductive system and breast disorders.
28) A patient believes that she is beginning menopause. For which manifestation should the nurse assess this patient? Select all that apply.
1. Increased body hair
2. Vaginal dryness
3. Hot flashes
4. Night sweats
5. Vaginitis
Page Ref: 1798
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Techniques of Physical Assessment
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 49.3 Describe the pathophysiology and manifestations of perimenopause, and outline the interprofessional care and nursing care of patients with this condition.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for women with reproductive system and breast disorders.
29) Long-term hormone replacement therapy (HRT) is being discussed with a patient who is scheduled for a total hysterectomy. For which health problem will this patient be at risk for developing? Select all that apply.
1. Breast cancer
2. Stroke
3. Venous thrombosis
4. Colon cancer
5. Heart attack
Page Ref: 1799
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 49.3 Describe the pathophysiology and manifestations of perimenopause, and outline the interprofessional care and nursing care of patients with this condition.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for women with reproductive system and breast disorders.
30) A patient asks about alternative and complementary therapies that might be used in place of hormone replacement therapy after menopause. Which herbal supplement should the nurse review with the patient? Select all that apply.
1. Black cohosh
2. Ginseng
3. Ginger
4. Flaxseed
5. St. John's wort
Page Ref: 1799
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.17. Develop a beginning understanding of complementary and alternative modalities and their role in healthcare | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 49.3 Describe the pathophysiology and manifestations of perimenopause, and outline the interprofessional care and nursing care of patients with this condition.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for women with reproductive system and breast disorders.
31) The nurse is reviewing the manifestations of premenstrual syndrome (PMS) with a group of community members. Which dietary change should the nurse recommend? Select all that apply.
1. Eating a diet high in complex carbohydrates
2. Eating a diet high in protein
3. Increasing caffeine intake
4. Increasing fat intake
5. Reducing sodium and alcohol consumption
Page Ref: 1791
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 49.2 Describe the pathophysiology and manifestations of menstrual disorders, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for women with reproductive system and breast disorders.
32) The nurse is planning care for a woman with premenstrual syndrome (PMS). On which problem should the nurse focus when planning this patient's care? Select all that apply.
1. Issues with self-esteem
2. Problems managing acute pain
3. Difficulty coping
4. Potential problems with body image
5. Sexual dysfunction
Page Ref: 1793
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Self-Care
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 49.2 Describe the pathophysiology and manifestations of menstrual disorders, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for women with reproductive system and breast disorders.
33) A patient with abnormal uterine bleeding (AUB) has been informed that this problem requires surgical intervention. Which procedure should the nurse review with this patient? Select all that apply.
1. Hysterectomy
2. Laparoscopy
3. Endometrial ablation
4. Hormonal agents
5. Therapeutic dilatation and curettage (D&C)
Page Ref: 1796
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 49.2 Describe the pathophysiology and manifestations of menstrual disorders, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 2. Consider intraprofessional care for women with reproductive system and breast disorders.
34) The nurse is developing a teaching plan for a postmenopausal woman who has stress incontinence secondary to a prolapsed uterus. Which intervention should be included in the teaching plan? Select all that apply.
1. Kegel exercises
2. Increased caffeine intake
3. Use of progesterone supplements
4. Proper perineal care
5. Use of perineal pads
Page Ref: 1802
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Planning/Teaching/Learning
Learning Outcome: 49.4 Describe the pathophysiology and manifestations of structural disorders of the female reproductive system, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for women with reproductive system and breast disorders.
35) A patient is concerned about developing cervical cancer. For which risk factor should the nurse assess this patient? Select all that apply.
1. History of HPV infections
2. First intercourse before the age of 20
3. Multiple sex partners
4. Long-term use of birth control pills
5. Alcohol abuse
Page Ref: 1808
Cognitive Level: Analyzing
Client Need & Sub: Health Promotion and Maintenance: High Risk Behaviors
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 49.5 Describe the pathophysiology and manifestations of disorders of female reproductive tissue, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for women with reproductive system and breast disorders.
36) The nurse is caring for a patient who will be receiving radiation therapy for cervical cancer. Which teaching should the nurse provide? Select all that apply.
1. Wound and skin care
2. Applying oil-based lotions to the skin
3. How to remove the markings from the skin
4. Monitoring for evidence of fistula formation
5. Applying heat to the abdomen with a heating pad
Page Ref: 1810
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 49.5 Describe the pathophysiology and manifestations of disorders of female reproductive tissue, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for women with reproductive system and breast disorders.
37) A patient is suspected of having endometrial cancer. For which diagnostic procedure should the nurse prepare this patient? Select all that apply.
1. Abdominal x-ray
2. Transvaginal ultrasound
3. Dilatation and curettage (D&C)
4. Intravenous pyelogram
5. CT scan of abdomen
Page Ref: 1812
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Planning/Teaching/Learning
Learning Outcome: 49.5 Describe the pathophysiology and manifestations of disorders of female reproductive tissue, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 2. Consider intraprofessional care for women with reproductive system and breast disorders.
38) A patient is to receive hormone therapy as adjunct treatment for advanced breast cancer. Which oral medication should the nurse anticipate being prescribed for this patient?
1. Trastuzumab (Herceptin)
2. Bevacizumab (Avastin)
3. Goserelin (Zoladex)
4. Fulvestrant (Faslodex)
Page Ref: 1823
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 49.6 Describe the pathophysiology and manifestations of disorders of the breast, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 2. Consider intraprofessional care for women with reproductive system and breast disorders.
39) During a health history of a patient with uterine dysfunction, the nurse determines that oral contraceptives would be contraindicated for this patient. What did the nurse assess to make this clinical determination? Select all that apply.
1. The patient takes vitamin C every day.
2. The patient smokes one ppd of cigarettes.
3. The patient takes antihypertensive medication.
4. The patient was treated for thrombophlebitis after her last pregnancy.
5. The patient's father has had several joints replaced because of arthritis.
Page Ref: 1795
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 49.2 Describe the pathophysiology and manifestations of menstrual disorders, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 2. Consider intraprofessional care for women with reproductive system and breast disorders.
40) The nurse is reviewing instructions for a patient recovering from a D&C. What should the nurse emphasize when teaching this patient? Select all that apply.
1. Recognize signs of an infection.
2. Avoid using tampons for 2 weeks.
3. Understand what the vaginal discharge will look like.
4. Expect the next menstrual period to be early.
5. Expect vaginal bleeding to be bright red and very heavy.
Page Ref: 1796
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 49.2 Describe the pathophysiology and manifestations of menstrual disorders, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for women with reproductive system and breast disorders.
41) A patient is preparing to return home after repair of a vaginal fistula. What teaching should the nurse provide before this patient is discharged? Select all that apply.
1. Maintain bed rest for a week.
2. Use perineal pads as directed.
3. Perform perineal irrigation as prescribed.
4. Cleanse the perineal area daily with a sitz bath.
5. Apply topical antibacterial ointment to the area.
Page Ref: 1803
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 49.4 Describe the pathophysiology and manifestations of structural disorders of the female reproductive system, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for women with reproductive system and breast disorders.
Document Information
Connected Book
Medical Surgical Nursing 7e | Test Bank by LeMone, Burke, Bauldoff
By LeMone, Burke, Gerene Bauldoff