NSG 6430 Women’s Gynecologic Health New Latest Updated 2023, Exams of Nursing

Download NSG 6430 Women’s Gynecologic Health New Latest Updated 2023 and more Exams Nursing in PDF only on Docsity! 1 1 NSG 6430 Women’s Gynecologic Health New Latest Updated 2023 CHAPTER 1 QUESTIONS 2 2 MULTIPLE-CHOICE QUESTIONS Select the one correct answer to each of the following questions. Which of the following best defines the term “gender” as used in this text? A person’s sex A person’s sex as defined by society A societal response to a person’s self-representation as a man or woman A person’s biological presentation as defined by himself or herself 5 5 It provides a forum for the exploration of gender issues. It seeks equal distribution of power within the healthcare interaction. It emphasizes women’s rights. It opens new avenues for women’s health care. Gender is rooted in and shaped by . society, biology self-representation, societal expectations biology, environment and experience 3 3 biology, hormones Women’s health risks, treatments, and approaches are not always based in science and biology because they are often based on outdated treatments and approaches. they are determined by social expectations and gender assumptions. they often rely on alternative treatments and approaches. scientific research often fails to take women into consideration. 4 4 Reproductive rights were added to the World Health Organization’s human rights framework in the last ? 5 years 10 years 20 years 40 years “Safe Motherhood” was added to the human rights framework in order to address maternal morbidity and mortality on a global level meet a legal obligation correct an injustice 7 7 What had been a significant problem in medical research well into the 1990s? The focus on randomized clinical trials over epidemiological investigations The lack of representation of women in research trials The lack of research related to gynecology The focus on randomized clinical trials over observational research 8 8 Gender differences in heart disease can be found in diagnosis. treatment. identification of symptoms. all of the above. What opportunities are created by applying feminist strategies to gynecologic health? Better insight into research methods related to gynecology Better access to the populations 9 9 affected by gynecologic health Better understandings from a wellness-oriented, women-centered framework Better understandings of the social construction of gender 1 2 1 2 c 1 3 1 3 CHAPTER 2 QUESTIONS MULTIPLE-CHOICE QUESTIONS Select the one correct answer to each of the following questions. How does Erick Erikson’s grand theory of human development differ for females? It recognizes achieving autonomy as a primary focus. It assumes only men desire autonomy. It assumes female dependence on 1 4 1 4 another in order to achieve a sense of self. It assumes females desire dependence on others. What is true about human development theories published before the 1970s? They are based on interviews conducted only with men. They assume androcentric models can be applied correctly to women. They frame women’s development as flawed in comparison to the standard. All of the above. 1 7 1 7 The onset of menses The accumulation of adipose tissue with the onset of puberty Pregnancy How many stages does the Tanner scale use to stage sexual maturity? 3 stages 5 stages 6 stages 8 stages What is the median age for the onset of menstruation for adolescent girls in the United States? 1 8 1 8 a. 9.8 b. 10.8 c. 12.8 d. 13.8 What factor limits an individual’s ability to function productively as an adult? Failure to take into account social and cultural norms The inability to move through the world with credibility and respect Poverty Failure to negotiate the developmental tasks of adolescence 1 9 1 9 successfully The type of thinking that influences the risk-taking behaviors of adolescence involves the use of symbols, advanced reasoning and expanded possibilities. works proactively to achieve autonomy. encourages experimentation and foresight. is rooted in the immediate and concrete. 2 2 2 2 What factors affect the mood changes many women in midlife suffer? Deficiencies of estrogen Psychological transitions Cultural beliefs and expectations All of the above What is the primary reason many older women live in poverty and have health problems? They outnumber older men. 2 3 2 3 They have outlived their support systems. Their cognitive abilities decline. They must contend with ageism and sexism. 2 4 2 4 ANSWER KEY MULTIPLE-CHOICE QUESTIONS c d b a c b 27 27 class. to expand notions of gender beyond stereotypes. What concern prompted the initiation of the modern EBP movement in health care? That clinicians often failed to evaluate the effectiveness of their own care That expert opinion was valued over scientific evidence That scientific evidence was valued over expert opinion That patients were demanding more evidence to support care decisions 28 28 Quine’s (1952) concept of a web of interconnecting beliefs and knowledge supports the inferiority of quantitative research. a multiple-method approach to examining phenomena. the superiority of qualitative research. the difficulties of establishing best practices. Why are multiple approaches needed to identify best clinical practices? 29 29 To reflect the multiple variables within clinical settings To offer alternatives to poorly functioning practices To address the complexity of the human condition To ensure that no single approach dominates What is the third part of the clinical decision-making triad that includes clinical experience and patient preference? An investigation of treatment pathways A consultation with clinical 32 32 A well-conducted meta-analysis What is a difference between quantitative and qualitative research? One follows strict protocols while the other does not. One deduces the reason why something happens and the other induces why it happens. One places greater emphasizes on the expansion of knowledge. All of the above. What field of study informs qualitative research? Anthropology 33 33 Ecological psychology Sociolinguistics All of the above Which research question most closely exemplifies a qualitative approach? Why do some women experience postpartum depression? How does physical exercise affect menopause? How does Kegel exercise affect a woman’s perinatal outcomes? Does a specific method of contraception cause weight gain? 34 34 What is a recognized limitation of EBP? Emphasis on the routinization of practice Over-reliance on RCT-derived results The challenge of staying abreast of current research All of the above What is the purpose of the Stetler (2001) model of research utilization? To weigh the risks and benefits of EBP To supply methods for critiquing evidence 37 37 ANSWER KEY MULTIPLE-CHOICE QUESTIONS c a b c c b 38 38 a a b d a d d a 39 39 c 42 42 0.6 percent 6 percent 16 percent 26 percent Which of the following is a new focus area added for Healthy People 2020? Lesbian, gay, bisexual and transgender health Maternal, infant and child health Nutrition and weight status Family planning Why must definitions of health and prevention be clarified? 43 43 To provide clinicians with a standard point of view To shift from an illness-centered focus toward wellness To establish clarity and protocol To streamline health counseling and education According to the World Health Organization (WHO), the presence of a disease state necessitates prompt medical attention. excludes a person from being considered healthy. 44 44 does not exclude a person from being considered healthy. classifies a person as in poor health. 47 47 all healthy, asymptomatic women? motor vehicle accidents falls domestic violence All of the above What is the USPSTF recommendation regarding firearms? Removed from homes with children under the age of ten Stored in locked compartments Removed from home or stored, unloaded, in locked compartments Removed from private homes Which type of counseling results in a 48 48 statistically significant reduction in STIs? Abstinence-only education Counseling delivered in multiple individual or group sessions totaling more than 3 hours Remote counseling via Internet or phone Brief, individual sessions in the primary care setting What is the leading preventable cause of death across all populations in the U.S.? Motor vehicle accidents Tobacco 49 49 Obesity Alcoholism 52 52 d a c a c b b c 53 53 CHAPTER 5 QUESTIONS MULTIPLE-CHOICE QUESTIONS Select the one correct answer to each of the following questions. A major contributor to pelvic stability is the coccyx. the pubis. the ilium and its ligaments. the sacrum. The sheet made up of dense fibrous 54 54 tissue that spans the opening of the anterior pelvic outlet is/are the sphinter muscles. deep perineal space. perineal membrane. distal vagina. How many different fiber sections subdivide the levator ani muscular sheet? 2 3 4 6 What is the function of the 57 57 medulla. hilum. myometrium. What causes the epithelium to thicken, differentiate, and accumulate glycogen? Progesterone Pudendal nerve Estrogen Vagus nerves About how many openings are in the nipple? 1 to 5 58 58 5 to 10 c. 10 - 15 d. 15 - 20 What is one of the most frequent reasons women visit their clinician? Changes in menstruation Family planning Pregnancy Prevention and wellness What is the objective of the endometrial cycle? To emulate the activities of the ovaries To produce an ovum 59 59 To reach the menstruation phase To prepare a site to nourish and maintain the ovum Ovulation is dependent on an increased level of _ enzyme activity. progesterone. prostaglandins. estrogen and the LH surge. What initiates contractions of the uterine muscle leading to menstruation? Lysosomal enzymes Vascular thrombosis 62 62 c a c d a d d d 63 63 d 64 64 CHAPTER 6 QUESTIONS MULTIPLE-CHOICE QUESTIONS Select the one correct answer to each of the following questions. What does the Greek term “gyne” mean from which “gynecology” is derived? Speculum Gender Woman — more as queen To reproduce 67 67 Which of the following should NOT be a part of taking a health history? Taking a family health history Seeking information on stressors or personal problems Asking about exercise and sleep patterns Counseling for tobacco-use cessation In the GTPAL system for recording pregnancy history, the “T” stands for: Term births. Terminal pregnancies. Total number of pregnancies. Type of birth (spontaneous, assisted, 68 68 or cesarean). In a complete physical examination in the ambulatory gynecology setting, it is customary to evaluate major organ systems briefly and carefully, but not exhaustively. 69 69 ask the woman which physical examination maneuvers should be performed. evaluate major organ systems thoroughly. palpate the precordium. How should the order of examination proceed? Head to toe Toe to head By major organ system By concern presented Where may supernumerary occur? 72 72 Under what conditions is a rectovaginal examination most useful? Under all conditions If screening for colorectal cancer is indicated If the uterus is anteverted or anteflexed If the uterus is retroflexed or retroverted A clinician should present a therapeutic plan to the patient based on 73 73 the individual woman’s desire for information and the degree of severity of the finding. consultation with another health professional. the examining clinician’s findings and assessments. 74 74 the individual woman’s cultural sensitivities and level of education. 77 77 CHAPTER 7 QUESTIONS MULTIPLE-CHOICE QUESTIONS Select the one correct answer to each of the following questions. What does a service grade of D represent in the U.S. Preventive Services Task Force (USPSTF) recommendations? Service carries insufficient evidence to recommend it Service is found to be beneficial Service is found to be either of no benefit or potentially harmful 78 78 Service should not be routinely provided Which statement best defines “risk factor”? Any factor which increases the need for medical attention Any behavior which places an individual at risk for illness The probability that an individual will develop a medical condition An attribute or exposure associated causally with an increased probability of a disease or injury The USPSTF assigns a certainty 79 79 level to assess the net benefit of a preventive service based on the nature of the overall evidence available. the cost-effectiveness of a service. known health outcomes. select studies in a limited primary care population. What screening recommendation is similar across all groups for colorectal cancer? Screening women age 76 to 85 based on risk factors Screening only for those women at increased risk 82 82 What is the Task Force recommendation grade assigned to screening all adults for depression? B A C D How is being overweight defined on the BMI table? a. 18 to 29.9 b. 20 to 29.9 c. 25 to 29.9 d. 30 or greater How is screening for the rubella 83 83 immunity accomplished? By asking the patient By obtaining a history of vaccination or by ordering serologic studies By ordering serologic studies By obtaining vaccination records What recommendation grade does the Task Force assign to screening all adults for tobacco use? A B C D What is the Task Force 84 84 recommendation regarding the efficacy of digital mammography or MRI versus the standard film mammography? Evidence exists that all screens are equally beneficial Film mammography is recommended as the best screen Digital mammography or MRI is recommended as the best screen Not enough evidence exists to assess benefits and risks as to which provides the best screen What recommendation grade does the Task Force assign to cholesterol 87 87 diabetes Older women, postpartum women, and women with Down syndrome 88 88 ANSWER KEY MULTIPLE-CHOICE QUESTIONS c d a c a 89 89 b a c b a d a b 92 92 Weight in pounds divided by height in feet squared Weight in kilograms divided by height in meters squared Height in meters divided by weight in kilograms squared Weight in kilograms squared divided by height in meters Bariatric surgery considered a valid treatment when a person’s BMI is between 35 and 40 and is accompanied by a high-risk comorbid disease. a person’s BMI is more than 25 and is accompanied by hypertension. 93 93 a person’s BMI is more than 40 and is accompanied by cardiovascular disease. a person’s BMI is between 25 and 29.9 and is accompanied by a high- risk comorbid disease. Which statement about women who have had bariatric surgery is false? Her record of weight lost should not be included in her health history. Obesity has been shown to evoke negative responses from clinicians. Subtle, unintentional bias often manifests against these women. Clinicians need to strive to be 94 94 nonjudgmental regardless of the patient’s body habitus. Which is NOT a complication following bariatric surgery? Hernia formation Anemia Hearing loss Cholelithiasis Where does iron and calcium absorption primarily occur? Stomach Duodenum Upper intestine Lower intestine