Chapter 02: Assessment and Health Promotion

Chapter 02: Assessment and Health Promotion

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The two primary functions of the ovary are:

a.	Normal female development and sex hormone release.
b.	Ovulation and internal pelvic support.
c.	Sexual response and ovulation.
d.	Ovulation and hormone production.

 

ANS: D

 

	Feedback
A	The presence of ovaries does not guarantee normal female development. The ovaries produce estrogen, progesterone, and androgen.
B	Ovulation is the release of a mature ovum from the ovary; the ovaries are not responsible for internal pelvic support.
C	Sexual response is a feedback mechanism involving the hypothalamus, anterior pituitary gland, and the ovaries. Ovulation does occur in the ovaries.
D	The two functions of the ovaries are ovulation and hormone production.

 

DIF:   Cognitive Level: Knowledge        REF:  28

OBJ:  Client Needs: Health Promotion and Maintenance

TOP:  Nursing Process: Assessment

 

2. Because of the effect of cyclic ovarian changes on the breast, the best time for breast self-examination (BSE) is:

a.	Five to 7 days after menses ceases.
b.	Day 1 of the endometrial cycle.
c.	Midmenstrual cycle.
d.	Any time during a shower or bath.

 

ANS: A

 

	Feedback
A	The physiologic alterations in breast size and activity reach their minimal level about 5 to 7 days after menstruation stops. Therefore BSE is best performed during this phase of the menstrual cycle.
B	All women should perform BSE on a regular basis; however, the ideal time is when the breasts are not tender or swollen. This occurs at the end of menstruation.
C	All women should perform BSE; however, the ideal time is 5 to 7 days after the menses ceases.
D	The woman should be instructed that the best position for BSE is to lie down and place a pillow under the breast to be examined first.

 

DIF:   Cognitive Level: Knowledge        REF:  30

OBJ:  Client Needs: Health Promotion and Maintenance        TOP:  Nursing Process: Planning

 

3. Sexual assault is:

a.	Limited to rape.
b.	An act of force in which an unwanted and uncomfortable sexual act occurs.
c.	A legal term for sexual violence.
d.	An act of violence in which the partner is unknown.

 

ANS: B

 

	Feedback
A	Sexual assault is a broad term that encompasses a wide range of sexual victimization. It may include but is not limited to rape.
B	Sexual assault encompasses a wide range of sexual victimization, including unwanted or uncomfortable touches, kisses, hugs, petting, intercourse, or other sexual acts.
C	Sexual violence is a term for rape, not sexual assault, that includes a broader range of activities.
D	A sexual act of violence, or rape, may be categorized as sexual assault. Statistically, the victim knows the assailant.

 

DIF:   Cognitive Level: Comprehension  REF:  44

OBJ:  Client Needs: Psychosocial Integrity                                       TOP:   Nursing Process: Assessment

 

4. Individual irregularities in the ovarian (menstrual) cycle are most often caused by:

a.	Variations in the follicular (preovulatory) phase.
b.	An intact hypothalamic-pituitary feedback mechanism.
c.	A functioning corpus luteum.
d.	A prolonged ischemic phase.

 

ANS: A

 

	Feedback
A	Almost all variations in the length of the ovarian cycle are the result of variations in the length of the follicular phase.
B	An intact hypothalamic-pituitary feedback mechanism is regular, not irregular.
C	The luteal phase begins after ovulation. The corpus luteum depends on the ovulatory phase and fertilization.
D	During the ischemic phase, the blood supply to the functional endometrium is blocked, and necrosis develops. The functional layer separates from the basal layer, and menstrual bleeding begins.

 

DIF:   Cognitive Level: Comprehension  REF:  34

OBJ:  Client Needs: Health Promotion and Maintenance        TOP:  Nursing Process: Assessment