Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
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Chapter 23- Reproductive System Health
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse in an OB-GYN clinic takes a complete history from the 68-year-old before the physician sees the client. Which of the following is appropriate when taking a sexual history from the client? | |
| A) | Ask questions that the client will not be embarrassed to answer. | |
| B) | Ask open-ended questions specific to sexual functioning. | |
| C) | Write down everything the client says during the interview. | |
| D) | When possible include the sex partner in the interview. | |
| Ans: | B | |
| Feedback: | ||
| A complete and private history is essential to pinpoint specific areas that require further investigation. The interview should include a review of function, signs, and symptoms. | ||
| Origin: Chapter 23- Reproductive System Health, 2
Chapter: 23 Client Needs: D4 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing process Objective: 2 Page and Header: 317, Atrophic Vaginitis |
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| 2. | A menopausal woman tells her nurse that she experiences discomfort from vaginal dryness during intercourse and asks, “What should I use as a lubricant?” Which of the following should the nurse recommend? | |
| A) | Petroleum jelly | |
| B) | Water-soluble lubricant | |
| C) | Body cream or body lotion | |
| D) | Saliva | |
| Ans: | B | |
| Feedback: | ||
| Nurses should advise the older woman to avoid douches and the use of perfumed soaps and sprays to the genitalia, wear cotton underwear, keep the genital area clean and dry, and use water-soluble lubricants. | ||
| Origin: Chapter 23- Reproductive System Health, 3
Chapter: 23 Client Needs: B Cognitive Level: Application Difficulty: Easy Integrated Process: Nursing process Objective: 3 Page and Header: 315, Assessment Guide 23-1 |
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| 3. | The nurse assesses the reproductive system of an older adult. Which of the following questions should the nurse consider including in the interview? | |
| A) | “Do you ever have secretions, blood, or other discharge from your genitals?” | |
| B) | “Does your partner have satisfying orgasms?” | |
| C) | “When was the last time you had sexual intercourse?” | |
| D) | “With whom do you have sexual intercourse?” | |
| Ans: | A | |
| Feedback: | ||
| The older adult can have orgasms and satisfying sexual experiences. You may need to ask the client about sexual encounters to determine sexual dysfunction, but with whom and when are not pertinent. | ||
| Origin: Chapter 23- Reproductive System Health, 4
Chapter: 23 Client Needs: B Cognitive Level: Application Difficulty: Moderate Integrated Process: Teaching/learning Objective: 2 Page and Header: 315, Reproductive System Health Promotion |
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| 4. | The nurse practitioner discusses breast self-exam with a 78-year-old woman. Which of the following statements if made by the patient indicate understanding of the material? | |
| A) | “I need to get a mammogram every 5 years.” | |
| B) | “I will call you if I find any lump in my armpit.” | |
| C) | “I won’t be concerned if my nipple leaks.” | |
| D) | “My home health nurse will check me.” | |
| Ans: | B | |
| Feedback: | ||
| Lump, hard knot, or thickening inside the breast or underarm area is warning sign of breast cancer. Mammograms are recommended every year for women over 50 years of age. Each woman knows her own body better than a home health nurse does. | ||
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