Chapter 3 Health Promotion of Women Across the Lifespan

Chapter 3   Health Promotion of Women Across the Lifespan

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1) The clinic nurse is returning phone calls. Which call should the nurse return first?

1. The call from a 22-year-old reporting that she has menstrual cramps and vomiting every month
2. The call from a 17-year-old asking whether there is a problem with using one tampon for a whole day
3. The call from a 46-year-old mother of a teen wondering if her daughter should be on birth control
4. The call from a 34-year-old requesting information on douching after intercourse

Answer:  2

Explanation:  2. Using a single tampon for an entire day can lead to toxic shock syndrome, a potentially life-threatening condition. This client needs education on the danger of using one tampon longer than 3-6 hours.

Page Ref: 39

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance: Health Promotion/Disease Prevention

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | 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: Quality and Safety: Communicate effectively with different individuals (team members, other care providers, patients, families, etc.) so as to minimize risks associated with handoffs among providers and across transitions in care. | Nursing/Integrated Concepts Nursing Process: Implementation

Learning Outcome:  2 Summarize information that women may need in order to implement appropriate self-care measures for dealing with menstruation.

 

2) The nurse who is taking a sexual history from a client should do which of the following?

1. Ask questions that the client can answer with “yes” or “no.”
2. Ask mostly open-ended questions.
3. Have the client fill out a comprehensive questionnaire and review it after the client leaves.
4. Try not to make much direct eye contact.

Answer:  2

Explanation:  2. Open-ended questions are often useful in eliciting information.

Page Ref: 37

Cognitive Level:  Understanding

Client Need/Sub:  Health Promotion and Maintenance: Health Promotion/Disease Prevention

Standards:  QSEN Competencies: I. B. 1. Elicit patient values, preferences, and expressed needs as part of clinical interview, implementation of care plan and evaluation of care. | AACN Essentials Competencies: VII. 3. Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:  1 Discuss the key points a nurse should consider when taking a sexual history.

3) The nurse is taking a history on a new client in the clinic. She determines from talking with the client that she is recently divorced, is dating, and has had sex with various men. The nurse would be concerned about and would provide some education on what issues?

1. The ethics of dating and having sex with more than one man
2. The client having some kind of permanent birth control done, so she does not become pregnant
3. Education about sexual activity and sexually transmitted infections
4. Referral to a psychologist or counselor for follow-up on the multiple dating

Answer:  3

Explanation:  3. Education about sexual activity and sexually transmitted infections is correct, since it has been determined that the client is having sex with multiple partners.

Page Ref: 37

Cognitive Level:  Applying

Client Need/Sub:  Safe and Effective Care Environment: Safety and Infection Control

Standards:  QSEN Competencies: I. C. 4. Seek learning opportunities with patients who represent all aspects of human diversity. | AACN Essentials Competencies: VII. 6. Use information and communication technologies in preventive care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:  1 Discuss the key points a nurse should consider when taking a sexual history.

MNL LO:  6.2.1 Recognize client behaviors associated with the acquisition of sexually transmitted infections.

 

4) The nurse is taking a history of a new client in the clinic. Histories tend to be lengthy, and the sexual part can be difficult for the client. The nurse should use what technique to make it easier for the client?

1. Let the client fill out a paper copy, so she does not have to talk about intimate matters.
2. Skip the sexual part until the next time the client comes into the clinic.
3. Start with the easier medical and surgical questions, and develop a feeling of trust with the client.
4. Leave the sexual part of the history for the doctor to ask about.

Answer:  3

Explanation:  3. Starting with easy-to-answer questions and then going to the sexual ones helps, as client might be at ease by then.

Page Ref: 37

Cognitive Level:  Understanding

Client Need/Sub:  Health Promotion and Maintenance: Health Promotion/Disease Prevention

Standards:  QSEN Competencies: I. B. 3. Provide patient-centered care with sensitivity and respect for the diversity of human experience. | AACN Essentials Competencies: VII. 3. Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations. | NLN Competencies: Context and Environment: Read and interpret data; apply health promotion/disease prevention strategies; apply health policy; conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:  1 Discuss the key points a nurse should consider when taking a sexual history.

5) The nurse working in a women’s clinic is training a recent graduate of nursing school who has been hired. The experienced nurse explains that nurses caring for women of all ages must be which of the following?

Note: Credit will be given only if all correct and no incorrect choices are selected.

Select all that apply.

1. Aware of their own feelings
2. Judgmental when discussing sexuality
3. Aware of personal values and attitudes
4. Minimally knowledgeable about reproduction
5. Willing to discuss sexuality only one-on-one

Answer:  1, 3

Explanation:  1. Nurses must be aware of their own feelings.

3. Nurses must develop an awareness of their own values and attitudes about sexuality so that they can be more sensitive and objective when they encounter the values and beliefs of others.

Page Ref: 37

Cognitive Level:  Understanding

Client Need/Sub:  Health Promotion and Maintenance: Health Promotion/Disease Prevention

Standards:  QSEN Competencies: II. B. 5. Assume role of team member or leader based on the situation. | AACN Essentials Competencies: VI. 2. Use inter-and intraprofessional communication and collaborative skills to deliver evidence-based, patient-centered care. | NLN Competencies: Teamwork: Function competently within one’s own scope of practice as leader or member of the health care team and manage delegation effectively. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:  1 Discuss the key points a nurse should consider when taking a sexual history.