Chapter 40 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 40 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

A client speaks about an adult son who is a practicing homosexual and expresses concern by stating: “I am so worried about him and I know he is going to hell.” What is the most important fact for the nurse to consider in formulating a response to this client’s concern?

1. Normal sexuality is described as whatever behaviors give pleasure and satisfaction to those adults involved.
2. Because alternative lifestyles are now so well accepted in society, this parent should not feel so much concern.
3. What constitutes normal sexual expression varies among cultures and religions.
4. Sexual development is genetically determined and not affected by environment.

Correct Answer: 3

Rationale 1: Even though many consider whatever activity gives pleasure and satisfaction to the involved adults to be normal, some cultures and religions do not hold that belief.

Rationale 2: Although alternative lifestyles are well accepted in some cultures, apparently that is not true in this parent’s belief patterns.

Rationale 3: This nurse should remember that culture and religion have a big impact upon what a person believes to be normal sexual behavior.

Rationale 4: Sexual development has both genetic and environmental components.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A. 2.  Describe how diverse cultural, ethnic and social backgrounds function as sources of patient, family, and community values

AACN Essentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences

NLN Competencies: Relationship-centered care; Knowledge; The role of family, culture, and community in a person’s development

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 4. Give examples of how the family, culture, religion, and personal expectations and ethics influence one’s sexuality.

MNL Learning Outcome: 2.2.3. Examine the components of sexuality and the associated nursing care.

Page Number: 934

 

Question 2

Type: MCSA

The parent of a 20-month-old is very concerned because the baby touches the genital area during diaper changes. How should the nurse respond to this concern?

1. At 20 months this touching is not a sexual experience.
2. Masturbation to orgasm is common and normal at this age.
3. Genital stimulation should not be occurring until the age of 2 1/2 or 3.
4. Babies are sexual beings, but this activity should be discouraged.

Correct Answer: 1

Rationale 1: At 20 months, exploration and touching of the genital area is no different than exploration and touching of fingers and toes. This touching is not considered a sexual experience.

Rationale 2: Masturbation to orgasm can occur as early as age 3, although males do not ejaculate until after puberty.

Rationale 3: At around age 21/2 or 3 the child begins to differentiate between genital differences and to identify as a male or female.

Rationale 4: There is no need to discourage genital exploration at 20 months.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A. 2.  Describe how diverse cultural, ethnic and social backgrounds function as sources of patient, family, and community values

AACN Essentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences

NLN Competencies: Relationship-centered care; Knowledge; The role of family, culture, and community in a person’s development

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 1. Describe sexual development and concerns across the life span.

MNL Learning Outcome: 2.2.3. Examine the components of sexuality and the associated nursing care.

Page Number: 935

 

Question 3

Type: MCSA

The nurse is teaching a class on body development to a group of middle school girls. One of the girls asks about using tampons for sanitary protection during menstruation. What advice should the nurse include?

1. Tampons should not be used until the menstrual cycle is well established, usually 2 to 3 years after the first period occurs.
2. Superabsorbent tampons should be used at night to protect from overflow accidents.
3. Tampons should be alternated with sanitary pads to help decrease risk for infection.
4. Tampons should be changed at least every 8 hours.

Correct Answer: 3

Rationale 1: There is no evidence of need to delay tampon use.

Rationale 2: Sanitary pads, not tampons, should be used at night.

Rationale 3: The nurse should teach these girls to alternate tampons with sanitary pads to decrease risk for infection.

Rationale 4: Tampons should be changed more frequently than every 8 hours to prevent infection and odor.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

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; Practice; apply health promotion/disease prevention strategies; apply health policy

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 9. Recognize health promotion teaching related to reproductive structures.

MNL Learning Outcome: 2.2.3. Examine the components of sexuality and the associated nursing care.

Page Number: 936

 

Question 4

Type: MCSA

The nurse is developing strategies for the relief of menstrual cramping to teach a group of young clients. What should be the focus of these strategies?

1. Increase of blood flow to the uterine muscle
2. Avoidance of uterine contraction
3. Minimization of menstrual flow
4. Decrease in estrogen production

Correct Answer: 1

Rationale 1: Menstrual cramping is a result of the muscle ischemia that occurs when the client experiences powerful uterine contractions. Increase of blood flow to the uterine muscle through rest, some exercises, application of heat to the abdomen, and presence of milder uterine contractions (such as those associated with orgasm) can decrease pain and cramping.

Rationale 2: Increase of blood flow to the uterine muscle can decrease pain and cramping. There is no connection between the actual amount of flow and pain. Estrogen production should follow normal patterns and should not be altered.

Rationale 3: There is no connection between the actual amount of flow and pain.

Rationale 4: Estrogen production should follow normal patterns and should not be altered.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

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; Practice; apply health promotion/disease prevention strategies; apply health policy

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 9. Recognize health promotion teaching related to reproductive structures.

MNL Learning Outcome: 2.2.3. Examine the components of sexuality and the associated nursing care.

Page Number: 936