Chapter 6 Women's Health Problems

Chapter 6   Women’s Health Problems

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1) The nurse receives a phone call from a 25-year-old woman experiencing breast tenderness in the week prior to her menses, with palpable breast nodularity, without nipple discharge. What is the best response by the nurse?

1. “Please make an appointment at the breast cancer center as soon as possible.”
2. “How much salty food do you regularly consume?”
3. “As long as you don’t have nipple discharge, it isn’t a serious condition.”
4. “Eliminate caffeine and chocolate from your diet.”

Answer:  2

Explanation:  2. The client is describing fibrocystic breast changes. A salt restriction with a mild diuretic taken the week before menstrual bleeding often improves the condition.

Page Ref: 92

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: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:  1 Contrast the common benign and malignant breast disorders.

2) A client describes breast swelling and tenderness. What piece of data would be most important for the nurse to gather initially?

1. Timing of the symptoms
2. Birth control method
3. Method of breast self-examination
4. Diet history

Answer:  1

Explanation:  1. The breast undergoes regular cyclical changes in response to hormonal stimulation. The nurse will want to determine when the swelling and tenderness occur within the menstrual cycle.

Page Ref: 88, 89

Cognitive Level:  Applying

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: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessment of health and illness parameters in patient, using developmentally and culturally appropriate approaches. | 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: Assessment

Learning Outcome:  1 Contrast the common benign and malignant breast disorders.

3) A client is concerned about her risk for breast cancer. Following the initial history, the nurse identifies which of the following as a high risk factor for breast cancer?

1. History of late menarche and early menopause
2. Sister who has had breast cancer
3. Mother with fibrocystic breast disease
4. Multiparity

Answer:  2

Explanation:  2. Family history of first-degree relative (mother, sister, or daughter) with breast cancer increases the risk of breast cancer with the number of first-degree relatives with breast cancer.

Page Ref: 94

Cognitive Level:  Understanding

Client Need/Sub:  Health Promotion and Maintenance: Health Screening

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. 1. Assess protective and predictive factors, including genetics, which influence the health 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: Assessment

Learning Outcome:  1 Contrast the common benign and malignant breast disorders.

4) The nurse is educating a group of women about the manifestations of benign breast conditions. What information topics will the nurse include?

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

Select all that apply.

1. Masses rapid in appearance or disappearance
2. Galactorrhea is common
3. Galactorrhea is seen with some psychiatric medications
4. Ulcerations or skin erosions are possible
5. An increased breast size with dimpling

Answer:  1, 2, 3

Explanation:  1. Fluctuations in size and rapid appearance or disappearance of breast masses are common in fibrocystic breasts.

2. Galactorrhea is a benign change often associated with hormone therapy.
3. Galactorrhea is often seen in women who have nursed, who have fibrocystic changes in the breast, or are on some types of psychiatric medication.

Page Ref: 93

Cognitive Level:  Understanding

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

Standards:  QSEN Competencies: I. B. 10. Engage patients and 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: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:  1 Contrast the common benign and malignant breast disorders.

5) A nurse is providing a client with instructions regarding breast self-examination (BSE). Which of the following statements by the client would indicate that the teaching has been successful?

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

Select all that apply.

1. “I should perform BSE 1 week prior to the start of my period.”
2. “When I reach menopause, I will perform BSE every 2 months.”
3. “Knowing the density of my breast tissue is important.”
4. “I should inspect my breasts while standing with my arms down at my sides.”
5. “I should inspect my breasts while in a supine position with my arms at my sides.”

Answer:  3, 4

Explanation:  3. The effectiveness of BSE is determined by the woman’s ability to perform the procedure correctly, by her knowledge of her own breast tissue, and by the density of her breast tissue.

4. The breasts should be inspected while standing with arms at sides.

Page Ref: 89-92

Cognitive Level:  Understanding

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: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome:  1 Contrast the common benign and malignant breast disorders.