Deck 4: Caring for Women, Families, and Children Across the Life Span

Question 1

A nurse is assessing a teen who has the nursing diagnosis of sleep pattern disturbance.What statement by the teen indicates that goals for this diagnosis have been met?

A)"I don't want to cut out any more evening activities."
B)"I sleep until about noon on Saturdays to catch up."
C)"I take a long nap when I get home from school each day."
D)"I try to keep the same sleep and wake times all week."

Answer 1

"I try to keep the same sleep and wake times all week."

Question 2

A young couple is in the clinic for a prenatal exam.The woman expresses concern that her husband continues to binge drink and use drugs on weekends.What action by the nurse is best?

A)Assess the father for reasons why he continues to abuse alcohol and illicit drugs at his age.
B)Explain that if there are drugs in a house with a baby,the baby can be taken away.
C)Help the husband see how his drug and alcohol use is inconsistent with the father role.
D)Warn the husband that he will be putting the baby at risk unless he stops this activity.

Answer 2

Help the husband see how his drug and alcohol use is inconsistent with the father role.

Question 3

A nurse is teaching conflict-resolution strategies to a group of teen mothers at risk for violence.Which statement by a participant indicates understanding?

A)"Friends of mine have said they would be willing to help in a crisis."
B)"If good communication doesn't solve the problem,I will leave."
C)"If we can't settle our differences,we will have to start talking all over again."
D)"My mother can help my boyfriend and me resolve a conflict."

Answer 3

"If good communication doesn't solve the problem,I will leave."

Question 4

The family clinic nurse encourages a patient to continue breastfeeding her 8-month-old infant to facilitate maturation of the infant's immune system.When does this occur?

A)12 months
B)16 months
C)18 months
D)24 months

Question 5

A school nurse is interviewing a high school student sent to the office for frequent crying episodes.The student admits to thinking of suicide and has made a previous attempt.The nurse determines that the teen has a suicide plan but does not yet have access to the materials needed to carry out the plan.How does the nurse interpret and act on this information?

A)High risk: Call the school district counselor.
B)High risk: Contact 911 immediately.
C)Low risk: Send a referral home with the student.
D)Moderate risk: Call the parents to come get the teen.

Question 6

The clinic nurse knows that providing an influenza vaccination clinic for patients aged 65 years and older is best described as an example of what kind of health care?

A)Disease prevention
B)Health promotion
C)Health screening
D)Secondary prevention

Question 7

The clinic nurse is working with a mother who wants to know the best age for teaching children about the names and functions of sexual organs.What should the nurse tell her?

A)5 to 6 years of age
B)6 to 7 years of age
C)8 to 9 years of age
D)9 to 11 years of age

Question 8

A mother who has three older children now has a newborn.She complains to the physician that sleeping on his back has caused her baby to have "a funny-shaped head" that the other kids didn't have.She doesn't want to continue having the baby sleep on his back.Which action by the nurse is best?

A)Document the comments and alert the physician to the concern.
B)Encourage her to put the baby on his stomach during the day.
C)Explain that babies need to sleep on their sides at all times.
D)Tell her that back-sleeping isn't important after 5 months of age.

Question 9

The nurse is assessing a young woman who is overweight.Which action by the nurse is most appropriate?

A)Ask if she knows how overweight she is.
B)Assess the woman for stress-related problems.
C)Caution her about related chronic illnesses.
D)Encourage the woman to exercise more.

Question 10

The family clinic nurse initiates conversation with a 16-year-old adolescent male who is 5 feet 10 inches and weighs 250 pounds (113.6 kg).Which of the following is the most appropriate question for the nurse to ask the adolescent regarding his weight?

A)"Are you willing to talk about your weight gain this year?"
B)"Do you realize your weight puts you into an obese category?"
C)"Do you participate in any activities or exercise?"
D)"What do you think about your weight right now?"

Question 11

The pediatric clinic nurse tells the parents that infants can roll over,presenting a safety hazard,at what age?

A)1 month
B)2 months
C)3 months
D)4 months

Question 12

The family clinic nurse reviews nutritional information with a 15-year-old patient.The patient is concerned about being short and wonders if growth will continue.The nurse explains that the typical increase in height during adolescence is how much?

A)15%
B)25%
C)30%
D)35%

Question 13

The school nurse wants to create a safe driving program for the high school students.In order to have the greatest impact on safety,on which issue should the nurse focus?

A)Female driving
B)Late-night driving
C)Seat-belt use
D)Sleep deprivation

Question 14

A school nurse is evaluating a teenager who is returning to school after breaking her fibula.The nurse notes the student has a blood pressure of 90/56 mm Hg,has a pulse of 58 beats/minute,and is wearing three layers of clothing.What action by the nurse is best?

A)Ask the student if she had pain medication this morning.
B)Document the findings and send the student to classes.
C)Have the student lie down and call 911 immediately.
D)Question the student about eating and exercising patterns.

Question 15

A public health nurse is visiting a family home where there is a newborn.Which assessment finding by the nurse warrants immediate intervention?

A)A cat is sitting on the kitchen counter by the stove.
B)Roaches are evident in the kitchen and in the pantry.
C)The baby is on a carpet that is stained and worn out.
D)The crib has dirty bumper pads and a dirty comforter.

Question 16

A nurse is observing a mother and her 10-month-old infant.The mother is interacting happily with the child while letting the baby eat pieces of hot dog.What action by the nurse is best?

A)Compliment the mother on her parenting skills.
B)Document that the baby is eating finger foods now.
C)Stop the mother from feeding the hot dog to the baby.
D)Teach the mother that hot dogs are poor nutrition.

Question 17

A clinic nurse is working with an extremely obese teen.Besides nutrition and related health effects,what else should the nurse assess the patient for?

A)Alcoholism
B)Hepatitis C
C)Lanugo
D)Seat-belt use

Question 18

The parents of a 16-year-old boy are frustrated because the teen is always participating in risky activities and getting hurt,and has a group of friends of whom the parents do not approve.What action by the nurse would be most helpful?

A)Encourage an after-school program that includes rock climbing,rafting,and hiking.
B)Reassure the parents that risk taking is just a normal part of adolescence.
C)Show the teen statistics on preventable injuries and deaths among teenagers.
D)Tell the teen his risky behavior can lead to injuries and worries his parents.

Question 19

A school nurse is preparing educational activities for all high school students on reproductive health.The principal cautions that the program can only contain information about sexual abstinence.Which action by the nurse would be most appropriate?

A)Argue that abstinence-only programs do not work and are not valuable.
B)Discuss the need to have information appropriate to the teens' experience.
C)Plan the program but encourage questions not related to the prepared material.
D)Prepare an abstinence-only program because teens should not have sex.

Question 20

A nurse is teaching new parents about dental care for their baby.Which information should the nurse provide?

A)Brush the baby's teeth with special baby toothpaste.
B)The child should see a dentist before the age of 2.
C)All teeth should be in by age 2.
D)Wipe the baby's gums with moist gauze.

Question 21

A nulliparous 53-year-old woman is in the clinic complaining of lower abdominal fullness,heavy menses,and severe menstrual cramping.What treatment does the nurse anticipate for this woman?

A)Administration of leuprolide (Lupron)
B)Hysterectomy and bilateral salpingo-oophorectomy
C)None;issue will resolve spontaneously
D)Surgical removal of the ovaries

Question 22

A postmenopausal woman asks the nurse about reducing her breast cancer risk.The woman is overweight,consumes one alcoholic drink daily,does not smoke,and works at a desk.What response by the nurse is best?

A)Exercise regularly.
B)Lose weight.
C)Stop drinking.
D)Take aspirin daily.

Question 23

A nurse in a family practice clinic sees several generations of the same family.For which family members should the nurse arrange routine screening colonoscopies?

A)Daughter,age 52
B)Grandfather,age 80,no history of polyps or cancer
C)Grandmother,age 72,history of polyps
D)Grandson,age 30,no gastrointestinal symptoms

Question 24

A patient is in the clinic for an annual exam.Her past medical history includes endometriosis for which she takes medroxyprogesterone (Depo-Provera).What assessment finding would the nurse relate to the medical condition or medication?

A)20-lb weight gain
B)Cold intolerance
C)Facial acne
D)Facial hair growth

Question 25

A nurse is reviewing the results of several patients' cholesterol and lipid screenings.For which patient is the action appropriate?

A)HDL cholesterol 66 mg/dL: Evaluate patient for cardiovascular risk.
B)LDL cholesterol 98 mg/dL: Instruct patient to take fish oil 3 gm daily.
C)Total cholesterol 240 mg/dL: Teach heart-healthy lifestyle changes.
D)Triglycerides 132 mg/dL: Refer to dietician for comprehensive diet education.

Question 26

An older patient has never exercised,but wants to begin now.What response by the nurse is best?

A)"At your age,exercise will not benefit you."
B)"Good for you! I am so proud of you!"
C)"Remember to stretch before exercising."
D)"Start with exercising for only 5 minutes a day."

Question 27

A nurse reads in a patient's chart that the Bethesda system terminology used to describe her cervical cytology and histology is AIS.What can the nurse conclude about this woman's treatment?

A)Follow-up in 1 month
B)Possible chemotherapy
C)Repeat test in 3 months
D)Use of luprolide (Lupron)

Question 28

A nurse is working with an older adult who has never exercised despite understanding the health benefits.What can the nurse do to improve the chances that this adult will begin an exercise regimen?

A)Ask the patient if dancing sounds like fun.
B)Encourage the patient to join a fitness club.
C)Explain how exercise increases independence.
D)Have the family talk with the patient about it.

Question 29

A preoperative nurse is caring for a patient who will undergo an open breast biopsy.What action by the nurse takes priority?

A)Ensure that an informed consent is signed and witnessed.
B)Inventory and label all of the patient's belongings.
C)Orient the patient's significant others to the waiting room.
D)Premedicate the patient on arrival to the pre-op holding area.

Question 30

A woman suffering from severe vasomotor menopausal symptoms wants to use complementary or alternative therapies instead of hormone therapy.What advice by the nurse is best?

A)"Acupuncture has been shown to work better than other body therapies."
B)"Herbs are a great option as they do not typically have side effects."
C)"Mind-body,manipulative,or traditional Chinese medicine are safer than herbs."
D)"Research shows that black cohosh significantly reduces hot flashes."

Question 31

A nurse is teaching a 24-year-old male about reproductive health.Which information should the nurse provide this patient about testicular cancer?

A)Annual screening is recommended for testicular cancer.
B)If the epididymis is tender to the touch,that is concerning.
C)Perform a testicular self examination after a warm shower.
D)Because testicular cancer is rare at this age,no action is needed.

Question 32

A 21-year-old woman who has not been sexually active is in the clinic and requests a Gardasil vaccination.After giving the shot,what instruction does the nurse provide to her?

A)Return in 1 month for the next shot.
B)Return in 2 months for the next shot.
C)Return in 6 months for the next shot.
D)Return in 1 year for the next shot.

Question 33

The nurse notes that a patient's chart contains the results of an MMSE.What can the nurse surmise about this patient?

A)Behind on recommended immunizations
B)Concerns about cognitive functioning
C)Tracking changes in bone density
D)Worried about cardiovascular health

Question 34

A 53-year-old woman is having her annual physical and tells the nurse she has not had a period for 7 months.She wants to know if she has undergone menopause.What response by the nurse is best?

A)"No,at your age,fluctuations in your menstrual cycle are normal findings."
B)"No,menopause only begins in women after the age of 55."
C)"Yes,not having a period for more than 6 months is diagnostic of menopause."
D)"You have to go 1 year without a menstrual period to be sure that menopause has occurred."

Question 35

A woman presents to the family practice clinic complaining of abdominal pain,pain during ovulation,and heavy periods.What action by the nurse is best?

A)Facilitate a vaginal ultrasound.
B)Obtain consent for a laparoscopy.
C)Prepare the woman for a pelvic exam.
D)Provide education on ibuprofen (Motrin).

Question 36

A nurse is evaluating several patients for possible hormone therapy to reduce severe symptoms of menopause.For which patient would hormone therapy be recommended?

A)53 years old,smoker,estrogen-progestin therapy
B)54 years old,history of endometrial cancer 10 years ago,estrogen only
C)55 years old,history of hysterectomy 4 years ago,estrogen only
D)76 years old,went through menopause 16 years ago,estrogen-progestin

Question 37

A young woman has had three urinary tract infections (UTIs)in the last year.What teaching should the nurse plan for this patient?

A)Avoid sexual intercourse during your period.
B)Take prophylactic antibiotics daily.
C)Void every 4 hours while awake.
D)Wipe from front to back after using the bathroom.

Question 38

The nurse prepares to offer health screening and promotion activities for women aged 40-60.Which activity does the nurse plan to include as a priority for this group?

A)Alzheimer's disease screening
B)Breast cancer screening
C)Gardasil vaccinations
D)Influenza vaccinations

Question 39

A nurse notes that a woman's chart lists "dyspareunia" as a diagnosis.In planning education for the patient,which topics would the nurse include?

A)Black cohosh and soy nuts
B)Kegel exercises and use of a pessary
C)Nonsteroidal anti-inflammatory medications
D)Water-based vaginal lubricants

Question 40

A nurse is volunteering for the local chapter of the cancer society and is planning breast cancer screening and educational activities in the community.In order to have the most impact on this disease,which women should the nurse target?

A)African Americans
B)Asian Americans
C)Caucasian Americans
D)Native Americans

Question 41

The nurse teaches expectant mothers about the differences between breast milk and commercially prepared infant formulas.What does the nurse tell the mothers about breast milk? (Select all that apply.)

A)Fewer nutrients
B)Less casein
C)Less protein
D)More calories
E)More carbohydrates

Question 42

A clinic nurse sees adolescent girls frequently.Many of the girls should be screened for gonorrhea and Chlamydia infection,but they balk at having a pelvic exam.What option can the nurse offer these girls?

A)Blood draw
B)Limited pelvic exam
C)No alternative
D)Urine collection

Question 43

The reproductive care clinic nurse teaches young women about their risk for sexually transmitted infections (STIs).Which factors does the nurse include? (Select all that apply.)

A)Alkaline pH of the vagina
B)Increased genital mucosal surface area
C)Increased number of pubic hair follicles
D)Prolonged exposure to semen
E)Temperature of the vaginal area

Question 44

A visiting nurse is seeing an older woman with the nursing diagnosis of risk for trauma related to decreased bone density secondary to osteoporosis.Which assessment findings would indicate to the nurse that a priority goal for this diagnosis has been met? (Select all that apply.)

A)All scatter rugs have been removed.
B)Burned-out light bulbs have been replaced.
C)Hot water heater temperature is set to 110°F.
D)Patient wears non-skid shoes or slippers.
E)Pets have been given away to friends.

Question 45

A nurse is preparing to educate a group of parents about injury prevention in adolescents.Which topics should the nurse plan to include as priorities? (Select all that apply.)

A)Bicycle safety
B)Gun safety
C)Home safety
D)Driving safety
E)Water safety

Question 46

The clinic nurse educates young adults that the most common infectious health risks associated with tattoos include which of the following? (Select all that apply.)

A)Chlamydia infection
B)Gonorrhea
C)Hepatitis
D)Human papilloma virus (HPV)
E)Staphylococcus infection

Question 47

A 65-year-old patient is in the clinic for an annual influenza vaccination.What other health promotion activity should the nurse encourage specifically for this patient?

A)Heart-healthy eating
B)Participating in social activities
C)Pneumococcal vaccination
D)Regular exercise

Question 48

The mother of a 5-month-old baby complains that her child seems hungry even after breastfeeding 10 times a day.What assessment question would help the nurse plan anticipatory teaching?

A)"Are you sure your breasts are emptying?"
B)"Does the baby put everything in his mouth?"
C)"Does your baby sit in a high chair yet?"
D)"Is your baby using the pincer grasp yet?"

Question 49

Match the types of play with their characteristics.
Playing with the same items, but not really playing together

A)Solitary play
B)Onlooker play
C)Parallel play
D)Associative play
E)Cooperative play

Question 50

The clinic nurse talks with parents about the signs and symptoms of substance use because their 12-year-old twins will be attending a new school in the fall and they wish to be prepared.The nurse correctly describes the potential symptoms of substance abuse,including which of the following? (Select all that apply.)

A)Chronic cough
B)Euphoria
C)Irritability
D)Nausea and vomiting
E)Red and glazed eyes

Question 51

A nurse works with many older patients and provides information about safer sexual practices and risks.What physical factors increase an older woman's risk for acquiring human immunodeficiency virus (HIV)infection? (Select all that apply.)

A)Increased promiscuity
B)Isotonic dehydration
C)Decreased vaginal pH
D)Loss of vaginal elasticity
E)Vaginal dryness

Question 52

A community health nurse is packing a kit of play items for the families who will be visited today.One family has an infant and a preschooler.Which toys should the nurse include in the kit? (Select all that apply.)

A)Blocks
B)Coloring books
C)Ride-on train
D)Simple board game
E)Stuffed animals

Question 53

A 17-year-old girl comes to the health department clinic to renew her oral contraceptive pills.During the physical examination,the nurse observes that the girl has broken blood vessels on her face and her lips are cracked and chapped and her fingers are callused.What further actions will the nurse perform? (Select all that apply.)

A)A weight assessment
B)Assessment for depression
C)Draw blood for electrolytes
D)Discussion about anorexia nervosa
E)Discussion about bulimia

Question 54

A nurse is planning breast education for women.What information does the nurse plan to provide about breast cancer screening recommendations?

A)Annual screening after age 40
B)MRI to replace mammography
C)No routine screening after age 65
D)Periodic screening if high risk

Question 55

Match the types of play with their characteristics.
Assume roles in games; games have goals

A)Solitary play
B)Onlooker play
C)Parallel play
D)Associative play
E)Cooperative play

Question 56

The nurse working with older women knows that risk factors for osteoporosis include which of the following? (Select all that apply.)

A)Asian ethnicity
B)Excessive consumption of caffeine
C)Large frame
D)Regular physical activity
E)Cigarette smoking

Question 57

A nurse is educating a woman on the use of denosumab (Prolia).What information should the nurse provide?

A)"Return in 6 months for another injection."
B)"Take this medication on an empty stomach."
C)"Take this medication with milk or food."
D)"You may have increased night sweats."

Question 58

A college nurse offers screening programs for students.At what age should the nurse encourage women to have their first Pap test?

A)At age 19
B)At age 21
C)Before sexual activity
D)No specific age

Question 59

At what age should the nurse prepare patients to begin thyroid function screening?

A)30 years
B)40 years
C)50 years
D)60 years

Question 60

Match the types of play with their characteristics.

_____ Assume roles in games; games have goals
_____Playing with the same items, but not really playing together
_____ Plays alone, no regard for those in the area
_____ Play together, but little organization
_____ Observes other children while playing alone

A)Solitary play
B)Onlooker play
C)Parallel play
D)Associative play
E)Cooperative play

Question 61

The nurse providing health promotion to a group of young adult women would plan to offer which services as a priority? (Select all that apply.)

A)Aspirin prophylaxis
B)Breast cancer screen
C)Colorectal cancer screen
D)Influenza vaccine
E)Tobacco and alcohol screen

Question 62

Match each description with the correct disorder.Disorders may be used more than once.Descriptions may have more than one answer.
1. _____Rectum presses into vagina
2. _____Symptoms include constipation
3. _____ Bladder herniates into vagina
4. _____Difficulty completing a bowel movement
5. _____ Damaged muscles appear higher in the colon
6. _____ Symptoms include difficulty in voiding, incontinence, and dyspareunia

A) Cystocele
B) Rectocele
C) Enterocele

Question 64

Match the types of play with their characteristics.
Play together, but little organization

A)Solitary play
B)Onlooker play
C)Parallel play
D)Associative play
E)Cooperative play

Question 65

Match the types of play with their characteristics.
Plays alone, no regard for those in the area

A)Solitary play
B)Onlooker play
C)Parallel play
D)Associative play
E)Cooperative play

Question 66

Match the types of play with their characteristics.
Observes other children while playing alone

A)Solitary play
B)Onlooker play
C)Parallel play
D)Associative play
E)Cooperative play