Deck 8: Womens Care: Social Issues

Question 1

A public health nurse, along with a student, is visiting the home of an elderly woman who is widowed and lives alone. Her 40-year-old son is her caregiver, and the public health nurses visit about once a week to follow up on her high blood pressure, recent surgery for a hip fracture, and diabetes. The nurse and student find the home unkept, sink full of dirty dishes, and the patient in clothes that are extremely soiled. She cannot reach her walker to get up, and she has been incontinent. This type of abuse is called:

A) Neglect.
B) Abandonment.
C) Physical abuse.
D) Financial abuse.

Answer 1

Neglect.

Question 2

The pregnant patient employed at a factory asks the nurse whether exposure to chemicals can cause harm to her fetus. The nurse should advise that exposure to which substance can lead to neurological damage?

A) Lead
B) Latex
C) Formaldehyde
D) Benzene

Answer 2

Lead

Question 3

In a community clinic, a number of women working low-paying jobs come in for health care in the evening. The nurse knows the women are working in situations where they:

A) Have no health insurance.
B) Have "pink collar" jobs.
C) Earn less pay than do their male counterparts.
D) Will be receiving a pension upon retirement.
E) Have no problem securing child care.

Answer 3

Have no health insurance.
Have "pink collar" jobs.
Earn less pay than do their male counterparts.

Question 4

When discussing the feminization of poverty, the nurse educator will inform the students of what fact?

A) There is a rising trend of women filing for bankruptcy.
B) Fifty percent of the world's population live on less than $10 a day.
C) Poverty is not directly linked to level of education attained.
D) Women work fewer hours for more pay than men do.

Question 5

The community nurse has presented an educational presentation at a low-income assisted-living facility with residents from several races and ethnic groups. Which statement made by an older African American woman indicates that teaching has been effective?

A) "I have a lower risk of dying from diabetes than my white friend."
B) "Income doesn't affect our health risks as much as rich people."
C) "I am twice as likely to have coronary heart disease as my white neighbor."
D) "Generic medications might not work as well as the trade name pills."

Question 6

The nurse working with a patient who is seeking a family and medical leave knows that an eligibility requirement of the Family and Medical Leave Act (FMLA) of 1993 is that the employee must:

A) Work at least 40 hours per week.
B) Have been employed for at least 1 month.
C) Work for a company with fewer than 50 employees.
D) Furnish a physician's statement that verifies the need.

Question 7

The nurse working at a homeless shelter is studying case statistics. Of the total homeless population served at the shelter, which group would the nurse's statistics likely uncover as the fastest-growing group?

A) Unemployed women
B) Families with children
C) The mentally ill
D) The elderly

Question 8

The nurse manager is preparing an educational in-service for staff nurses about elder abuse. The nurse manager develops a hypothetical situation: A wheelchair-bound patient who lives with her daughter has experienced hunger because she cannot reach the cupboards to make lunch. Which category of elder abuse does this example describe?

A) Psychologic abuse
B) Physical abuse
C) Neglect
D) Financial abuse

Question 9

The nurse in a community clinic is providing a nutrition course for pregnant women. The nurse tells them that the fish a pregnant woman should avoid or eat in limited amounts include:

A) Golden snapper.
B) Swordfish.
C) Tuna.
D) Farmed salmon.
E) Tilapia.

Question 10

A new nurse is teaching a class to expectant parents about environmental hazards at home. Which statement, if made by an expectant parent, would indicate the need for further teaching?

A) "Air pollution is an environmental hazard caused by the release of toxins into the air."
B) "Indoor air pollution poses the more serious threat to women's health, as most Americans spend 90% of their time indoors."
C) "Radon, a naturally occurring radioactive gas, is the leading cause of lung cancer, which kills more women than any other type of cancer, including breast."
D) "Asthma, an increasingly common and serious problem in children, is worsened by most forms of indoor air pollution."

Question 11

The nurse is planning care at a retirement community. The nurse understands that, compared with a male of the same age, a 75-year-old woman is more likely to have a:

A) Living spouse.
B) Pension.
C) Disability.
D) Better education.

Question 12

The community clinic nurse manager is working on a long-term budget. The manager understands that in the next few years, Medicaid is expected to pay for fewer births. This is, in part, because:

A) The U.S. economy is becoming stronger.
B) More women are able to pay for private insurance.
C) New public policies are providing other forms of payment.
D) Eligibility rules for Medicaid have been changed.

Question 13

The nurse manager is examining a complaint about wage discrimination. To resolve this complaint, the nurse manager must understand that the basic premise of "comparable worth" means that:

A) Men and women doing the same job should receive the same pay.
B) A person's pay should be based more on the number of hours worked rather than on the type of work performed.
C) Women are especially well-suited for some kinds of jobs, as are men for others.
D) Unemployment compensation should be based on the salary the person was making while employed.

Question 14

A home care nurse is looking over the charts of four elderly female patients. The nurse knows that which patient has the highest risk for developing diabetes and heart disease?

A) A Caucasian woman.
B) A woman of Italian descent.
C) An Amish woman.
D) An African American woman

Question 15

The nurse is leading a discussion among nursing students about differences in living conditions between men and women. Which statement, if made by the nursing student, would correctly depict the susceptibility of older women?

A) "Older women tend to have more educational preparation than older men."
B) "Women typically earn less than men and often work in jobs without pension benefits or only limited benefits."
C) "Intermittent employment is less common in women, increasing their Social Security and retirement benefits."
D) "Women generally have fewer family caregiving responsibilities than men."

Question 16

The nurse is on a panel at a conference discussing poverty and health care for those living below the poverty level. Statements the nurse must include are:

A) The poverty level is defined as a family of four living on less than $22,050 per year.
B) Two thirds of all poor people in the U.S. are women and children.
C) Demographic factors most strongly associated with children's poverty are female-headed households and race.
D) The greatest number of people living under the poverty level are elderly.
E) Parental race does not affect the level of poverty.

Question 17

The nurse is working in an obstetrical clinic in an urban setting. The nurse knows that there are certain facts that affect the health care of this group of women, including:

A) Women who receive adequate prenatal care are less likely to develop preterm labor.
B) Women who do not receive prenatal care are more likely to have low-birth-weight babies.
C) A lack of prenatal care is a risk for infant morbidity and mortality.
D) Women who do not receive prenatal care are at a greater risk for various illnesses.
E) Women who do not receive prenatal care are more likely to have high-birth-weight babies.

Question 18

The nurse is trying to explain the different forms of elder abuse to a nursing student. Which statement, if made by the nursing student, would indicate the need for further teaching?

A) "Substance abuse and stressful events in the life of the abuser can contribute to the risk of abuse."
B) "The prototypical victim of elder abuse is a white woman over 80 years old who lives in her own home or the home of a family member."
C) "The abuser is most often a child of the patient; the next most likely abuser is a spouse, and the third most likely primary caregivers."
D) "Elder abuse includes any deliberate action, or lack of action, that causes harm to an elderly person."

Question 19

The community health nurse manager is reviewing the charts of elderly patients. Which issue are these patients most likely to experience?

A) Adequate financial resources to purchase medications
B) Senior services that provide transportation to healthcare appointments
C) Multiple medications prescribed by different physicians
D) Medicare that covers healthcare costs so no out-of-pocket expenses occur

Question 20

The nurse in a community clinic recognizes that older women face various barriers to obtaining health care. The barriers that must be overcome include: Note: Credit will only be given if all correct and no incorrect choices are selected. Standard Text:

A) Transportation difficulties.
B) Lack of health coverage.
C) Symptom-specific treatment.
D) Adequate research on chronic conditions.
E) The Family and Medical Leave Act.

Question 21

The nurse is caring for a 20-year-old labor patient who is autistic. This patient will not talk with the nurse, she wants her mother right at her side, and she obviously does not understand what is going on with her. Which term best describes the disability of this patient?

A) Developmental
B) Learning
C) Neurological
D) Sensory

Question 22

The nurse making home visits to a number of adult women with disabilities monitors the patients closely out of awareness that:

A) They do not need as much care as do other women, because they are not able to get out into public.
B) They receive more preventive care than do women without disabilities.
C) These women seldom develop osteoporosis.
D) They receive less preventive care and have greater yearly health expenditures than do women without disabilities.

Question 23

The nurse is caring for a new mother who is intellectually disabled. She has chosen to keep her baby, and will live with her parents, who both work full-time. Public health nurses are going to be following this patient and her baby closely. What is the main thing the nurse will have to remember when caring for this patient?

A) This patient will need to have a babysitter at all times.
B) She is not going to be able to keep this baby, due to her disability.
C) The father of the baby needs to move in with the family to assist with care.
D) The nurse and the patient's family will have to give clear, concise, easy-to-understand directions multiple times.

Question 24

The nurse is teaching a group of parents of severely disabled school-aged girls. The nurse tells the parents that these girls:

A) Need education about STIs, contraception, and routine gynecological checkups.
B) Would be better off if they had permanent sterilization.
C) Will probably not be sexually active.
D) Are not able to understand about contraception and sex.

Question 25

The nurse is working with a group of recent immigrants from a country in which female genital mutilation (FGM) is practiced. In order to be effective in teaching about gynecologic care in the U.S., the nurse must keep which issues in mind?

A) Women might undergo FGM willingly to support the status quo of society.
B) Women might undergo the procedure to be considered for marriage.
C) Societies that practice FGM view women as having equal rights with men.
D) FGM is usually done during infancy so women have no memory of the procedure.
E) Women will view the term female genital mutilation as culturally appropriate.

Question 26

The lesbian woman who is pregnant by in vitro fertilization from an unknown donor comes to the obstetric clinic in her seventh month with her partner. When asked by the nurse why she has waited so long to come in, the patient remarks, "Oh, you know why." The nurse suspects that this patient is:

A) Experiencing a fear of discrimination on the part of providers.
B) Without insurance, and is afraid she will be turned away.
C) In good health, and did not need to come in any sooner.
D) Independent in her health care, and opted for self-care until now.

Question 27

The culturally competent nurse recognizes that health implications of female genital mutilation can include:

A) Hemorrhage.
B) HIV transmission.
C) Chronic urinary infections.
D) Increased sexual pleasure.
E) Easier childbirth.

Question 28

The nurse is assessing a woman with a paralyzed arm who has lost her health insurance due to unemployment. The nurse recognizes that barriers to employment for women with disabilities include:

A) No access to transportation.
B) Employer attitudes.
C) Lack of wheelchair access.
D) Wide door openings into buildings.
E) Readily available ramps.

Question 29

The nurse has presented an educational session to local politicians about the health impact of discrimination based on sexual orientation. Which statements indicate that further education is needed?

A) "Lesbians who stay at home to raise children receive healthcare benefits through their partner's employer."
B) "A lesbian will receive her partner's retirement funds if the partner dies unexpectedly."
C) "Lesbian couples can be homeless because of eviction based solely on their sexual orientation."
D) "A veteran discharged from the Army because she is lesbian cannot receive care at the U.S. Department of Veterans Affairs."
E) "A parent with children can be fired in most states if it becomes known that she is a lesbian."

Question 30

A lesbian woman tells her nurse that she has begun to work for a new company. The woman's biggest fear is that her new employer will find out about her sexual orientation. Why is this woman afraid of this discovery?

A) The 1997 Employment Non-discrimination Act was passed into law.
B) It is still legal in many states to fire a lesbian on the basis of sexual orientation.
C) Discrimination exists only in the private sector.
D) The American Civil Liberties Union is ill equipped to deal with employment discrimination.

Question 31

The nurse is caring for a patient who says she is lesbian. The well-educated nurse will be aware that the patient:

A) Is at lesser risk for sexually transmitted diseases and cervical cancer than a heterosexual woman would be.
B) Is less likely to experience domestic violence than a heterosexual woman would be, and does not need to be asked about it.
C) Is at greater risk for breast cancer than a heterosexual woman would be.
D) Does not need to have a Pap smear as frequently as a heterosexual woman would.

Question 32

The nurse at a women's clinic is reviewing a new patient health information questionnaire. Which does she find to be insulting and discriminatory toward lesbian patients?

A) Who should be contacted in case of emergency?
B) What method of birth control do you use?
C) How often do you drink alcohol?
D) Do you feel safe in your relationship?