Deck 17: Women’s Health

Question 1

A middle-aged woman was obese and being treated for hypertension; and her blood tests showed elevated triglycerides and low high-density lipoprotein (HDL). Besides recommending physical activity, which of the following nutritional guidance should be provided by the nurse?

A) Buy a good diet book, and follow its advice.
B) Eat fish and seafood such as salmon, halibut, tuna, and scallops at least three times a week.
C) Use olive oil when you cook, especially if you are frying food.
D) You have to lose weight, so stop all desserts and eat nothing but salads for 2 weeks.

Answer 1

Eat fish and seafood such as salmon, halibut, tuna, and scallops at least three times a week.

Question 2

A nurse has just been told by a friend that her physician has recommended a hysterectomy for fibroids in her womb. Which of the following would be the most appropriate response by the nurse?

A) "Hysterectomies are the most common surgical procedure done on women; you'll be fine."
B) "Tell your doctor to remove your ovaries as well so you will never have to worry about ovarian cancer."
C) "There are other alternatives. Why don't you seek a second opinion just to be sure a hysterectomy is best for you?"
D) "Uterine fibroids are very common so don't feel badly; you've already had your children, so there's no reason to keep your uterus."

Answer 2

"There are other alternatives. Why don't you seek a second opinion just to be sure a hysterectomy is best for you?"

Question 3

A nurse has recently learned of the death of a 22-year-old female friend. Which of the following would be the most likely cause of death?

A) Complications of childbirth
B) Accident or unintentional injury
C) Cancer
D) Cardiovascular disease

Answer 3

Accident or unintentional injury

Question 4

Which of the following is the leading cause of death for women in their first trimester?

A) Anesthesia
B) Ectopic pregnancy
C) Hemorrhage
D) Pulmonary embolism

Question 5

Which of the following best explains why many elderly women do not prepare meals or do housework?

A) Chronic diseases, especially arthritis and rheumatism, hinder their ability.
B) Living in a nursing home does not require them to do so.
C) They do not want to; their husbands can share in the work.
D) With Social Security, they can afford to pay someone else to do these tasks.

Question 6

Which of the following is the leading cause of disability in the United States?

A) Arthritis
B) Car accident
C) Falls
D) Heart disease

Question 7

Which of the following groups has the highest poverty rate in the United States?

A) Married couples with several children
B) Single female heads of household
C) Single male heads of household
D) Two adults cohabitating when one is unemployed

Question 8

A woman with two young children is debating if she should try to work using child care or stay at home and care for her children. Based on the current trends, which decision is she most likely to make?

A) Enter the work force
B) Invite a relative to live with them to care for the children
C) Negotiate with her husband so he stays home with the children
D) Stay home with the children

Question 9

Which of the following best explains why cancer rates increase as people get older?

A) Better prevention programs are available for cardiac disease, so cardiac disease rates are decreasing, making cancer rates increase.
B) It is harder to screen for cancer than for other fatal diseases, so the rates are increasing because of the inability to detect the cancer at an early stage.
C) Poor lifestyle choices, environmental exposures, and increased life expectancy have all caused cancer rates to increase.
D) Other causes of death are decreasing, so it appears that cancer rates are increasing.

Question 10

Which of the following is the most common cause of death among women after age 75?

A) Accidents and unintentional injuries
B) Cancer
C) Cardiovascular disease (CVD)
D) Diabetes and its complications

Question 11

Which of the following best explains how marriage customs have remained unchanged over the last couple decades?

A) Lesbian and homosexual adults are adopting children.
B) Women are usually responsible for the children following a divorce.
C) Single adults are adopting children.
D) Women are trying to avoid spinsterhood.
E) Women seek to marry at a young age.

Question 12

A community health nurse suggested that a group of nursing students perform a diabetic screening at a location where groups of people meet. Which of the following sites would be best for the screening?

A) The senior citizens center, which always welcomes students back
B) The shopping mall where many young adults go to save money
C) The YWCA/YMCA down the street
D) The Weight Losers group meeting at the church

Question 13

Which of the following provides the best explanation for the importance of the "Go Red" and "The Heart Truth" campaigns?

A) Because heart disease is so prevalent, we all need to know the usual symptoms so we may seek help quickly.
B) Few people are aware of how to prevent chronic diseases such as cancer.
C) We need to increase awareness of the genetic component in chronic disease.
D) Women have different symptoms and require different treatment than men.

Question 14

Which of the following groups of persons is most likely to be able to access health care?

A) Adults who work in large corporations
B) Many employed women
C) Older women on fixed incomes
D) Young adults, aged 16 to 24 years

Question 15

A nurse is called by her sister, who tells her how wonderful it is that she knows the exact date her baby is coming because her doctor scheduled her for a C-section before his vacation. Which of the following would be the most appropriate response by the nurse?

A) "A C-section is major surgery. Do you remember what the doctor shared were the risks for yourself and your baby?"
B) "How marvelous to know the date; I'll plan to visit you in the hospital."
C) "I'm so pleased. I know exactly when I'm going to be an aunt."
D) "Why not wait until after your doctor comes back from his vacation?"

Question 16

"I want to get pregnant as soon as possible now that I'm married," a 43-year-old female says to the nurse. Which of the following would be the most appropriate response by the nurse?

A) "Having a child will certainly cement your new marriage and give it a focus."
B) "It's understandable that your 'biological clock is ticking' and time is running out."
C) "You're right, once you hit menopause you won't be able to have a child."
D) "We will help you, but you need to know that there are more risks for you at your age."

Question 17

Which of the following events caused attention that has resulted in the current emphasis on women's health?

A) Hillary Clinton and Sarah Palin's comments during the presidential race
B) Political correctness, including addressing the rights of women
C) New research studies that are focusing on women
D) Women's movement from the 1970s

Question 18

Which of the following outcomes for the infant and mother have occurred because of fetal monitoring?

A) Improved outcomes for both infant and mother
B) No difference for the infant but improved outcomes for the mother
C) No difference for the mother but improved outcomes for the infant
D) No difference in outcomes for the infant but increased risk for the mother

Question 19

Which of the following best explains why some community health nurses find nursing models inappropriate for use in their clinical practice?

A) Models are almost always based on meeting the needs of individuals, not groups.
B) Models are too theoretical and not realistic.
C) Models, developed for the middle class, do not fit low-income families.
D) Models taught in nursing school are not remembered by nurses in practice.

Question 20

Which of the following statements best explain the difference in suicide rate according to gender?

A) Men are less likely to attempt suicide and less likely to be successful.
B) Men are more likely to attempt suicide but less likely to be successful.
C) Women are more likely to attempt suicide but less likely to be successful.
D) Women are less likely to attempt suicide but more likely to be successful.

Question 21

Which of the following are factors that have led to the decrease in mortality of some cancers? (Select all that apply.)

A) An increase in mortality rate among other cancers
B) Early detection through emphasis on routine screening
C) Fewer sexual partners with emphasis on monogamy
D) An increased awareness of influence of lifestyle choices
E) Legislation such as the Clean Air Act
F) A decrease in tobacco use and smoking among women

Question 22

Which of the following best explains why lung cancer kills more women than breast cancer?

A) Early detection and cure of breast cancer has lowered the death rate.
B) Pap smears lead to early detection and often the cure of uterine cancers, hence avoiding breast metastasis.
C) There is no accepted treatment for lung cancer.
D) Women have begun smoking.

Question 23

Which of the following is the most common sexually transmitted disease (STD)?

A) Chlamydia
B) Gonorrhea
C) HIV
D) Syphilis

Question 24

Which of the following is the most likely reason for adult women to be injured?

A) Automobile accidents
B) Domestic violence
C) Falling
D) Stranger violence (theft, rape)

Question 25

A woman was in the emergency department with a bruised and broken leg. She explained that she had accidentally opened the car door on a trip and the door had blown back on her leg. Her husband was very attentive, constantly asking the nurse to make his wife more comfortable. Which of the following actions should be taken by the nurse?

A) Ask the husband to step out of the room while you get a urine specimen, and, after he leaves, ask the woman, "Have you ever been deliberately hurt by someone?"
B) Call x-ray immediately, and prepare for the leg to have a cast applied.
C) Put ice bags on the area until the leg can be repaired.
D) Try to get an additional pain medication order from the physician.

Question 26

Which of the following is the greatest single cause of absenteeism from school and work among young women?

A) A child's illness
B) Dysmenorrhea
C) Mental health disorders
D) Upper respiratory tract infection

Question 27

A nurse is on the treadmill exercising, when the woman next to her says, "You're a nurse. Explain to me how the scale says I've lost weight, but my waist and tummy just keep getting larger." Which of the following would be the most appropriate response by the nurse?

A) "I'm concerned. You need to see your health care provider to follow up on this."
B) "Muscle weighs more than fat so you're creating muscle while losing fat, but it takes a while for the body to redistribute the weight."
C) "Tell me what you've been eating in the last week or so."
D) "You're running so you're strengthening your legs and thighs, but to lose around your tummy, you have to exercise your abdominal muscles."

Question 28

In a college health course, the question arose as to when a woman needs to see her health care provider for a Pap smear. Which of the following would be the most appropriate response by the nurse?

A) "After you begin having intercourse or reach age 21, whichever is sooner"
B) "Before having sexual intercourse, when you go to obtain your birth control"
C) "If your periods change at all, go to see your health care provider."
D) "If you have a vaginal discharge that's unusual, go right in for a Pap smear."

Question 29

Which of the following describe health hazards to which nurses in hospitals are exposed? (Select all that apply.)

A) Anesthetic gases
B) Dust
C) Heat and chemicals
D) Heavy lifting
E) Infectious diseases
F) Solvents and acids

Question 30

"I don't want to listen to another lecture on safe sex. Just give me my antibiotic and let me leave," said a defiant client. Which of the following would be the best response by the nurse?

A) "As you wish. But can you tell me why you still engage in unprotected sex?"
B) "Gonorrhea is becoming resistant to antibiotics. It's becoming difficult to treat you, and permanent damage to your body is occurring."
C) "Our policy requires that we review how to protect yourself even if you have heard the information before."
D) "These recurrent infections are damaging you inside; please consider using condoms."

Question 31

Which of the following best explains how the Civil Rights Act amendments have been helpful to adult women who are employed?

A) If both a man and a woman apply for a position, preference must be given to the woman.
B) Everyone has permission to apply for any employment position regardless of gender.
C) Employers are prohibited from paying different salaries to men and to women for the same position responsibilities.
D) Discrimination against pregnant women or conditions involving childbirth or pregnancy is prohibited.

Question 32

"Stand up straight, mom," a young woman said to an older woman in the grocery store checkout line. Which of the following would be the most appropriate action by the nurse who is standing next to them in line?

A) Do nothing; the nurse is not expected to act as a nurse when not at work.
B) Say to the older woman, "You need to start treating that osteoporosis."
C) Say, "Older women who don't get much calcium, vitamin D, or exercise can often have trouble standing up straight. Keep reminding yourselves."
D) Say, "You both may have some problems. Have you both ever been checked for osteoporosis?"

Question 33

Which of the following best explains why a community health nurse would choose to emphasize women's health? (Select all that apply.)

A) Different nurses prefer different specialties.
B) It is currently politically correct to verbalize support for female issues.
C) Many women's groups are lobbying for more programs.
D) Many factors resulting in illness and death in women are preventable.
E) Knowledge deficits prevent women from assuming responsibility for their own health.
F) Women face barriers in accessing health care.

Question 34

Which of the following is the most serious complication of women having osteoporosis?

A) Hip fracture
B) Need to avoid sunlight
C) Need to decrease weight-bearing physical activity
D) Stooped posture

Question 35

A parent at a school says to the school nurse, "I can't keep that plate thing straight. What is the bottom line about nutritious eating today?" Which of the following is the most appropriate response by the nurse?

A) "Avoid processed foods, and eat fresh fruits and vegetables."
B) "Eat lots of protein, fruits, and vegetables, and don't worry about the other rules."
C) "Let me get you a copy of the Department of Agriculture plate that you can keep on your refrigerator for easy reference."
D) "Balance your plate with half of a plate of fruits and vegetables, and a quarter of a plate of both proteins and grains."

Question 36

Which of the following best explains how the Public Health Service (PHS) Act, Title X, has been helpful to families?

A) It provides funds for family planning, including contraception.
B) It created a child care subsidy to help adults obtain and retain employment.
C) It provides housing for low-income families.
D) It prevents utility companies from shutting off service and allows for bills to be subsidized.